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Delivering a Healthy WA
Health Networks - Collaborative health care planning for the whole community

Improving health services - model of care implementation

Models of Care have been developed in collaboration with a broad range of stakeholders and outline a plan for improving health services in Western Australia. Health Networks are working with their partners across the health sector to translate these models into improvements in service delivery.

In late 2009 Health Networks started capturing information on projects that are already underway that support the recommendations of the Models of Care already developed. The current full reports on these projects is available now (see related links box).

WA Health has also set up a strategic group, the Model of Care Implementation Review Committee to drive and monitor the implementation of the Models across WA Health. Their role includes the prioritization of Models of Care for implementation as well as providing a statewide forum to report and evaluate the progress of implementation. The Committee includes representation from Area Health Services, WA GP Network, Health Consumers’ Council, Network Leads and other key WA Health divisions.

Model of Care implementation activities

Todate Health Networks have received information on more than 120 projects covering part of all of Western Australia that support Models of Care. A summary of the projects identified in the last quarter is available below. For the full reports please see the related links box. For further information on any of these projects please contact us and we will forward your query to the relevant project owner.

Projects supporting Models of Care identified Jan-Mar 2010

Amputee Rehabilitation (Model of Care: Amputee Services and Rehabilitation)

Use of the sub acute funding allocated to amputee rehabilitation to add an additional specialist rehabilitation consultant session (two sessions per week) with additional multidisciplinary care (Clinical psychology)

Falls Prevention Exercise and Education Program (Model of Care: Falls Prevention)

Group based exercise and education programs developed using the Otago Program.

Falls Prevention Exercise and Education Program (Model of Care: Falls Prevention)

Group based education and exercise based on the No Falls Program.

South Metropolitan Area Health Service Falls Prevention Policy and Guidelines (Model of Care: Falls Prevention)

To have a policy and guidelines on falls prevention that provides guidance to staff on this topic.

Stay On your Feet WA® (Model of Care: Falls Prevention)

The project uses a multi-factorial approach to raise awareness and management of falls prevention issues across the continuum of care.

Development of area wide Rehabilitation In The Home Services in North Metropolitan Area Health Service (Model of Care: Rehabilitation and Restorative Care (for the older person))

Using sub acute funding, develop Rehabilitation In The Home services across North Metropolitan Area Health Service including teams at peripheral sites (Joondalup Health Campus and Swan Districts Hospital

Community Gynaecological Awareness Project (Model of Care: Gynaecologic Cancer)

The aim of this project is to create a voice for women and the ripple effect on families’ experiences to enable better information regarding Gynaecological Sexual health issues

Patient pathway – type 2 diabetes (Model of Care: Diabetes)

Development of a patient pathway for type 2 diabetes that clearly defines the interface between North Metropolitan Area Health Services and other services located within the catchment area

Diabetes – care closer to home (Model of Care: Diabetes)

Facilitation of discussion with key stakeholders around patient pathways to identify the appropriate location for the delivery of services to patients diagnosed with diabetes

Gairdner Multidisciplinary Foot Clinic (GMFC) (Model of Care: Diabetes)

Multidisciplinary Foot Clinics provide the 'gold standard' in caring for high risk foot problems. The GMFC aims to provide care for patients with complex foot ulcers and active neuro-arthropathy, who reside within the North Metropolitan Area Health Service area.

Renal Model of care for the West Pilbara Region (Model of Care: Chronic Kidney Disease)

Complete a feasibility study to ascertain the appropriate model of care that would be suitable for the West Pilbara region and its clients regarding a renal facility, This would then determine what type of renal facility required

Respiratory Services: management of chronic respiratory conditions in the community (Model of Care: Chronic Obstructive Pulmonary Disease)

Working with the local hospital and GPs to develop referral pathways to a community based service for patients who frequently present to the Emergency Department

Make Smoking History (tobacco campaign) (Model of Care: Cancer, Stroke, Heart Failure)

The Make Smoking History Campaign is a tobacco harm awareness campaign which employs hard-hitting mass media advertising, production and distribution of public education materials, professional development and community-based support strategies (including strategies for Aboriginal people). This project aims to raise awareness of the harm of smoking and second-hand smoking and to reduce WA adult smoking prevalence.

Rural Remote Tertiary Paediatric Pathway (Model of Care: WA Child and Youth Health Framework)

Rural and remote patient care coordination service to reduce Patient Assisted Travel Scheme usage and tertiary hospital bed days in this cohort, and increase satisfaction of patients/carers/parents and of clinicians

Better Evidence Based Nursing Care for all Children in WA Hospitals (Model of Care: WA Child and Youth Health Framework)

Make the Princess Margaret Hospital Paediatric Nursing Practice Manual available on the internet to all Department of Health sites. To optimise use of this resource, visit 39 hospitals in the seven regions under the hospital’s jurisdiction.

