Health System Integration and Coordination
(GEN- 6)
Over the last 20 years, there have been a number of attempts to lessen the fragmentation within the Australian health system with varied outcomes. As we move further into the technological age, some system boundaries are gradually shifting, but barriers continue to ensure that critical areas are not quite connected. As the backbone support organisation, CSAPHN in partnership with other key players, will provide resources and expertise to enable collective initiatives to succeed, thus improving system integration and the patient journey. Identified Need Health Systems integration and coordination – outcome of service needs analysis
Key Issue Referral pathways can be unclear. Practitioners may not be aware of all referral options. Having to travel long distances to access multiple consultations/treatment, patients are often unable to coordinate appointments and/or face hardship in affording transport, accommodation, absence from home, etc.
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Description of Evidence Issue of importance in priority matrix
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Key theme in ML and PHN stakeholder consultations
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Issue highlighted by the six regional Local Health Networks
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Gaps identified in discharge planning. Patients with complex conditions require care input from multiple practitioners, which is currently difficult to coordinate effectively in many regions. Palliative care ∙ Palliative care options are perceived to be limited in smaller communities ∙ Limited information available about current services and care pathways throughout the region. Priority Health Systems integration and coordination (GEN – 6) opportunities, priorities and options
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Possible Options Engage with all providers to develop the capacity of the ∙ region to: ∙ engage care coordinators in routine activities ∙ identify opportunities and create strategies to implement consistent coordinated team care.
Expected Outcome Patients will be able to access specialist and allied health consultations as close as possible to their place of residence as evidenced by increased uptake of coordinated care services.
PRIMARY HEALTH NETWORKS Needs Assessment 2019-2022 (2019 Update)V2 Page 30
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Potential Lead CSAPHN
