Lower Hume PCP
Print FriendlyChronic Care
Lower Hume PCP work with member agencies to improve chronic care through:
- Strengthening system integration and communication within and between services to provide early intervention and integrated care, and;
- Supporting the implementation of person-centred models of care and initiatives that build health literacy to empower consumers to be active participants in their health.
Ovens Murray Chronic Care Strategy
The Ovens Murray-Goulburn Chronic Care Strategy is intended to guide the actions of a wide range of public and private organisations and health professionals as well as organisations beyond the health sector who play critical roles in prevention of chronic conditions, and then support, care and management of people living with chronic conditions in the Ovens Murray & Goulburn Areas. The Strategy sets out priority areas and desired outcomes for the short and medium term, together with longer term aspirational outcomes. Successful implementation of actions will rest on how organisations and their workforce respond to developments in chronic conditions health service delivery in their local context and will be supported by PCPs.
Expanded Chronic Care Model
The Expanded Chronic Care Model (Figure 1) is an evidence based framework used to support agencies to implement continuous improvement strategies. The Expanded Chronic Care Model recognises that change will be less costly and more effective if both the prevention and ongoing management of chronic illnesses use a similar set of improvement strategies. As such the Expanded Chronic Care Model aims to reduce the burden of chronic disease by reducing the impact of those who have the disease (tertiary prevention), identifying risk factors to prevent disease onset (secondary prevention) as well as supporting communities to be healthy (primary prevention). This is achieved through action on the social determinants of health as well as access to high quality health services.
The following frameworks and resources support the implementation of chronic care improvements:
- National Strategic Framework for Chronic Conditions
- Care for People with Chronic Conditions: Guide for Community Health Program
Additional Resources/Information
- Life Program Brochures final
- Diabetes HRFS Alexandra Poster Printer version
- Diabetes HRFS Broadford Poster Printer version
- Diabetes HRFS Kilmore Poster Printer version
- Diabetes HRFS Kinglake Poster Printer version
- Diabetes HRFS Seymour Poster Printer version
- Diabetes HRFS Wallan Poster Printer version
- Diabetes HRFS Yea Poster Printer version
Reports
- Pharmacy Evaluation Final Report
- Pharmacy Evaluation Final Summary Report
- Pharmacy Evaluation Summary
Resources
- Lower Hume Diabetes Pharmacy Survey (SurveyMonkey) template
- Lower Hume Diabetes Pharmacy Survey, Summary of Results, LHPCP, 2015
- Poster: Strengthening Diabetes Care Across Lower Hume
- Poster: Partnering with Pharmacies for Integrated Diabetes Care, LHPCP, 2016
- Poster: Diabetes Services in Alexandra
- Poster: Diabetes Services in Broadford
- Poster: Diabetes Services in Kilmore
- Poster: Diabetes Services in Kinglake
- Poster: Diabetes Services in Seymour
- Poster: Diabetes Services in Wallan
- Poster: Diabetes Services in Yea
- Flyer: Diabetes Prevention & Management Training
- Program: Diabetes Prevention & Management Training
- YouTube Videos: Local Diabetes Management and Prevention Information for Pharmacies
1. Diabetes services and supplies in Lower Hume
- 1.1. Diabetes services in Alexandra
- 1.2. Diabetes services in Broadford
- 1.3. Diabetes services in Kilmore
- 1.4. Diabetes services in Kinglake
- 1.5. Diabetes services in Seymour
- 1.6. Diabetes services in Wallan
- 1.7.Diabetes services in Yea
- 1.8. Where to get Diabetes supplies
2. Understanding Diabetes
- 2.1. Understanding Diabetes – Baker IDI
- 2.2. AUSDRISK Tool
- 2.3. Understanding pre-diabetes – NDSS Diabetes Australia
- 2.4. Understanding type 1 diabetes – NDSS Diabetes Australia
- 2.5. Understanding type 2 diabetes – NDSS Diabetes Australia
- 2.6. Understanding gestational diabetes – NDSS Diabetes Australia
3. Diabetes Management
- 3.1. What to expect when you see the doctor – Baker IDI
- 3.2. Your Diabetes annual cycle of care – NDSS Diabetes Australia
- 3.3. Managing Hypoglycaemia – NDSS Diabetes Australia
- 3.4. Blood glucose monitoring – NDSS Diabetes Australia
- 3.5. Managing sick days and type 1 Diabetes – NDSS Diabetes Australia
- 3.6. Managing sick days and type 2 Diabetes – NDSS Diabetes Australia
- 3.7. Medications for type 2 Diabetes – NDSS Diabetes Australia
- 3.8. Insulin – NDSS Diabetes Australia
- 3.9. My guide to injecting my diabetic medication – BD
4. Living with Diabetes
- 4.1. Adjusting to life with Diabetes – NDSS Diabetes Australia
- 4.2. Diabetes and Anxiety – NDSS Diabetes Australia
- 4.3. Diabetes Distress – NDSS Diabetes Australia
- 4.4. Diabetes and Depression – NDSS Diabetes Australia
- 4.5. Peer support for Diabetes – NDSS Diabetes Australia
- 4.6. Food choices for people with Diabetes – NDSS Diabetes Australia
- 4.7. Healthy meal ideas – NDSS Diabetes Australia
- 4.8. Physical activity – NDSS Diabetes Australia
- 4.9. Travel – NDSS Diabetes Australia
- 4.10. NDSS Diabetes and driving booklet – NDSS Diabetes Australia
5. Other resource forms & links
- Victorian PCP Online Health Literacy Training
- Health Literate Organisations Toolkit
- Lower Hume Health Literacy Toolkit Launch
- Gippsland PCP have also put together a health literacy toolkit which complements the LHPCP toolkit and can be found at www.centralwestgippslandpcp.com/health-literacy/
Links: for some useful links, please see our links page
