Principles of Chronic Disease Management

Chronic disease management in primary health care has never been more critical, with the health care industry facing mounting challenges, including the increasing prevalence of chronic diseases, an aging population, and the imperative for cost-efficient care.

At APNA, we're dedicated to equipping nurses with the indispensable skills and knowledge necessary to excel in this ever-evolving landscape, enabling you to enhance the quality of patient care you deliver.

Our comprehensive chronic disease management education suite is thoughtfully designed to cater to the diverse needs of primary care nurses, whether you are new to the field or a seasoned professional. Our activities cover a wide spectrum of essential topics, providing you with the expertise to navigate chronic diseases' intricacies, comprehend collaborative care models, and actively engage in interdisciplinary teamwork.

These carefully curated activities break free from prescribed sequences, allowing you to tailor your learning journey based on your needs and interests. Delve into patient-centred care planning, becoming proficient in assessment tools and creating holistic care plans or addressing the complexities of Medicare Benefits Schedule guidelines. There is also the opportunity to explore health coaching, motivational interviewing, and goal-setting techniques.

Our activities keep you updated with the latest statistics and trends, ensuring you remain at the forefront of chronic disease management. Participating in APNA's Principles of Chronic Disease Management will prepare you to contribute to innovative care models, improve patient outcomes, and impact the health care landscape.


Below you will find content tailored for nurses to develop and apply skills in chronic disease management, developing foundational knowledge and building practical strategies and skills. If you are seeking to enhance your existing practice with comprehensive strategies, please view the NiPHC Chronic Disease Management and Healthy Ageing Program.


Principles of Chronic Disease Management series 

  • Principles of Chronic Disease Management: Overview
    Format: 1hr presentation
    Delve into the diverse role of primary health care nurses in chronic disease management, with their remit extending beyond patient care to encompass quality control, organisation, problem-solving, education, and connectivity agency. Gain insights into the intricacies of primary health care, identifying pressure points and addressing top disease priorities in Australia. Explore the latest statistics from the Australian Institute of Health and Welfare to understand the influence of determinants of health on community well-being. Explore into the complex landscape of morbidity and mortality and discover strategies to promote population health and support healthy aging. Equip yourself with the knowledge and skills needed to excel in this dynamic field of primary health care.
    Search the APNA Events Calendar for upcoming dates of this presentation or subscribe to The Connect to be alerted. Email courses@apna.asn.au to enquire about a bespoke delivery for your team.

  • Principles of Chronic Disease Management: Health coaching, motivational interviewing and goal setting
    Format: 1hr presentation
    Master health coaching, motivational interviewing, and SMARTER goal-setting techniques to effectively guide patients through behaviour change. Enhance your health literacy, fine-tune your communication to suit individual patient needs, and implement the "teach back" method for patient comprehension. Gain valuable insights into the stages of behaviour change, enabling you to provide effective support at every step. Elevate your nursing practice and enhance patient care with this comprehensive activity, equipping you with the essential tools for success.
    Search the APNA Events Calendar for upcoming dates of this presentation or subscribe to The Connect to be alerted. Email courses@apna.asn.au to enquire about a bespoke delivery for your team.

  • Principles of Chronic Disease Management: Patient centred care planning
    Format: 1hr presentation
    Immerse in the world of patient-centred care planning. This presentation empowers you to master assessment tools, enabling the collection of crucial patient data that informs care planning. Dive into holistic health status interpretation to identify patient needs, allowing you to craft goals that resonate with your patient's preferences to achieve patient outcomes. Learn to enhance communication by addressing health literacy levels, ensuring health care decisions are well-informed and patient-focused. Embrace a comprehensive approach to care planning that includes ongoing monitoring and review to truly make a difference in the lives of those you care for.
    Search the APNA Events Calendar for upcoming dates of this presentation or subscribe to The Connect to be alerted. Email courses@apna.asn.au to enquire about a bespoke delivery for your team.

  • Principles of Chronic Disease Management: Guidelines and MBS billings items
    Format: 1hr presentation
    Master Medicare Benefits Schedule (MBS) guidelines and requirements, transforming your approach to General Practice Management Plans (GPMP) and Team Care Arrangements (TCA). This presentation unlocks the synergy between nurses and GPs, optimising health care coordination and billing efficiency. Delve into the intricacies of explaining, recording, and providing plan copies, ensuring compliance with stringent medical records retention guidelines. Gain a deep understanding of eligibility criteria and the collaborative efforts of multidisciplinary providers. This module offers a comprehensive breakdown of MBS item numbers and claiming rules, empowering you to navigate the complexities with confidence and precision.
    Search the APNA Events Calendar for upcoming dates of this presentation or subscribe to The Connect to be alerted. Email courses@apna.asn.au to enquire about a bespoke delivery for your team.

  • Principles of Chronic Disease Management: Bringing it all together - developing a care plan (practical)
    Format: 1hr presentation with practical elements
    Unlock the skills for excellence in this practical care planning workshop by diving into a session focusing on patient-centred, team-based care planning. Bring together the theoretical components of patient health needs and conditions, setting goals and create a comprehensive plans for better healthcare outcomes. Delve into crafting action plans that actively involve patients, account for health literacy levels, and implement effective monitoring and review processes. Gain insight into eligibility criteria and the pivotal role of multidisciplinary teams in care planning. Elevate your nursing practice through this transformative journey in effective care planning.
    Search the APNA Events Calendar for upcoming dates of this presentation or subscribe to The Connect to be alerted. Email courses@apna.asn.au to enquire about a bespoke delivery for your team.


Principles of Chronic Disease Management half-day workshop

  • Principles of Chronic Disease Management: End-to-end
    Format: 5hr workshop
    Acquire a wealth of knowledge in just half-a-day by joining our intensive interactive workshop that seamlessly integrates the key components of chronic disease management:
    - Overview
    - Health coaching, motivational interviewing and goal setting
    - Patient centred care planning
    - Guidelines and MBS billings items
    - Developing a care plan
    Gain confidence as you master the principles and walk away with a profound understanding of these crucial aspects. Be empowered to make an immediate and lasting impact on your patients’ lives. Don't miss this unique opportunity to transform your knowledge into practical skills, all in just a few hours.
    Search the APNA Events Calendar for upcoming dates of this presentation or subscribe to The Connect to be alerted. Email courses@apna.asn.au to enquire about a bespoke delivery for your team.


Other presentations

  • An overview of health assessments
    Format: 1h presentation 
    Harness the transformative potential of health assessments. This session aligns with Medicare Benefits Schedule (MBS) guidelines. Discover the significance of health assessments in collecting holistic patient data, empowering you to interpret comprehensive health status. Uncover patient needs, inform care planning, design targeted interventions effectively and explore validated assessment tools, including fall risk and frailty assessments. Equip yourself with actionable skills to make a tangible difference in patient care and enhance your nursing practice.
    Search the APNA Events Calendar for upcoming dates of this presentation or subscribe to The Connect to be alerted. Email courses@apna.asn.au to enquire about a bespoke delivery for your team.


Bespoke chronic disease management education 

Looking for a bespoke chronic disease management education package for your team? Contact courses@apna.asn.au and we can tailor a package to your needs.

The Australian Primary Health Care Nurses Association acknowledges the Traditional Custodians of country throughout Australia and their connections to land, sea and community. We pay our respects to elders past and present and extend that respect to all Aboriginal and Torres Strait Islander peoples today.


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