The number one priority for Her Medical is to assist patients to live longer and healthier lives. Chronic disease management plans are an integral part of Her Medical’s commitment to achieving better health outcomes for patients.
Her Medical utilises Chronic Disease Management Plans as an effective strategy to assist in providing the best care to patients suffering from chronic medical conditions. Experiencing chronic conditions can affect the quality of life on many levels. Her Medical’s goal is to help manage health with team support to optimise overall health and wellbeing.
A GP Managment Plan aims to create a structured and personalised approach to healthcare for a chronic disease to enable coordination of complex chronic conditions requiring ongoing care from a multidisciplinary.
*Chronic disease is defined as a condition that has been present or is likely to be present for 6 months or longer.
A chronic medical condition is one that has been present for at least six months or longer, such as:
If a patient has a chronic (or terminal) medical condition, a General Practitioner may suggest a General Practitioner Management Plan (GPMP)
A GPMP can help individuals with chronic medical conditions by providing an organised approach to care. A GPMP is a plan of action agreed upon with the GP and may include the following:
Chronic medical conditions and complex care needs may require multidisciplinary care. General Practitioners may also develop a Team Care Arrangements (TCAs). This will help coordinate the care required more efficiently.
TCAs require GPs to collaborate with at least two other healthcare providers who will give ongoing treatment and services.
Once a plan is in place, regular reviews are important for the planning cycle of care, where goals are set and met and whether should be considered.
The review also offers the opportunity to further discuss any general issues and concerns.
If both the GPMP and TCAs are prepared for by a General Practioner, patients may be eligible for Medicare rebates for specific individuals and Allied health services that have been identified as part of the care plan. The need for these services must be directly related to the chronic medical (or terminal) condition.
A Mental Health Treatment Plan is a plan for people with a mental health disorder.
The plan identifies what type of health care is needed and spells out what has been agreed upon and aims to achieve.
If a patient has a Mental Health Treatment Plan, they are entitled to Medicare rebates. This gives the patient access — subsidised by Medicare — to certain psychologists, occupational therapists, and social workers.
After the first 6 appointments, doctors need to you need to review the mental health plan and will decide if further sessions are required and need to be referred.
The Annual Cycle of Care is a checklist designed to help patients and the healthcare team keep diabetes care on track.
Diabetes can lead to complications that affect the kidneys, eyes, feet and heart. The Annual Cycle of Care can help identify further health concerns early and allow for the best treatment with the healthcare team.
The Asthma Cycle of Care involves at least two asthma related consultations within 12 months for a patient with moderate to severe asthma.
The Asthma Cycle of Care includes:
Staying healthy is especially important once the 40s are reached. Her Medical recommends that most healthy people in their 40s should get health checks at regular intervals.
A health assessment of an elderly person (75 years and over) is an in-depth review of their health status. This assessment enables doctors to identify health issues and conditions that are potentially preventable or responsive to interventions in order to improve health and overall quality of life.
Specific components of the health assessment for the elderly include:
The health professional undertaking the health assessment may also consider:
Aboriginal or Torres Strait Islander natives with a Medicare card are eligible for a free health check every year.
The check will depend on age and circumstances and includes the following:
And any other assessments as needed.