Development of an implementation project funding registry (Model of Care: Spinal Pain)

Procure funding to support implementation projects by developing a registry of funding which will be hosted online so that it may be updated easily.

Functional Independence and Rehabilitation-Stroke specific (Model of Care: Stroke)

To provide clients with a specialised class focusing on improving function or preventing deterioration of function so the patient can gain maximum independence following stroke

Maternity Services (Model of Care: Framework for the care of neonates)

Development of an area approach to the delivery of maternity services across North Metropolitan Area Health Service

Providing Eye Movement Desensitisation and Reprocessing Therapy for patient who have self harmed (Model of Care: WA Child and Youth Health Framework)

To empower patients who present to the emergency department at Fremantle Hospital so that they will be less likely to self harm in the future and therefore unlikely to represent to the Emergency Department at Fremantle Hospital.

Don't Drink and Drown (Model of Care: WA Child and Youth Health Framework)

Don't Drink and Drown is a harm minimisation campaign that looks to raise awareness amongst young people of the risks and dangers associated with the consumption of alcohol in and around aquatic environments.

Midland GP Super Clinic (Model of Care: Chronic Obstructive Pulmonary Disease, Chronic Kidney Disease, Diabetes, Heart Failure, WA Child and Youth Health Framework, Maternity Services Framework)

Development of coordinated and integrated services with local GPs to provide patient centred health care with a focus on early intervention and illness prevention in the identified priority areas of community mental health, chronic disease, aboriginal health

GP Referrals (Model of Care: This relates to a variety of chronic disease Models of Care (eg Diabetes, Chronic Kidney Disease, Heart Failure, Abdominal Aortic Aneurysm, Acute Coronary Syndromes, Asthma, Chronic Obstructive Pulmonary Disease))

Investigation of current referral processes with a view to initiating changes to streamline the referral process for GPs

Keep Watch campaign (Model of Care: WA Child and Youth Health Framework)

The Keep Watch campaign looks to educate parents of young children (0-5 years) and raise awareness of water safety risks and dangers in and around the home setting.

Parental Guidance Recommended (PGR) (Model of Care: WA Child and Youth Health Framework)

The Cancer Council WA trains school and child health nurses and other health professionals, teachers and parents to run PGR workshops for parents in schools, childcare centres and other locations. PGR aims to promote eating vegetables, fruits, breads and cereals and physical activity to WA children aged 2-12 years.

School Breakfast Program (Model of Care: WA Child and Youth Health Framework)

A healthy breakfast is provided to students at registered schools in metropolitan, rural and remote WA. The food supplied is purchased with donations made specifically for the program and not Department of Health funds, however Department of Health funds are provided for complementary activities.

Crunch&Sip® (children's fruit, vegetable and water consumption campaign) (Model of Care: WA Child and Youth Health Framework)

Crunch&Sip® is a set break in the classroom where children eat fruit and vegetables and drink water every school day. Schools become certified after developing a policy that is endorsed by the whole school community. The project aims to increase the consumption of fruit and vegetables and water in primary school aged children. It also educates and promotes the importance of eating fruit and vegetables to children and aims to instil healthy lifestyle behaviours at a young age.

The WA Draw the Line (healthy weight) campaign (Model of Care: Diabetes and Cardiovascular-related Models of Care)

Healthy weight social marketing mass media campaign and associated support strategies. Aimed at adults aged 22 years and above state-wide to engage consumers in a healthier lifestyle. Specifically to prevent unhealthy weight gain and thereby reduce coronary disease, cancer and type 2 diabetes.

Aboriginal Women's Project (Model of Care: Diabetes, Heart Failure, Stroke, Colorectal Cancer)

The project provides culturally appropriate health promotion information, activities and support to Aboriginal women and their families. The focus is on the benefits of physical activity, healthy diet, healthy weight and smoking cessation.

FOODcents® (healthy eating and budgeting program) (Model of Care: Diabetes, Colorecal Cancer, Heart Failure)

The Foodcents® program teaches people about how to get value for money from their shopping budget while achieving a healthy balanced diet. Organisations run community workshops on nutrition and food budgeting based on the Foodcents® principles.

Go for 2&5® campaign (adult fruit and vegetable consumption) (Model of Care: Diabetes, Colorectal Cancer, Heart Failure)

A comprehensive social marketing campaign targeting fruit and vegetable consumption. In line with the national dietary guidelines, the campaign recommends eating 2 serves of fruit and 5 serves of vegetables every day for better health.

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