fjnvpucvcprog01.acu.edu.au/.../2015/...Dec-2015.docx · Web viewHealth Assessment and Management Plans (word) ... Community nursing provides necessary nursing and ... Find reliable

Environmental Scan

What is the resource?

Where is it located?

Target Audience

Check Dec 2015

ASSESMENT TOOLS

Canadian Public Health Association - Chronic Disease Tool

http://www.cpha.ca/en/portals/CD.aspx

Health Professionals

Link not working, use:

[http://www.cpha.ca/en/programs/portals/cd.aspx]

interRAI tool

www.interrai.org

http://www.health.vic.gov.au/harp-cdm/harppubs.htm


Link 1, second link works but not sure how it relates?

Minnesota Complexity Assessment Tool

http://www.innovations.ahrq.gov/content.aspx?id=2496


Link not working, possibly use:

[http://blogs.uw.edu/jelinek/files/2013/11/MCAM-Tool-ver-2.pdf]

NatFrame Reference List for Assessment Tools

http://www.health.gov.au/internet/main/publishing.nsf/Content/ageing-rescare-natframe.htm~ageing-rescare-natframe09.htm

Health Professionals in Residential Care

Link not working, use:

[http://webarchive.nla.gov.au/gov/20130907081939/http://www.health.gov.au/internet/publications/publishing.nsf/Content/ageing-rescare-natframe.htm~ageing-rescare-natframe09.htm]

PARR Tool

http://www. kingsfund.org.uk/health_topics/Consumers_at_risk/index.html.


Link not working. PARR is mentioned in:

[http://www.kingsfund.org.uk/publications/articles/case-finding-patients-risk-readmission-hospital-development-algorithm-identify] and

[http://www.kingsfund.org.uk/projects/predicting-and-reducing-re-admission-hospital]

Probability of repeat admissions (Pra) tool

http://www.license.umn.edu/Products/Assessing-the-Risk-of-Repeated-Hospital-Admission-for-Elderly-Consumers__97145.aspx


Tools that assess organisational systems

Assessment of chronic illness care (ACIC)MacColl Institute for Healthcare

Innovation (USA)

The audit and best practice for chronic disease: systems assessment tool

(ABCDSAT)Menzies School of Health Research (NT, Australia)

Organisational skills analysis tool: Chronic disease careGill and Willcox (Vic, Australia)

http://www.improvingchroniccare.org/index.php?p=ACIC_Survey&s=35

http://www.health.gov.au/internet/h4l/publishing.nsf/Content/toolkit-s5

www.gillandwillcox.com.au


Link 1

Links 2 & 3 not working

For Link 2, I can find projects using the tool, but not the tool itself:

[http://www.health.gov.au/internet/publications/publishing.nsf/Content/health-oatsih-pubs-linkphc~health-oatsih-pubs-linkphc-local~casestudies~case4]

For Link 3:

[http://www.adma.org.au/clearinghouse/doc_details/18-chronic-care-analysis-tool.html]

Tools that assess consumer experience of chronic disease care

Patient assessment of chronic illness care (PACIC)MacColl Institute for Healthcare Innovation (USA)

http://www.improvingchroniccare.org/index.php?p=PACIC_Survey&s=36

.


Tools that assess specific components of chronic disease care

Self-management assessment tool for community health organisationsGill and

Willcox (Vic, Australia)

Self-management surveyDepartment of Human Services (Vic, Australia)

Service coordination and ICDM surveyDepartment of Health (Vic, Australia)

www.gillandwillcox.com.au


Link not working

Self-management tool:

[http://www.adma.org.au/clearinghouse/doc_details/16-g-w-pcp-analysis-tool--self-management-assess-tool.html]

Tools that assess general practice provision of chronic disease care

PEN clinical audit tool

Practice health atlas

cdmNet

http://precedencehealthcare.com/cdmnet/


Auditing chronic disease management

Another perspective on auditing chronic

disease management, and some concise

comparative tables, can be found in the

publication Navigating selfmanagement,

which can be downloaded from

.

http://som.flinders.edu.au/FUSA/CCTU/self_management.htm#Navigating

.


