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GPs in CHS Strategy 2006-2008. Colac Area Health Damian Melican. Title of Proposal. Supporting GP Practices in Managing Clients with Chronic and Complex Needs and Enhancing Integration with the Primary Care Team of Colac Area Health. Key Partners. COLAC AREA HEALTH Acute Aged Care

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gps in chs strategy 2006 2008

GPs in CHS Strategy2006-2008

Colac Area Health

Damian Melican

title of proposal
Title of Proposal
  • Supporting GP Practices in Managing Clients with Chronic and Complex Needs and Enhancing Integration with the Primary Care Team of Colac Area Health
key partners
Key Partners

COLAC AREA HEALTH

  • Acute
  • Aged Care
  • Primary Care

GENERAL PRACTICE

  • Corangamite Clinic
  • Otway Clinic
  • Sole Practitioner

CLIENTS

  • Chronic, Complex, Socioeconomic Difficulty
mbs chronic disease item numbers
MBS Chronic Disease Item Numbers
  • MBS Item 721 - preparation of a GP Management Plan (GPMP)
  • MBS Item 723 - coordination of Team Care Arrangements (TCA)
  • MBS Item 725 - review of a GP Management Plan
  • MBS Item 727 - coordination of a review of Team Care Arrangements
  • MBS Item 729 - contribution to a multidisciplinary care plan being prepared or reviewed by another health or care provider
  • MBS Item 731 - contribution to a multidisciplinary care plan being prepared or reviewed by another health or care provider for residents of aged care facilities
mbs chronic disease item numbers continued
MBS Chronic Disease Item Numbers continued
  • Further 13 Item numbers for Allied Health services requested by GP.

- i.e. GP Referral to specific private allied health practitioners.

aims objectives outcomes
Aims, Objectives, Outcomes
  • Service Coordination and Integration
  • Access – Card holders to GPs +CHS
  • MBS Item Numbers

- increase number of

- assist admin of

  • Completions and Outcomes
  • Sustainability
developmental issues
Developmental Issues
  • History of Program
  • Development of Role
  • Relationship between CAH + Practices and Practitioners
  • Engaging with Key Partners
  • I.T. Incompatibilities
  • Relationship Building
day to day
Day to Day
  • Enthusiastic response from GPs
  • Current work practice – recruit, refer, recall
  • Capacity of CHS
  • Lack of awareness of Primary Care by GPs
  • Broad parameters of Project
better connection better care
Better Connection – Better Care
  • Clinic Data Access
  • Narrow Focus
  • IT Communication Issues
  • Relationship Development
  • Client Focus
  • Review and Reporting
  • Sustainability
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