Health Care Homes

The Adelaide PHN has been selected as one of the ten regions for Stage One of the Commonwealth Government Health Care Homes Trial.

Health Care Homes will improve the provision of care for people with chronic and complex conditions in Australia’s primary health care system. General practices and Aboriginal Community Controlled Health Services (ACCHS) participating in this first stage of implementation will have a vital role in shaping the future roll-out of this important reform.

Latest updates

Shortlisted organisations were announced in May 2017. Contract negotiations are underway with final sites to be announced in August 2017.

The Health Care Home program will commence in Adelaide on 1 December 2017.

New factsheet released: Payments under the Health Care Home program: Application of Employment Taxes

Information and resources (for HCH sites)

Adelaide PHN Health Care Homes Q&A Teleconference
- A teleconference was held with the Commonwealth to answer questions collated from submissions from participants of the Health Care Home Stage 1 trial practices.
- A Recording and accompanying Question Guide have been created to share the content of the teleconference
Training for Health Care Homes
- Training modules and resources are being developed by Australian General Practice Accreditation Limited (AGPAL).
- The training will be undertaken during the first year of Health Care Homes.
Enrolment
- Practices can enrol patients who:
  - Have a Medicare card
  - Have a My Health Record
  - Would benefit from the Health Care Home model of care
  - Are assessed as eligible (Factsheet: Patient Eligibility)
Risk Stratification
- Precedence Health Care is developing the Risk Stratification Tool
- This will identify eligible patients and assess their risk factors, including the likelihood of unplanned hospitalisation
Shared Care Plans
- HCHs develop a shared care plan with the patient, to be implemented by a health care team. This plan will:
  - identify the local providers best able to meet each patient’s needs
  - coordinate care with these providers
  - include strategies to help each patient better manage their conditions and improve their quality of life
  - Care will be integrated across primary and acute care as required
- A shared care planning tool will be required
- Factsheet: Minimum requirements of shared care plan
Other key links:
- Health Care Homes: for health professionals
- More Information: Health Care Homes - Booklets, factsheets, Q&A material and newsletters
- FAQs: Health Care Homes
- Case study: Claire’s story

Adelaide PHN role

Specialist trainers, known as Practice Facilitators, will be located in PHNs to support the transformation of practices and ACCHS to become Health Care Homes. Practice Facilitators can help with activities such as recruitment and enrolment. The support may include a mix of face to face training sessions, telephone, email, webinar support and opportunities for shared learning among practices.

To contact Adelaide PHN Practice Facilitators please email: healthcarehomes@adelaidephn.com.au

Further information

Health Care Homes: Reform of the Primary Health Care System
More Information: Health Care Home - Booklets, factsheets, Q&A material and newsletters
AAPM Health Care Homes Program - Payment Management webinar

Care Connections and Health Care Homes

The Adelaide PHN is currently undertaking a suite of activities called Care Connections. These activities are different and separate, but complementary to the Commonwealth Health Care Homes. Care Connections focuses on additional opportunities to explore the Patient Centred Medical Home, including the Medical Neighbourhood within the Adelaide metropolitan region.

Practices can be a Care Connection practice and a Health Care Home.

For more information, please click here.