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HACC Clearinghouse > Moonee Valley Melbourne Primary Care Partnership Service Coordination Care Planning Project 2004-2005 |
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Moonee Valley Melbourne Primary Care Partnership Service Coordination Care Planning Project 2004-2005The Care Planning Project will develop and trial a care planning protocol for HACC clients with complex needs who are using multiple services without receiving case management. The project will develop and trial care planning practices, processes, protocols and systems around how care plans are developed with consumers, carers and service providers and how consumers and carers are involved in decision making around their care plan. The development of an agreed understanding of the role of a "key worker" and the trialling of this is a central part of the project.Project status Completed Funding region Western pre amalgamation 2003/2004 Agency Moonee Valley City Council (Consortium) Project funding year 2004-2005 Funding amount $40,000 Why fund project/agency If successful, the project has the potential to promote service coordination, improve service delivery to HACC clients and be widely disseminated and replicated. Keyword(s) Assessment and care management Care plan systems and protocols Service coordination and delivery Service development Aims Trial and implement a care planning protocol to improve service coordination and client outcomes Project objectives: 1. Determine the role of the key worker; 2. Develop agreement about the nomination of a key worker and what core skills are required; 3. Develop practices, processes, protocols and systems around how care plans are developed with consumers/carers and service providers, and how consumers/carers are to be involved in decision making around their service coordination plan; 4. Ensure privacy requirements are met in regards to multidisciplinary care planning; 5. Develop practices, processes, protocols and systems around review schedules for service coordination plans, initiation of reassessments and providing feedback to referral agencies. Target group HACC clients with complex/high needs Service providers DHS contact name Jude Czerenkowski Contact phone 9412 5313 Contact email jude.czerenkowski@dhs.vic.gov.au Report Interagency care planning protocol pilot project report (PDF file, 332KB) |
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Last updated: 03/19/2007 This web site is managed and authorised by the Aged Care Branch, Rural & Regional Health & Aged Care Services Division of the Victorian State Government, Department of Human Services, Australia |