HEALTH INDEPENDENCE PROGRAMS
The Health Independence Programs (HIP) provide a range of supportive rehabilitation and chronic disease management services to people who have been unwell in hospital, or in our Urgent Care Centre.
A range of services can be provided at home, at Community Health, or other community-based venues to enable a planned return to normal every day activities. The care provided is focused on what each individual person feels is important to their health and wellbeing. Therefore our team helps each person to identify and create a written ‘Care Coordination Plan’ containing their main identified health issues, goals to work towards and actions that will move the plan forwards.
The HIP team invests considerable time in communicating with nominated important people such as care providers, family members, Case Managers, Doctors, Specialist assessment services, home care providers, Home Nursing Service, Hospitals and a wide range of community-based supportive services, so that our clients have everyone “on the same page” when it comes to planning for their care.
Each client is followed through their episode of care by a Key Worker (Registered Nurse). Our wider team consists of: Allied Health Assistant, Diabetes Educator, Dietitian, High Risk Foot Clinic (limitations apply), Mental Health Nurse, Occupational Therapist, Physiotherapist, Quit Educator, Speech Pathologist and Social Worker. We run specific groups for people who have experienced a fall, had a hip or knee replacement, heart and blood vessel disease, or are coping with long-term breathing problems. The HIP team also supports people at “high risk” who may be older, frail, disabled, at risk of homelessness, have mental health challenges, lack social supports or have cultural and language specific needs.
Some quotes for 2013:
“I was unaware of the many services available; and that knowledge and assistance has helped my recovery to be so successful”
“Without the help, support, encouragement, information about cardiac conditions and management explained meticulously, where would I be?”
“I feel so much better now”
To optimize a person’s ability to participate in activities of daily living, and connect that person to services which assist them to stay living in a community setting.
People who are eligible:
Planned hospital admission and require services from two or more health professionals on our team to rehabilitate.
Two or more unplanned hospital admissions within 12 months and/or presentations to Urgent Care
Offered to residents of Benall aRural city
“at imminent risk” people in our community- people with complex health needs who are: older, frail, disabled, homeless, have mental health challenges, complex lives, lack of social supports or cultural and language barriers.
Receive a variety of health related services (who have a need to work together)
- A planned return home from hospital as soon as possible
- Achieve and maintain therapy goals
- Provide options for treatment that are centre-based and/or home-based i.e. meet the needs of individual
- Break down the barriers to achieving health goals by creating a ‘Care Coordination Plan’
- Prevent avoidable hospital admissions
- Effective and timely communication with all relevant services involved in your health care
- A planned discharge from our program
Centre Based Services:
- Pulmonary Rehabilitation
- Cardiac Rehabilitation
- Orthopaedic Group
- Falls Prevention Therapy