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186232 - Health Care Homes Module 10: Population management

  • : Online

This module discusses the value of population management in Health Care Homes. It focuses on tools and strategies to meet contemporary population management challenges, the importance of data, patient registries and electronic tools, and the role of panel management and population health tools in the better management of patients in Health Care Homes.

Relevance to General Practice

Health Care Homes is a model of care for general practices and Aboriginal Community Controlled Health services (ACCHS). A Health Care Home is an existing general practice or ACCHS that further commits to a systematic approach to chronic disease management in primary care. This approach supports accountability for ongoing high quality patient care. It uses an evidence-based, coordinated, multi-disciplinary model of care that aims to improve efficiencies and promote innovation in primary care services.

Learning outcomes
  • Describe the connections between population management, patient enrolment and team-based care in the Health Care Home.
  • Define roles of team members and workflows for population health using registries and other tools.
  • Understand how to identify patients that would benefit from population management activities using clinical data.
  • Provide tiered population health management, including panel management, health coaching and complex care management.
  • Domains of General Practice

    D1. Communication skills and the patient-doctor relationship

    • Ways in which health can be optimised and maintained are communicated to patients, family members and carers

    D2. Applied professional knowledge and skills

    • Innovative approach to care of patients with multisystem and/or complex health issues is taken

    D3. Population health and the context of general practice

    • The patterns and prevalence of disease are incorporated into screening and management practices

    D4. Professional and ethical role

    • Professional knowledge and skills are effectively shared with others

    D5. Organisational and legal dimensions

    • Effective clinical leadership is demonstrated

    Curriculum Contextual Units
    • Adult health
    Partnering organisations

    The Department of Health

    Delivery
    Title
    186232 - Health Care Homes Module 10: Population management
    Location
    Provider Type
    Education Provider
    Duration
    1.5 hrs
    Start Date
    01-Jan-2020
    End Date
    31-Dec-2022
    CPD Points
    3 cpd
    Price
    Free
    Location
    Online
    Posted By
    Contact Phone
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    HealthcareLink