Service System Coordination and Integration

GP Management Plans and Team Care Arrangements Presentation by Magali De Castro

An informative presentation outlining the details of GP Management Plans and Team Care Arrangements for GP’s, allied health professionals and community health staff. Informative presentation with many frequently asked questions answered.  
 

Mental Health Services Navigation Tool - Navigating the North East Region Private and Public Mental Health Services

ABOUT THE NAVIGATION TOOL

This tool has been developed by the North East Valley Division of General Practice (NEVDGP) and The North East Primary Care Partnership (NEPCP).

It is designed to be a navigational aid for Primary Care Providers when making decisions about which mental health services may be most beneficial to their patients/consumers. Whilst this tool was initially developed with GPs as the key audience, it may also be of benefit to other Services identified within this tool.

The Open Door Directory of Mental Health and Support Services in the City of Banyule and Shire of Nillumbik

This Directory supports the view of a social model of health and that mental health and wellbeing are integrally linked. The Directory provides basic information on navigating the mental health service system, an overview of mental health promotion and how service coordination philosophy of early intervention and identification of needs and timely referral should improve service access for clients with a mental illness or issue. 

Pre-School Children with A Disability Resource - Services and Support In Banyule, Darebin and Nillumbik: A Resource for Clients and Service Providers

See Beyond the Disability’ - Preschool Children: ‘Understanding the Services and Support System Better’ forum was hosted by the NEPCP on the 24th November 2011. Over 50 people, representing a myriad of organizations across Banyule, Darebin and Nillumbik attended the forum.  

The aims of the forum were highlighted as providing participants with the opportunity to hear about:

'Guidelines on Feedback to GP'

The NEPCP is pleased to release “Guidelines on Feedback to GP” that have been developed with member agencies.

They aim to improve communication about the care of consumers shared between health and community professionals and general practitioners (GPs). 

They will enhance the quality of care and experience of consumers, particularly those with long term or complex conditions.

 

NEPCP Interagency Care Planning Protocol 2011

The NEPCP have produced this Protocol with the aim of improving outcomes for consumers by providing and integrated response to their complex and chronic conditions through promotion of good practice between organisations on interagency care planning.
 

PowerPoint Presentations ICDM Forum - Evidence into Actions

PowerPoint presentations for the ICDM forum 'Evidence into action - designing a delivery system that is evidence based, client-centred and works' on the 29th August 2011 are now available for viewing.

Delivery system design is one of the domains identified by Wagner as a requirement for high quality care.  The element addresses the composition and function of the practice team, organisation of visits, and the management of follow up care.  

Guide to asylum seeker access to health and community services in Victoria

Please refer to the attached recently endorsed Guide to asylum seeker access to health and community services in Victoria, prepared by The Victorian Department of Health (Policy Coordination and Projects Branch).

The guide covers special access arrangements to health and community services in Victoria for asylum seekers. It includes revised contact details and document links, and reflects any policy changes at program level since 2008, when the original resource was published. It also includes new information about the Community Detention Program.

Service Coordination Portfolio

The Better Access to Service strategy,introduced 5 years ago sets out a framework which aims to place the consumer at the centre of service delivery and to ensure that they have access to the services they need, as well as opportunities for early intervention, health promotion and improved health and care outcomes; this is referred to as Service Coordination. The BNPCA has encouraged and supported a diverse range of agencies in working towards improved Service Coordination across the catchment.

Service Directories

Service Directories aim to provide Practitioners and Service Providers with access to accurate and up-to-date information about health, social & disability services in Victoria. This information may be used to both inform consumers and to communicate with other practitioners, including referring consumers to other services.

Electronic Service Coordination - Service to Service s2s

Electronic Service Coordination - Service to Service s2s

Link: Link to s2s site

Link 2: Link to Demonstration Site

Integrated Chronic Disease Management Portfolio

Care for people with chronic disease usually involves multiple health care providers in multiple settings. To provide this care within an integrated system, health care providers must work collaboratively to coordinate and plan care and services. It requires a commitment by agencies to working together to achieve shared goals. In particular, people with chronic disease need a responsive, person-centred and effective system of care. The PCP will work to help achieve this for the Banyule Nillumbik area.

Chronic Disease and CALD Workshop

A workshop was held in July 2010 called Chronic Disease and CALD Communities through the ICDM Workforce Development strategy. It attracted over 70 participants from the NWMRegion. Please find attached the presentations from the variety of speakers at the workshop.

Service Coordination Tool Templates (SCTT) 2009 in Word and PDF

The 2009 Service Coordination Tool Templates (SCTT) 2009 are now available for download in both Word and PDF format from the DHS website. The SCTT 2009,a suite of templates, was released for use as of the 1st of July 2009. The SCTT was developed to facilitate and support service coordination practice within Victoria. They can; *support service providers to collect and share common consumer information *assist service providers to record consumer consent to share infromation assist service providers to make quality referrals, provide feedback and devlop care plans.

Victorian Service Coordination Practice Manual-2009

The Victorian Service Cooridnation Practice Manual have been designed for practitioners and managers involved in the implementation of Service Coordination. The VSCPM outline; -An agreed minimun standard across Victoria for how agencies work together to improve consumer care -Common concepts and lnguage to ensure improved Service Coordination across sectors -An improved approach that enables organizations to adopt the principles behind Service Coordination.

Service Coordination Tool Templates (SCTT) 2009 User Guide

The SCTT 2009 user Guide is a practical resource to assist in the use of the templates. The Service Coordination Tool Templates (SCTT) is a suite of templates developed to facilitate and support service coordination practice.

Chronic Disease Program Streamlined Referral Framework

BNPCA agencies have been working together to achieve a streamlined referral framework to their chronic disease programs. See the attached files to read about the work of the Chronic Disease Collaborative, and also a copy of the brochures: one for GPs and the other for community members.

Service Access Models: A Way Forward

Integrated service access models support efficient, effective and consistent consumer access to services. They also reflect individual organisation characteristics and local circumstances, and further embed community health within the service system. This resource guide has been developed to assist Community Health Service (CHS) managers to review, select, implement and evaluate service access models. It outlines the importance of service access models in supporting Service Coordination and provides a summary of the context.

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