Complete care now a choice for older Australians with complex chronic conditions

Today, Silver Chain Group and WA Primary Health Alliance officially launched Integrum Aged Care+, an Australian first, comprehensive care model that combines health and aged care in the community.

Silver Chain CEO, Lyn Jones said Integrum makes it easier for people to be the authors of their own care at a time they need it most.

“We are creating an exemplary model of care for an important group of older Australians, and believe it will reduce the frequency of hospital, emergency department and residential aged care admissions,” Ms Jones said.

“Too often, we hear the story of people who are transferred between hospitals, specialists, primary care and aged care providers, receiving fragmented care and a confusing overall experience.

“As a provider of both health care and aged care services, Silver Chain is uniquely positioned to implement this innovative “wrap-around” approach to care.

“At Integrum, each client has a dedicated case manager, who, in consultation with the client, navigates and coordinates the services required including access to home care and nursing, rapid response care, exercise physiology, psychosocial support, family support and a general practitioner.”

The service is being trialled in Perth from a dedicated clinic in Belmont. The clinic is a home base for a multidisciplinary team who work with a client’s GP to support the care needed, with the key objective of keeping the client at home when safe to do so.

The clinic is also a place where clients attend appointments with their Integrum GP, participate in exercise physiology classes and socialise. The inclusion of a central clinic provides a real opportunity to promote community engagement and complements the care provided to clients in their homes.

WA Primary Health Alliance CEO Learne Durrington said the Integrum trial was a great example of innovation in primary healthcare delivery that shifts the dial from fragmented to co-ordinated care, with the person at the centre.

“We recognised the need for a holistic approach to care that would improve health and wellbeing outcomes for older people with complex healthcare needs and multiple contacts with primary care, hospital and social care systems,” Ms Durrington said.

“WA Primary Health Alliance and Silver Chain partnered to develop an innovative response, that involved consultation with a range of key stakeholders including GPs, medical researchers, specialists, allied health professionals and consumers.

“The result is Integrum, a multidisciplinary approach to recalibrate the health and social care systems around the person, reduce potentially preventable hospitalisations and, most importantly, allow for a better quality of life for the older person and their family,” Ms Durrington said.

Integrum was made possible through funding provided by WA Primary Health Alliance under the Australian Government’s PHN Program Innovation Funding stream. Silver Chain will be responsible for ongoing funding of the trial.

Background information

  • Integrum is designed especially for clients with specific and complex care needs who are:
    • Over 65 years of age (over 55 for Aboriginal and Torres Strait  Islanders) and living at home
    • Reside in metropolitan Perth
    • Have two or more chronic diseases
    • Have had between one and five unplanned hospital admissions in the last 12 months
  • Integrum Case Managers are Registered Nurses who are skilled in the management of chronic conditions.
  • Integrum is the Latin word for complete.
  • Watch the Integrum Aged Care+ video.

6 July 2018

Media Contact

Silver Chain

Adam Westerhout | External Communications Officer
T 08 6318 7620 | M 0422 196 917 | E Adam.Westerhout@silverchain.org.au

WA Primary Health Alliance

Fiona Clark | Corporate Affairs Advisor
M 0437 563 735 | E fiona.clark@wapha.org.au

 


About Silver Chain Group

 

 

We are a not-for-profit organisation delivering community health and care services across Australia. We help people of all ages to receive the care they need to remain happy and healthy at home.

We have a proud history of serving Australians for over 110 years in Western Australia and more than 120 years as RDNS in South Australia. We currently deliver our services in Western Australia, Queensland, New South Wales, Victoria and South Australia.

With over 3,550 staff and 280 volunteers, we assist more than 98,000 people to remain living in their homes and community every year.

For more information, please see silverchain.org.au.


About WA Primary Health Alliance

 

WA Primary Health Alliance oversees the strategic commissioning functions of the Perth North, Perth South and Country WA Primary Health Networks (PHNs).

The WA PHNs are three of 31 PHNs established by the Australian Government nationally to increase the efficiency and effectiveness of medical services for the community.

We work across the WA healthcare system with doctors, allied health professionals, Area Health Services and service providers to improve the coordination of care for people who are at risk of poor health outcomes.

For more information, visit wapha.org.au.