
Innovation
PHASES leverages digital tools, including Primary Sense, to enable general practice, allied health professionals, and Aboriginal health practitioners to deliver smarter, data-driven cardiovascular care. These technologies streamline care, improve outcomes, and support holistic, preventive interventions.
Key features
Real-time insights
- Provides actionable prompts during consultations to flag cardiovascular risks and gaps in care.
- Alerts GPs to patients eligible for cardiovascular risk assessments or interventions, including social prescribing.
Risk stratification
- Uses evidence-based algorithms to identify patients at high risk of hospitalisation or cardiovascular events.
- Categorises patients into risk bands for focused care.
Population insights for practices
- Generates reports that highlight population-level trends and at-risk cohorts.
- Enables practices to prioritise quality improvement initiatives and targeted outreach.
Digital compatibility
- Primary Sense works with existing GP software systems, including Best Practice and Medical Director, to ensure seamless implementation.
- Supports over 80% of Queensland’s general practices, increasing accessibility and impact.

PHASES strengthens the consumer and primary care partnership as the foundation of a healthier community, improving downstream outcomes across the healthcare system. By enabling preventive, multidisciplinary care, PHASES fosters collaboration among primary care providers to achieve sustainable, patient-centred care delivery.
Key benefits
For GPs
- Real-time safety nets: Provides in-consult prompts to support clinical decisions and improve patient care.
- Proactive follow-up: Generates reports to help GPs identify and engage at-risk patients outside of consultations.
For general practice and Aboriginal health teams
Supports practice nurses, managers and Aboriginal health professionals in delivering coordinated, holistic care for their patient populations.
For multidisciplinary teams
With improved management of CVD risk within general practice, an increased role for allied health professionals in contributing to preventive strategies and lifestyle interventions.
For PHNs
Offers powerful analytics and tools for health planning and commissioning strategies tailored to local community needs.
For Queensland Health
Reduces preventable hospitalisations and supports a more sustainable healthcare system by alleviating pressure on acute care services.
For the Australian Government’s Department of Health and Aged Care
Demonstrates the value of leveraging preventive care, including a stronger role for allied health professionals, to reduce healthcare costs through better management of disease in its early stages. PHASES could influence future changes to Medicare and the MBS, ensuring primary care funding better reflects multidisciplinary approaches.