Traditional models of care (MOC) use specialist medical practitioners as the key decision makers in all stages of referral, admission, treatment, monitoring and discharge process for this patient group. It is proposed that there is the potential to use an innovative MOC, where an advanced dietitian reviews a subset of patients according to predetermined eligibility criteria, under the oversight of GE medical specialists. It is anticipated that this will increase capacity for GE medical specialists to focus on more critical and more complex patients.
Advanced Dietitian Second Gastroenterology Model
To implement a responsive, pro-active and new Advanced Scope - Dietitian Second Gastroenterology MOC for adults with coeliac disease, IBD, Eosinophilic esophagitis (EoE), GERD and liver disease.
The potential benefits of this model includes:
- Enhanced patient flow
- Reduced delays in commencement of patient management through an integrated patient care model
- Patients seen by the most appropriate clinician for their condition
- Patients seen within clinically recommended timeframes
- Increasing capacity for gastroenterology medical specialists to see more complex and critical cases
- Co-ordinated surveillance of conditions in scope and improved continuity of care
- Increased patient satisfaction, quality of life, and outcomes.
- Increased staff and referrer satisfaction
- Improved access to appropriate medical imaging, investigations and procedures
- Enhancement of inter professional relationships.
There is a great demand for specialist gastroenterology outpatient appointments with increasing waiting lists in the Gold Coast Hospital and Health Service which has contributed to an increasing number of patients waiting longer than clinically recommended times for their initial appointments. Based on the outpatient schedule monitor there are currently fewer available appointment slots/week for the number of patients needing to be seen and the number is estimated to increase. The situation is further exacerbated by the number of gastroenterology medical specialist follow up appointments required by this patient group.