Chronic & Complex Care
Innovations in improving delivering care for patients with a chronic and/or complex condition.
Includes Cardiovascular disease, Diabetes, Arthritis, Cancers, Chronic lung disease, Chronic neurological disorders, renal disease, mental health.
It is divided in to these subheadings:
Integrated services / community partnerships - community options, Health at Home teams, transitional care.
Treatment and acute care, complications management, rehabilitation.
Reducing complications, prevention interventions, risk and protective factors (diet, exercise, tobacco, alcohol), identify patients at risk.
Patient self management of existing disease, eg self management of asthma, diabetes, heart failure, etc.