One Calvary; Acute, Community and Residential

• 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 Language Continuum of care for individuals across all streams

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

Collaborative Models

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

Clients

How can we improve working relationships? • Consumer focus • Senior leadership participation • Open honest collaboration • Time and dedicated resources • Set targets and embed internal KPIs

Agreement on a common purpose. Dedicated investment.

Provide products and deliver services that meet individual needs.