Chronic Disease early detection and Improved Management in PrimAry Care ProjecT (Chronic Disease IMPACT)

Researcher

Project Details

For patients at risk of developing a chronic disease, early diagnosis can enhance quality and length of life through early intervention provided by their general practitioners (GPs). Chronic Disease IMPACT will simplify the process for GPs to earlier identify patients who may be at risk of developing some of the most common chronic diseases which include Chronic Kidney Disease (CKD), Cardio-vascular diseases (CVDs), and Type 2 Diabetes Mellitus (T2DM). In addition, the program will facilitate efficient management of individuals already diagnosed with multiple diseases (i.e. those at most risk of being admitted to hospital).

The program includes provision of a newly designed, tested and implemented chronic disease e-technology which acts as a-one stop shop for the detection and management of CKD, CVD and T2DM and associated risk factors; education and clinical audit planning support for GPs on CKD, CVD and T2DM detection and management. Chronic Disease IMPACT is currently being implemented into a total of 16 Victorian General Practices located across metropolitan and regional Victoria with a total patient population of approximately 120,000.

The e-technology and program design is based on input from a team of disease specialists, a population health expert and GPs in collaboration with Kidney Health Australia, Heart Foundation, Stroke Foundation and Diabetes (Vic) and is informed by the latest national chronic disease management and prevention guidelines

Researchers

Professor Edward Janus, Director of Research, Western Health, Honorary University of Melbourne

Associate Professor Peter Hamblin, Head of Endocrinology & Diabetes Endocrinology, Western Health, Honorary University of Melbourne

Associate Professor Chris Neil, Cardiologist, Western Health, Honorary University of Melbourne https://www.findanexpert.unimelb.edu.au/display/person67377

Associate Professor Nick Cox, Director of Cardiology, Western Health

Associate Professor Tissa Wijeratne, Director of Stroke & Neurology, Western Health, Honorary University of Melbourne https://www.findanexpert.unimelb.edu.au/display/person199588

Dr Natalie Lumsden, Project Manager, Western Health

Ms Valerie Frattaroli, Project Officer, Western Health

Collaborators

  • University of Melbourne, Department of General Practice and Melbourne Clinical and Translational Science Platform
  • Department of Medicine, Western Health, University of Melbourne
  • Victoria University
  • Kidney Health Australia
  • Heart Foundation
  • Stroke Foundation
  • Diabetes (Vic)
  • North Western Melbourne Primary Health Network

Funding

  • Better Care Victoria Innovation Project Grant: Chronic Disease early detection and Improved Management in PrimAry Care ProjecT (Chronic Disease IMPACT) (2017-2018).
  • Macedon Ranges North West Melbourne Medicare Local Legacy Grant: Chronic Disease early detection and Improved Management in PrimAry Care ProjecT (Chronic Disease IMPACT)    (2016-2018)

Research Publications

Pefanis ABotlero RLangham RGNelson CL. eMAP:CKD: electronic diagnosis and management assistance to primary care in chronic kidney disease. Nephrol Dial Transplant. 2018; 33(1):121-128.

Craig Nelson and Aspasia Pefanis: “Electronic Health tools for Chronic Kidney Disease” Medical Observer April 24;17-20, 2015

Research Group

Nephrology Department



Faculty Research Themes

Infection and Immunology

School Research Themes



Key Contact

For further information about this research, please contact the research group leader.

Department / Centre

Western Health

Node

Western Health

Unit / Centre

Nephrology Department


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