Integrated Chronic Disease Management

Integerated Chronic Disease Management (ICDM) became a new area of work for the partnership with initial planning occuring in mid 2006 for inclusion into our Community Health Plan 2006-2009 .  At the same time Wodonga Regional Health Service was funded to deliver the Hospital Admission Risk Program (HARP). A HARP-ICDM Alliance was formed which covers both these areas of work. This group meets bi-monthly to share current data, trends and determine the strategies for the work in our area addressing chronic disease management.  

Work has commenced on ICDM priorities for 2009-2012 in the Upper Hume PCP.  See  ICDM 2009-2012

Key work occuring

• Diabetes Self Management Project
• Self managment mapping survey - completed by organisations - analysis occuring by Department of Human Services (July 2008)
• Training has occured - regionally Health Coaching and Better Health Self Management.  Locally - Flinders model training. 
• Hume region is planning further training - to run Motivational Interviewing.

See the last report on our actions in our ICDM plan of action for 2006-2007   ICDM report July 2007

Contact: 

Wodonga Regional Health Service

HARP-ICDM Reference Group:          Sue Thomas   02 6051 7402     sue.thomas@wrhs.org.au 

Upper Hume ICDM working group:     Helen Still     02 6051 7406     helen.still@wrhs.org.au

Resources and key links to information

• Resource:General Practice Engagement in Integrated Chronic Disease Management. 
  A resource for Primary Care Partnerships  - published January 2009
   
• Victorian Health Information:  Chronic Disease Management  http://www.health.vic.gov.au/communityhealth/cdm/index.htm
  
• Hospital Admission Risk Program  http://www.health.vic.gov.au/harp-cdm/

Social Determinants of Health and Chronic Disease:

Health Nexus and Ontario Chronic Disease Prevention Alliance, Primer to Action: Social Determinants of Health, Toronto 2008.                     
Primer to Action: Social Determinants of Health, is an electronic resource for health professionals, lay workers, volunteers and activists from      
different sectors to understand and influence how the social determinants of health impact chronic disease. Set in an electronic, easy to read      
format, with hundreds of links and resources, it is a practical resource for busy health and community workers, activists, in their capacity as    
 staff, volunteers or community members.     http://www.healthnexus.ca/projects/