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Early Intervention in Chronic Disease

Early Intervention in Chronic Disease. Central Bayside Community Health Service. EICD aims. Diabetes Prevention Better coordinated chronic disease care Increase service delivery capacity. Impacts. CHS - additional services - organizational change - partnership development

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Early Intervention in Chronic Disease

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  1. Early Intervention in Chronic Disease Central Bayside Community Health Service

  2. EICD aims • Diabetes Prevention • Better coordinated chronic disease care • Increase service delivery capacity

  3. Impacts CHS - additional services - organizational change - partnership development PCP – communication, referral, and care planning Others – appropriate referrals - coordination, collaboration on care plans

  4. Features of the project • CBCHS – 3 locations – Clarinda, Parkdale , Chelsea • Divisions – Bayside GP Network / Monash – 9 practices • Major partners to be engaged – Southern Health, RDNS, Local Govt • Other agencies and services which express interest in participating

  5. Broader aspects • Linkages with the KBPCP HP activities and early intervention approaches • BAEW – promoting physical activity and healthy eating for children in KB • Active for Life – physical activity, falls prevention and older persons • Community Connectedness – responding to social isolation within the catchment • Future Focus for Youth – identifying young people at risk • Talking Realities – peer education program for single young mothers

  6. Broader aspects • Southern Metro Region PCPs • GP Reference Group

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