Resources

Page contents: Guidelines and Templates | Resources and Tools

Guidelines and Templates

• Revised Chronic Disease Management Program Guidelines for Primary Care Partnerships and Primary Health Care Services October 2008 (606kb, pdf)
• Diabetes self-management - Guidelines for providing services to people newly diagnosed with Type 2 diabetes
• Primary Health Branch Policy & Funding Guidelines 2006-07 to 2008-09
• Guidelines for completing the Community Health Plan and Community Health Plan Implementation Agreement (CHPIA) templates (551kb, pdf)
  Available from the Primary Care Partnerships website.
  

Resources and Tools

• Assessment of Chronic Illness Care (ACIC)
  A simple, comprehensive survey tool to assess an organization's current levels of care with respect to the six components of the Chronic Care Model (community resources, health organization, self-management support, delivery system design, decision support, and clinical information systems); developed by Improving Chronic Illness Care (Seattle, Washington, USA)
• Better Healthcare in Gippsland Resource Kit
  A resource kit developed as part of the Better Healthcare in Gippsland (BHCiG) project, a joint Commonwealth/State funded initiative. One focus of this work included the regional implementation of the Wagner Chronic Care Model.
• Evidence for an Effective Chronic Disease Collaborative (824kb, pdf)
• Improving Chronic Disease Care: Learnings from the Integrated Disease Management Projects
  Integrated Disease Management (IDM) is a comprehensive and multidisciplinary approach to the care of people with, or at risk of, a particular disease or condition, aiming to reduce the burden of disease through a holistic approach. Five IDM pilot projects were funded for three years in 2001 under the Department of Human Services (Victoria) IDM Initiative.
• Integrated Chronic Disease Management (ICDM) Case studies
  • Case Study 1 - Consumer consultation Inner East PCP (142kb, pdf)
  • Case Study 2 - Member agency engagement Wimmera PCP (119kb, pdf)
  • Case study 3 - General practice PCP Partnership in Banyule and Nillumbik (144kb, pdf)
• Integrated Chronic Disease Management (ICDM) Industry Advisor Fact Sheets
  • Care Planning with General Practice (141kb, pdf)
  • Chronic Disease Self-Management (91kb, pdf)
  • Common Models of Chronic Disease Self-Management Support (144kb, pdf)
  • Consumer Consultation and Participation in CDM (212kb, pdf)
  • Evidence-based Guidelines and Clinical Pathways for ICDM planning (378kb, pdf)
  • General Practice Engagement in ICDM (192kb, pdf)
  • Getting Started on ICDM (104kb, pdf)
  • ICDM Audit Tools (119kb, pdf)
  • Population Health Data Sources for ICDM Planning (368kb, pdf)
    
• Integrated Chronic Disease Management - Key Messages (15kb pdf)
• Integrated Chronic Disease Management presentation (7,327kb, ppt)
• Wagner Chronic Care Model
  The Primary Health Branch has endorsed the Wagner Chronic Care Model as the framework to develop a service system that responds to the needs of clients with chronic and complex care needs. This site provides information concerning the six fundamental areas identified by Model that encourages high-quality chronic disease management across a variety of chronic illnesses, health care settings, and target populations.
• Wagner Chronic Care Model Toolkit
  This online toolkit provides step-by-step descriptions of the specific changes involved in Chronic Care Model implementation, including more than 60 tools created by leading organisations for quality improvement initiatives, strategies to address financial and operational barriers to quality improvement and stories from organisations that have undertaken successful quality improvements and service system developments to improve chronic care.

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