Capricornia Allied Health Partnership (CAHP): a case study of an innovative model of care addressing chronic disease through a regional student-assisted clinic
Kerrie-anne Frakes A F , Sharon Brownie B , Lauren Davies C , Janelle B. Thomas D , Mary-Ellen Miller C and Zephanie Tyack EA Central Queensland Hospital and Health Services, Canning St, Rockhampton, Qld 4700, Australia.
B Griffith Health Institute, G40 Griffith Health Centre, Level 8.86 Gold Coast Campus, Griffith University, Qld 4222, Australia. Email: s.brownie@griffith.edu.au
C Siggins Miller Consultants, PO BOX 1143, Kenmore, Qld 4069, Australia. Email: lauren.davies@sigginsmiller.com.au; mel.miller@sigginsmiller.com.au
D Royal Brisbane and Women’s Hospital, Butterfield St, Herston, Qld 4029, Australia. Email: janelle_thomas@health.qld.gov.au
E School of Health and Rehabilitation Sciences, Therapies Annexe Building 84, Level 8, Room 805, St Lucia Campus, The University of Queensland, Qld 4072, Australia. Email: Zephanie.Tyack@health.qld.gov.au
F Corresponding author. Email: Kerrie-anne.frakes@health.qld.gov.au
Australian Health Review 38(5) 483-486 https://doi.org/10.1071/AH13177
Submitted: 16 September 2013 Accepted: 20 May 2014 Published: 7 August 2014
Abstract
Faced with significant health and workforce challenges, the Central Queensland Hospital and Health Service commenced an innovative student-assisted clinical model of care ‐ The Capricornia Allied Health Partnership (CAHP) in 2010. The clinic supports pre-entry allied health student clinical placements to: (1) address service delivery gaps for previously underserved people with chronic disease; (2) facilitate hospital avoidance and early discharge from the local hospital; (3) provide an attractive clinical placement opportunity for allied health students that will potentially lead to future recruitment success, and (4) demonstrate leadership in developing interprofessional skills of future health workforce trainees. This case study details the conceptual background of the initial model, the key features of the clinical placement and service delivery model, and discusses the current and future evaluation of the clinic.
References
[1] Schofield DJ, Shrestha RN, Passey ME, Earnest A, Fletcher SL. Chronic disease and labour force participation among older Australians. Med J Aust 2008; 189 447–50.| 18928439PubMed |
[2] Brooks PM. The impact of chronic illness: partnerships with other healthcare professionals. Med J Aust 2003; 179 260–2.
| 12924975PubMed |
[3] Australian Institute of Health and Welfare (AIHW). Rural, regional and remote health: Indicators of health status and determinants of health. Report Profile. Canberra: AIHW; 2008. Available at: http://www.aihw.gov.au/WorkArea/DownloadAsset.aspx?id=6442459831 [verified 15 August 2013].
[4] Public Health Information Development Unit. Population health profile of the Capricornia Division of General Practice. Supplement in Population Profile Series No 84a. Adelaide: Public Health Information Development Unit; 2007.
[5] Baker P, Bell T, Stetner-Houweling N. Health indicators Central Queensland Health Service District. Brisbane: Queensland Health; 2008.
[6] Rodger S, Thomas Y, Dickson D, McBryde C, Broadbridge J, Hawkins R, Edwards A. Putting students to work: Valuing fieldwork placements as a mechanism for recruitment and shaping the future occupational therapy workforce. Aust Occup Ther J 2007; 54 S94–7.
| Putting students to work: Valuing fieldwork placements as a mechanism for recruitment and shaping the future occupational therapy workforce.Crossref | GoogleScholarGoogle Scholar |
[7] Simpson SA, Long JA. Medical student-run health clinics: important contributors to patient care and medical education. J Gen Intern Med 2007; 22 352–6.
| Medical student-run health clinics: important contributors to patient care and medical education.Crossref | GoogleScholarGoogle Scholar | 17356967PubMed |
[8] Moskowitz D, Glasco J, Johnson B, Wang G. Students in the community: an interprofessional student-run free clinic. J Interprof Care 2006; 20 254–9.
| Students in the community: an interprofessional student-run free clinic.Crossref | GoogleScholarGoogle Scholar | 16777793PubMed |
[9] Freeth D, Hammick M, Reeves S, Koppel I, Barr H. Effective interprofessional education: Development, delivery and evaluation. Oxford: Blackwell Publishing; 2005.
