Enhanced Primary Care -



	Division Information Division Information

keywords: Northern Division of General Practice, Palliative Care, Mental health, Randomised controlled trial, Cardiovascular, Child health

SOUTH AUSTRALIA Resources/activities Program links Coordinated Care Trials State Based Organisation Program links South Australian Divisions of General Practice Palliative Care A project has commenced that involves GPs as participants in case conferences with hospital psychiatric liaison staff, the cardiac rehabilitation nurse and the GP. The case conference will take place around discharge of a patient with a chronic cardiac condition who has been newly diagnosed with co-morbid depression. The GP is invited to participate in the case conference, so it is a nice safe introduction to the new EPC MBS items numbers. GPs arrange a follow up case conference at 3 months post discharge if required. This project is a randomised controlled trial so it is only GPs in the intervention arm of the project who will be involved in the case conferencing, but this will include approximately 500 GPs from across the state. Any patients with a chronic cardiac condition who are admitted to Royal Adelaide Hospital, Flinders Medical Centre, Queen Elizabeth Hospital or Lyell McEwin Hospital may be recruited to the project, so patients from anywhere in the state may be recruited. They will be screened for depression, and then the depressed patients will be randomised to the control group for usual management of the cardiac condition, and the intervention group will have the 'enhanced' treatment where the GP, psychiatric liaison team and cardiac rehabilitation nurse case conference and monitor the patient's progress (for both cardiac and depression outcomes). Working with Department of Education, Training and Employment and Divisions in developing care plans for children in schools. Discussing the potential to link EPC with new policy implementation work in health support planning being undertaken during 2001 in South Australian schools, preschools and childcare services. Contact: mansert@health.on.net

Australian Capital Territory
SBO and Division	Resources/activities	Program links
Coordinated Care Trials	CarePlus Care 21 - now renamed as Northern Venture	GP systems support Northern Division of General Practice
ACT Divisions of General PracticeActivities/Resources	EPC Helpline, GP Practice Visits, Newsletter	Training
Working with the Palliative Care Council of South Australia on how EPC can be incorporated into a GP practice so that it is financially viable.	Aged Care Assessment Project to encourage a team approach to the care of patients in nursing homes, through the organisation of multidisciplinary case conferences led by the patient's general practitioner. The project found that "the case conference reviews were beneficial in terms of the overall outcomes to residents and carers, mortality reduction and medication cost reduction".	Aged care
	EPC is being incorporated into the Division's Mental Health program, the Division's Aged Care Program and the IT Education.Department of Human Services Health Outcomes Unit - Cardiac Depression Project	Mental healthMental health Aged care Randomised controlled trial IT Cardiovascular Residential aged care facilities
	Focusing on the use of the items in Residential Aged Care Facilities.
	Contact: reception@actdgp.asn.au Child health or: j.rynehart@actdgp.asn.au	Urban Division
keywords: GP systems support, Training, Aged care, Mental Health, IT, Residential aged care facilities, Urban Division

Division Information