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Enhancing Care Coordination through e-Referral Project at Melbourne and Western Health

This project integrates the PCP service coordination model and e-referral processes into Melbourne and Western Health HARP initiatives, aiming to improve patient care through integration, coordination, and improved continuity of care. The project targets chronic diseases like diabetes, COPD, chronic heart disease, and aims to address wide disciplinary challenges. Key outcomes include better stakeholder partnerships, information flow, and improved client outcomes with strategic alignment to patients' needs.

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Enhancing Care Coordination through e-Referral Project at Melbourne and Western Health

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  1. SERVICE COORDINATION AND E –REFERRAL PROJECT A PARTNERSHIP: MELBOURNE AND WESTERN HEALTH HARP CONSORTIUMS WESTERN REGION PRIMARY CARE PARTNERSHIPS

  2. Aim To incorporate the PCP service coordination model and implement e-referral processes into the Western and Melbourne Health HARP initiatives. This project builds on the regional PCP approach and will achieve improved patient care through: ·    Integration ·    Coordination ·   Improved continuity of care

  3. HARP Projects Western Health Complex Needs Project Chronic Disease Management Program -Paediatric Asthma -COPD -Chronic Heart Disease -Angina Melbourne Health Diabetes related Foot Service Falls Prevention COPD Integrated Disease Management Chronic Heart Failure Stroke Prevention ED CARE

  4. Change Process Governance Structure Project Manager/Project Officer eBusiness Support Local Implementation Groups Engagement of staff and community

  5. KEY CHALLENGES Wide range of disciplines High staff numbers Large and complex organisations which respond slowly to change Staff attitudes

  6. EXPECTED OUTCOMES Well functioning partnerships between key stakeholders Improved information Flow Improved Outcomes for Clients Recommendations regarding the process and implications of future implementation of the PCP service coordination tool suite and e-referral processes across tertiary health care settings

  7. Supporting Strategic Directions • Western Health • Patients First • This project will support in particular the implementation • of the “Gateway System” • ·Consistent and comprehensive assessment • ·Referral and • ·Streaming of patients • Melbourne Health • Consistent with organization's commitment to strategic partnering. • HARP has provided opportunity to develop demonstration projects in new models of ambulatory care

  8. Contact Details Project Manager Harry Patsamanis Harry.Patsamanis@wh.org.au 8345 1179

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