Link not working

[http://www.flinders.edu.au/medicine/fms/sites/FHBHRU/documents/publications/Navigating_self_management%20March%202008.pdf]

Partners in Health Scale

Cue and Response Interview

Problem and Goals Assessment





Links not working asks Do you want to open the file, then Cannot connect to the server?

Home Care Packages Veterans Eligibility Supplement


Home Care Packages Guidelines

Health ProfessionalsComment by Candice Oster: Use links for these from the Resource list?

CVC RESOURCESComment by Candice Oster: Cant open these they are on the Resource list though?

General Information sheet

AML Alliance CVC Program Information Sheet

AML Alliance CVC Program Information Sheet


References Medicare Locals

Resources:

Preparing your practice

Brochure Information for GPs and Practice Nurses

Brochure Information for Veterans

Brochure Information for Community Nurses

A Guide for General Practice

Nurse Home Visit Guidelines

Assessing the patient in the home

Professional Indemnity APNA


preparation check list

CVC Assessment Toolkit for undertaking a comprehensive Needs Assessment.

CVC Business Case

Information for GPs and Practice Nurses

Information for Veterans

Information for Community Nurses

A Guide for General Practice

Nurse Home Visit Guidelines

Assessing the patient in the home



preparation check list

CVC Assessment Toolkit

Information for GPs and Practice Nurses


Carers

Consumers




Link not working

Link not working

Link not working

Link not working

Link not working

Link not working

Link not working

Link not working

Link not working

Enroling the veteran on the program

Home Care Packages Veterans Eligibility Supplement

Home Care Packages Guidelines


Consent to join the program

Guidelines for consent CVC Program(Word Template)

Guidelines for consent CVC Program(Word Template)


Link not working

Social Assistance

CVC Social Assistance


Link not working

Care Planning Flinders Program Tools: For care planning








Link not working

Link not working

Link not working

Care Plans

Examples

Flinders Care Plan adapted for CVC(word) (Meets theCVC minimum requirements for a comprehensiveCare Plan)

Flinders Care Plan adapted for CVC (patient-friendly version)(word)(Meets CVC requirements for patient-friendly version Care Plan)

Flinders Veterans Care Plan template(word)

Health Assessment and Management Plans(word) (Templates in medical software)

Flinders Care Plan adapted for CVC

Flinders Care Plan adapted for CVC (patient-friendly version)

Flinders Veterans Care Plan template

Health Assessment and Management Plans


Link not working

Link not working

Link not working

Link not working

Patient treatment report

Patient Treatment Report User Guide

Patient Treatment Report User Guide FAQ

Patient Treatment Reports are available on HPOS FAQ

Patient Treatment Report User Guide

Patient Treatment Report User Guide FAQ


Link not working

Link not working

Claiming

CVC Program claiming date ready reckoners (Excel 274KB)- (this reckoner helps you to calculate the date of service and the claiming date for each CVC enrolled patient.

CVC Program claiming cycle guide (xls) (allows you to enter patients name, dob, Drs initials and commencement date. Claiming dates will be auto filled.)

CVC Checklist Guide

CVC Claiming MBS Guide

CVC Program claiming date ready reckoners

CVC Program claiming cycle guide

Link not working

Link not working

In Home telemonitoring

DVA In-home telemonitoring for veterans

DVA In-home telemonitoring for veterans


Link not working

Training FAQs

Training

Technical

Login

CVC Program Training

Training

Technical

Login

CVC Program Training


Link not working

Link not working

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DISEASE SPECIFIC Resources

Diabetes

Australian Diabetes Society 2009, Australian Diabetes Society Position Statement:

Individualization of HbA1c targets for adults with diabetes mellitus

http://www.diabetessociety.com.au/downloads/positionstatements/HbA1ctargets.pdf

Australian Institute of Health and Welfare 2011, Diabetes and poor mental health and wellbeing:

an exploratory analysis, Diabetes series no. 16. Cat. no. CVD 55. Canberra: AIHW

http://www.aihw.gov.au/publication-detail/?id=10737419252&tab=2

Australian Institute of Health and Welfare 2011, Diabetes prevalence in Australia: detailed

estimates for 2007-08, Diabetes series no. 17. Cat. no. CVD 56. Canberra: AIHW


Baker IDI Heart & Diabetes Institute 2012, Hypoglycaemia fact sheet,

Caughey, GE, Roughead, EE, Vitry, AI, McDermott, RA, Shakib, S, and Gilbert, AL, 2010,

Comorbidity in the elderly with diabetes: Identification of areas of potential treatment conflicts, Diabetes Research and Clinical Practice, vol. 87, no. 3, pp. 385-393.

