The aim of the project is to design and implement a connected and sustainable model for chronic disease management in seven communities of the Western Corridor of the Central West Hospital and Health Service (CWHHS). It includes the primary health care (PHC) services delivered from the Boulia, Bedourie, Birdsville, Jundah and Windorah PHC centres and the townships of Yaraka and Stonehenge. All PHC service staff, including nurses, Aboriginal Health Workers, visiting GPs, community health teams (including mental health), allied health and specialist services delivered to these centres are within scope for the project which has four phases;
- Understand the Current State - services, funding, patient experience and identify priority areas for focus.
- Co-design the Future State – co-design the future patient experience and develop innovative and sustainable model/s of care.
- Implement the Future State – build a roadmap for implementation, implement the future state and mange and embed change.
- Monitor and Sustain the Change – complete post implementation outcome measurement and conduct continuous quality improvement processes.