Models of Care

The Agency for Clinical Innovation (ACI) places a high priority on developing flexible, evidence-based patient-focused models of care. The models of care are supported by easy to use guides and workshops to describe how best to provide care across the many specialty areas represented by the ACI networks.

Importantly, the models of care can be adapted to the various settings found in the NSW health system across metropolitan, rural, regional and remote NSW.

Also see:

Process Flow Chart for developing a Model of Care (MoC)

Understanding the Process to Develop a Model of Care: an ACI Framework

Understanding the Process to Implement a Model of Care: an ACI Framework

Aboriginal Health(1)

Acute Care(1)

Blood and Marrow Transplant(1)

Brain Injury Rehabilitation(32)

NSW Brain Injury Rehabilitation Program: Case Management Model of Care

This report describes a new model of care for case management within the NSW Brain Injury Rehabilitation Program, or BIRP.

https://aci.health.nsw.gov.au/__data/assets/pdf_file/0006/289392/BIRP-Case-Management-MOC2.pdf

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Subcategory: Resource Type: Models of Care

Added: 17 November 2015 Updated: 17 November 2015

NSW Brain Injury Rehabilitation Program - Model of Care - Appendices

https://aci.health.nsw.gov.au/__data/assets/pdf_file/0006/256713/Brain-Injury-Rehabilitation-Directorate-MOC-Appendices.pdf

Format: PDF File (488.5 KB) Alternate Content: Plain Text

Subcategory: Resource Type: Models of Care

Added: 20 February 2015 Updated: 20 February 2015

NSW Brain Injury Rehabilitation Program - Model of Care - Diagnostic Report

https://aci.health.nsw.gov.au/__data/assets/pdf_file/0005/256712/Brain-Injury-Rehabilitation-Directorate-MOC-Diagnostic-Report.pdf

Format: PDF File (1.8 MB) Alternate Content: Plain Text

Subcategory: Resource Type: Models of Care

Added: 20 February 2015 Updated: 20 February 2015

Challenging Behaviours Project: Paediatrics (Sections)

https://aci.health.nsw.gov.au/resources/brain-injury-rehabilitation/challenging_behaviours_project_paediatrics/challenging_behaviours_project_paediatrics_sections

Format: Webpage

Subcategory: Resource Type: Models of Care

Added: 21 July 2014 Updated: 6 October 2015

Challenging Behaviours Project: Adults (Sections)

https://aci.health.nsw.gov.au/resources/brain-injury-rehabilitation/challenging_behaviours_project_adults/challenging-behaviours-project-adults-sections

Format: Webpage

Subcategory: Resource Type: Models of Care

Added: 21 July 2014 Updated: 25 July 2014

Challenging Behaviours Project: Paediatrics: Section 5 - Results

https://aci.health.nsw.gov.au/__data/assets/pdf_file/0004/172642/Challenging-Behaviours-Project-Paediatrics-results.pdf

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Subcategory: Resource Type: Models of Care

Added: 30 August 2012 Updated: 31 August 2012

Challenging Behaviours Project: Paediatrics: Section 4 - Methods

https://aci.health.nsw.gov.au/__data/assets/pdf_file/0003/172641/Challenging-Behaviours-Project-Paediatrics-methods.pdf

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Subcategory: Resource Type: Models of Care

Added: 30 August 2012 Updated: 31 August 2012

Challenging Behaviours Project: Paediatrics: Section 3 - Introduction

https://aci.health.nsw.gov.au/__data/assets/pdf_file/0020/172640/Challenging-Behaviours-Project-Paediatrics-introduction.pdf

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Subcategory: Resource Type: Models of Care

Added: 30 August 2012 Updated: 31 August 2012

Challenging Behaviours Project: Paediatrics: Section 2 - Executive Summary

https://aci.health.nsw.gov.au/__data/assets/pdf_file/0010/172639/Challenging-Behaviours-Project-Paediatrics-executive-summary.pdf

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Subcategory: Resource Type: Models of Care

Added: 30 August 2012 Updated: 31 August 2012

Challenging Behaviours Project: Paediatrics: Section 9 - Conclusion

https://aci.health.nsw.gov.au/__data/assets/pdf_file/0009/172638/Challenging-Behaviours-Project-Paediatrics-conclusion.pdf

