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PHO services

Karo specialises in providing register management services for PHOs. We have been providing this service for 10 years and have a wealth of knowledge and experience about related matters, such as, PHO enrolment and the PHO Clinical Indicators.

PHO register management

Karo's PHO register management software, Monitor, is used to process the registers of 21 PHOs covering over 2.5 million patients.

Monitor meets all the PHO register management requirements. It

  • combines multiple practice registers into a file for submission to the Ministry of Health
  • generates upload files for practice management systems
  • handles the Fee For Service deductions
  • combines information from the practices to generate the utilisation and clinical performance indicator files for the Integrated Performance and Incentive Framework
  • prepares reports at both PHO and practice level, including detailed updates, analysis and graphical representations


Karo uses Monitor to complete the register processing and submission on behalf of most of the PHOs with which it works.  A few PHOs (typically larger ones, with their own in-house IT department) use Monitor under licence from Karo to manage their register processing themselves.  Karo's register processing service is practice management system (PMS) vendor neutral (that is, it works with all  PMSs in use in NZ).

Clinical data capture, storage and reporting

Karo also develops on request:

  • clinical data capture tools using Medtech's 'Advanced Forms', and
  • associated reporting databases using MS Access and SQL Server.


Examples of these tools and databases are listed in the Medtech advanced forms section of the website.

PHO services at a glance

Karo products & services Tools utilised PMS systems
PHO register management processing Karo's Monitor PMS independent
Clinical data capture Medtech's Advanced Forms Medtech only
Clinical database & reporting MS Access and SQL Server PMS independent