Connecting Care

A special chronic disease management program to improve health, well being and independance of enrolled patients

About the Program ( Factsheet)

The Connecting care program commenced in July 2010 and will continue through until June 2012. The program aims to improve patient care coordination and outcomes. Patients with complex or comprehensive care needs are benefited by establishing communication between General Practitioners, allied health and chronic care teams. By sharing information, a well developed and communicated plan of care for the individual can be achieved. Patients are eligable for the program by the following criteria:

Have had 3 or more admissions to hospital in one calendar year
Be 16yrs or older
Priority of five diseases, namely Diabetes, Congestive Heart Failure, Coronary Artery Diseases, Chronic Obstructive Pulmonary Disease and Hypertension.

Patients are identified through the Local Health Network (LHN) database by using the above algorithm and General Practitioners. General Practitioners and other key health professionals are able to identify patients for enrolment into the program.