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 of 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 on 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 of care required
Medicare Billing • What is claimable? • What isn’t claimable? • Chronic vs acute for a chronic disease patient?
Current Situation Enrolled Enrolled Enrolled Total Tier 1 Tier 2 Tier 3 Enrolled Patients Patients Patients Patients Amoonguna 1 21 28 50 Utju 1 31 32 Mutitjulu 1 16 29 46 Total 2 38 88 128
Thank you. www.caac.org.au
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