: Health Professionals : Integrated Team Care (ITC)

Integrated Team Care (ITC)

NCACCH is committed to “Closing the Gap” in the life expectancy of our Aboriginal and/or Torres Strait Islander community through a holistic approach to client health and wellbeing. Primary health care services play a key role in this, by working together we can support services to provide a culturally appropriate service delivery to our community and work together to “Close the Gap”.

The Integrated Team Care (ITC) Program aims to:

  • Contribute to improving health outcomes for Aboriginal and Torres Strait Islander people with chronic health conditions through better access to coordination, multidisciplinary care, and support for self-management; and
  • Improve access to culturally appropriate mainstream primary care services (including but not limited to general practice, allied health and specialists) for Aboriginal and Torres Strait Islander people.

ITC is provided by a team of:

Indigenous Health Project Officer (IHPO):

The Indigenous Health Project Officer (IHPO) role is to provide support to accredited and non-accredited General Practices relating to the Closing the Gap initiative, including:

  • Understanding and accessing the benefits under the PIP – Indigenous Health Incentive (PIP-IHI)
  • Understanding the PBS Co-Payment Measure
  • Explanation of MBS item numbers relevant to the PIP-IHI
  • Advice on improving self-identification processes for Aboriginal and Torres Strait Islander patients
  • Advice and assistance about developing/improving recall systems for Aboriginal and Torres Strait Islander patients for 715 health checks and PIP-IHI re-registration
  • Cultural Awareness Training and resources to create a culturally safe practice environment
  • Information about eligibility for accessing;
  • NCACCH Chronic Disease Management Program
  • Indigenous Outreach Worker (IOW)
  • NCACCH Services

If you would like our Indigenous Health Project Officer (IHPO) to visit your Practice and speak with General Practitioners, relevant staff and/or chronic disease nurses, please contact Lerissa Rolls on 5346 9824 or lerissa@ncacch.org.au

Aboriginal and Torres Strait Islander Outreach Worker (OW):

The Aboriginal and Torres Strait Islander Outreach Worker (OW) role is to provide support to community by:

  • Promoting the importance to community of improving health outcomes and encouragement of increased use of health services
  • Understand and access to Closing the Gap (CTG) through your GP
  • Communicate your health needs to your doctor
  • Register for a Medicare card if you don’t have one
  • Find out about any programs or services that may be useful for you
  • Support clients that may face barriers to access services and attend appointments
  • Assisting the IHPO in identifying barriers to health services for Aboriginal and Torres Strait Islander people

If you would like our Aboriginal and Torres Strait Islander Outreach Worker (OW) to support you or a visiting patient, please contact Maria Mitchell-Brown on 5346 9810 or maria@ncacch.org.au

Care Coordinator (Health Advocate):

The Health Advocate support eligible Aboriginal and Torres Strait Islander people with chronic condition/s who require coordinated, multidisciplinary care.

The Health Advocate can provide support to GP’s by:

  • Assisting Aboriginal and Torres Strait Islander people to understand their chronic health condition and how to manage it
  • Assisting Aboriginal and Torres Strait Islander people to follow their care plan, which may include support for chronic disease self-management and assistance with:

* Appointments with specialists
* Allied Health Professionals
* Arrangements for home help
* Making connections for support groups

If you would like more information on our Chronic Disease Management Program (CDMP) please contact our NCACCH CDMP team on 5346 9800 or on adminsupport@ncacch.org.au

 

NCACCH Head Office

8/8 Innovation Parkway BIRTINYA Queensland 4575

Phone: 07 5346 9800 | Fax: 07 5346 9899