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Healthcare complexity, made simple.

New Zealand's leading healthcare partner in clinician-governed solutions — across referral pathways and the healthcare workforce.

A clinician in navy scrubs wearing a lanyard, standing in front of a rounded tile carrying the Systemaize S mark in blues

Clinician-governed · Built with clinicians, for clinicians · Built and tested in real New Zealand clinics

The pathway, and the people.

Referral Pathways

The governed operations layer on the rails the sector already uses. Complete referrals, governed review, visible next steps, informed waiting — live now.

Explore Systemaize Pathways →

Healthcare Workforce

Investing in the workforce that carries the system — support workers to nurses. A commitment under development, governed the same way we govern everything.

See our commitment →

The problem, in plain numbers

The pressure doesn't arrive all at once. It builds in small gaps — a referral missing one result, a decline that sends someone back to their GP, a wait with no word. One in five specialist referrals in New Zealand was declined last year. Nearly 200,000 people are on the waiting list. And for most of them, the hardest part is the same: nobody can see where things are up to. That's the part we fix.

  • 198,812

    people on the first specialist assessment list

    Unmet and Unseen, Association of Salaried Medical Specialists (ASMS) · May 2026 · as at December 2025

  • One in five

    specialist referrals declined — around 255,000 a year, extrapolated

    Unmet and Unseen, Association of Salaried Medical Specialists (ASMS) · May 2026 · as at 2025

  • 74,000+

    people waiting longer than four months

    Long waiting lists and wait times in NZ's public health system, PolicyWise · February 2025 · as at February 2025

How It Works

The operations layer on the rails you already use

A nurse in navy scrubs wearing a blue lanyard, looking to camera
completegoverned reviewvisible next stepinformed waiting

Four modules. One pathway. Start where it hurts.

Systemaize Pathways is the operations layer for your referral pathway — four modules, adopted one at a time, on the rails you already run.

  • A woman at her kitchen table, letters and notebooks spread out in front of her

    Referrals arrive complete.

    Referral Pack Builder

    Turns a messy referral — scans, letters, free text — into one clear, complete, review-ready pack. Missing information is flagged before anyone wastes time on it, so referrals arrive right the first time. For the clinic, that means fewer bounce-backs, less chasing, and triage that starts with everything in front of it.

  • Two men talking across a kitchen table by the window

    Review arrives prepared.

    Clinician Review Console

    Every pack lands in front of a clinician for review, edit and sign-off — nothing moves anywhere without a human decision. The console lays out the summary, key details, flags and gaps in one place, so review time goes into judgement, not hunting. The AI assists; the clinician decides.

  • A woman and an older man in conversation over cups of tea at his kitchen table

    Your criteria, where everyone can see them.

    Criteria & Rules Engine

    Holds your pathway's access criteria and referral rules in one configurable place, and checks every referral against them automatically. When criteria change, you update the rules — not the software. The result is decisions applied consistently, transparently, the same way every time.

  • An older woman reading her phone at a sunlit kitchen table

    Waiting, made visible.

    Keep-in-Touch

    Keeps patients connected while they wait — confirming contact details, sharing plain-language status updates, and checking in along the way. No one has to chase to find out where they stand, and no one drops off a list because a phone number changed. It's the quiet work of keeping people visible.

Commitments

Runs on your rails

The operations layer for your referral pathway — on the systems you already use. Nothing is replaced.

A clinician in navy scrubs wearing a lanyard, looking to camera
  • Clinician-governed
  • Built with clinicians, for clinicians
  • Built and tested in real New Zealand clinics
A grandmother, mother and child sitting on a sofa looking at a phone together.

No one gets lost in the referral system.

One in five

specialist referrals declined — around 255,000 a year, extrapolated

Unmet and Unseen, Association of Salaried Medical Specialists (ASMS) · May 2026 · as at 2025

One pathway first

Start with one bounded pathway. Measure everything. Expand on evidence.

Before

After

Built by the people who carry the problem

Studio portrait of Erik Gulliksen, Co-Founder — Technical Director
Erik GulliksenCo-Founder — Technical Director
Studio portrait of Levi Penno, Co-Founder — Strategic Lead
Levi PennoCo-Founder — Strategic Lead
Studio portrait of Roy Tikao, Pou Ārahi — Cultural & Partnerships Director
Roy TikaoPou Ārahi — Cultural & Partnerships Director
Studio portrait of Dr Gill Penno, Clinical governance
Dr Gill PennoClinical governance
Studio portrait of Dr Michelle Todd, Clinical governance
Dr Michelle ToddClinical governance

Patients and whānau

Ngā tūroro me ngā whānau

Waiting? Here's what's actually happening.

Three generations of one family sit together on a garden bench among tree ferns and flax, the Systemaize S line running across the frame behind them

Clinician-governed · Built with clinicians, for clinicians · Built and tested in real New Zealand clinics.

Start with the Trust Pack.

One request, and you'll have our governance model, our data sovereignty statement, our security summary, our pilot method and our evidence — everything your clinical lead, your executive and your security team will ask for, answered before they ask.

Request the Trust Pack

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