Primary Health Tasmania has produced a wide range of resources for healthcare professionals to:

  • improve transfers of care between acute, primary and community services sectors for people living with chronic complex needs
  • focus on capacity-building and system redesign to improve transfers of care and reduce avoidable hospital readmissions
  • improve or ‘streamline’ existing practices and processes within the health system.

Guidelines for Shared Transfer of Care

The Guidelines for Shared Transfer of Care have been developed to provide direction to health professionals working across the health care sector on improving transfers of care. The Guidelines document sets out and describes the five Sharing Points which are key elements for delivering best practice transfers of care.

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Passport to Better Health

The Passport to Better Health is a booklet aimed at giving consumers a more active role in sharing in their care. It allows consumers to track information related to their healthcare journey, including personal details, health conditions, appointments and medication.

It also gives consumers a platform to communicate with care providers about personal preferences, concerns, needs and questions about their health and wellbeing.

The Passport to Better Health has been developed in consultation with consumers across Tasmania to increase relevancy, usability and accessibility.

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Passport to Better Health for Aboriginal and Torres Strait Islander people >

ISOBAR SHARED Planning Checklist

The ISOBAR SHARED Planning Checklist is intended for use by clinicians across sectors. ISOBAR is a clinical communication framework that supports sharing of quality communication and documentation.

SHARED is the person centred approach that supports the ISOBAR framework. The tool can be used as a poster, resource or prompt in file to support quality shared transfer of care, or as an education tool for students undertaking study in the health and community sector.

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Sharing Points poster

A one-pager summarising the principles and Sharing Points that inform the Guidelines for Shared Transfer of Care

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Shared Transfer of Care templates and tools

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Shared Transfer of Care consumer stories

Transfers of care impact on real people every day. People’s stories can help us understand how to improve transfers of care for better health outcomes.

The stories above have been inspired by real-life scenarios in Tasmania. All names have been changed.

  • Jamie’s story: Needs are met through consideration of Jamie’s disability.
  • Joe’s story: Communication issues make it challenging for Joe to get appointments.
  • Mavis’ story: Lack of follow up makes it difficult to get information interstate.
  • William’s story: William reacts poorly to medications and lifestyle changes.
  • Charles’ story: Living alone and struggling to manage a surgical wound.
  • Elsie’s story: Navigating multiple assessments and lifestyle changes with cognitive impairment.

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Shared Transfer of Care videos

The videos provide additional perspectives and case examples to support the implementation of shared transfer of care.

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Facilitator’s Guide to the Shared Transfer of Care

The Shared Transfer of Care training is designed to support both clinical and non-clinical staff working in health and community services to improve transfers of care. The training is intended to be facilitated by people working in the field, and aims to provide knowledge and skills to implement quality transfers of care.

The Facilitator’s Guide to the Shared Transfer of Care provides information, lesson plans, activities and tools so that a full workshop can be facilitated

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Shared Transfer of Care facilitator’s handouts

Throughout the Facilitator’s Guide to Shared Transfer of Care you’ll find links to additional training materials. The handouts can be accessed above; the videos can be accessed through this link.