3Ci model of care

Published: March 2023

The 3Ci model of care aims to improve outcomes and reduce unnecessary hospitalisations for people with chronic heart failure (CHF) and chronic obstructive pulmonary disease (COPD) in NSW.

Based on the principles of Care, Collaboration, Clinical intervention, and improved health literacy, the model can be applied across the patient journey. It supports 3Ci expert clinicians to partner with patients and their carers. It is designed so it can be tailored to work with locally established CHF and COPD care.

Download the model of care (PDF 2.2 MB)

Download the evidence report (PDF 1.6 MB)

3Ci model of care

At a glance

  • The 3Ci model of care builds upon the CHF and COPD clinical initiatives of the NSW Health Leading Better Value Care (LBVC) program.
  • It supports the management of people living with CHF and COPD across the continuum of care in acute and community settings.
  • It aligns with, and complements, several programs in NSW Health.
  • All programs form part of the NSW Health approach to value-based healthcare.
  • A collaboration of the Cardiac and Respiratory Networks.

Patient journey

Enrolment

leads to

Investigation

leads to

Support

leads to

Maintenance

leads to

Transition

The role of the clinician

3Ci clinicians support patients via collaborating with primary care, rehabilitation, specialists, allied health and palliative care. They also improve health literacy, provide outpatient and inpatient care, coordinate care, arrange home visit and community care, and clinical intervention for exacerbation management.

Background

CHF is a chronic, progressive condition with exacerbating features caused by structural or functional abnormalities of the heart. COPD is a chronic, progressive condition with exacerbating features that limits airflow in the lungs.

These conditions often have a high incidence of multimorbidity. Consequently, CHF and COPD can be complex, disabling and negatively impact on quality of life. The conditions are two of the leading causes of potentially preventable hospitalisations in NSW.

The 3Ci model of care uses a value-based approach to bring a structured and cohesive way to improve patient outcomes and the experience of receiving care.

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