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Integrated Health Care Partnership - Logo
The Integrated Health Care Partnership (IHCP) is a multidisciplinary team assisting client's better manage their chronic condition(s) in the community.
The Integrated Health Care Partnership involves:
The client with a chronic condition and their carer/family working together in a partnership approach.
The Townsville Health Service District.
The Townsville General Practice Network.
The Townsville Community.
The Integrated Health Care Partnership Multidisciplinary Team develops a client centred Enhanced Care Plan in their home. The Care Plan will address the client’s needs holistically to enable clients to improve their self management skills and maximise their functional independence in a partnership approach with the clients General Practitioner.
Improve the coordination of care between primary health care providers and the Townsville Hospital.
Improve the client’s quality of life.
Improve the clients independent functioning or maintain their ability to remain in the community.
Prevent avoidable hospital admissions.
Maximise access to community services.
Have a/or multiple chronic medical condition/s.
Have complex multiple medical conditions.
Have a desire to more independantly self manage.
The Integrated Health Care Team consists of:
Clinical Nurse Consultant; Team Leader
Clinical Registered Nurses as Care Plan Coordinators – 4
Occupational Therapist
Dietitian
Physiotherapist
Exercise Physiologist
Administration Support
The program is part of the Institute of Primary Health and Ambulatory Care, which work in conjuctiontion with other Institutes within the Townsville Health Serivice District. We involve the General Practitioners, General Practice Nurses, other community government and non government organisations, in our endeavour to provide evidence based care appropriate to the client/family.
Referrals are accepted from any health professional within Townsville.
(Based on the eligibility criteria. See below)
Patients who have had frequent admissions to The Townsville Hospital are the most likely candidates for the Integrated Health Care Partnership as they would most likely benefit from the Mutlidisciplinary Team Approach to Chronic Conditions Self Management and will be reviewed for eligibility on the following criteria:
The person must have a chronic condition (A condition that lasts longer than
6 months).
The person must have 3 admissions to hospital in the last 12 months.
The person must require multidisciplinary care.
The person must give consent to be treated by a GP in the TDGP catchments, (preferably their treating doctor).
Reside in the geographical boundary area: North to Bagal Beach
South to Cungulla Beach
15 Km West
Receiving Palliative Care
Living in a nursing home
Who have a condition that would negatively impact on their ability to self manage, ie unstable mental illness, substance abuse, or ACAT assessment for high level care.
Patients receiving renal dialysis
Who decline the service.
| Location | Kirwan Health Campus, 138 Thuringowa Drive, Kirwan QLD 4817 |
| Postal Address | IMB 92, PO Box 1596, Thuringowa Central QLD 4817 |
| Phone | +61 7 4789 9165 Mobile: 0437 113 651 Speed Dial: 5764 |
| Facsimile | +61 7 4789 9185 |
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