Complex Care (Formerly Harp)

  • Complex Care (formerly HARP) is a community home-based program that provides care coordination to eligible clients with chronic disease.  Complex Care aims to prevent avoidable hospital presentations and admissions.

     

    The Program targets people with chronic disease, aged and/or complex needs that frequently use Hospitals or are at imminent risk of hospitalisation and could benefit from coordinated care.  The four key objectives of Complex Care for the defined target groups are to:

    1. improve outcomes for the chronic disease population,
    2. provide integrated seamless care within and across hospital and community sectors,
    3. reduce avoidable hospital admissions and emergency department (ED) presentations, and
    4. strive for equitable access to healthcare.

     

    To be eligible for this service the patient/client must be:

    • living in the Southern Grampians Shire
    • been in hospital or attended the emergency department in the last 12 months, and
    • at risk of having to attend hospital again.

     

    Referral

    • Acute Care via Trakcare
    • Primary Care via Electronic Service Coordination Tool Templates (preferable)
    • GPs & other health agencies
    • Self-referral from clients/community