What is Post Acute Care?
The Western Post Acute Care program (PAC) provides
individually tailored packages of health and community
care services to patients who need support to recuperate
following discharge from a public hospital. The care is
provided in the patient's home or at an appropriate venue.
The PAC service period can range from 1-2 days up to 4
weeks immediately following discharge.
Regional service
The PAC program is a regional program, that is, PAC
services are provided by the PAC program covering the
geographic region in which the patient lives, not by the
hospital which discharges the patient. For example if a
patient of Sunshine Hospital is discharged to Brunswick,
the Melbourne Health PAC is responsible for the provision
of PAC services to that patient. If a patient discharged from
Echuca Hospital returns home to Werribee, Western PAC is
responsible for the provision of PAC services. DHS has
published a postcode list detailing which PAC program is responsible for the provision of care within that postcode.
(NEED TO INSERT DHS POSTCODE LINK HERE)
Referral
In order to access the PAC program, hospital staff, together
with the patient and/or carer, need to prepare a discharge
care plan and then refer to the Access Unit
(NEED TO INSERT LINK TO ACCESS UNIT PAGE) using the community services referral form (NEED TO INSERT LINK TO REFERRAL FORM HERE).
A PAC Co-ordinator will then purchase appropriate services, monitor the patient's progress and, at the end of the PAC period, assist with the transition onto community services, where those services are available.
When referring to PAC, information regarding safety will also
be discussed to ensure the home environment is safe for a
worker to visit.
Eligibility
To qualify for the Western PAC program, patients must:
- live within the 5 municipalities of the west (Brimbank, Hobsons Bay, Maribyrnong, Melton, Wyndham)
- be medically stable and been assessed as safe to
Discharge, and - need short term services to assist with recuperation or transition to continuing care.