Our approach

Joined-up care starts with understanding.

Our mission is to enable older persons in community settings to maximise their independence, health and quality of life.

The problem we’re working on

Care for older people at home involves many people: the person, their whānau, GPs, specialists, nurses, pharmacists, support workers and community organisations. Each holds part of the picture. Few hold all of it.

When information is spread across conversations and systems, people miss things. Instructions are half-remembered. Family members hear second-hand. Small misunderstandings become avoidable trips to hospital.

We think the starting point is simple: make sure every conversation is genuinely understood, then connect those conversations into one continuous picture that the person controls.

The continuum

Five stages, each building on the one before. We are developing stage one now.

  1. Stage 1 · In developmentKōrero ClearEvery conversation understood

    Translates health conversations into a form the person, and their whānau, can follow.

  2. Stage 2Care Pathway NavigatorKnowing what comes next

    Helps people see where they are in their care and what the next steps are.

  3. Stage 3Care CoordinationEveryone on the same page

    Connects the people and services involved, including health monitoring at home, so early warning signs reach someone who can act.

  4. Stage 4Structured Care InfrastructureConsistent oversight

    Shared structure and oversight across services that support older people at home.

  5. Stage 5Population IntelligenceA system that learns

    Insight, used with consent and care, that helps the wider system improve.

Living well at home

Alongside the continuum, we’re designing a service that connects wearables and home health devices to a real care team. Readings are watched over time, changes are followed up early by a person, and Kōrero Clear explains what was found.

How living well at home would work

For the health system

Fewer avoidable trips to hospital.

When changes are noticed early and people understand their care, problems can be dealt with at home instead of in the emergency department.

What care costs the government, per person
A year of support at home
$10,800
about 3.1 hours a week
A single average hospital stay
$12,800
7.3 days at about $1,750 a day
A year of rest-home-level residential care
$28,500
residential care subsidy

Source: Aged Care Ministerial Advisory Group, A Place to Grow Old: Securing the future of aged care, August 2026. Figures are approximate.

A year of support at home costs less than one hospital stay. Every avoidable admission prevented, and every extra year someone can safely stay at home, makes a real difference to the system.

  • Earlier action

    Changes in readings such as blood pressure, oxygen levels or activity reach a care team in time to act, before they become an emergency.

  • Fewer avoidable ED visits

    Concerns are picked up and followed through by the right person, so a worrying night is less likely to end in the emergency department.

  • Fewer avoidable admissions

    People who understand their medicines and care plans are less likely to end up back in hospital because something was misunderstood.

  • A safer return home

    Monitoring and coordination after a hospital stay give clinicians more confidence to send people home, and help them stay there.

  • Independence for longer

    Support at home helps people stay in their own homes and communities for as long as they choose.

  • Measured from day one

    Every pilot tracks emergency department visits and hospital admissions with our partners, so the results speak for themselves.

How we work

  • Translation, not summarisation

    The goal is genuine understanding, not a shorter record.

  • The person controls the record

    Data sovereignty is part of the architecture, not a talking point.

  • Whānau are part of the picture

    With consent, families can revisit what was said after the appointment.

  • Rights-based

    We build from the Code of Health and Disability Services Consumers’ Rights.

  • Privacy by design

    Built to New Zealand privacy rules from the outset, with synthetic data until we are ready.

  • Evidence before claims

    We measure what changes in every pilot, and check every figure at its source before we publish it.

Kōrero mai. Let’s talk.

We’re talking with providers, community organisations, professionals and families who want to help shape this work.