‘Integrated health service delivery is defined as an approach to strengthen people-centred health systems through the promotion of the comprehensive delivery of quality services across the life-course. It is designed according to the multi-dimensional needs of the population and the individual and delivered by a coordinated multi-disciplinary team of providers working across settings and levels of care.’
- World Health Organisation, 2016.
The COUCH Wellness Centre aligns to the World Health Organisation’s concept of Integrated care and incorporates the evidence-based framework of the Chronic Care Model (1998). This provides a best practice approach across 6 key domains and focuses on navigating the health and social care systems to optimise health and well-being outcomes.
Integrative Cancer Care at the COUCH Wellness Centre means you have access to our Cancer Care Nurses, Allied Health Services and Complementary Therapies all under the one roof, helping you to navigate your journey with cancer.
|Domain||Objective / description||Strategies|
|Community||Mobilise community resources to meet needs of patients||Encourage patients to participate in effective community programs; form partnerships with community organisations to support and develop interventions that fill gaps in needed services; advocate for policies to improve patient care|
|Health system||Create a culture, organisation and mechanisms that promote safe, high-quality care||Visibly support improvement at all levels of the organisation, beginning with the senior leader; promote effective improvement strategies aimed at comprehensive system change; Encourage open and systematic handling of errors and quality problems to improve care; Provide incentives based on quality of care; Develop agreements that facilitate care coordination within and across organisations|
|Delivery system design||Assure the delivery of effective, efficient clinical care and self-management support||Define roles and distribute tasks among team members; use planned interactions to support evidence-based care; Provide clinical case management services for complex patients; Ensure regular follow-up by the care team; Give care that patients understand and that fits with their cultural background|
|Self-management support||Empower and prepare patients to manage their health and health care||Emphasise the patient’s central role in managing their health; use effective self-management support strategies that include assessment, goal-setting, action planning, problem-solving and follow-up; organise internal and community resources to provide ongoing self-management support to patient|
|Decision support||Promote clinical care that is consistent with scientific evidence and patient preferences||Embed evidence-based guidelines into daily clinical practice; share evidence-based guidelines and information with patients to encourage their participation; use proven provider education methods; integrate specialist expertise and primary care|
|Clinical information systems||Organise patient and population data to facility efficient and effective care||Provide timely reminders for providers and patients; identify relevant subpopulations for proactive care; facilitate individual patient care planning; share information with patients and providers to coordinate care; monitor performance of practice team and care system|