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Support Tools and Services

​​Helping to deliver holistic care

In order to deliver effective integrated care, health providers need the right support tools and services to deliver a personalised and holistic care experience for each patient, no matter what their health condition or location.

The Western NSW Integrated Care Strategy team is currently working closely with NSW Government and the local demonstration sites to create systems and tools that will help enhance the connection and allow for better collaboration between health providers. Below is a brief snapshot of just some of the services that are being implemented as part of the Western NSW Integrated Care Strategy.


HealtheNet is benefiting patients and clinicians by providing access to a consolidated view of a patient’s clinical information. The NSW HealtheNet team has worked closely with the Western NSW Integrated Care team to ensure the best possible service is provided.

For more information, please visit the HealtheNet website.

​Risk Stratification

Western NSW Integrated Care has developed tools to better identify people at risk of chronic illness or chronic disease that can be followed up early and have targeted interventions.

Health systems have been oriented historically to diagnose and treat acute episodes of illness and injury as a reactive response to patient needs.  With increasing chronic conditions such as diabetes, heart disease, and respiratory disease, attention is turning to slowing the progression of disease through structured care.  While clinicians get a good sense of those needing increased focus, they may be unaware of those not presenting but who would also benefit from being seen. Risk stratification provides a way of identifying a subset of patients who may be at risk of deteriorating health, allowing earlier intervention.

  • What is in it for the patient? Lowered risk of an untoward event, better health status, improved health literacy/disease knowledge, better health provider-patient relationship.

  • What is in it for the clinician? A better health status for the patient, better use of limited patient contact time, better health provider to health provider relationship.

  • What is in it for health? Better health status for the patient, reduced costs in ED and inpatient settings, allowing those resources to be reinvested for higher health gain opportunities.​