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Early Intervention in Chronic Disease. Central Bayside Community Health Service. EICD aims. Diabetes Prevention Better coordinated chronic disease care Increase service delivery capacity. Impacts. CHS - additional services - organizational change - partnership development

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early intervention in chronic disease

Early Intervention in Chronic Disease

Central Bayside Community Health Service

eicd aims
EICD aims
  • Diabetes Prevention
  • Better coordinated chronic disease care
  • Increase service delivery capacity
impacts
Impacts

CHS - additional services

- organizational change

- partnership development

PCP – communication, referral, and care planning

Others – appropriate referrals

- coordination, collaboration on care plans

features of the project
Features of the project
  • CBCHS – 3 locations – Clarinda, Parkdale , Chelsea
  • Divisions – Bayside GP Network / Monash – 9 practices
  • Major partners to be engaged – Southern Health, RDNS, Local Govt
  • Other agencies and services which express interest in participating
broader aspects
Broader aspects
  • Linkages with the KBPCP HP activities and early intervention approaches
      • BAEW – promoting physical activity and healthy eating for children in KB
      • Active for Life – physical activity, falls prevention and older persons
      • Community Connectedness – responding to social isolation within the catchment
      • Future Focus for Youth – identifying young people at risk
      • Talking Realities – peer education program for single young mothers
broader aspects1
Broader aspects
  • Southern Metro Region PCPs
  • GP Reference Group
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