Assisted Self-Management (ASM) supports people living with Chronic Obstructive Pulmonary Disease (COPD), Congestive Cardiac Failure (CCF) and type 2 diabetes to better manage their health at home.
Key points
- Supports people living with COPD, CCF and type 2 diabetes
- Provides personalised care, education and digital health tools to help people stay well at home and reduce unnecessary hospital visits
- Helps people build confidence in managing their health at home
- Currently available to eligible patients admitted to participating hospital services
What we do
Our healthcare and technology teams are working to provide new ways to deliver care and help people receive support beyond traditional hospital settings.
This includes working with working with Safer Care Victoria, Bayside Health, Grampians Health, Monash Health and Northern Health to develop and evaluate the Assisted Self-Management (ASM) model of care.
The ASM program pilot aims to:
- help people better manage their long-term health conditions
- improve health and wellbeing through personalised support
- reduce avoidable hospital visits and admissions
- improve access to care and support for people living with chronic conditions
- evaluate how the ASM model of care can benefit patients and the broader health system
How Assisted Self-Management works
ASM helps people take an active role in managing their health. The program combines clinical support, education and digital tools to help people stay well and feel more confident managing their condition at home.
The program includes:
- patient activation and assessment to identify the support that is right for you
- personalised care plan based on your health goals
- education and resources to help you better understand and manage your condition
- digital tools such as remote monitoring and virtual appointments
- tracking health outcomes and experiences that matter most to you
Read more about Assisted Self-Management on Safer Care Victoria.
Who can use our service
The program supports adults living with chronic health conditions that commonly lead to hospital admissions, including:
- Type two Diabetes Mellitus
- Chronic Obstructive Pulmonary Disease
- Congestive Cardiac Failure
Referrals
Internal referrals only
We are currently not accepting external referrals from general practitioners (GPs) and community healthcare providers.
Patients who are eligible will be identified and invited to participate during their hospital admission.