Complex Care Andrea Barry IPAC NUM September 2019 Health - - PowerPoint PPT Presentation

Complex Care

Andrea Barry IPAC NUM September 2019

Health Independence Programs (HIP)

• Complex Care ( formerly HARP)

– Care Coordination – Disability Hospital Passports and Action Plans

• Post Acute Care
• Residential In Reach

Referrals

• Who can refer? – All health professionals, family, self.
• 95% increase in referrals to Complex Care due to PAC,

PFM and GP/Staff education compared to 5 years ago

• Minimal referrals from other hospitals/ GP’s in the

region despite awareness of program

• Top 4 Diagnosis – COPD, Cardiac/CCF, Dementia, Pain
• Av. Length on program – 8-16 weeks (longest 51 weeks)
• Av. Home face to face visits weekly to fortnightly

What next?

• No. of hospital admissions/ED presentations

whilst on program

• 68% had no presentations to ERH
• 23% had 1-2 visits
• 9% had 3 or more visits

Complex Care

• Initial needs assessment – urgent referrals
• Unravelling of information
• Holistic approach
• Health Literacy, Health Coaching
• Home visits
• GP Appointments with the client
• Case study

Complex Care Outcomes

• What does this mean to the client and family?
• Key contact worker
• Referral follow-up – ACAS, Specialists, Grants
• 52% had ACAS referral
• 15% clients linked to Homecare Packages
• 28% Chronic disease plans developed – COPD, Cardiac ,

Asthma

• 50% Allied Health Involvement
• 34% Respiratory and Cardiac physician reviews
• 48% of clients that were discharged from Complex Care

were left on a Gov’t waitlist for ACAS, Commonwealth Home Care Package, NDIS, VCAT and HACC services.

Complex Care Outcomes

• Commonwealth Homecare Packages

Multiple packages at differing levels where accessed for the Echuca/Moama region

• State Wide Acquired Brain Injury Funding- $2000
• Chronic Illness Funding
• Regional Disability Support Initiative - $2000
• Elsie Murray Trustee Fund – children's education, equipment
• A Start in Life funding up to age 25 - education
• Queen’s Fund for childcare

Partnering with service provision

• Commonwealth Assisted Continence Program
• SWEP equipment funding –can take 2 years
• MEPACS Alarms
• Credit cards waived up to $10,000, Solar Panel waived $10,000
• Foxtel bills abolished
• Medical cooling electricity rebates, new hot water service
• Early entry to NDIS
• Community Admissions to GEM
• Parking permits
• VPTAS – travel reimbursement for medical appt’s in Melbourne
• Housing relocation – 8 required relocation
• Advanced Care Directives and Powers of Attorney
• Food Bank
• DSP - $8000 back pay.

More outcomes

• Commonwealth Assisted Continence Program
• SWEP equipment funding –can take 2 years
• MEPACS Alarms
• Credit cards waived up to $10,000
• Foxtel bills abolished
• Medical cooling electricity rebates
• Early entry to NDIS
• Community Admissions to GEM
• Parking permits
• VPTAS – travel reimbursement for medical appt’s in Melbourne
• Housing relocation – 8 required relocation
• Advanced Care Directives and Powers of Attorney
• Dental/ Optometry

Local partnering

• Victims Assistance program – Anglicare
• Neighbourhood house
• Campaspe Library
• Redgum centre – meals
• Planned Activities Groups – Steps
• Salvation Army – counselling service, white goods, blankets,

clothes, Xmas presents

• Camar – pet minding
• Kids Undercover – housing
• St.Kilda Mums – prem clothing, GV Pregnancy Support
• Foodbank
• Apex – gardening, firewood

Will you make a referral to Complex Care?

• complexcare@erh.org.au
• Ph: 54 855 855