How coordinated care can improve outcomes



Improving quality of care

Care coordination services are designed to meet client’s individual needs, and truly prioritise prevention and support to maintain patient’s independence at home.

For patients using more than one service, access to a community-based health professional, working independently to coordinate a client’s care, can ensure that all providers and services work together in an integrated way.

This would improve quality and service value by better ensuring people benefit from the right mix of services (of those that are available), in the right place at the right time.

A community-based health professional working independently as a care coordinator can help improve a patients’ quality of care. Independent care coordination ensures better quality, person-centred care, for clients and their carer(s) due to better:

    • Care-management, provided by qualified/expert health professionals (Registered Nurse or equivalent Allied-Health Professional),
      • utilising evidence-based clinical practice
      • independent, professional assessment regarding levels of needs
    • Quality control, providing:
      • maximum level of choice for clients, with all direct-care services brokered without bias/conflict,
      • flexibility/adaptability of services, individually tailored to clients’ needs/desires/goals,
      • Coordination of care, increasing access to planned supports
    • Assessment and planning, identifying needs comprehensively/broadly to include client desires and goals, in order to optimize both care-recipient’s outcomes and carer’s support
    • Value-for-money, based on:
      • Affordability from significant organisational scale-of-economy
      • Increased accountability/transparency over service usage
      • Broader/comprehensive resourcing of care, providing added services via our extensive referral network/linkages (including primary, allied health, and community providers)
    • Health coaching
      • Extra support, information/education – also for carer-givers – to help clients maximise their abilities and health/wellbeing
      • Best prepare clients, and particularly carer-givers – to enable clients to best manage themselves, and support carers in their role in the clients’ ongoing/changing condition(s)
    • Care coordination
      • Coordination of shared care through better informing and collaborating with all other health professionals and care providers necessary to optimise outcomesEnablement, through provision of:

Improving your value for money

A community-based health professional working independently as a care coordinator is able to optimise each of the variables and priorities that will benefit clients’ care. Existing literature, client feedback and our practice experience demonstrate that an independent health professional, working together with clients as a team to coordinate care, can effectively increase the value of services by:

  • Increasing client and carer understanding, motivation, control and choice; and in turn,
    • The client, carer and care coordinator team is empowered to optimise all relevant variables and priorities that increase the value of services
    • This includes increasing:
      • service access (availability and timeliness),
      • service price (affordability and frequency), and
      • service quality (appropriateness and safety)

      Value for Money