Creating a new way of working that addresses the needs of our patients for a modern socioeconomic ecosystem is essential to ensure that services are meeting need and access requirements to enable patients to have the resources available to be able to improve and maintain their health.
The Next Generation care stream is identified as:
- Care in Home
- Home based delivery of community and allied services at times that are convenient for patients through community led home visits
- Hospital in the Home/Hospital in the Nursing Home- delivery of low acuity acute care in the patient’s own home through home visits and virtual support through telephone or telehealth.
- Primary care telehealth appointments through the GP practices for clients who having difficulty accessing services and optimisation of new listed MBS item numbers.
- Ambulatory Remote monitoring for complex care clients and those challenged by distance.
- Healthy Communities
Investing in health and not just in healthcare takes into consideration the wider social determinants of health at the community level. Australian health provider policies promote developing wellbeing to address the health disadvantages for rural and remote communities since the negative impact of well-being often has a geographical or spatial dimension that manifest at the regional community level. To improve or nurture the health of our communities the SWHHS aims to engage with external partners creating an alliance to deliver a suite of initiatives that will serve our community members well. Developing and delivering interesting programs and interventions that can address unhealthy behaviours and promote the uptake of new lifestyle change.
As well as whole of population targets and partnerships with Maranoa groups interested in health, there is opportunity for health groups such as health GP practices and hospitals and associated group to target clients and the vulnerable based on a risk stratification process split into high medium and low and implement innovative initiatives and services to assist these people to remain out of hospital and to improve their self-management.
- Integrated Primary Care – Health Care home model
Strong evidence is emerging that an integrated model of care based around the General Practitioner with support of nursing and allied health professionals provide improved outcomes for patients and sustained and maintain health improvement. These models are essential in rural and remote areas where the ability for a client to see as many professionals in the one visit increases compliance as they do not need to drive long distances to return for uncoordinated appointments. This leads to
improved compliance and better coordination of treatment through collaborative case conferencing and coordinated pathway care. SWHHS identified that as a main provider in the primary care field in the South West that this model of care if implemented successfully is a game changing innovation and will influence the way we focus our resources and efforts into the future.