From Health Care Homes wiki
Enrolling a patient in a Health Care Home will be a new process for practices, doctors, and for patients themselves. The following steps are an outline of how enrolment may be undertaken.
Eligible patient identified
The practice identifies a potentially eligible patient via:
- the risk stratification software used by the practice.
- assessment of a patient during a consultation.
- or if a patient asks about enrolling in Health Care Homes.
Patient is introduced to Health Care Homes
- The doctor, practice nurse or other staff member talks to the prospective patient about Health Care Homes.
- The practice gives the patient a brochure about Health Care Homes.
- The Health Care Home completes the second stage of the risk stratification tool for the patient, based on information provided by the patient during the consultation.
- The patient is confirmed as eligible and assessed as either Tier 1, 2 or 3.
- The doctor gives the patient an enrolment and consent form; and a patient consent for data provision form.
- The practice gives the patient a resource pack with detailed information about Health Care Homes.
- The practice registers the patient with HPOS.
- The enrolled patient will be assigned to a lead clinician. which can be changed according to the patient's preference via HPOS. The nominated clinician is expected to be able to provide long term support.
- A GP Registrar undertaking an approved program placement (eg. 6-12 months) could take on the role as a patient’s nominated clinician to gain a greater understanding of this model of care.
- Bundled payments start from the date the patient is enrolled with the practice.