The Coordinated Veterans' Care (CVC) Program aims to improve the
wellbeing and quality of care for chronically ill Gold Card
holders. The program is an initiative of the Department of
Veterans' Affairs (DVA).
The CVC program targets veterans, widowers, war widows and
dependents who are Gold Card holders with complex care needs, one
or more chronic conditions and those at risk of being admitted or
readmitted to hospital.
Identification of potential participants may be through DVA, by
the General Practitioner or other health provider or
self-identification by the Gold Card holder. Enrolment of the
participant is at the discretion of the General Practitioner,
following a needs assessment against the eligibility
criteria.
The Model of Care for the CVC Program is based on the core team
which includes the veteran, the veteran's carer (if applicable),
the General Practitioner and the Nurse Coordinator (either a
registered or enrolled Practice Nurse, an Aboriginal Health
Practitioner or a Community Nurse from a DVA contracted Community
Nursing Provider).
Payments for General Practitioners participating in the CVC
program are in addition to other Medicare payments
and include:
- Initial incentive payment for enrolling a participant in the
program and
- Quarterly care payments for ongoing care.
There are a range of resources available to practices at:
FREE online training is available to all of practice and the
care team including: Practice Managers, GPs, Primary Care Nurses, Community Nurses and Aboriginal Health Practitioners
who are interested in implementing the CVC program or if you
are interested in coordinated care for clients with Chronic
Disease. http://cvcprogram.flinders.edu.au/
CVC snapshot
- Targeted program aimed at eligible gold card Veterans as
identified by DVA
- No mandated care plan
- Training is not compulsory but highly recommended
- Webinars available
- Home visits are not compulsory but are highly recommended
- Patients on Home Care Packages level 1 and 2 are
not excluded from the program
- Paperwork is minimal and is related to care planning with an
emphasis on self-management
- Care planning workshops available throughout Australia in 2013
-2014.
For more information contact cstapleton@amlalliance.com.au
or CVC provider helpline on 1300 550 597 or email info@cvchelpline.net.au
CVC payments
The following increases to CVC payments took effect as of
November 2012.
|
|
Initial Incentive
|
Quarterly Care Payment
|
Total Year 1
|
Total Year 2 onwards
|
|
|
$
Item #
|
$
Item #
|
|
|
|
GP with practice nurse
|
$415.80
UP01
|
$433.95
UP03
|
$2151.60
|
$1735.80
|
|
GP without practice nurse
|
$259.85
UP02
|
$194.90
UP04
|
$1039.45
|
$779.60
|
Chronic Disease Management Training Related to
CVC
Accredited education, training and resources are available, free
of charge to General Practitioners, Practice Nurses, Community
Nurses and Aboriginal Health Practitioners implementing the
CVC Program as well as those involved in chronic disease
management.
There are four accredited modules in the CVC training
program:
|
Module 1 (6 Hours): Is your Service Ready?
|
The Chronic Care Model and embedding Self-Management Support at
a service systems level. Available at http://cvcprogram.flinders.edu.au/
|
|
Module 2 (10 hours): The Flinders Program for
Veterans
|
Chronic Condition Management and Self-Management Support - Care
Planning. Available at http://cvcprogram.flinders.edu.au/
|
|
Module 3 (6 hours): Integrating the Flinders Program for
Veterans with Disease Specific Care
|
Focusing on congestive heart failure, coronary heart disease,
pneumonia, chronic obstructive pulmonary disease and diabetes as
they relate to the veteran community. Available at http://cvcprogram.flinders.edu.au/
|
|
Module 4 (6 hours): Social Isolation and Veteran Carers'
Needs
|
Focusing on impacts of social isolation and psychosocial and
mental health needs.
Developed with full engagement and participation of veterans and
carers. Available at http://cvcprogram.flinders.edu.au/
|
Care Planning and Coordination with the Flinders Program™
Workshop
Workshop in your area
WHEN: 2013 - 2014
WHERE: check online Register online at www.flinders.edu.au/dvacvc
Resources
http://cvcprogram.flinders.edu.au/