Self-Management Mapping: Primary Care Partnerships - Victorian Government HealthInformation, Australia

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Health home > PCP home > Publications > Self-Management Mapping

Self-Management Mapping

Statewide Report

An identified ICDM priority for PCPs in working with and supporting agencies is support to enhance the provision and coordination of self-management approaches across their catchments. All PCPs have now collected information that maps the self-management approaches used within their local catchments. A statewide summary of this activity is available to be downloaded.

Overview

The Department of Human Services has endorsed the Chronic Care (Wagner) Model for the development of approaches to support clients with chronic disease. The Chronic Disease Management Program Guidelines for Primary Care Partnerships and Community Health Services provides a description of the model and outlines six interdependent elements that encourage high quality chronic disease care. Self-management support is one element.

Self-management promotes the concept of consumers being actively engaged in their own health care. Self-management principles aim to optimise people’s capacity to manage the risk or impact of chronic illnesses over the lifespan and along the care continuum. Support is provided to clients through a range of self-management approaches to empower and educate them to manage their own health and health care.

Self-management has been identified in the National Chronic Disease Strategy as a key component of routine health care. For self-management principles to be embedded throughout the continuum of chronic disease prevention and care, a major cultural shift in work practices and service delivery is required.

All PCPs now receive recurrent funding for Integrated Chronic Disease Management to facilitate service system integration and change management in support of a coordinated approach to the planning and delivery of services for clients with chronic disease. An identified priority for this funding, reflected in PCP Community Health Plans, is systems support to enhance the provision and coordination of self-management approaches across PCP catchments. All PCPs are expected to map self-management approaches within their local catchments.

How will the information be used?

The self-management mapping will provide information at a PCP catchment level about:

Service Providers
Types / Range of approaches used
Training requirements
Referral pathways
Barriers and Enablers to providing (and accessing) self-management support

This information will assist the PCP in developing an action plan to address identified gaps and progress integrated chronic disease management activities.

The information will also be used to develop a statewide picture of self-management support and to inform future policy development for both self-management support and integrated chronic disease management activity more broadly.

Who should be involved?

Chronic disease management and self-management support approaches may be found in a wide range of services. There is an expectation that Community Health Services will complete the mapping as part of the requirements outlined in the Primary Health Funding and Policy Guidelines 2006-09.

The survey should attempt to include all relevant agencies and services providing chronic disease management and self-management support. Further details can be found in the Self-Management Mapping Guide.

Supporting information

See downloads for a series of presentations providing an overview of the self-management mapping activity including, the definition of self-management and possible approaches.

The Self-management mapping guide attached provides details about the self-management mapping activity, timelines, definitions and information to assist completion of the self-management mapping templates.

The Self-management mapping template (generic and Divisions of General Practice) are provided to be downloaded and completed as a paper-based response. The completed response is to be provided to the PCP for submission into the department. The information will then be entered into a database for analysis. Once analysed the information (PCP catchment and Statewide) will be provided to the PCP. (Refer Self-management mapping guidelines for timelines).

It is recommended that the templates be completed using the Self-management mapping guide developed to support these tools. This will assist in ensuring that the information collected is as consistent as possible.