Coleman, EA, Smith, JD, Frank, JC, Min, SJ, Parry, C, and Kramer, AM, 2004, Preparing

Consumers and caregivers to participate in care delivered across settings: the Care Transitions

Intervention, Journal of the American Geriatrics Society, vol. 52, no. 11, pp. 1817-1825.

.

Diabetes Australia. Eating out with diabetes. Available at

http://diabetesaustralia.com.au/en/Living-with-Diabetes/Eating-Well/Eating-Out/

Diabetes Australia & Royal Australian College of General Practitioners 2011, Diabetes

Management in General Practice: Guidelines for Type 2 Diabetes. Seventeenth edition 2011/12

Canberra: DA, http://www.racgp.org.au

Emblen G and Miller E, 2004, Home medicines review: The how and why for GPs, Australian

Family Physician, vol. 33, no. 1-2, pp. 49-51.

Australian Diabetes Association 2012, Hypoglycaemia,

http://diabetesaustralia.com.au/Understanding-Diabetes/What-is-Diabetes/Hypoglycaemia/

18 June 2013 page 2 of 6

The Royal Australian College of General Practitioners 2010, The team approach to diabetes in

general practice: A guide for practice nurses, RACGP,

http://www.racgp.org.au/your-practice/guidelines/diabetes

http://www.diabetessociety.com.au/downloads/positionstatements/HbA1ctargets.pdf



http://www.bakeridi.edu.au/Assets/Files/hypoglycaemia%20revised%20version.pdf

Diabetes Research and Clinical Practice, vol. 87, no. 3, pp. 385-393.

Journal of the American Geriatrics Society, vol. 52, no. 11, pp. 1817-1825.

http://diabetesaustralia.com.au/en/Living-with-Diabetes/Eating-Well/Eating-Out/

http://www.racgp.org.au

http://diabetesaustralia.com.au/Understanding-Diabetes/What-is-Diabetes/Hypoglycaemia/

http://www.racgp.org.au/your-practice/guidelines/diabetes


Link not working

[https://diabetessociety.com.au/position-statements.asp]

but for an updated list of publications:

[http://www.aihw.gov.au/diabetes/publications/]

Link not working, not sure what is being referred to.

Link not working:

[https://www.diabetesaustralia.com.au/eating-well] &

[https://www.diabetesaustralia.com.au/eating-out]

Link not working

2014-15 guide:

[http://www.racgp.org.au/your-practice/guidelines/diabetes/]

Link not working:

[https://www.diabetesaustralia.com.au/hypoglycaemia]

Link takes you to General practice management of type 2 diabetes 2014-2015

Congestive Heart Failure

Briffa, TG, Maiorana, A, Sheerin, NJ, Stubbs, AG, Oldenburg, BF, Sammel, NL, and Allan, RM 2006, 'Physical activity for people with cardiovascular disease: recommendations of the National Heart Foundation of Australia', Medical Journal of Australia, vol. 184 no. 2, pp. 71-75

Coleman, EA, Smith, JD, Frank, JC, Min, SJ, Parry, C, and Kramer, AM, 2004, Preparing Consumers and caregivers to participate in care delivered across settings: the Care Transitions Intervention, Journal of the American Geriatrics Society, vol. 52, no. 11, pp. 1817-1825.

National Heart Foundation of Australia 2008, Living well with chronic heart failure

.

National Heart Foundation of Australia 2012, Living every day with my heart failure,

http://www.heartfoundatioorg.au/information-for-professionals/aboriginal-health/Pages/resources.aspx.

