MyCare Partners Program
My Care Partners is a 12-month program to help with the management of complex and chronic health conditions, such as diabetes, heart and lung disease.
Throughout the program you will have regular check-ins with members of a dedicated care team of health professionals to work towards achieving your health and wellness goals.
Participation in My Care Partners is voluntary. You are welcome to discuss the program with your General Practitioner (GP) as well as members of your family, carers or others who support you to consider how the program may be of benefit to you.
Once you have enrolled in the My Care Partners program, you will work closely with your GP, practice nurse and other members of your care team, which may include allied health professionals and specialists.
You will also work closely with a dedicated care enabler, a nurse who works within the Local Health District (LHD). Your care enabler will work closely with you, your GP and your care team to help you better understand and manage your health, and connect you with other services and support within your local community.
My Care Partners objectives
List of Services
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List Item 1
Improve coordination between the patients’ medical home (their regular general practice), primary and community services, and acute care.
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List Item 2
Improve outcomes for patients with complex and chronic conditions who are at risk of potentially preventable hospitalisations.
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Improve patient and provider experience by encouraging continuity of care and team-based care to reduce the risk of omission or duplication of services.
Speak to you GP to see whether you are eligible
How My Care Partners works
- You will have a dedicated care team, led by your GP, to provide extra support to help get your condition on track.
- Your care team will communicate with each other regularly in the first six months of your program and work with you to understand your goals and help you achieve them.
- Your GP will arrange case conferences with your care team at key points
- of the program. A case conference provides your care team with an opportunity to talk to each other, and discuss how best to help you with your condition and health goals.
- You are welcome to attend case conferences or your GP can let you know what was discussed.
- Your health information will be shared securely between members of your care team and hospital.
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