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Collaborative care is essential for effective healthcare delivery. This approach emphasizes communication among general practitioners, hospitals, primary care providers, allied health providers, and health authorities. By utilizing Collaborative Care Messages (CCMs), professionals can share vital patient information, receiving updates on referrals, treatment histories, and patient outcomes. Understanding the nuances of Collaborative Care Referral (CCR) and its various components—like unsolicited updates and queries—ensures that providers can respond proactively and with empathy to patient needs. This collaboration fosters better patient outcomes and promotes a holistic approach to healthcare.
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Collaborative Care Messages For people who care Max Walker Co-Chair CBHS SIG DHS (Vic) Australia
Who Care? • General Practitioners • Hospitals • Primary Care Providers • Allied Health Providers • State Health Authorities • Federal Health Authorities
Who Collaborates? • General Practitioners • Hospitals • Primary Care Providers • Allied Health Providers • State Health Authorities • Federal Health Authorities • Others?
CCM - Collaborative Care Message • When sharing isn’t transferring care • Population Information?
CCR – Collaborative Care Referral • CCM with extra bits • Bits of REF_I12 • Reason for referral and providers • A Clinical Order • And multiple patients
But if you care, you really care • And you want to know what’s happening • You want to know if the referral has been accepted or rejected • You want to know how the patients are going • You want to know when treatment is complete
CCU – Collaborative Care Unsolicited Update • Notification from the receiver, to the sender, that something has happened. • Includes a Clinical History of treatment related to the referral • CCR without Clinical Order
CCQ – Collaborative Care QueryCQU – Collaborative Query Update • Demand an update on your referral • And if thing’s aren’t going well, then there’s CCR Modify and CCR Cancel
Uses for CCR • Collaborative Care Referral differs from Collaborative Care Message because it implies workflow. • CCR lets you order stuff in an informed way
The CCM Suite • Trigger Event I21 – Collaborative Care Message – Information from one Health Care Provider to another e.g. Discharge Summary, Registry Notification • I16, I17 & I18 – Collaborative Care Referral – Implies a Transfer of Care – I16 is the Referral for a single or group of patients(?). Expect a Collaborative Care Update (CCU) back – I17 Modify CCR (expect CCU back) – I18 – Cancel CCR
The CCR Suite cont. • I20 – CCU – Asynchronous Collaborative Care Update (ACK) • I19 – Collaborative Care Query/Update – A trigger that sends sufficient information to find a previously sent Referral & hence generate a CCU • I22 - Collaborative Care Fetch – Sends query to provider, repository, registry etc, on patient and returns Collaborative Care Information which is equivalent to a Collaborative Care Message
