Post Acute Care is a time limited short ter intervention designed to assist patients to recuperate following an acute or subacute hospital admission and to facilitate their independence, or transition to continuing care when required.
This care may include, for example, home help, personal care, meals support, respite care and home nursing.
The Case Manager will work closely with the client and/or carer and health care workers to ensure that the most appropriate Post Acute Care is provided to those clients with identified needs.
All clients referred and accepted into the program will have:
-- Individual assessment.
-- Needs identification.
-- Post acute care plan prepared.
-- Appropriate services negotiated.
-- Care services monitored.
The care needs of the client will be reassessed at the end of the allocated time on the program and be discharged or referred to the appropriate care.
Central Highlands region
Coordinator, Helen Jarvis or Case Manager, Jennifer May, Ph: 03 5320 4092 FAX: 03 5320 4811
To receive additional post acute care services through the PAC program, clients must:
-- Have been a patient of a public hospital either acute or subacute in Victoria.
-- Be assessed as requiring additional services to assist with the recuperation or transition to continuing care following an acute care or subacute care episode.
-- Agree to the forwarding of individual client data to the Department for the purposes of program monitoring and evaluation.
The program aims to achieve a smooth transition for those clients with more complex health needs, returning back into the community from an acute episode in either acute or sub acute facility in Victoria. This will be achieved through the provision of coordinated, appropriate and timely Post Acute Care service.
-- Provide additional home based services to assist individuals to recuperate after hospitalisation;
-- Improve continuity of care for patients following their discharge from hospital;
-- Work collaboratively with hospital to provide support to patients as an alternative to inpatient admission from the emergency department, where appropriate; and
-- Assist hospitals and subacute services to maximise use of beds for patients who require hospital services.
9.00 am - 5.00 pm, Mon - Fri, for inquiries.