Determining client eligibility under the IPHCS program

    The client has been referred to IPHCS via a GP referral (see 4.5.2 of the IPHCS Guidelines v2.0).  To access IPHCS, the GP knows that one or more of the following apply: -  The client is at risk of having a chronic condition- The client lives in a location with a population of 5,000 or less- There is no other providers delivering the service in their town, or - The client has been accessing a private provider via their private health insurance, but have exhausted this avenue and now can't afford to continue the care they need.- or please refer page 13 of the IPHCS Guidelines v2.0.NOTE: the client does not need a GPMP/TCA to access IPHCS.  If it is appropriate (e.g. client needs more than two additional services) the clients GP may offer this service.  If the clients GP does not offer this service, the client can ask the GP if they qualify for a GPMP/TCA.

    What is the long term goal of the Program?

    The aim of the Program is to enable and support the provision of a client centred integrated primary health care system in country South Australia where access to allied health and specialist nurse services are severely limited.

    The objectives are:
     - deliver a coordinated, integrated team-based approach to the provision of client centred care;

    - enable access to chronic condition focused services inn areas of limited access and disadvantage

    - ensure information flow and coordination of client care among primary health professionals; and

    - enhance client capacity for self-management of their chronic condition

    As the Service Provider, what are my aims and objectives for the Program?

     - person centred-focused on the management of the client's issue in a manner easily understood  by the client including improving healthy literacy, and activation in self-management

    - supportive of continuity of care including - working to agreed, evidence based, models of care and other local clinical referral pathways;

    - integrated with the health system including other care providers, both public and private;

    - uploading health care "event summaries" to My Health Record and / or participating in the use of shared care platform under the Health Care Home reform ( as determined by the Company); communicated as a referrable pathway for access by referrers and Health Pathways South Australia

    - addressing an identified need through a collaborative approach with general practice (inclusive of ACCHS and RFDS), and the community.

    As the Service Provider, what services must I deliver as part of the IPHCS?

    The Service Provider must ensure that all services are delivered as part of the regionally IPHCS through:
    - building relationships with local general practitioners and medical officers under the shared care model of practice / team care;
    - liaison and care coordination with local and regional ACCHOs and the RFDS as appropriate;
    - liaison and care coordination with local and regional state health authorities including, where appropriate, through formalised pathways and tertiary services and other health care providers; and
    - integration with other relevant Company funded services.