[10] Wensing M, Woolersheim H, Grol R. Organisational interventions to implement improvements in patient care: a structured review of reviews. Implement Sci 2006; 1 2
| Organisational interventions to implement improvements in patient care: a structured review of reviews.Crossref | GoogleScholarGoogle Scholar | 16722567PubMed |
[11] World Health Organization (WHO). ICF: International classification of functioning disability and health. Geneva: WHO; 2002. Available at: http://www.who.int/classifications/icf/training/icfbeginnersguide.pdf [verified 15 August 2013].
[12] Wagner EH. Chronic disease management: what will it take to improve care for chronic illness? Eff Clin Pract 1998; 1 2–4.
| 1:STN:280:DyaK1M7ks1WitA%3D%3D&md5=993270b0078a22d9c0299dce974fb386CAS | 10345255PubMed |
[13] Savage J. Models of care for chronic disease. Background paper for the Models of Access and Clinical Service Delivery Project. Australasian Society for HIV Medicine; 2009. Available at: http://www.ashm.org.au/images/resources/policy/macsdchronicdiseasepaper.pdf [verified 15 August 2013].
[14] Wiltsey Stirman S, Kimberly J, Cook N, Calloway A, Castro F, Charns M. The sustainability of new programs and innovations: a review of the empirical literature and recommendations for future research. Implement Sci 2012; 7 17
| The sustainability of new programs and innovations: a review of the empirical literature and recommendations for future research.Crossref | GoogleScholarGoogle Scholar | 22417162PubMed |
[15] Thomas Y, Penman M, Williamson P. Australian and New Zealand fieldwork: charting the territory for future practice. Aust Occup Ther J 2005; 52 78–81.
| Australian and New Zealand fieldwork: charting the territory for future practice.Crossref | GoogleScholarGoogle Scholar |
[16] Pawson R. Evidence-based policy: in search of a method. Evaluation 2002; 8 157–81.
| Evidence-based policy: in search of a method.Crossref | GoogleScholarGoogle Scholar |
[17] Greenhalgh T, Robert G, Macfarlane F, Bate P, Kyriakidou O. Diffusion of innovations in service organizations: systematic review and recommendations. Milbank Q 2004; 82 581–629.
| Diffusion of innovations in service organizations: systematic review and recommendations.Crossref | GoogleScholarGoogle Scholar | 15595944PubMed |
[18] King G, Shaw L, Orchard CA, Miller S. The Interprofessional Socialization and Valuing Scale: a tool for evaluating the shift toward collaborative care approached in health care settings. Work 2010; 35 77–85.
| 20164627PubMed |
[19] Gruen RL, Elliot JH, Nolan ML, Lawton PD, Parkhill A, McLaren CJ, Lavis JN. Sustainability science: an integrated approach for health-programme planning. Lancet 2008; 372 1579–89.
| Sustainability science: an integrated approach for health-programme planning.Crossref | GoogleScholarGoogle Scholar | 18984192PubMed |
[20] Frakes KA, Brownie S, Davies L, Davies J, Miller ME, Tyack Z. Experiences from an interprofessional allied-assisted chronic disease clinic. J Interprof Care 2014;
| Experiences from an interprofessional allied-assisted chronic disease clinic.Crossref | GoogleScholarGoogle Scholar | 24841001PubMed |
[21] Mandy A, Milton C, Mandy P. Professional stereotyping and interprofessional education. Learn Health Soc Care 2004; 3 154–70.
| Professional stereotyping and interprofessional education.Crossref | GoogleScholarGoogle Scholar |
[22] Tyack Z, Frakes KA, Cornwell P, Kuys SS, Barnett AG, McPhail S. The health outcomes and costs of people attending an interdisciplinary chronic disease service in regional Australia: protocol for a longitudinal cohort investigation. BMC Health Serv Res 2013; 13 410
| The health outcomes and costs of people attending an interdisciplinary chronic disease service in regional Australia: protocol for a longitudinal cohort investigation.Crossref | GoogleScholarGoogle Scholar | 24119303PubMed |
[23] Gum LF, Richards JN, Walters L, Forgan J, Lopriore M, Nobes C. Immersing undergraduates into an interprofessional longitudinal rural placement. Rural Remote Health 2013; 13 2271
| 1:STN:280:DC%2BC3svhvFOltA%3D%3D&md5=dafad2d0edbfa98212649032da6301b0CAS | 23445121PubMed |
[24] Roberts C, Daly M, Kumar K, Perkins D, Richards D, Garne D. A longitudinal integrated placement and medical students’ intentions to practise rurally. Med Educ 2012; 46 179–91.
| A longitudinal integrated placement and medical students’ intentions to practise rurally.Crossref | GoogleScholarGoogle Scholar | 22239332PubMed |
