Service Coordination is the practices, processes, protocols and systems embedded and utilised within an organisation to support the coordination of care. The main intent of Service Coordination is to improve the outcome for those using the service system by placing them at the centre of service delivery, providing better access to services and opportunities for early intervention and health promotion.
The Better Access to Services framework is what underpins the Service Coordination work in agencies. It provides a guide to achieving better coordination of services and gives service managers and practitioners consistent practices. This work assists in defining roles and responsibilities whilst working together for the outcomes of shared consumers. The framwework provides consistency in practice and common language within the healthcare and other sectors.
The available resources inform and guide health care professionals, practitioners, case managers and other sector workers on the ‘how to’ of Service Coordination. The resources include:
- Service Coordination Self Paced Training Module (disc available on loan from GPPCP)
At the local level, Grampians Pyrenees Primary Care Partnership notes on its Strategic Direction that its core business is coordination through partnership. The action plan for the Integration of Chronic Disease Prevention and Management 2008/2012 indicates that its core business is “Coordination of Chronic Disease prevention and management strategies and services through partnerships”.
For more information please visit: www.health.vic.gov.au/pcps/coordination/index.htm
Click here for information on the GPPCP Better Access to Services Sub Committee (BATS).
HACC Services (Home and Community Care)
Many of the member agencies receive HACC funding for a variety of programs. In recent developments in the delivery of these programs, assessments are now done by agencies designated to perform the Living at Home Assessments (LAHA). Agencies not designated will make a referral to the LAHA designated agency who will perform the assessment then make referrals to appropriate service providers including the originating referrer for the specific HACC service required.
The designated agencies in the Grampians Region are:
Pyrenees Shire
Ararat Rural City
East Grampians Health Services (District Nursing)
Northern Grampians Shire
In addition to the LAHA, the Active Service Model (ASM) is being incorporated into the delivery of service.
The goal of the Active Service Model is to assist people in the HACC target group to live in the community as independently and autonomously as possible. In this context, independence refers to the capacity of people to manage the day to day activities of their daily life. Autonomy refers to making decisions about one's life. Not all HACC clients will be able to live in the community without some form of assistance, but the goal of this initiative is to ensure that clients are able to gain the greatest level of independence they can possibly achieve, and equally, that they can be as actively involved in making decisions about their life as they can be, such as the type of services they receive and the goals they wish to achieve.
Resources that support LAHAs and the ASM include:
Personal Care Protocol documents
Grampians Region Personal Care Protocol
Instructions for using electronic version of PCP
Instructions for using the electronic forms
Service Handover Plan
Medication Handover Plan - Medical Practitioner
Client Consent
CCW - Assistance with Medication Record
Notice of commencement of Personal Care Support
CCW - Client Specific Training Record
Home Safety Checklist documents
Home Safety Checklist
Instructions for use
Protocol for distribution to other agencies
LAHA Regional Protocol - Document in draft form.
LAHA Guidelines - Document in draft form.
HACC documents will be updated as reviews on current ones are completed or new ones released.