1. Chronic Disease Strategy Rural and Remote

2. Learning objectives Be familiar with the Chronic Disease Strategy in rural and remote settings Understand the components of the rural and remote model for chronic disease Be able to apply the model to daily practice

3. What is it? The Chronic Disease Strategy – Rural and Remote is an implementation of the QSCD. It provides a holistic chronic disease program in rural and remote areas.

4. Chronic Disease Strategy Rural and Remote Provides a framework for Service development and delivery Reorients the approach to chronic disease Supports comprehensive primary health care and a systematic approach to chronic disease care

5. Life Continuum Age0-4 yrs5-14 yrs15-54 yrs55+ yrs Prevention Immunisation Health Promotion Early Detection Health Check 0-4 Health Check 5- 14 Health Check 15- 54 Health Check 55+ Men’s and Women’s Health Hearing Health Mental Health Management Protocols & Care Plans-Recall & Referral Rehabilitation & Self Management Effective Primary Health Care Information Systems – eg. Ferret

6. Model for Rural and Remote Areas

7. Levels of Intervention Domains or levels of intervention and Client and community central services

8. Clinical guidelines Required to ensure practice is standardised evidence based safe

9. Current system is Ferret which is a Population register Patient recall and Decision support system Provides care plans and Population data and information Electronic support

10. Required to monitor and evaluate practice Supported by clinical indicators Used to identify gaps and support development of services Quality improvement

11. Collaborative approach Government and non government Ownership at community level Supports sustainability Partnerships

12. Workforce orientation and training Chronic Disease Strategy Coordinators Newsletters & training Workforce

13. Chronic Disease Guidelines Provides a summary of the ‘Chronic Disease QSCD’ Integrates population health approach Provides evidence based clinical guidelines for: Health Checks Care plans

14. Learning Activity Please complete the learning activity