Systematic Implementation of The Chronic Care Model

HealthChange Methodology is widely used in Health Coaching programs delivered by Private Health Insurers. 

Client: CareFirst Program - Amplar Health (part of the Medibank Group)
Highlights:

• Improved clinical and health-risk indicators.

• Increased self-management capability.

• Reduced hospitalisation risk and better disease control.

• Accepted as a feasible, scalable model of care that shifted clinician beliefs and behaviours.

• Workforce development supported by consistent person-centred practice training

Demonstrate how you implement Person-Centred Practice, health literacy and behaviour change self-management support to improve service effectiveness.

The skillset to engage consumers and influence uptake of advice (often called Health Coaching) is critical for successful outcomes. HealthChange Associates has been a leading provider of health coaching training to health professionals across Australia since 2006. HealthChange Methodology is used by The Get Healthy Program - Australia's largest public health coaching telephone service.

Case Study: Agency for Clinical Innovation (NSW)
Programs: Osteoarthritis Chronic Care, Osteoporosis Refracture Prevention, Acute Low Back Pain
Highlights:

• Surgical deferrals due to poor self-management dropped from 51% → 34%.

• Cardiac-related self-management deferrals reduced 29% → 10%.

• High engagement via telehealth follow-up; many avoided surgery.

Scale Training & Implementation Across Primary Care Health Services

Client: Alberta Health Services (Canada)
Highlights:

• 8,000+ clinicians trained since 2013. 

• Train-the-Trainer programs and two Master Trainers established.

• HCM embedded into intake, care planning, documentation and EMR systems.

• A License Agreement to enable organisational control

• Described as “the way we do business.”

Clinicians can complete training as an individual or a team.

Better Clinical Outcomes in Diabetes Care

Clinician Case: Practice Nurse & Diabetes Educator
Highlights:

• HbA1c reduced from 9.5% → 5.8% in 6 months.

• BMI reduced from 28 → 23.

• The clinician implemented HCM Principles and Techniques to engage the client and facilitate change. 

Required Training for Life! Program Coaches

Client: Diabetes Victoria – Life! Program
Highlights:

• HCM is a required prerequisite for telephone health coaches.

• Results show significant improvements in weight, waist measures, healthy eating and physical activity.

• 95.4% conversion rate from introductory session to program.

Dietician:

Improving Engagement in Eating Disorder Care

Clinician Case: Private Practice Dietitian
Highlights:

• 16-year-old client reduced purging from 2–3 times/day to zero after first session.

• Identified cognitive barriers, reframed “control,” and used positive tracking strategies.

Physiotherapy, Exercise Physiology, Chiropractic, Osteopathy

Better Engagement in Persistent Pain Management

Clinician Case: Senior Physiotherapist, Private Practice. 
Highlights:

• Patient with complex chronic pain shifted from defensiveness to active engagement.

• Clinician reported greater effectiveness and satisfaction using HCM tools.

Supporting Research Teams to Design Person-Centred Intervention Protocols and Deliver Behaviour Change Interventions

Clients: University of Melbourne, University of Sydney & others
Highlights:

• HCM used in project design, scripts, education materials, and evaluation.

• Tailored training and ongoing support for intervention staff.

Increasing Clinician Confidence & Person-Centred Skills

Client: University of Melbourne – OA Telephone Coaching Trial
Highlights:

• Clinician confidence increased by ~25%.

• Training changed clinicians’ beliefs about their role and improved communication skills.

Required Training for Diabetes Prevention Coaches

Client: Diabetes Victoria – Life! Program
Highlights:

• HCM is a required prerequisite for telephone health coaches.

• Results show significant improvements in weight, waist measures, healthy eating and physical activity.

• 95.4% conversion rate from introductory session to program.

Reducing Hospitalisations in Chronic Condition Management

Client: MeCare Program – West Moreton HHS & Philips Healthcare
Highlights:

• 28% decrease in preventable hospitalisations.

• 53% decrease in ED visits.

• Improved confidence and mental health for participants.

Measure and Track Workforce Performance and Facilitate Continuous Quality Improvement

Connect diverse teams and provide training that defines consumer-focused care, provides consistent tools to improve service delivery and supports interprofessional and reflective practice. 

Client: Murray PHN
Highlights:

• 93% confident to apply Practice Principles.

• 93% confident using Essential Behaviour Change Techniques.

• 90% confident using the HCM Consultation Framework.

• Advanced Workshop increased confidence by 21–23%.