Chronic Disease Management
We support people with chronic disease by:
- Promoting self management
- Improving coordination of care
- Supporting evidence based management and prevention
- Supporting the use of Telemedicine in chronic disease
Our overall goal is to decrease the reliance people with a chronic disease have on hospital staff and other health professionals.
In this section:
About the Chronic Disease Management Unit
The Chronic Disease Management Unit is a multidisciplinary team that supports service development in this rapidly changing field.
Our focus is on improving the management of ACT residents with Diabetes type 2, Chronic Lung Disease and Chronic Heart Failure through supporting evidence based practice, secondary prevention (prevention of complications and improvement of quality of life for people who already have established disease) and consulting with other units on health service design.
Health professionals can refer patients to our Chronic Disease Management Services through Community Health Intake
Our approach includes a range of interventions such as:
- Improving case management and coordination
- Clinician feedback
- Clinical information systems to track patient care
- Promoting patientís self management skills
Chronic Disease Management Reports
Chronic Disease Management 2011-2012 Annual Report
|Download:||File (PDF File - 12358k)|
January - February 2012 Quarterly Report
|Download:||File (PDF File - 3028k)|
July - September 2012 Quarterly Report
|Download:||File (PDF File - 3130k)|
October - December 2012 Quarterly Report
|Download:||File (PDF File - 4086k)|
January - March 2013 Quarterly Report
|Download:||File (PDF File - 5091k)|
Policies and Plans
Visit the Policies and Plans section of this website, for a full listing of Health Directorate's policies and procedures.