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Subcategory: Resource Type: Models of Care

Added: 30 August 2012 Updated: 31 August 2012

Challenging Behaviours Project: Paediatrics: Section 10 - Bibliography

https://aci.health.nsw.gov.au/__data/assets/pdf_file/0008/172637/Challenging-Behaviours-Project-Paediatrics-bibliography.pdf

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Subcategory: Resource Type: Models of Care

Added: 30 August 2012 Updated: 31 August 2012

Challenging Behaviours Project: Paediatrics: Section 8 - Appendix D

https://aci.health.nsw.gov.au/__data/assets/pdf_file/0007/172636/Challenging-Behaviours-Project-Paediatrics-appendix-d.pdf

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Subcategory: Resource Type: Models of Care

Added: 30 August 2012 Updated: 31 August 2012

Challenging Behaviours Project: Paediatrics: Section 7 - Appendix C

https://aci.health.nsw.gov.au/__data/assets/pdf_file/0006/172635/Challenging-Behaviours-Project-Paediatrics-appendix-c.pdf

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Subcategory: Resource Type: Models of Care

Added: 30 August 2012 Updated: 31 August 2012

Challenging Behaviours Project: Paediatrics: Section 7 - Appendix B

https://aci.health.nsw.gov.au/__data/assets/pdf_file/0005/172634/Challenging-Behaviours-Project-Paediatrics-appendix-b.pdf

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Subcategory: Resource Type: Models of Care

Added: 30 August 2012 Updated: 31 August 2012

Challenging Behaviours Project: Paediatrics: Section 6 - Appendix A

https://aci.health.nsw.gov.au/__data/assets/pdf_file/0004/172633/Challenging-Behaviours-Project-Paediatrics-appendix-a.pdf

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Subcategory: Resource Type: Models of Care

Added: 30 August 2012 Updated: 31 August 2012

Challenging Behaviours Project: Paediatrics: Section 1 - Abbreviations

https://aci.health.nsw.gov.au/__data/assets/pdf_file/0003/172632/Challenging-Behaviours-Project-Paediatrics-abbreviations.pdf

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Subcategory: Resource Type: Models of Care

Added: 30 August 2012 Updated: 31 August 2012

Challenging Behaviours Project: Adults: Section 6 - Results

https://aci.health.nsw.gov.au/__data/assets/pdf_file/0020/172631/Challenging-Behaviours-Project-Adults-Results.pdf

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Subcategory: Resource Type: Models of Care

Added: 30 August 2012 Updated: 31 August 2012

Challenging Behaviours Project: Adults: Section 12 - References

https://aci.health.nsw.gov.au/__data/assets/pdf_file/0019/172630/Challenging-Behaviours-Project-Adults-References.pdf

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Subcategory: Resource Type: Models of Care

Added: 30 August 2012 Updated: 31 August 2012

Challenging Behaviours Project: Adults: Section 5 - Methods

https://aci.health.nsw.gov.au/__data/assets/pdf_file/0009/172629/Challenging-Behaviours-Project-Adults-Methods.pdf

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Subcategory: Resource Type: Models of Care

Added: 30 August 2012 Updated: 31 August 2012

Challenging Behaviours Project: Adults: Section 4 - Introduction

https://aci.health.nsw.gov.au/__data/assets/pdf_file/0008/172628/Challenging-Behaviours-Project-Adults-Introduction.pdf

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Subcategory: Resource Type: Models of Care

Added: 30 August 2012 Updated: 31 August 2012

Challenging Behaviours Project: Adults: Section 2 - Foreword

https://aci.health.nsw.gov.au/__data/assets/pdf_file/0007/172627/Challenging-Behaviours-Project-Adults-Foreword.pdf

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Subcategory: Resource Type: Models of Care

Added: 30 August 2012 Updated: 31 August 2012

Challenging Behaviours Project: Adults: Section 3 - Executive Summary

https://aci.health.nsw.gov.au/__data/assets/pdf_file/0006/172626/Challenging-Behaviours-Project-Adults-Executive-Summary.pdf

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Subcategory: Resource Type: Models of Care

