We use cookies to ensure our site functions properly and to store limited information about your usage. You may give or withdraw consent at any time. To find out more, read our privacy policy and cookie policy.
Manage Cookies
A cookie is information stored on your computer by a website you visit. Cookies often store your settings for a website, such as your preferred language or location. This allows the site to present you with information customized to fit your needs. As per the GDPR law, companies need to get your explicit approval to collect your data. Some of these cookies are ‘strictly necessary’ to provide the basic functions of the website and can not be turned off, while others if present, have the option of being turned off. Learn more about our Privacy and Cookie policies. These can be managed also from our cookie policy page.
Strictly necessary cookies(always on):
Necessary for enabling core functionality. The website cannot function properly without these cookies. This cannot be turned off. e.g. Sign in, Language
Analytics cookies:
Analytical cookies help us to analyse user behaviour, mainly to see if the users are able to find and act on things that they are looking for. They allow us to recognise and count the number of visitors and to see how visitors move around our website when they are using it. Tools used: Google Analytics
Care Collective Program - Caboolture and Redcliffe
Care Collective
Caboolture and Redcliffe regions
What is the Care Collective?
The Care Collective program aims to improve care coordination and system navigation for a targeted cohort of people living with chronic and complex health conditions, by funding a Complex Care Coordinator position (registered nurse) in registered general practices. Eligible clients include those who have one or more of the identified chronic health conditions, are living independently in the community (not RACF), a regular client of one of the participating practices and have consented to be part of the Care Collective program (aged 18+). This program is funded jointly by Commonwealth Department of Health and Metro North Health and is currently operating in the Caboolture and Redcliffe regions at no cost to clients. The program aims to improve the client’s ability to manage their own health and improve their quality of life within their own homes and communities.
The Complex Care Coordinator aims to:
Improve coordination of allied health services for eligible clients
Increase the ability to understand and manage associated health conditions
Reduce unnecessary admissions to the emergency department
Offer care that is guided by client and family goals
Identify health care gaps, connecting the client with existing services in the community
The identified chronic health conditions, which were identified through data analysis of emergency department presentations in both regions, are:
Chronic Obstructive Pulmonary Disease (COPD)
Congestive Heart Failure (CHF)
Debility (frailty scores of 5+, behaviour related to dementia or falls)
The Care Collective provides the opportunity for general practices to access funding and resources to build the capacity of the practice to manage and support patients with chronic health conditions.
Care Collective practices benefit from:
Increased communication between hospital discharge planners and nurse navigators after an ED presentation by a client of your practice who has one or more of the identified chronic health conditions
Increased, dedicated nursing resources within the practice to work with eligible Care Collective patients with the aim of improving health literacy, quality of life, and health outcomes
Increased billing opportunities through chronic disease MBS items, preventative health items, medication management reviews, case conferencing and diagnostic testing
Opportunities to network and strengthen communication with hospital clinicians and other providers involved in your clients’ care
Free of charge access to peer support and continuing professional development opportunities for Complex Care Coordinators working in your practice
Eligible clients may be identified through several pathways, including within the general practice, by the emergency department, or through other services such as Team Care Coordination or Rapid Access Community Care.
Data to date providesan indication that the Care Collective is successfully reducing clients’emergency department (ED) presentations and unplanned inpatient admissions. It is alsoproducing savings of more than double its funding in reduced hospital service use.
The Care Collective is also delivering a diverse range of impactful health and social outcomes for clients and their families, given the flexibility and ‘gap filling’ nature of the program.
If you would like to know more on the Care Collective project or to request access to our project website, please use the Contact Us tab on the Health Alliance website https://healthalliance.org.au/
Care Collective
Caboolture and Redcliffe regions
What is the Care Collective?
The Care Collective program aims to improve care coordination and system navigation for a targeted cohort of people living with chronic and complex health conditions, by funding a Complex Care Coordinator position (registered nurse) in registered general practices. Eligible clients include those who have one or more of the identified chronic health conditions, are living independently in the community (not RACF), a regular client of one of the participating practices and have consented to be part of the Care Collective program (aged 18+). This program is funded jointly by Commonwealth Department of Health and Metro North Health and is currently operating in the Caboolture and Redcliffe regions at no cost to clients. The program aims to improve the client’s ability to manage their own health and improve their quality of life within their own homes and communities.
The Complex Care Coordinator aims to:
Improve coordination of allied health services for eligible clients
Increase the ability to understand and manage associated health conditions
Reduce unnecessary admissions to the emergency department
Offer care that is guided by client and family goals
Identify health care gaps, connecting the client with existing services in the community
The identified chronic health conditions, which were identified through data analysis of emergency department presentations in both regions, are:
Chronic Obstructive Pulmonary Disease (COPD)
Congestive Heart Failure (CHF)
Debility (frailty scores of 5+, behaviour related to dementia or falls)
The Care Collective provides the opportunity for general practices to access funding and resources to build the capacity of the practice to manage and support patients with chronic health conditions.
Care Collective practices benefit from:
Increased communication between hospital discharge planners and nurse navigators after an ED presentation by a client of your practice who has one or more of the identified chronic health conditions
Increased, dedicated nursing resources within the practice to work with eligible Care Collective patients with the aim of improving health literacy, quality of life, and health outcomes
Increased billing opportunities through chronic disease MBS items, preventative health items, medication management reviews, case conferencing and diagnostic testing
Opportunities to network and strengthen communication with hospital clinicians and other providers involved in your clients’ care
Free of charge access to peer support and continuing professional development opportunities for Complex Care Coordinators working in your practice
Eligible clients may be identified through several pathways, including within the general practice, by the emergency department, or through other services such as Team Care Coordination or Rapid Access Community Care.
Data to date providesan indication that the Care Collective is successfully reducing clients’emergency department (ED) presentations and unplanned inpatient admissions. It is alsoproducing savings of more than double its funding in reduced hospital service use.
The Care Collective is also delivering a diverse range of impactful health and social outcomes for clients and their families, given the flexibility and ‘gap filling’ nature of the program.
If you would like to know more on the Care Collective project or to request access to our project website, please use the Contact Us tab on the Health Alliance website https://healthalliance.org.au/
