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CCHS Caulfield Community Health Service GPs in Community Health Services Strategy 2006-2008 Belinda Brookes Project Worker.

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Presentation on theme: "CCHS Caulfield Community Health Service GPs in Community Health Services Strategy 2006-2008 Belinda Brookes Project Worker."— Presentation transcript:

1 CCHS Caulfield Community Health Service GPs in Community Health Services Strategy 2006-2008 Belinda Brookes Project Worker

2 CCHS GPs in Community Health Services Strategy Project Objective: To improve GP access and integration with allied health and community health nursing by undertaking a systematic and coordinated approach to care planning and care outcomes  Residents of pension-level Supported Residential Services (SRS)

3 CCHS GPs in Community Health Services Strategy Issues: 1.Multiple chronic & complex conditions 2.Vulnerable target group 3.Multiple GPs / agencies 4.Lack of communication & coordinated care planning  Service duplication/falling through the cracks 5.Reactive health care provision

4 CCHS GPs in Community Health Services Strategy Setting the Scene: 6 pension-level SRS with a total of 103 residents CCHS -Adult and Outreach Team 27 GPs from 18 practices Multiple health & recreational services

5 CCHS GPs in Community Health Services Strategy Strengths: Specific, well-defined target group Commitment to improving health and wellbeing of SRS residents Many GPs providing a service Many services being offered SAVVI

6 CCHS GPs in Community Health Services Strategy Current Care Planning: SRS care plans (r/v 6/12) Discipline-specific care plans Some intra-agency care planning Occasional issue-specific inter- agency care planning  Ad hoc/informal as issues arise

7 CCHS GPs in Community Health Services Strategy Where are we at now with ICP? Planning phase  consultation, forum and research One working party meeting membership = SRS GP, CCHS, ISCHS, Waiora CMHS, RDNS HPP, SAVVI, and Southern Citizen Advocacy

8 CCHS GPs in Community Health Services Strategy Relationship and Capacity Building: GPs/PNs -GP Advisor & GSEDGP PN -GPMP/TCA up-skilling - practice visits by CCHS SRS proprietors/CCHS - joint in-service Other agencies - consultation - project partners

9 CCHS GPs in Community Health Services Strategy Challenges: Getting people together Engaging GPs effectively Staffing changes Lack of human resources/key worker Lack of IT infrastructure

10 CCHS GPs in Community Health Services Strategy The Vision: Develop an SRS ICP and documentation model  trial at one SRS Step 1:CCHS, GP, SRS Step 2:other GPs/agencies/residents Evaluate and modify Implement model with 5 other local pension-level SRS

11 CCHS GPs in Community Health Services Strategy WATCH THIS SPACE

12 CCHS Thank You Belinda Brookes Project Worker GPs in CHS Strategy Caulfield Community Health Service b.brookes@cgmc.org.au


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