1. Avoiding Hospital admissions: Getting the care you need Linda Mann FRACGP

3. Getting the care you need Primary care Secondary care Tertiary care communication, access, funding

4. Snakes and Ladders have been around for a long time

5. What influences Primary Care? Public health Incentives from government and experts technology seamless care: the dream communication, access, funding

6. UNESCO

7. What can Secondary Care offer? Assessment of acute illness in vulnerable patients, who need multidisciplinary care, with special knowledge, and access to technology Bodily care during acute infirmity Curative treatment communication, access, funding

8. Tertiary care is just more rarefied Rare patient experience Acute interventions need complexity, then back down the ladder ( to avoid the snakes) to 2 nd then 1 st care communication, access, funding

9. Ingredients for an alternative Communication Reliability Nursing care not in hospital Cost effectiveness communication, access, funding

10. If you need to find the solution..

11. Communication Use common web based records ( HealthConnect SA) Use VPNs within institutions to permit remote access from involved HCW Use PDAs for roving health care with real time data upload communication, access, funding

12. Access to services Reliability Access to nursing communication, access, funding

14. Snakes and Ladders winning hearts and minds

15. Where does the money come from State funding for ambulatory care Federal funding via Divisions for improved communication Future changes to allow rebates form private health insurance for GP led care communication, access, funding

16. Snakes can make ladders..