Integrated Chronic Disease Management 2009-2012 in Upper Hume PCP

Planning has commenced for 2009-2012, based on the DHS PCP Program Logic Draft Version 2 Delivery over 2009 to 2012 

Priorities identified for 2009-2012 are:

Deliver an integrated system of Chronic Disease Management (including clients, community, all agencies, General Practice) which  is underpinned by the expanded Chronic Care Model.

• Establish clear assessment and care planning with one aim being to reduce assessment duplication
• Establish clear, integrated, flexible, well resourced, evidence based client (self management) pathways
• Achieve a shift in thinking in chronic disease in
  • Clients
  • Staff
  • Community
  • GPs
  • Management
• Establish Outcome measures that demonstrate quality chronic disease management and client outcomes

For full details on the planning day, see Notes from Planning Day