A view from East Gippsland

1. A view from East Gippsland Chronic Illness Alliance Meeting 14th February 2008

3. PCP Policy & Funding context CHRONIC DISEASE MANAGEMENT � prevention and management now a strategic goal (2006 � 2009) ACTIVITIES: Self management mapping self management training/ workforce development diabetes clinical pathway Diabetes care packages

4. East Gippsland our approach - influences BETTER HEALTH CARE in GIPPSLAND Chronic Care Model Framework Diabetes clinical risk pathway Local networks Regional training � Self Management POST BHCiG Shared commitment to Wagner model Partnership with Divisions of General Practice CDM resource Kit & train the trainer Regional ICDM Plan (local delivery) Agency capacity building - first

5. East Gippsland � CDM approach Healthy for Life / Aboriginal Health Promotion and Chronic Care Project Menzies School of Health Research ABCD Chronic care model self management � family & community approach

6. East Gippsland � CDM approach CDM Consultancy Agency capacity building Multi-disciplinary approach Self management � systems, people, structure Rural perspective

7. Learnings & thinking so far Self management not in isolation (social context) Build agency capacity first Local multi-disciplinary/ agency network essential Local solutions vital GPs essential! Management commitment (time, money, advocacy)! Workforce - Highly skilled to basic training in self management Build self management capacity/ readiness into assessment processes Time � don�t lose patience