helen douglas - calvary community care - one calvary – acute, community, residential
Post on 30-Jul-2015
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• Victoria • NSW and ACT • Tasmania • South Australia • Northern Territory • Tiwi Islands
Service Delivery
• Common language • Common purpose • Collaborative models • Easy access points • Consumer directed
(pre admission)
Acute and Community How can they work together to improve patient care?
CHSP
Language Community Acute Residential
RAS Hospital Bypass Resident
HCP Levels 1-4
Means Tested Fee
Case Management
Consumer
Hospital Inpatient
Bed Days
Waitlist Management
Bed Occupancy
Patient Flow
RCS
ACFI ADL
Common Purpose • Hospital avoidance • Access to available community services • Greater understanding of the service system • Agreed pathways • Palliative end of life care • Transfer of care
Settle Me In
Settle Me In was designed to provide supportive care to patients who no longer required acute care and are ready for discharge.
Settle Me In First launched in the Hunter region as a pilot program.
The pilot results showed • Positive feedback from patients • Improved understanding of existing discharge
pathways • “Driving” the discharge process had
positive benefits for patients
Calvary
• Case Manager working within Kogarah hospital • CHSP coordinator working with discharge
planner in Riverina • PEoLC models – Hunter, ACT and SA • Exploring further models in SA , Victoria and Tasmania
What are the Challenges?
• Common purpose • Open honest conversations • Perceived transfer of care • Whole of organisation approach • Technical platforms
How can we improve working relationships? • Consumer focus • Senior leadership participation • Open honest collaboration • Time and dedicated resources • Set targets and embed internal KPIs
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