Healthcare Homes Implementation at Congress Deb Gent Data - - PowerPoint PPT Presentation

Healthcare Homes Implementation at Congress

Deb Gent

Data Integrity and Reporting Officer Public Health Division

& Annie Power

Amoonguna Clinic Manager

About Congress

• ACCHS in Central

Australia

• 8 town and 5 remote

clinics

• 400+ staff
• 185,000+ episodes of

care yearly to over 16,000 clients

HCH Setup and Implementation

• Communicare is the Patient Information System used

by most ACCHS in the Northern Territory

• The integration of the risk stratification tool with

Communicare was quite problematic and time consuming

• End result was the HARP tool being integrated as part
• f Communicare itself

Consent Process

• Initially difficult to explain to clients what was changing

for them

• ACCHS were exempt from some parts of the consent

form

• Unrealistic timeframes with the 7 day window from

consent to enrolment online

Model of Care

• No change in the model of care, our remote sites work
• n a dual care model where clients are seen by a nurse

first and GP if required (and available for sites with a part time GP)

Shared Care Planning

• Different requirements in the ACCHS sector, our patient

records are already shared across GP/Nurse/Allied Health

• Additional shared care plans would be problematic and

create an unnecessary administration burden at this point

• We use the My Health Record extensively for sharing

records across services

HARP and Tier Levels

• 3 Tiers may not be enough
• Subjectivity and interpretation issues with the

HARP

• Hospitalisation risk alone appears to be

insufficient in accurately identifying the level

• f care required

Medicare Billing

• What is claimable?
• What isn’t claimable?
• Chronic vs acute for a chronic disease

patient?

Enrolled Tier 1 Patients Enrolled Tier 2 Patients Enrolled Tier 3 Patients Total Enrolled Patients Amoonguna 1 21 28 50 Utju 1 31 32 Mutitjulu 1 16 29 46 Total 2 38 88 128

Current Situation

Thank you.

www.caac.org.au