CHRONIC DISEASE SELF MANAGEMENT- HOW YOUR PRACTICE & PATIENTS CAN BENEFIT       

You are invited to refer your patients to participate in the Chronic Disease Self Management (CDSM) intervention. This intervention aims to implement and evaluate a model of self management for client with chronic conditions. The model hypothesises that by improving the relationship between patients, GP and Community / Allied Health staff, a clients ability to manage their condition in the community setting is strengthened.

Clients are assessed to identify their health management goals and plan the interventions that are agreeable to them. A Care Plan is then developed forming a structured approach to their future care. Once implemented the care plan is reviewed at 3 and 9 months.

Benefits to your practice

Ø      A home based needs assessment attended by a PHN

Ø      Improved communication with your patient

Ø      Assistance with the development of a Care Plan with regular reviews and updates.

Ø      EPC funding as Care Plan format is approved for rebate.

Ø      Patients who better manage and report their symptoms

Ø      Increased compliance through client involvement in all stages of their care plan

Benefit to your client

Ø     Clients empowered to take an active role in making decisions about their health

Ø     Clients actively engaging in planned self care activities

Ø     Education sessions effective in strengthening skills and knowledge in self care strategies

Ø     Appropriate and timely referral to support self care

Ø     Appropriate and timely follow up to support self care

Ø     Significant aspects of the project sustainable on completion of the project

Ø     Development of long term working partnerships between care providers

For more information please contact  Cheryl Ussia on  0438093004