Inaugural Meeting Held on the 15Th November 2012

Inaugural meeting held on the 15th November 2012.

Attendees: Pam Odgers Gippsland Medicare Local Denise Bromiley LCHS- Gateway Anita Harnden LCHS – Gateway Raye Beeching Southern Cross Care Sarah Davies Mind Australia Trish Marston Quantum Support Service Sue Smith West Gippsland Healthcare Group Pat Lovelock Central West Gippsland Primary Care Partnership Claire Davis Central West Gippsland Primary Care Partnership Linda Rowley Central West Gippsland Primary Care Partnership Heidi Gratton Interchange Central Gippsland

Apologies: Pat Giblett Latrobe City Council Kate Graham Latrobe Community Health Service Gail Willett Latrobe City Council Carolyn Thatcher Latrobe Regional Hospital Robert Barr Baw Baw Shire Council Liz Meggetto Central West Gippsland Primary Care Partnership

Purpose of the NICC: Working together to improve client outcomes for people with complex needs by:  Providing information and training on current and new development in best practice complex care  Sharing information about local services, referral pathways and innovative projects  Applying quality improvement activities to improve complex client care  Facilitating training on Ehealth systems that improve coordination of care Structure of meetings:

Meetings to be held quarterly, from 10am - 12noon followed by lunch from 12 -12:30. Meeting will be held at the CWGPCP Meeting Room, 42-44 Fowler Street, Moe on the following dates in 2013;  5th February  7th May  13th August  12th November

Format of meetings to include:  Service Round Up  Guest Speakers (e.g. Hoarding, Department of Justice on transitioning clients with chronic needs into the community, care planning, members of the indigenous community, engaging consumers)  Lunch networking  Training demonstrations (e.g. S2S e-care planning module)  Standing agenda items o S2S o Quality o E-health / Projects (e.g. dementia, General Practitioner project)

Priorities of members:  Service Coordination o Service Coordination survey results o Care planning training o Practical ideas / strategies for improving coordination of care for complex clients between agencies o Referral pathways into other complex care services o Improve patient journey through primary health care o Liaison with hospitals re: discharge planning

 S2S /E-Health o How to use the S2S e-care planning module o Advanced S2S training o Enhance knowledge and use of S2S for service coordination o Updates on S2S changes o Continue work in e-health area o Human Service Directory Training o Learn about current trends in e-health opportunities o S2S improved template development o Using the 2012 SCTT once it is embedded in S2S o PCEHR (person controlled e-health record) information and developments

 Networking o Hearing what other agencies are planning developing for the future o Accurate information from service providers o Hearing what other services and agencies are doing o Strengthening of networks and relationships between agencies and services o Meeting other people from other agencies o Strengthening networks o To get a better understanding of what services do and how this could benefit our client group o Share information with other agencies o Liaise / network with people who an interest in Chronic Disease Management o To get to know regional service providers – what’s out there o To develop more meaningful relationships with services o Understand / improve knowledge of programs currently available for clients individual needs  Build knowledge information e.g. ACAS, Packages etc..., things working well in the region  Improving outcomes o Discussion about innovative ways to improve health outcomes for community o Front of house opportunities for improved client outcomes o Timely feedback on actions taken o Discussion around working with marginalised communities o Currently very limited assistance regarding hoarding, in Melbourne specialist groups have been developed  To increase options and resources for staff  Finding out the best role for PCP’s in assisting agencies to improve complex care

Successful meetings – staying above the line. What we will communicate to our teams / others in our agencies as a result of today:  Overview of the network (including goals and purpose)  Meeting schedule  Upcoming and planned training  Templates  Service Coordination Practice Manual

What we will do as a result of today:  Communicate with staff and manager  Check email for minutes of the meeting  Lock in dates for the meetings for the coming year  Read the Service Coordination Practice Manual  Forward ideas for guest speakers (send to Liz Meggetto [email protected])  Communicate with the Koori community regarding how we can include them  Investigate options for developing a network interested in the issue of hoarding.

Handouts provided today:  Action Plan Template  Communication Plan Template  NICC Meeting Schedule  CWGPCP SC/ICDM Training Calender  Service Coordination Practice Manual  Flyer - ICDM Forum Flyer  Flyer – Making Written Health Information Accessible Workshop Network for Improving Complex Care

Action Plan Template GOALS Actions Outcome Person Responsible Timeline 1.

4. Network for Improving Complex Care

Communication Plan Template

What for? (e.g. action / Ho information/ What I need to To Whom By When communicate w? discussion/ response/ feedback)