National Heart Foundation of Australia 2011, Diagnosis and management of chronic heart failure: Quick reference guide for Health Professionals. Updated Oct 2011

http://www.heartfoundation.org.au/SiteCollectionDocuments/Chronic-heart-failure-QRG-

2011. pdf.

National Heart Foundation of Australia and the Cardiac Society of Australia and New Zealand

2011, Guidelines for the prevention, detection and management of chronic heart failure in

Australia. Updated October 2011

http://www.heartfoundation.org.au/SiteCollectionDocuments/Chronic_Heart_Failure_Guidelines2011.pdf.

National Heart Foundation of Australia 2010, Multidisciplinary care for people with chronic heart failure: Principles and recommendations for best practice,

http://www.heartfoundation.org.au/SiteCollectionDocuments/Multidisciplinary-care-for-people- with-CHF.pdf.

Briffa TG, Maiorana A, Allan R, et al. on behalf of the Executive Working Group and National Forum Participants 2006, National Heart Foundation of Australia physical activity recommendations for people with cardiovascular disease, Sydney: NHFA,

http://www.heartfoundation.org.au/SiteCollectionDocuments/Physical-activity-recommendations-for-people-with-cvd.pdf

New York Heart Association Classification of Functional Capacity and Objective Assessment

.

Taylor, RS, Ashton, KE, Moxham, T, Hooper, L, and Ebrahim, S 2011, Reduced dietary salt for the prevention of cardiovascular disease, Cochrane Database of Systematic Review, no. 7, CD009217.

Veterans' Medicines Advice and Therapeutics Education Services June 2009, Do your part to care for your heart: get the best from your medicines,

.

Veterans Medicines Advice and Therapeutics Education Services June 2009, Therapeutic Brief

19 - Is it time to review your veterans with heart failure?

National Heart Foundation of Australia', Medical Journal of Australia, vol. 184 no. 2, pp. 71-75

Journal of the American Geriatrics Society, vol. 52, no. 11, pp. 1817-1825.

http://www.heartfoundation.org.au/SiteCollectionDocuments/Living-well-with-chronic- heart-failure.pdf.

http://www.heartfoundation.org.au/information-for-professionals/aboriginal- health/Pages/resources.aspx.

http://www.heartfoundation.org.au/SiteCollectionDocuments/Chronic-heart-failure-QRG-2011.pdf.

http://www.heartfoundation.org.au/SiteCollectionDocuments/Chronic_Heart_Failure_Guidelines2011.pdf.

http://www.heartfoundation.org.au/SiteCollectionDocuments/Multidisciplinary-care-for-people-with-CHF.pdf.

http://www.heartfoundation.org.au/SiteCollectionDocuments/Physical-activity-recommendations-for-people-with-cvd.pdf

http://my.americanheart.org/professional/StatementsGuidelines/ByPublicationDate/PreviousYea rs/Classification-of-Functional-Capacity-and-Objective-Assessment_UCM_423811_Article.jsp.

Cochrane Database of Systematic Review, no. 7, CD009217.

http://www.veteransmates.net.au/VeteransMATES/documents/module_materials/M19_VetBroch ure.pdf.

http://www.veteransmates.net.au/VeteransMATES/documents/module_materials/M19_TherBrief.pdf


Link not working:

[http://heartfoundation.org.au/images/uploads/publications/CON-035.v4-LWWCHF2013-LR-secure.pdf]

Link not working:

[http://heartfoundation.org.au/images/uploads/publications/Living-every-day-with-my-heart-failure.pdf]

Link not working:

[http://heartfoundation.org.au/for-professionals/clinical-information/chronic-heart-failure]

Link not working:

[http://heartfoundation.org.au/images/uploads/publications/CHF-QRG-updated-2014.pdf]

Link not working:

No information found on website

Link not working:

[https://www.mja.com.au/journal/2006/184/2/physical-activity-people-cardiovascular-disease-recommendations-national-heart]

Link not working:

[https://www.veteransmates.net.au/topic-19]

Link not working:

[https://www.veteransmates.net.au/topic-19]

Coronary Artery Disease

Aroney, CN, Aylward, P, Kelly, AM, Chew, DPB, and Clune, E, on behalf of the Acute Coronary Syndrome Guidelines Working Group 2006, 'National Heart Foundation of Australia Cardiac Society of Australia and New Zealand Guidelines for the management of acute coronary syndromes 2006', Medical Journal of Australia, vol. 184 no. 8, pp. S1-S30.

