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Coordinated Veterans’ Care

This page gives an overview of the CVC Program for veterans. If you are a health professional visit the CVC Program for Providers page

The Coordinated Veterans’ Care (CVC) Program is a planned and coordinated health care model for eligible Gold Card holders with one or more targeted chronic conditions who are at risk of hospitalisation.
On the CVC program:

  • your care is based on a personalised Care Plan developed by your GP along with a nurse coordinator and in consultation with you
  • your GP and nurse coordinator work with you as a team to better manage your health and quality of life
  • your nurse coordinator contacts you regularly to monitor your health and your progress against your health goals
  • your nurse coordinator gives feedback to your GP and helps you make appointments with other health care professionals
  • you can get support to increase your social connection within the community through CVC Social Assistance.

The CVC Information for Veterans Brochure contains more information about CVC, including who is eligible and a case study to explain how the program works.

In-Home Telemonitoring for Veterans Trial

The In-Home Telemonitoring for Veterans Trial is an initiative, linked to CVC that makes it possible for chronically ill Gold Card holders to have their health monitored by their GP without leaving home. Eligibility for the telemonitoring trial includes being on the CVC Program (or being eligible to go on it) and living in one of the trial sites.

The trial commenced in June 2013 at the first trial site in the New England region, NSW, and will finish in June 2015. Other trial sites include the North Coast NSW, the Darling Downs in Queensland, and Bayside in Victoria.

At December 2014 there were around 240 veterans on the trial across the four trial sites. Recruitment for the trial has now closed.

Some potential benefits for participants include:

  • a more complete picture of the veteran’s health, helping to improve treatment of their chronic condition/s
  • improved awareness and self-management of their health
  • reduced preventable hospitalisations and readmissions
  • assistance for the veteran to stay in their own home for longer

How does in-home telemonitoring work?

Instead of going to the GP for a check up to take routine readings such as blood pressure, blood glucose and oxygen levels, eligible CVC participants can measure their own vital signs using the latest equipment, which DVA installs in their home at no cost.

The telemonitoring equipment is lightweight, portable, and simple to use. It sends readings to the veteran’s GP and nurse coordinator who can arrange an appointment if anything is out of the ordinary, either by videoconference using the telemonitoring equipment or face-to-face at the practice.

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