The Enablers Project Project Name: The Enablers Project Location: South Western Sydney PHN catchment area Organisational partners involved: TBC Attending delegates: Yin Li (Special Projects Coordinator) Anne Harley (Aged and Complex Care Coordinator)

Problem Statement Primary care within South Western Sydney is characterised by individual clinicians providing a series of short episodic consults across independent practices and clinics. This is not conducive to systematically providing patient-centred, integrated care to patients with chronic conditions. Furthermore, poor data quality and poor communication connectivity between health providers does not support coordinated patient care.  

Core Aims and Objective The Enabler’s Project is part of SWSPHN’s role in improving integrated health care across South Western Sydney. SWSPHN will scope, develop and implement a coordinated support program that will assist general practices to better integrate with other service providers and enable them to deliver best practice quality healthcare through: Linking with a formal clinical quality improvement program for general practices (including data extraction, benchmarking and clinical audits) Practice capacity development (including secure messaging, e-referral systems, My Health Record). Training in patient centred care to prepare practices for future integrated health strategies and care coordination To enable practices in South Western Sydney with the tools necessary for more integrated healthcare, and to prepare them for models such as Health Care Homes.

The Proposed Approach Participate in data quality improvement project Understand practice workflow Digital Health installations and training SMD, eDischarge summaries, MHR Engage with specialist/allied health to enable eReferrals Quality care planning training Financial incentive Project deliverables

Key things to learn about this week… Similar projects in other PHNs/LHDs How to apply the 10 building blocks of high performing primary care in our project How to implement patient centred care training How to measure patient centred care