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.