CVC Program: How to enrol a patient Enrolment Process The practice must:  DVA & GPs identify potential participants (gold card holder, chronic condition, at risk of frequent hospital admissions)  Assess eligibility for the program – not RACF  Gain the participants consent – record in patients notes  Conduct a needs assessment – over 75s health assessment (preferably in patients home)  Prepare a care plan – templates can be http://www.cvcprogram.net.au/resources  Patient friendly care plan  Finalise the care plan – GP assists  Consider the need for social assistance. When all steps are completed, the GP records the enrolment and consent on the patient’s record. The GP can now claim the Initial Incentive Payment (as below) and this will automatically inform DVA that the patient is now a participant of the CVC program. Coordinated Veterans’ Care Program Fees Increase effective from 1 November 2012 to 31 October 2013 Initial Incentive Payment* GP with practice nurse GP without practice nurse Quarterly Care Payments* Total year 1* Total year 2 onward* $ $415.80 Item # UP01 $ $433.95 Item # UP03 $2151.60 $1735.80 $259.85 UP02 $194.90 UP04 $1039.45 $779.60 Enter item numbers manually into medical software Ongoing support for CVC - Regular phone calls Book appointments Check medication compliance General health coaching and information Arrange transport to appointments Arrange home visits Arrange services such as meals on wheels Note: For queries regarding DVA Community Nursing Program policy the Community Care Policy Section can be contacted by email to [email protected] Information on the DVA Community Nursing Program can be located online at: http://www.dva.gov.au/service_providers/community_nursing/Pages/index.aspx GET IN TOUCH Sharon Bernays Nursing in General Practice Program Officer t 02 6287 8099 f 02 6287 8055 [email protected]