About


HealthChange® Methodology (HCM) supports healthcare workers to reshape and improve
service delivery. Training and clinical practice change support for organisations is facilitated by Licensed
HealthChange® Associates.



Caroline Bills is currently the Licensed HealthChange® Associate delivering HealthChange® Methodology (HCM) training in Australia.

Why use HealthChange Methodology?

HealthChange Methodology equips individuals and organisations with practical skills, systems and knowledge to deliver effective, time-efficient, person-centred care and reduce resources wastage. The unique consultation framework provides a consistent guide to help clinicians with what to say, how to say it and when to say it in consultations to achieve the best results with patients.

Since 2006, HCM has assisted leading community health programs, government organisations, NGOs and corporate health services across Australia and government health services in Singapore and Canada to reshape their practice and provide more efficient and effective care.

What are the benefits?

Demonstrated results and research show HealthChange Methodology can:

  • improve patient engagement leading to better clinical and organisational outcomes – reported benefits include higher patient retention and participation rates, reduced wait lists, lower surgery deferrals due to poor patient self-management and better clinical outcomes.
  • increase clinician confidence and skills – clinicians report improved ability to work with chronic and complex patients; particularly valuable in building clinician capacity and confidence when transitioning to telehealth and mobile technology
  • provide a consistent way to deliver effective health literacy and person-centred care – providing a common language, methodology and simple tools that work across all levels – clinicians, teams, services and organisations and all service delivery methods - face-to-face, group programs and telehealth
  • help organisations to achieve KPIs and stand out to accreditation bodies – as a provider of quality services taking real action in delivering person-centred care
  • improve staff retention and satisfaction – clinicians report greater confidence and satisfaction in being able to assist patients with challenging conditions and circumstances and reduced frustration with workplace systems after their re-alignment with patient-centred care. Staff have valued this type of ongoing professional development as well as their organisation's investment and support in their day to day work.
  • reduce redundancy and resource wastage - organisations report reduced 'no show' rates, consultation times and ineffective 'frequent flyer' consultations

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What is the evidence base?

It is well accepted that taking a person-centred approach to service delivery is considered best practice. The problem is that most health professionals implement this intuitively which means there is little consistency across professions, teams or services. The primary purpose of HealthChange Methodology is to provide health service providers with a shared understanding of the evidence-based theories, models and techniques from the psychology and behaviour change literature concepts that underpin person-centred care and then help them to use these. HCM is NOT a specific treatment intervention or program itself. It is used by individual clinicians to ensure their consultation are person-centred and include key health literacy messages and behaviour change support.

It can also be used by organisations, researchers and educators to provide a consistent framework for program and research design, clinical skill development and delivery of harmonised health services across teams.

 Download a summary of the evidence base that underpins HealthChange® Methodology. 

 Listen to an audio (6 min) by Janette Gale, Founder and Managing Director of HealthChange Associates that outlines the theory base.

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How was HealthChange Methodology developed?

 Download a summary of the evidence base that underpins HealthChange® Methodology.

The first course, “Health Coaching for Health Professionals’’ was developed in collaboration with Deakin University. It focused on teaching specific micro-skills from the psychology and behaviour change literature. However the feedback from practising front-line health workers was that they not only wanted to know what skills to use with clients, but also, when to use them in the consultation. The unique components now contained in HealthChange Methodology are the result of the input from over 15,000 health professionals and years of applying the Plan-Do-Study-Act (PDSA) cycle. This is the scientific method recommended for Clinical Practice Improvement by the Institute for Healthcare Improvement. This process transitioned the courses from a text book theory and skills focus to a robust clinical practice methodology.


Is HCM effective?

To date, no research project has directly compared “usual” clinical practice to clinical practice using HCM. The Case Studies area shares anecdotal feedback from individual clinicians and organisations that have worked with HealthChange representatives over time to embed HCM into their services.

Browse the Organisation Case Studies to find published papers and reports that outline the results from programs or services that HealthChange Associates has been involved with.

In recent years, HealthChange representatives have also worked with numerous research teams to embed HCM in their service delivery studies. Find published papers that incorporated elements of HCM into their design and delivery in the Researcher Case Studies area.

See case studies

Our Story

Janette Gale, Health Psychologist and HealthChange Associates CEO founded the company in 2003. This 3 minute video outlines the origins of that company.



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Who we are

Since 2006, multi-disciplinary teams of skilled facilitators have delivered HCM courses across Australia, Canada, Singapore and Denmark.

Caroline Bills is a Clinical Practice Change Specialist, trainer and practicing musculoskeletal physiotherapist. She understands the complex range of clinical skills required to engage clients/patients in their care and help them take action to achieve health and quality of life outcomes. Integrating HealthChange Methodology into her clinical practice has altered her clinical style. "Patients often comment that they find my approach different to other health professionals they have seen. They find the way I provide information useful and value the collaborative way I practice."

Caroline has been working with HealthChange Associates since 2010 delivering HCM courses and helping organisations and researchers develop critical clinician skills and systems that flow through to meaningful and manageable changes to clinical practice.

"Delivering Train the Trainer programs across Australia, Canada and Singapore has been particularly satisfying. It's wonderful to see the results for patients, clinicians and organisations when health professionals deepen their knowledge and grow in confidence to apply the Methodology in different contexts."

Caroline Bills,
Licensed HealthChange Associate
Master of Physiotherapy (Research)
Grad Dip (Manip Therapy)
B App Sci (Physio)