The integrated model of service delivery'

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Leading in Quality

• The integrated model of service delivery.
• Dr Richard Bills Brooke Street Medical Centre,
  Woodend , Victoria

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The Integrated Model of Service Delivery......

• Does it really cut the mustard?

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Key issue

• Are QUALITY and SUSTAINABILITY mutually exclusive?

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The Brooke Street Team

• Nurses 1-gt gt gt 9
• DNEs 2
• Dietitian 1
• Exercise physiologist 1
• Wound Care Nurses 2
• Asthma Educator/QUIT Counsellor 1
• GPs 12
• Receptionists - 9
• Clinical Care Coordinator -1

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Can we do quality?

• Brooke Streets experience
• UNSW Mark Harriss data
• APCC data
• Yes, we can...

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OK...so is it sustainable?

• Do patients like it?
• Do providers like it?
• Can we make it...
• Not cost us too much?
• Not cost us anything?
• Make us money??

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Is there a viable financial model?

• First attempt........painful failure
• Second attempt blended payment almost there
• Third attempt levy

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What worked for us

• Shorter AHP consultations
• More organised TCAs
• Utilising EPC AHP items
• Efficient use of in-house messaging
• Relevance of location of AHPs
• Regularly reviewing all aspects of this service
  ie clinical, personnel, systems, financial

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Yes.. It is possible to have teams providing
sustainable AND high quality care in general
practice

• However it requires
• The right team
• Clear communication
• A viable business model
• The readiness to review and adapt your plan
• Constant scanning of the changing medical
  environment (MBS, NHHRC, etc)

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Thank-you

• rbills_at_bsmc.net.au
• [phone]