On this page you will find resources to help you with your early intervention and integrated care work.

Local care pathways

The following ‘care pathways’ are available for the areas of:
Bairnsdale region, Lakes Entrance region, Mallacoota region, Omeo region and Orbost region.
These documents are suitable to be used by health professionals. Some information in these documents may no longer be current (last published in 2015).

  • Type 2 Diabetes
  • Chronic Obstructive Pulmonary Disease (COPD)
  • Stroke (ongoing stroke care after rehabilitation)

The Wagner Chronic Care Model

The Wagner Chronic Care Model, with its six interdependent elements, provides the framework for Primary Care Partnerships to develop a service system for improving the care of clients with chronic and complex care needs.

An online Wagner Chronic Care toolkit provides step-by-step descriptions of the specific changes involved in Chronic Care Model implementation, including tools, strategies to address financial and operational barriers to quality improvement, and case studies of successful quality improvements and service system developments to improve chronic care.