ADMA communicates with many innovative services and they are always happy to share how, why and the outcomes when asked. Conversely, many members have indicated that they are interested in knowing about other like-minded services.

ADMA is therefore collecting case studies on integrated care, care coordination, chronic disease care, partnership models and more. Here you can either learn from others or share with others.

SHARE WITH OTHERS

If you would like to add your service to this repository of Australian experience please provide some brief details via here

LEARN FROM OTHERS

Chronic Care Services and Other

Service

Organisation /s

Keywords

More
Safe Haven Café – St Vincents
  • Mental Health
  • After Hours Café
  • Peer Support
  • Emergency Department
 Click here
Social Prescribing – IPC Health
– NWMPHN
– Australian Health Policy Collaboration, Victoria University
– Brimbank City Council
  • Social prescribing
  • Pilot
  • Patient centred care
  • GP referral
  • Unmet social needs
 Click here

IPC Social Prescribing Model
Inner North Multidisciplinary Team (INMD) coHealth
  • Social prescribing
  • Multidisciplinary
  • Exercise group model
  • Community partnerships
 Inner North Multidisciplinary Team
IDEAS (Integrated Diabetes Education and Assessment Service) Carrington Health
  • Diabetes
  • Multidisciplinary
  • Multisector
  • Self-management
  • Behaviour change
 IDEAS Integrated Diabetes Education & Assessment Service
Chronic Care Program ACT Health
  • Chronic Disease Management
  • Care coordination
  • Self-management
 Chronic Care Program ACT Health
The Breathlessness Clinic Westmead Hospital, Sydney
  • COPD
  • Multidisciplinary
 The Breathlessness Clinic Westmead Hospital
 

Partnerships

Service

Organisation /s

Keywords

More
The Collaborative – NWMPHN
– Melbourne Health
– cohealth
– Merri Community Health Services
  • Chronic disease management
  • Across four LGAs
  • Partnership since 2012
 Click here
Police and Clinician
Emergency Response (PACER)		 – Victoria Police
– Hospital Networks
  • Joint crisis response
  • Emergency Psychiatry
  • Emergency Department
  • Partnership
 Click here

Integrated Care and Care Coordination 

Service

Organisation /s

Keywords

More
Outer Region Rough Sleepers Initiative (RSI)

-Monash Health
-Launch Housing Dandenong
-Neami
-Bolton Clarke
-Melbourne City Mission
-Ngwala Aboriginal Service
  • Social Prescribing
  • Rough Sleepers Program
  • Partnership, Collaboration
  • Multi-sector
  • Multi-disciplinary
  • Vulnerable People
  • Mental Health
  • Discharge Planning
 The Outer Region Rough Sleepers Program
Oral Health and Diabetes Project

North Richmond Community Health Service – Oral Health
  • Integrated General Medical And Dental Care
  • Multidisciplinary
  • Diabetes and periodontal disease
 North Richmond Community Health Oral Health and Diabetes Project
The ‘By Your Side’ program

Bolton Clarke at Home Support
  • Falls
  • At home exercise
  • Care worker and virtual physiotherapist led program to prevent falls
  • Based on the evidence-based Otago exercise program
 By Your Side: Bolton Clarke at Home Support Service