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In this section, you can find the following information:

Care Coordination and Discharge

The team acts as a valuable resource to clinical areas regarding discharge options & community service/programs, especially in relation to patients with complex needs. Key work priorities of the team include the initial assessment & triage of all referrals received via the Continuing Care e referral system for patients who may require inpatient rehabilitation, residential care, transitional care or an Aged Care Consultancy Service.

A further role of the CCDT is Post-Acute Care (PAC) coordination. PAC is a DHHS funded program which provides community-based services to assist people to recuperate after leaving hospital with an aim to prevent hospital readmission. PAC provides a range of services; based on patient's individually assessed needs, such as nursing, physiotherapy, in-home respite, homecare & shopping. Services are generally of a short-term nature.

The Care Coordination and Discharge Team welcomes feedback about your experience.

 

Acknowledgement flags

Austin Health acknowledges the Traditional Custodians of the land and pay our respects to Elders past, present and emerging.
We celebrate, value and include people of all backgrounds, genders, sexualities, cultures, bodies and abilities.