Chronic Disease Management

Co-ordinate Your Care

A chronic disease is considered any condition that you have had for 6 months, including

  • Diabetes
  • Heart Disease
  • Osteo Arthritis
  • Chronic Respiratory Diseases
  • Astma
  • Cancers
  • And more

A range of different health providers and professionals can be involved in caring for those with a chronic disease.

It can be difficult to coordinate the many aspects of a chronic disease into your everyday life.

You need a plan, and that’s where we come in.

Plan, Understand & Stay On Track

We will co-ordinate your care across all health providers and professionals, and take in to account all your health concerns and health issues to develop a plan of care. The plan is individual to you.

We help develop a plan and then put that plan in place, to allow the you to fully understand and comprehend all aspects of your condition including the day to day steps you will need to take. We want to do everything we can to monitor and stay on top of your health concerns.

There are two types of plans.

GP Management Plan (GPMP)

The first type of management plan is called a “GP Management Plan” (GPMP). This plan can assist patients with chronic medical conditions by providing an organized approach to their medical care and outlines a plan of action that both you and your doctor have agreed to.

A GPMP:
Identifies patient’s health and care needs
Sets out the services to be provided by your doctor
Lists the actions you can take to help manage your condition

Team Care Arrangement (TCA)

The second type of management plan is called a Team Care Arrangement (TCA). This management plan will help coordinate more effectively the care you need from your doctor and other health care providers.

A TCA requires your doctor to work with at least two other health care providers who give ongoing treatment or services to you. It is important that you let your doctor or nurse know if there are aspect of your care you do not want discussed with other health care providers.

Patients who have both a GPMP & TCA in place can access Medicare rebates for specific allied health services including – physiotherapy, dietician, podiatrist etc.

Developing a GPMP or TCA is likely to take more time than a normal consultation. If a GPMP and TCA are appropriate for you your doctor will refer you to our Chronic Disease Nurse who will contact you by phone and make an appointment.

If you have a HCC/Pension card or are under 16 years of age there is no charge as the management plans will be bulk billed directly to Medicare. If you are a private patient there is a total GAP payment of approximately $25.00 and our reception staff can arrange for the Medicare rebate to be paid directly back into your bank account before you leave the doctor’s surgery.

Call us on (08) 6278 2555 to schedule an appointment with our chronic disease management specialists, and take control of your care.