Post Acute Care (PAC) provides community-based services and home-based therapy to help patients recover at home after leaving hospital. It aims to assist people especially if they live alone, have limited support or if they are usually a carer.

PAC services are available for up to 28 days post hospital stay. PAC services are free however people may be required to contribute to the cost of consumables such as wound dressings.

Post Acute Care offers a range of services including:

  • Community nursing
  • Allied health
  • Home and personal care assistance

Community nursing

Short-term home nursing for people who require additional assistance after a hospital stay. PAC will fund up to seven nursing visits and these can generally be provided up to once daily.Services available include:

  • Wound care
  • Medication administration
  • Review of stoma or catheter care

Please note: Patients requiring acute nursing care including titration of warfarin or insulin, complex wound care (eg VAC dressings) and IV Therapy/Antibiotics are not suitable for PAC. In these instances the RMH Hospital in the Home (HITH) service may be suitable or the patient may seek assistance from their health professional.

Allied health

Short-term allied health for people who require additional assistance after a hospital stay.

Services available include:

  • Physiotherapy
  • Occupational Therapy
  • Speech Therapy

Patients may be suitable for allied health input:

  • While awaiting mainstream services through Community Therapy Services or Community Health Services
  • When short-term input will avoid the need for referral to mainstream services and/or
  • if immediate input will assist in optimising patient function and quality of life

Home and personal care assistance

Practical assistance to assist patients with the transition home after a hospital stay.

Services available include:

  • Home help (assistance with cleaning)
  • In-home respite (providing carer support)
  • Personal care assistance (shower/bathing)
  • Assistance with shopping & banking

In some instances PAC will also assist with funding an industrial clean or emergency accommodation for patients where their home environment is not suitable for discharge. The patient or their health professional should contact PAC to discuss referrals of this nature as management approval is required.

Ongoing care

If ongoing assistance is needed after PAC, this may be available through other programs such as Home and Community Care (HACC) and Sub-acute Ambulatory Care Services (SACS). The patient should talk with their healthcare team at the hospital before they leave the hospital.

Eligibility

The RMH PAC program is available for people living in the cities of Moreland, Moonee Valley, City of Melbourne and the suburb of Broadmeadows. If the patient does not live within the Melbourne Health PAC area, they are still able to receive PAC services from another health service provider.

Patients are still eligible for PAC if they had services in place before going to hospital or have been in a public hospital or emegency department.

Referrals

We accept referrals from any source for this service, including GPs, family, carers, case managers and self-referral.

The Direct Access Unit also welcomes phone enquiries to discuss potential referrals or an existing referral.

Referrals are triaged depending on priority. Emergency cases can present to the Emergency & Trauma Service at any time.

To refer a patient, complete and fax your referral to Direct Access Unit on (03) 8387 2217.

You can use the following forms or a template from your own system.

Referrals should include:

  • relevant clinical history for the patient
  • list of current medications
  • the reason for referral
  • patient details including address, date of birth and contact phone numbers
  • your provider number
  • the name of the consultant (for Medicare clinics)

Consider making referrals for chronic conditions indefinite.

Once a referral has been received, a Care Coordinator will phone the patient to discuss their needs and organise appropriate services. The Care Coordinator will provide the patient with their phone number. Patients are encouraged to contact the Care Coordinator if they have any concerns.

Downloads

Post Acute Care Brochure
(DOCX,595.74 KB)
Contact us if you need an accessible version of a download.