GPDV is a QIC accredited organisation Chronic Disease Management and IMIT Merrian Oliver-Weymouth Statewide Primary Care Integration Coordinator

Why talk about CDM now? Because – this is a time of great change, including strong state and federal government focus on managing the burden of chronic disease in the community more efficiently and with better outcomes

Why talk about CDM now? Because – we have resources that we didn’t in the past; not just access to clinical information processes and systems but funding for integration activities to use the capabilities of these systems well

Why talk about CDM now? Because – there is shared goodwill and commitment towards using information to coordinate and connect people with chronic illness and the primary health care they need

Why talk about CDM now? Because – There are incentives in place for general practice to provide Integrated CDM how do we focus these on the right population groups and manage them well?

What is Chronic Disease? Over three million Australians, or nearly one in seven, live with chronic illness. Chronic diseases and conditions are generally defined as:  those which last for longer than six months,  are non-communicable,  involve some functional impairment, and  are usually incurable.

What is Chronic Disease? The most significant contributors to chronic disease mortality and morbidity are:  Diabetes  Cancer  Cardiovascular disease (CVD)  Asthma  Some mental health conditions

General Practice and CDM

IMIT and CDM: what are we trying to change? Helping general practice see the need for and take up of IMIT systems Ensuring disease registers, recall & reminder systems are easy to use and can be mined for data Secure exchange of patient information Development of shared decision support tools Online test ordering and reporting Use of electronic referral and discharge summaries

“Damage control is easy. Reading Klingon, that's hard!"

Task One: Practice Nurses and Managers want to know more about disease registers, recall and reminder systems and how to implement them.  What can you do now to help them?  What would you like to be able to do to help that you can’t now?

“Damage control is easy. Reading Klingon, that's hard!" Task Two: What does this all mean for you in your day to day work in Divisions?  As a group what should we add to the IMIT issues register for GPV to act on, or learn from, or respond too?  What should GPV and the IMIT network keep a watchful eye on?

“Damage control is easy. Reading Klingon, that's hard!"

GPV contacts for CDM Merrian Oliver-Weymouth PH Aimee Black PH