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WESTERN AUSTRALIA
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Bunbury

Indigenous health
State Based Organisation Activities/Resources

Program links

General Practice Divisions of Western Australia Extensive consultation and education with Divisions and GPs (rural and metro)- "GPDWA Issues Paper" written, outlining barriers to item implementation from GP perspective.

General Practice

  Qualitative research study investigating " Health consumer and health professional views regarding an annual health assessment in the aged". Consumers
  Member of the Royal Australian College of GPs (RACGP) Steering Group, for the development of GP, Allied Health and Consumer Guidelines, for the Sharing Health Care component of EPC. Sharing Health Care
  Member of the Western Australian Agency Liaison Group (WAALG). Aged Care
  Convenor - Hospital Working Party to address issues associated with hospital discharge items. Hospitals
  Scoping report "Barriers to implementation of the hospital discharge care planning and case conferencing items". Hospitals
  Collaboratively developing a pilot study proposal with the Hospital Liaison GP / St John of God Hospital - Murdoch to identify working model for GPs to contribute to discharge care plan ( item 728). Hospitals
  Extensive consultation with Aboriginal Medical Services (AMS) in rural and remote Western Australia, including the Kimberley, Pilbara, Eastern Goldfields, Midwest and Greater Bunbury Divisions of General Practice. Barriers to implementation of the new items were addressed at each individual AMS. Aboriginal health
 

Haematology Cancer Patient - Shared Care Project

  • Patients who are part of this program are cared for by both specialist and tertiary facilities as well as their general practitioner. The pivotal aspect of the program is a "patient held" health care record which is kept with the patient throughout the period of their illness, and which is taken with the patient to all medical appointments, treatment appointments and during admissions to hospital.

    The program is looking at using both hospital discharge case conferencing items and community care planning items to ensure the patient, GP, specialist and other multidisciplinary team members are aware of unexpected hospital admissions, communicating changes in management and treatments.

    This program is investigating the implementation of telehealth conferencing for those patients and their GPs living in rural and remote locations.

Haemotology Cancer
Patient
Shared Care

 

Disability Services Commission

  • Disability Services Commission (DSC) in WA is particularly interested in implementing the community care plan items. DSC believes there is significant scope to improve the delivery of their services through the coordination of community care plans through a DSC Local Area Coordinator (LAC). The role of the LAC is to liaise between the patients, home helpers and other health and community service providers who assist disabled clients to remain living independently in the community.

    The new items now provide the scope for the DSC LAC to engage the clients usual GP in the coordination of health care delivery.

Disability Services
 

Hospital School Services

  • Hospital School Services provides an integral educational service to students K - 12 currently located in the metropolitan area for students who are homebound for medical reasons. The service is able to do this by operating an off-site outreach service comprising visiting teachers to work with homebound students.

    The service is hoping to actively organise and contribute to community care plans for those children with chronic and complex health problems and who have recurrent episodes of hospitalisation or home care. Children with conditions such as cystic fibrosis, asthma, haemophilia, diabetes, arthritis and thalassaemia frequently require lengthy periods of convalescence at home prior to returning to school these children often require a multidisciplinary approach to community care. The Hospital School Services believe they can play an integral role and collaborative role in the holistic delivery of care and this role can be enhanced through the new MBS community care plan items.

Youth Health
 

Alma Street and Peel South West, Mental Health Services

  • Both Mental Health Services are actively working with GPs in their respective Divisions to accommodate and implement community case conference items. The Alma Street team currently consists of the psychiatric liaison GP and mental health nurse, who attend the GP surgery with the patient. Hence, including the GP, a community team of three is in place to assist a coordinated approach to patient care
Mental Health
  Key note presentation at Health Horizons Conference - Developing Partnerships with GP.  
  Panel Discussion - Creating Partnerships with GPs - 4th National Allied Health Conference. Allied Health
 

Contact: belinda.bailey@gpdwa.com.au

 

keywords: General Practice, Consumers, Sharing Health Care, Aged Care, Hospitals, Hospitals, Hospitals, Aboriginal health, Haemotology Cancer, Patient, Shared Care, Disability Services, Youth health, Mental health, Allied Health

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