Project SPLICE - Taranaki District Health Board
Project SPLICE - Taranaki District Health Board
Project SPLICE - Taranaki District Health Board
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<strong>Project</strong> <strong>SPLICE</strong> FINAL - February 2010<br />
Long term condition management<br />
Risk factors for<br />
disease<br />
development<br />
Presence of long<br />
term condition,<br />
though stable<br />
Unstable long<br />
term condition<br />
Population based<br />
programmes for<br />
example:<br />
Green<br />
prescription,<br />
Tai Chi<br />
Restorative Home<br />
Support (65+ or<br />
like age and<br />
interest)<br />
Restorative Home<br />
Support (65+ or<br />
like age and<br />
interest)<br />
Cluster aligned<br />
ARC facility for<br />
respite<br />
Use of Co-creation / Self Management model (i.e. Flinders or goal facilitation model with older people)<br />
General<br />
Practitioner<br />
Practice Nurse<br />
(Clinic Nurse)<br />
Other disciplines<br />
as appropriate<br />
(fitness<br />
instructors etc)<br />
General<br />
Practitioner<br />
Practice Nurse<br />
(Clinic Nurse)<br />
<strong>District</strong> Nurse<br />
(Mobile Nurse)<br />
with consumers<br />
who are<br />
housebound<br />
Other disciplines<br />
as appropriate<br />
(Kaiawhina etc)<br />
General<br />
Practitioner<br />
Medical specialist<br />
Providing<br />
consultancy<br />
Disease state<br />
nurses<br />
<strong>District</strong> Nurse<br />
(Mobile Nurse)<br />
with consumers<br />
who are<br />
housebound<br />
Practice Nurse<br />
(Clinic Nurse)<br />
Other disciplines<br />
as appropriate<br />
(Kaiawhina etc)<br />
General<br />
Practitioner /<br />
Practice Nurse<br />
(Clinic Nurse)<br />
Practice Nurse<br />
(Clinic Nurse)<br />
Non-complex<br />
care manager<br />
<strong>District</strong> Nurse<br />
(Mobile Nurse)<br />
for housebound<br />
Cluster<br />
Complex care<br />
manager<br />
Practice Nurse<br />
(Clinic Nurse)<br />
Cluster<br />
Complex care<br />
manager<br />
<strong>District</strong> Nurse<br />
(Mobile Nurse)<br />
for housebound<br />
Figure 4: Illustration of Navigation / Care Management interface<br />
26 | P a g e
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