Well It’s Done – Emerald Medical Group comes of age

New home to Emerald Medical Group from October 2015
New home to Emerald Medical Group from October 2015

Well it’s done. The practice is almost complete and we’re a few weeks away from opening. A seven-year journey is about to come to a close, or perhaps a new wakening, as Emerald Medical Group transitions from a family owned to a community owned practice contained within the Central Highlands Health facility.

What does it all mean, when we say that the community owns the practice? Why did I choose to transition a busy practice to a community model? There are many answers I could give but at its essence Emerald Medical Group has grown up, it needs new governance, a formal business structure and leadership to sustain both ongoing services and grow new health care opportunities. Emerald Medical group has grown into something that should live on beyond my own involvement too.

To do this we chose to develop a community model with the key aim of creating a primary care service that is responsive to local health priorities, and addresses the issues of equity and access that underpin the lower health status of rural people and through reinvesting profits grow a sustainable and resilient health organization.

There have been many conversations and in the last 2 years the formation of a Community Governance model underpinned by consultation with politicians, academic bodies, service providers, people with chronic disease and the community in general.

At its core though Emerald Medical Group will remain fundamentally a General practice, with a strong focus on education and training of the next generation of Doctors, Nurses and other health professionals.

The Vision is that the new facility will form the focal point of a health precinct that will promote and develop a comprehensive response to Emerald’s health needs. We will explore how we can get more services, better communication and better connections between patients, carers, hospitals and specialists through a partnership with a known General Practice team.

Emerald Medical Group also seeks to become a Health Care Home for the broader community. We have some challenges ahead as we transition to a new model. A Health Care Home is a concept around defining the type of service that places people at the centre of care.

The key underpinnings of what we intend to achieve are as follows:

Person Centered Care

– support continuity of care provider

– have patient advisory groups that support system redesign

– have structures to improve patient self management

Comprehensive

provide whole of life family practice

– have systems that support acute, routine, and chronic disease care patient streams

– support continuity of care provider

– have a multi-disciplinary Medical Home team

Coordinated

have systems in place for proactive, systematic chronic disease management

– utilize practice nurses as chronic disease managers

– proved electronic health summaries on the national system for appropriate patients

– have systems to maintain accountability for a patient’s care though all contacts with the health system 

Accessible

are committed to same day appointments for all patients that require urgent care

– are committed to minimizing the delay for routine appointments

– provide 24-hour accessibility for patients to clinical advice and extended hours for face-to-face after hours contact when needed

Focus on Quality and Safety

are accredited to the Royal Australian College of General practice and Australian College of Rural and Remote Medicine standards.

– participate in improvement programs that will be delivered by the health network PHN Country to Coast

A new future for health in Emerald
A new future for health in Emerald

The last 23 years have flown so quickly and it has been a great honour to serve the community of Emerald. The next twenty look exciting as the Community now have an opportunity to invest in quality care, equity and access. Welcome to the future and welcome to our Journey together

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2 thoughts on “Well It’s Done – Emerald Medical Group comes of age

  1. Hi Ewan,
    Congratulations on this fantastic development! I am writing as fellow signatory of “No Advertising Please” and director of Brisbane ACT Centre – http://www.BrisbaneACTCentre.com.au – particularly in relation to your comment on NAP there about “Quality evidence based resources are often difficult and expensive to access with costly subscriptions. Access to peers and to skills in research are problematic for rural Practiitioners. Drug company sponsored visits, dinners and publications are frequently the only opportunity to keep up to date. Let’s get serious about providing Best Practice information to all healthcare providers…” As you are likely aware drug company sponsored visits et cetera are the best way to receive gross misinformation in relation to healthcare, particularly medications. The Association for Contextual Behavioural Science http://www.contextualscience.org and http://www.anzact.org are open source organisations providing the best of contextual behavioural science knowledge free, or very low cost, to professionals and the public, and I can connect you with a range of ways to connect with the very best data in relation to critical analysis of psychiatric medications, modes of actions, benefit and risk. Please email me on Rob@BrisbaneACTCentre.com.au so that I can provide some direct information to you. I’m afraid I don’t properly use Twitter!

    Best wishes,

    Rob
    Dr Robert Purssey
    MBBS FRANZCP
    Psychiatrist and ACT Therapist
    Director – Brisbane ACT Centre
    7 Marie Street, Milton Q 4064
    rob@brisbaneactcentre.com.au
    http://www.brisbaneactcentre.com.au
    P: 07 3193 1072
    F: 07 3193 1073

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