Added: 30 August 2012 Updated: 31 August 2012

Challenging Behaviours Project: Adults: Section 13 - Bibliography

https://aci.health.nsw.gov.au/__data/assets/pdf_file/0005/172625/Challenging-Behaviours-Project-Adults-Bibliography.pdf

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Subcategory: Resource Type: Models of Care

Added: 30 August 2012 Updated: 31 August 2012

Challenging Behaviours Project: Adults: Section 11 - Appendix E

https://aci.health.nsw.gov.au/__data/assets/pdf_file/0004/172624/Challenging-Behaviours-Project-Adults-Appendix-E.pdf

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Added: 30 August 2012 Updated: 31 August 2012

Challenging Behaviours Project: Adults: Section 10 - Appendix D

https://aci.health.nsw.gov.au/__data/assets/pdf_file/0003/172623/Challenging-Behaviours-Project-Adults-Appendix-D.pdf

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Subcategory: Resource Type: Models of Care

Added: 30 August 2012 Updated: 31 August 2012

Challenging Behaviours Project: Adults: Section 9 - Appendix C

https://aci.health.nsw.gov.au/__data/assets/pdf_file/0020/172622/Challenging-Behaviours-Project-Adults-Appendix-C.pdf

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Subcategory: Resource Type: Models of Care

Added: 30 August 2012 Updated: 31 August 2012

Challenging Behaviours Project: Adults: Section 8 - Appendix B

https://aci.health.nsw.gov.au/__data/assets/pdf_file/0019/172621/Challenging-Behaviours-Project-Adults-Appendix-B.pdf

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Subcategory: Resource Type: Models of Care

Added: 30 August 2012 Updated: 31 August 2012

Challenging Behaviours Project: Adults: Section 7 - Appendix A

https://aci.health.nsw.gov.au/__data/assets/pdf_file/0018/172620/Challenging-Behaviours-Project-Adults-Appendix-A.pdf

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Subcategory: Resource Type: Models of Care

Added: 30 August 2012 Updated: 31 August 2012

Challenging Behaviours Project: Adults: Section 1 - Abbreviations

https://aci.health.nsw.gov.au/__data/assets/pdf_file/0008/172619/Challenging-Behaviours-Project-Adults-abbreviations.pdf

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Subcategory: Resource Type: Models of Care

Added: 30 August 2012 Updated: 31 August 2012

Challenging Behaviours Project: Adults (Complete Document)

Using the analysis of prevalence, course, co-morbidity and burden to inform the model of care.

https://aci.health.nsw.gov.au/__data/assets/pdf_file/0020/165800/Challenging-Behaviours-Project-Adults.pdf

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Subcategory: Resource Type: Models of Care

Added: 29 May 2012 Updated: 14 August 2012

Challenging Behaviours Project: Paediatrics (Complete Document)

Using the analysis of prevalence and burden to inform the model of care.

https://aci.health.nsw.gov.au/__data/assets/pdf_file/0010/165799/Challenging-Behaviours-Project-Paediatrics.pdf

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Subcategory: Resource Type: Models of Care

Added: 29 May 2012 Updated: 14 August 2012

Acquired Brain Injury Rehabilitation Service Delivery Project - Developing a Model of Care for Rural and Remote NSW

https://aci.health.nsw.gov.au/__data/assets/pdf_file/0006/159792/aciabi_rural_remote.pdf

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Subcategory: Resource Type: Models of Care

Added: 18 November 2011 Updated: 13 February 2012

Burn Injury(1)

Cardiac(3)

Musculoskeletal(5)

Management of people with acute low back pain

This model of care highlights three important areas for improvement: more appropriate clinical examination and use of radiological imaging only as necessary; better use of appropriate analgesia; and enhanced patient education.

https://aci.health.nsw.gov.au/resources/pain-management/acute-sub-acute-pain/albp-model/albp-moc

Format: Webpage

Subcategory: Resource Type: Models of Care

Added: 29 March 2017 Updated: 1 May 2019

Management of people with acute low back pain - model of care

This document describes a new model of care for the management of people with an episode of acute low back pain.

https://aci.health.nsw.gov.au/__data/assets/pdf_file/0007/336688/acute-low-back-pain-moc.pdf

