Table 2 The levels of co-ordination to support both eye care services and the patient journey [[4],[34]]
From: Local co-ordination and case management can enhance Indigenous eye care – a qualitative study
Levels of co-ordination | |
|---|---|
Community | |
• | Community liaison provides a vital link between individual community members, their families and the clinic and its services |
• | This may include identification, transport, interpretation, translation and moral support |
Clinic, Primary Eye Care | |
• | Referral of more complex cases to visiting eye team |
• | Maintenance of patient records and referral lists for visiting eye team |
• | Scheduling of visits by visiting eye team |
• | Co-ordination with other visiting specialists |
• | Co-ordination of exam rooms, accommodation, equipment and local staff |
• | Make arrangements for referrals to Regional Hospital |
• | Schedule follow up visits as required |
Eye Team, Secondary Eye Care | |
• | Co-ordination of visits with clinic and community |
• | Update patient records as necessary |
• | Communication and co-ordination between visiting optometrists and ophthalmologists |
• | Mechanism for communication and co-ordination with other visiting specialists |
• | Specific equipment items brought with team (e.g. lasers, slit lamp) |
• | Organise a list/information about patients waiting to be seen |
• | Assistance with patient identification, transport, translation, explanation and support |
• | Clerical support for forms and paperwork |
• | Referral systems for further management and surgery |
Regional Hospital, Tertiary Eye Care | |
• | Organisation of the clinic space, theatre time, staff, accommodation, travel and surgical supplies for the visiting eye teams |
• | Co-ordination with other visiting specialists |
• | Organisation and supply of surgical equipment |
• | Co-ordination of patients who require surgery with community and clinic |
• | Organisation of travel and other arrangements for patients |
National/State/Territory | |
• | Co-ordination of other specialist and allied health visits with the visiting team |
• | Oversight of co-ordination performed at different levels, recruitment, training and support |
• | Oversight of distribution of visiting eye teams (and other specialists) including ratio of optometric and ophthalmic visits and frequency of visits |