Basic Team Care Arrangement Notes

Patient’s Name: John Smith "I have explained the steps and costs involved, and the patient has agreed to proceed with the service." GP Name and Date: Dr. Thomas Kelly, 1 November 2024 COORDINATION OF TEAM CARE ARRANGEMENTS (ITEM 723) Treatment and service goals for the patient / changes to be achieved: The primary goal is to manage John's type 2 diabetes through improved dietary habits and regular physical activity. Short-term goals include achieving better blood sugar control and reducing HbA1c levels. Long-term goals focus on maintaining a healthy weight and preventing diabetes-related complications. Treatment and services that collaborating providers will provide to the patient: - Dietitian: Provide dietary counseling and meal planning to support blood sugar management. - Physiotherapist: Develop a personalized exercise program to enhance physical fitness and aid weight management. - Psychologist: Offer psychological support to address any mental health concerns related to chronic disease management. - Pharmacist: Oversee medication management to ensure proper adherence and effectiveness. Actions to be taken by the patient: - Follow the dietary plan as advised by the dietitian. - Engage in the prescribed exercise routine at least three times a week. - Attend all scheduled appointments with healthcare providers. - Take medications as prescribed and monitor blood sugar levels regularly. Copy of TCAs offered to patient? Yes Copy / relevant parts of the TCAs supplied to other collaborating providers? Yes TCAs added to the patient’s records? Yes Referral forms for Medicare allied health services completed? Yes Review date for TCA: 01/05/2025