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Subcategory: Resource Type: Models of Care

Added: 20 October 2016 Updated: 2 May 2019

Model of Care for Osteoporotic Refracture Prevention

This model of care outlines evidence-based care practices to support the implementation of a consistent approach to identifying and managing minimal trauma fractures.

https://aci.health.nsw.gov.au/__data/assets/pdf_file/0008/279350/ACI_0036-Osteo-Refracture-Prevention-Model-of-Care_FINAL_May-2018.pdf

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Subcategory: Resource Type: Models of Care

Added: 5 August 2015 Updated: 15 July 2019

Paediatric Rheumatology Model of Care

https://aci.health.nsw.gov.au/resources/musculoskeletal/paediatric_rheumatology/paediatric-rheumatology-moc

Format: Webpage

Subcategory: Resource Type: Models of Care

Added: 30 April 2013 Updated: 9 May 2017

Osteoarthritis Chronic Care Program Model of Care

https://aci.health.nsw.gov.au/resources/musculoskeletal/osteoarthritis_chronic_care_program/osteoarthritis-chronic-care-program

Format: Webpage

Subcategory: Resource Type: Models of Care

Added: 2 May 2012 Updated: 1 May 2019

Ophthalmology(4)

Community Eye Care (C-EYE-C) Model for Glaucoma and Diabetic Retinopathy

The Community Eye Care (C-EYE-C) model of care is a service delivery model for those with, or at risk of developing, glaucoma and/or diabetic retinopathy to prevent avoidable vision loss and blindness.

https://aci.health.nsw.gov.au/resources/ophthalmology/models-of-care/community-eye-care-c-eye-c-model-for-glaucoma-and-diabetic-retinopathy

Format: Webpage

Subcategory: Resource Type: Models of Care

Added: 3 September 2019 Updated: 3 September 2019

Community Eye Care (C-EYE-C) Model for Glaucoma and Diabetic Retinopathy

This is achieved via improving access to appropriate management for people with, or at risk of, diabetic retinopathy and glaucoma. It is a collaborative care model for chronic eye-disease patients that shares care between local optometrists (private) and a public hospital eye clinic.

The C-EYE-C model of shared care aims to streamline referral pathways and improve access to ophthalmology services for patients with chronic eye disease, ensuring timely and appropriate care is given.

https://aci.health.nsw.gov.au/__data/assets/pdf_file/0006/501675/Opthal-c-eye-c-model-of-care.pdf

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Subcategory: Resource Type: Models of Care

Added: 2 August 2019 Updated: 2 August 2019

EYECU Project - The Development of a Model of Care for patients with ‘wet’ Age-related Macular Degeneration

EYECU (Phase 1) a collaborative project undertaken as a clinical redesign project to improve access to care for patients with ‘wet’ Age-related Macular Degeneration was a complex multi-layered project which has required the engagement of many stakeholders especially at Sydney/Sydney Eye Hospital and the Save Sight Institute of the University of Sydney.

https://aci.health.nsw.gov.au/__data/assets/pdf_file/0012/234300/EYECU_Project_Report_for_IG_and_FS_Branch_NSW_Health_Final.pdf

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Subcategory: Resource Type: Models of Care

Added: 24 July 2014 Updated: 24 July 2014

The Orthoptist and the management of visual problems in inpatients with stroke: A pilot study to compare existing models of care

https://aci.health.nsw.gov.au/__data/assets/pdf_file/0019/155035/stroke_report_2008_07_08.pdf

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Subcategory: Resource Type: Models of Care

Added: 29 June 2011 Updated: 13 February 2012

Pain Management(5)

Management of people with acute low back pain

https://aci.health.nsw.gov.au/resources/pain-management/acute-sub-acute-pain/albp-model/albp-moc

Format: Webpage

Subcategory: Resource Type: Models of Care

Added: 29 March 2017 Updated: 1 May 2019

Management of people with acute low back pain - model of care

This document describes a new model of care for the management of people with an episode of acute low back pain.

https://aci.health.nsw.gov.au/__data/assets/pdf_file/0007/336688/acute-low-back-pain-moc.pdf

