Dr Coleman said "There's still some improvement that could be made in the primary care area around the stop smoking and cardio-vascular disease and diabetes targets.
"The ED [Emergency Department] is doing well, but could still lift its performance a bit.
"But the impression I'm getting is that you have a very well managed health board here and, very importantly, a very committed staff working in clinical areas."
Dr Coleman said he had met some very dedicated doctors and nurses, "the people in Rotorua are getting a great service from their DHB".
He said the Lakes region also had more specific needs like access for children to long-term quality health care and high rates of diabetes.
"Health is one of those things that never stands still, we've still got to get more services out in primary care to keep up with demand.
"There are also big challenges around obesity and getting more mental health services in the communities and the concerns about diabetes."
Lakes DHB chairman Deryck Shaw said it was a positive visit.
"We gave him the opportunity to speak to our clinicians who are at the coalface, spoke to him about our current situation and future priorities and took him on a tour of our facilities.
"We are very proud with what we have done at Lakes and it's been very positive from our perspective while we are always looking to improve."
