Thursday 20 November 2025 | 10:25-12:25 

Format: Presentation

Stream: Populations

Part One: Beyond the Jargon – How ‘One Health System’ Has Changed Chronic Disease Care in Murrumbidgee and Helped People to Live Well, Their Way

This session will use the Living Well, Your Way program in Murrumbidgee, NSW to demonstrate how large-scale change is achievable when leading health organisations commit to a one health system approach. It will outline essential steps in the change process including establishment of joint-governance, local consumer-led planning, development of innovative models of care specific to your context, optimal use of existing resources and targeted investment to fill gaps, and the use of technologies to break down silos. It will also show how expanding the focus from acute care towards prevention, early intervention and rehabilitation has helped improve outcomes against the quintuple aim. The session is for anyone who is sick of hearing buzz words in health, and would like to see what happens when they are actually implemented in practice. It also helps create a vision for what the future of rural health care could look in Australia, if providers and funders can commit to working together for sustainable change.

Caroline Holtby Murrumbidgee Local Health District; Australia

Part Two: Can We Fix It? Yes We Can! Integrating CP@clinic Community Paramedics Into Victorian rural and Regional Community Health Services

This presentation shares the learnings of the implementation of an evidenced based model of care of care into rural and regional Victorian community health services. Community paramedics (CPs) are registered paramedics who deliver chronic disease assessment, education and onward referral in free drop-in clinics. This presentation highlights the findings from a successful pilot at Sunraysia (Mildura) of the McMasters University (Canada) CP@clinic programme. 

Louise Reynolds Safer Care Victoria; Australia

Part Three: My Health Record – The Pathway To Transitioning To Share By Default

This session will cover the current work underway within the Department to transition into Sharing by default and what this will mean for consumers and providers for the short and long term. This is a ground breaking reform and represents one of the first times internationally where providers will be compelled to share health information to consumers and at the point of care in near-real-time. This reform is one of a number of critical national reforms underway in Australia to modernise the use of digital capabilities and data to overcome health information sharing barriers.

Daniel McCabe Australian Department of Health and Aged Care; Australia

Part Four: Predicting Biologic Response In Autoimmune Disease

This will be a session discussing the benefits and difficulties in moving research findings into the clinic, and the quality framework that is needed when using the results of exciting, state of the art technologies to improve patient care. The session will describe the work of the Canberra Clinical Phenomics Service group at the Australian National University and their MRFF funded project to establish research infrastructure which allows for accreditation of state of the art research assays quantitating parts of the immune system as diagnostic tests which can be used for patient care, and how this will allow a more personalised approach to the prescription of biological medications in patients with autoimmune disease.

Katrina Randall Canberra Health Services; Australia