Format: PDF File (4.4 MB) Alternate Content: --

Subcategory: Resource Type: Models of Care

Added: 20 October 2016 Updated: 2 May 2019

The NSW Pain Management Taskforce Report

This report outlines recommendations by the NSW Pain Management Taskforce to develop and support a state-wide system of pain management. The report is available on the NSW Ministry of Health Website.

http://www.health.nsw.gov.au/PainManagement/Pages/NSW-Pain-Management-Report.aspx

Format: Webpage

Subcategory: Resource Type: Models of Care

Added: 27 June 2014 Updated: 25 July 2014

NSW Government Response to the NSW Pain Management Taskforce Report

This report available outlines the NSW Government's endorsement of recommendations contained within the NSW Pain Management Taskforce Report. The report is available on the NSW Ministry of Health Website.

http://www.health.nsw.gov.au/PainManagement/Pages/government-response-taskforce-report.aspx

Format: Webpage

Subcategory: Resource Type: Models of Care

Added: 27 June 2014 Updated: 25 July 2014

Literature Review: Models of Care For Pain Management

https://aci.health.nsw.gov.au/__data/assets/pdf_file/0006/159846/Pain_MOC.pdf

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Subcategory: Resource Type: Models of Care

Added: 21 November 2011 Updated: 13 February 2012

Palliative Care(4)

Palliative and End of Life Care - A Blueprint for Improvement November 2014

The Blueprint is for everybody in NSW. It emphasises the need for an integrated approach to care whereby relationships between specialist palliative care providers and care providers across all settings of care are fostered. It seeks to enhance networks of support, to build skills and competence in providing care to those approaching and reaching the end of their lives across all care settings and seeks to better support patients, families and carers along the way.

https://aci.health.nsw.gov.au/__data/assets/pdf_file/0018/251064/Palliative_and_End_of_Life_Care_-_A_Blueprint_for_Improvement_Nov_2014.pdf

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Subcategory: Resource Type: Models of Care

Added: 1 December 2014 Updated: 1 December 2014

NSW Government Plan to increase access to palliative care 2012 - 2016

The NSW Government Plan to increase access to palliative care 2012 - 2016 outlines a range of key strategies to improve access to care and support for people who are dying, their families and their carers. The ACI plays a key role in implementing actions contained in this plan, through the development of its forthcoming Model of Care.

http://www.health.nsw.gov.au/palliativecare/Publications/Palliative-Care-Plan-2012-2016.pdf

Format: PDF File

Subcategory: Resource Type: Models of Care

Added: 28 July 2014 Updated: 28 July 2014

Diagnostic Report to Inform the Model for Palliative and End of Life Care Service Provision

The Report synthesises a detailed list of findings into 12 key learnings that will directly inform ongoing consultation and the development of a Model for Palliative and End of Life Care Service Provision.

https://aci.health.nsw.gov.au/__data/assets/pdf_file/0011/208937/ACI_Diagnostic_Report_to_inform_the_Model_for_PEoLC_Service_Provision.pdf

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Subcategory: Resource Type: Models of Care

Added: 17 February 2014 Updated: 17 February 2014

Framework for the Statewide Model for Palliative and End of Life Care Service Provision

This Framework is the first step in developing a statewide model for palliative and end of life care. It describes some of the complexities faced in providing quality palliative and end of life care across a range of acute, sub-acute, primary care and community settings, including the home. It sets the groundwork for further developing the Model of Care by identifying the principles, service definitions and structural arrangements that are required for the delivery of effective, accessible and efficient care to people in NSW who are approaching or reaching the end of life, their families and carers.Our next step is a significant consultation process across LHDs and with a range of key stakeholders including residential aged care facilities, carer organisations, primary care and specialist palliative care providers. We will also seek the input and expertise of members of the Palliative Care Network and other ACI Networks during this phase. Opportunities to contribute to this Model will be communicated primarily through the ACI Network membership shortly.

https://aci.health.nsw.gov.au/__data/assets/pdf_file/0019/184600/ACI-Framework-for-Statewide-Model-of-PEoLC-Service-Provision.pdf

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Subcategory: Resource Type: Models of Care

Added: 14 May 2013 Updated: 14 May 2013

Models of Care

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