Integrated Team Care
This program aims to improve Aboriginal access to primary health care services to improve the lives of Aboriginal Australians. Our staff work as a team to improve health outcomes for Aboriginal people.
Indigenous Health Project Officer
Cultural barriers can limit the use of health services by Aboriginal people. Amity Health has an Indigenous Health Project Officer (IHPO) who aims to:
- identify barriers that may impact on access to health services
- encourage the uptake of Aboriginal and Torres Strait Islander health assessments
- increase awareness and understanding of General Practitioners (GPs) and Allied Health professionals
Indigenous Outreach Worker
Amity Health’s IHPO works closely with our Indigenous Health Project Officer (IOW) to liaise within the community to promote health services and to provide practical assistance for patients to attend medical appointments. The IOW aims to:
- develop and implement ways to support primary care providers to encourage Aboriginal and Torres Strait Islander peoples to self-identify
- develop and implement strategies to increase the uptake of Indigenous-specific Medicare item numbers including Indigenous health checks
- assist in booking health related appointments and transport to these appointments
Care Coordinator and Supplementary Service (CCSS)
Amity Health’s Care Coordinator and Supplementary Service (CCSS) program aims to contribute to improved health outcomes for Aboriginal people with chronic health conditions through better access to coordinated and multidisciplinary care.
The client must:
- Be Aboriginal, or Torres Strait Islander, or Aboriginal and Torres Strait Islander
- Have chronic and complex health needs requiring multidisciplinary care
- Have a care plan/GP Management Plan
Care Coordination aims to provide support:
- by a qualified Care Coordinator to assist Aboriginal patients with chronic diseases and support them to self-manage
- to identify signs that may require further assistance
- to adhere to care plan and adhere to treatment regimes
- to arrange services requiring medical specialists, allied health and other providers in line with care plan
- for health promotion activities
- to arrange GPMP reviews with usual GP, diagnostic tests, pharmacy review, allied health and specialist visits
- to organise case conferencing (eg support practice staff to arrange case conferencing, participate in case conferencing and team care)
- to attend initial appointment with client (support client to be more comfortable in clinical setting, understand clinical language, provide cultural brokerage)
- to provide client education on chronic condition/s (eg medication, treatment, link client with general wellbeing and holistic care support, eg, women’s and men’s groups, social and emotional wellbeing support, cultural healing)
- to arrange transport for access to chronic condition management appointments where client doesn’t already have access to alternative transport.
Barriers such as cost, long waitlists for public services and lack of transport are common for Aboriginal patients. If such barriers exist and are clinically inappropriate, the Care Coordinator can use the Supplementary Services funding.
Requested Supplementary Services Support could include: Provide financial assistance to enable access to approved medical equipment. Approved aids include: Assisted breathing equipment, blood sugar/glucose monitoring equipment, dose administration aids, medical footwear as prescribed and fitted by podiatrist, mobility aids, spectacles. Note: Requests for CPAP require Sleep Study and trial of CPAP before ITC support to access CPAP can be considered.
Provide financial assistance to enable access to specialist/allied health professional services Where it has been indicated that patient is financially unable to access clinically necessary services for the management of their chronic condition; and/or patient has exhausted available Medicare Allied Health items. Provide transport for access to chronic condition management appointments Where the client doesn’t already have access to alternative transport.
Services contingent on staff capacity and available funding.
Who can use these services?
Aboriginal or Torres Strait Islanders can use these services: referral to a Care Coordinator for follow-up care is made through General Practitioners.
How to access these services?
Please click here to download the Integrated Team Care Program Brochure.
Speak with your Doctor or contact us for more information.
If you are a General Practitioner, please click here to download the Integrated Team Care Program Referral Form to refer your patient into the program.
Let us be part of your health and wellbeing solutions
Funding for these integrated services is provided by the West Australian Primary Health Alliance.
See ITC HealthPathways for further information – https://wa.healthpathways.org.au/LoginFiles/Logon.aspx?ReturnUrl=%2f65938.htm
*Funding for these integrated services is provided by the West Australian PrimaryHealth Alliance.