Aroney, CN, Aylward, P, Chew, DP, Huang, N, Kelly, AM, White, H, and Wilson, M 2008, '2007 addendum to the National Heart Foundation of Australia/Cardiac Society of Australia and New Zealand Guidelines for the management of acute coronary syndromes 2006', Medical Journal of Australia, vol. 188 no. 5, pp. 302-303.

Australian Institute of Health and Welfare 2011, Cardiovascular disease: Australian facts 2011,

Cardiovascular disease series no. 35. Cat. no. CVD 53. Canberra: AIHW

.

Briffa, TG, Maiorana, A, Sheerin, NJ, Stubbs, AG, Oldenburg, BF, Sammel, NL, and Allan, RM 2006, 'Physical activity for people with cardiovascular disease: recommendations of the National Heart Foundation of Australia', Medical Journal of Australia, vol. 184 no. 2, pp. 71-75.

Briffa TG, Maiorana A, Allan R, et al. on behalf of the Executive Working Group and National Forum Participants 2006, National Heart Foundation of Australia physical activity recommendations for people with cardiovascular disease. Sydney: NHFA,

Bunker, SJ, Colquhoun, DM, Esler, MD, Hickie, IB, Hunt, D, Jelinek, VM, Oldenburg, BF, Peach, HG, Ruth, D,Tennant, CC, Tonkin, AM 2003, '"Stress" and coronary heart disease: psychosocial risk factors', Medical Journal of Australia, vol. 178 no. 6, pp. 272-276.

Chew, DP, Aroney, CN, Aylward, PE, Kelly, AM, White, HD, Tideman, PA, Waddell, J, Azadi,L, Wilson, AJ, Ruta, LA 2011, '2011 Addendum to the National Heart Foundation of Australia/Cardiac Society of Australia and New Zealand Guidelines for the management of acute coronary syndromes (ACS) 2006', Heart, Lung and Circulation, vol. 20 no. 8, pp. 487-502.

Finn, JC, Bett, JH, Shilton, TR, Cunningham, C, and Thompson, PL 2007, Patient delay in responding to symptoms of possible heart attack: can we reduce time to care? Medical Journal of Australia, vol. 187 no. 5, pp. 293-298.

Harrex, W, Horsley, K, Jelfs, P, van der Hoek, R, and Wilson, E 2003, Mortality of Korean War veterans: the veteran cohort study. A report of the 2002 retrospective cohort study of Australian veterans of the Korean War, Canberra: Department of Veterans Affairs,

.

Katz, DA, Tang, F, Faseru, B, Horwitz, PA, Jones, P, and Spertus, J 2011, 'Prevalence and correlates of smoking cessation pharmacotherapy in hospitalized smokers with acute myocardial infarction', American Heart Journal, vol. 162 no. 1, pp. 74-80.

Australian Government Department of Health and Ageing 2012, Lifescripts methodology card smoking assessment tool

.

National Heart Foundation of Australia and the Cardiac Society of Australia and New Zealand 2007-2008, Reducing risk in heart disease: Guidelines for preventing cardiovascular events in people with coronary heart disease 2007 (updated 2008).

http://www.heartfoundation.org.au/information-for-professionals/Clinical- Information/Pages/coronary-heart-disease.aspx>.

National Heart Foundation of Australia 2012, Managing My Heart Health

.

National Heart Foundation of Australia 2009-2011, Heart attack warning signs: Checklist of important information to discuss with Consumers,

.

National Heart Foundation of Australia and the Cardiac Society of Australia and New Zealand

2011, Guidelines for the prevention, detection and management of chronic heart failure in

Australia. Updated October 2011

.

National Heart Foundation of Australia 2012, Heart attack warning signs: Fact sheet about reducing delays in patient response

.

National Heart Foundation of Australia 2012, Heart attack facts