Avoiding Hospital admissions:Getting the care you need

Linda Mann

FRACGP

Getting the care you need

• Primary care• Secondary care• Tertiary care

communication, access, funding

Snakes and Ladders have been around for a long time

What influences Primary Care?

• Public health• Incentives from

government and experts

• technology• seamless care: the

dream

communication, access, funding

UNESCO

What can Secondary Care offer?

• Assessment of acute illness in vulnerable patients, who need multidisciplinary care, with special knowledge, and access to technology

• Bodily care during acute infirmity

• Curative treatmentcommunication, access, funding

Tertiary care is just more rarefied

• Rare patient experience

• Acute interventions need complexity, then back down the ladder ( to avoid the snakes) to 2nd then 1st care

communication, access, funding

Ingredients for an alternative

• Communication• Reliability• Nursing care not in

hospital• Cost effectiveness

communication, access, funding

If you need to find the solution..

Communication

• Use common web based records ( HealthConnect SA)

• Use VPNs within institutions to permit remote access from involved HCW

• Use PDAs for roving health care with real time data upload

communication, access, funding

Access to services

• Reliability• Access to nursing

communication, access, funding

Snakes and Ladders winning hearts and minds

Where does the money come from

• State funding for ambulatory care

• Federal funding via Divisions for improved communication

• Future changes to allow rebates form private health insurance for GP led care

communication, access, funding

Snakes can make ladders..