We provide community-based services and home-based therapy to help patients recover at home after leaving hospital.
- Time-limited services, up to four weeks
- Focus on supporting patients who have limited support at home
- Ineligible if receiving home care package
What we do
Our Post Acute Care (PAC) service provides support and care for patients and consumers to recover at home after they leave hospital.
Post Acute Care offers a range of services including:
- Community nursing
- Allied health
- Home and personal care assistance
- Ongoing care
We provide 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
Patients requiring acute nursing care including titration of warfarin or insulin, complex wound care (for example, VAC dressings) and IV therapy or antibiotics are not suitable for PAC.
In these instances the RMH@Home service may be suitable or the patient may seek assistance from their health professional.
We provide short-term allied health for people who require additional assistance after a hospital stay.
Services available include:
- 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
We provide practical assistance for 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 (showering and bathing)
- Assistance with shopping and 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.
If ongoing assistance is needed after PAC, this may be available through other programs such as Home and Community Care (HACC) and Subacute Ambulatory Care Services (SACS).
The patient should talk with their healthcare team at the hospital before they leave the hospital.
PAC services are available for up to 28 days after your hospital stay. PAC services are free, however people may be required to contribute to the cost of consumables (such as wound dressings).
Who can use our service
The program is available for people living in the cities of Moreland, Moonee Valley and some suburbs of Hume.
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.
As PAC is a time-limited service, it is expected that the referring hospital will complete referrals for any ongoing services required after the PAC episode of care.
Direct Access Unit
We accept GP and specialist referrals:
- Use the RMH Community Services Referral Form, the RMH GP Referral Form or a template from your own system
- Complete and fax your referral to Direct Access Unit on (03) 8387 2217
DAU welcomes phone enquiries. Contact us on (03) 8387 2333 to discuss potential or existing referrals.
Referrals should include:
- Relevant clinical history
- Reason for referral
- Patient details including address, date of birth and contact phone numbers
- Your details and provider number
- Name of the consultant (for Medicare clinics)
- Investigation reports related to the referral
Referrals are triaged based on priority. In an emergency, patients can go to the Emergency & Trauma Service at any time.
For advice, urgent referrals and out of hours support, call The RMH Switchboard on (03) 9342 7000 to page our registrar on call.
Referrals should include completion of home visit risk screen.
Nursing referrals require:
- Wound care - wound care chart
- Insulin - insulin reportable levels chart
- Medication administration - medication chart
- Collar care - spinal or cervical collar form
Physiotherapy referrals require physio discharge or transfer summary
Personal care referrals require a personal care summary
HealthPathways Melbourne provides guidance on best practice assessment and management of common medical conditions, including when and where to refer patients.
Parkville Connect is a secure web-based portal providing GPs, specialists and other health professionals with information in the Parkville electronic medical record (EMR).
Interpreters & cultural support
We provide qualified, professional interpreters to help you communicate with us at any time during your stay and at your clinic appointments.
- Μάθετε περισότερα γιά διερμηνείς & υποστήριξη κουλτούρας
- Scopri di più sugli interpreti e sul supporto culturale
- Tercümanlar ve kültürel destek hakkında daha fazla bilgi edinmek için
- Tìm hiểu thêm về thông dịch viên và hỗ trợ văn hóa
- لمزيدٍ من المعلومات عن خدمة الترجمة الشفهية والخدمات الثقافية