Week 2: Models of Care and the Palliative Approach Flashcards
What is a framework for care?
Foundations to support a model of care
What is a model of care?
best practice, best evidence for care
What are the goals of current methods and models of care?
Enhance quality of care and quality of life
Improve consumer satisfaction
Improve system efficiency for patients cutting across multiple services, providers and settings
Coordinated and seamless care
What is the National Strategic Framework for Chronic Conditions?
“All Australians live healthier lives through effective prevention and management of chronic conditions”.
complements state-based, national and international chronic condition policy;
moves away from a disease-specific approach;
identifies the key principles for the effective prevention and
management of chronic conditions
supports a stronger emphasis on coordinated care across the health sector
“a national approach to guide planning, design and delivery of policies, strategies, actions and services to reduce the impact of chronic conditions in Australia”
Incorporates recent key health care reforms targeting the development of a person-centred health system: Pharmaceutical Benefits Scheme, the establishment of Primary Health Networks, the redevelopment of the My Health Record, the Healthier Medicare initiative, Reforms to improve aged care services - Community Aged Care Package Program, National Medical Training
The Framework will better cater for shared health determinants, risk factors and multi-morbidites across a broad range of chronic conditions
What are Primary Health Networks?
Engaging consumers and communities
Improving navigation for consumers
Develop the capacity of providers
Increase the efficiency and effectiveness of medical services for patients, particularly those at risk of poor health outcomes
Improve coordination of care to ensure patients receive the right care in the right place at the right time
Service coordination & planning
Commissioning services for most in need
Practice support to GPs to help keep people out of hospital
Support safety & quality through QI, ehealth and telehealth
Improving IT systems for communication and collaboration-
Reporting on aspects of chronic disease prevention and management
What are some state chronic disease management programs and strategies?
Establishment of regional structures to coordinate chronic disease initiatives
Outreach programs to prevent readmission of patients with CHF or COPD to hospital
Ambulatory care at home for patients with chronic disease
Hospital admission risk programs to prevent hospital admission of patients with chronic disease
Integrated care programs
Care coordination
Self-management support
Information and communication systems including care pathways
What are the 9 National Health Priority Areas?
Cancer Dementia Obesity Cardiovascular Health Injury prevention and control Mental Health Diabetes Mellitis Asthma Arthritis and musculoskeletal conditions
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What are the 5 key principles of chronic illness management?
Recognise that chronic illness and/or disability affects all dimensions of a person: physical, psychological, emotional, cognitive & spiritual;
Recognise that cultural responses to illness are important when providing care;
Provide holistic care by incorporating a team approach to providing care that is relevant to the needs of the person experiencing the chronic illness and their family;
Adopt a ‘whole of life’ approach, recognising that risk factors occur across the lifespan and play a significant role in the development of chronic disease;
Provide care that is person-centred and inclusive of the family, however the person defines this for themselves
What are the key concepts of chronic illness management?
Communication
Coordination
Integration
Include palliative care and illness trajectories questions
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What are the 4 goals of the National Palliative Care Strategy?
Awareness and Understanding
To significantly improve the appreciation of dying and death as a normal part of the life continuum
To enhance community and professional awareness of the scope of, and benefits of timely and appropriate access to palliative care services
Appropriateness and Effectiveness
Appropriate and effective palliative care is available to all Australians based on need
Leadership and Governance
To support the collaborative, proactive, effective governance of national palliative care strategies, resources and approaches
Capacity and Capability
To build and enhance the capacity of all relevant sectors in health and human services to provide quality palliative care
What is the chronic health situation in rural and remote areas?
Health outcomes decline: The main contributors to higher death rates in regional and remote areas are coronary heart disease, other circulatory diseases, motor vehicle accidents and chronic obstructive pulmonary disease
Access to services becomes more difficult
Fewer health resources are available
What are groups that disadvantaged in chronic health?
Rural and remote areas
Aboriginal and Torres Strait Islander people;
Veterans;
Individuals from culturally and linguistically diverse backgrounds;
people living on their own;
people in the justice system; children and adolescents;
mental health;
disabilities
people with life limiting non-malignant conditions including dementia, motor neurone disease and HIV/AIDS
Include equity in health care
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