Hospital Admission Risk Program Chronic Disease Management (HARP CDM)Hospital Admission Risk Program Chronic Disease Management (HARP CDM)
A government funded program.
The main objective is to:
"Create an integrated, effective and sustainable chronic disease and complex needs program, which provides the right care, in the right place, at the right time, to reduce avoidable hospital admissions and contribute to better health outcomes for Victorians" (DHS HARP CDM Guidelines 2005).
Latest News: Prevention is Better Than Cure (click to download information sheet)
At NHW the HARP CDM model of care aims to:
- Recognise preventable admissions and assist individuals in managing their chronic and complex illness within a community environment.
- Raise the quality of life for people living with chronic and complex illness within Northeast Victoria.
- Improve the effective use of the health care system by people with chronic and complex illness within NHW's catchment area.
- Enable individuals, families and health care professionals to work together in the management of chronic and complex illness within Northeast Victoria.
At NHW the HARP CDM accepts referral for patients with chronic and complex illness, particularly associated with the heart and lung disorders.
Referrals are accepted from:
- GP's / Physicians
- Emergency Department
- Hospital
- Community Services such as District Nursing, Council, Community Health Services, Aged Care Facilities etc.
HARP CDM promotes a mode of care that focuses on the individual's health needs, providing care coordination that is collaborative, multidisciplinary and client focused.
HARP CDM provides the following Care Coordination for clients referred to the service:
- Discharge follow up
- Assessment and monitoring of health issue
- Determine issues and needs in regard to hospital presentations
- Home visits and safety assessments
- Education regarding disease status, investigations, interventions and management
- Medication monitoring
- Self Management education
- Referral to Post Acute Care for funding of interim services required to assist in recovery and developing independence, such as cardiac / pulmonary rehabilitation, Falls and Balance Group, home physiotherapy programs and so on.
- Referrals to community services for assessment and assistance of long term needs.
- Liaison with Case Managers in provision and maintenance of services.
- Liaison with GP's / Physicians / Health Services in meeting the specific health needs, monitoring and management of individuals.
If you have any questions regarding the HARP CDM service and how it may benefit you please do not hesitate to contact:
Program Manager - (03) 5722 0078
Care Coordinators- (03) 5722 0268
The HARP CDM 2005/2006 end of year report is available below:
 HARP CDM Report 2005/2006 | type: pdf | size: 196 kB |