Cairns and Hinterland HHS TCP have six beds at Gordonvale Hospital (PDF 244 kB) to assist clients who need home transformations, are waiting for help from nurses or needing only additional help before returning to self-contained accommodation or going to a care facility. The Transition Care Program (PDF 97 kB) services are designed to meet a client`s daily needs and provide additional low-intensity rehabilitation care to enable a client to maintain and improve physical, cognitive and psychosocial function, thereby improving a person`s ability to return to independent life. The Sunshine Coast Hospital and Health Service is the accredited provider for the Transition Care Program and employs a multidisciplinary team of case managers who coordinate the client care program. Therapy and support services are provided by service providers placed under an agreement with Queensland Health TCP Care Coordinators, in collaboration with clients and health care providers, in order to identify client-oriented goals, develop a personalized care plan and a personalized package of services that can include: If the person wishes to continue the program, the TCP client information and agreement document is signed, individual goals and a care plan are developed. The Department of Health and Human Services has developed a consumer information brochure that provides important information about TCP and explains what people can expect when they receive care. It explains the rights and obligations of individuals, as well as the obligations of the transitional care service. This brochure is also a formal agreement between the consumer and his transitional care provider, in accordance with the Aged Care Act 1997. The English version of the brochure is available for download on this page and is also available in a number of community languages. The client contribution, which is calculated at 17.5% of a single pension, includes services, equipment rent, continence aids and injury care associations To enter transitional care, clients must be referred by hospital staff to TCP and be considered eligible by a Car Assessment Team (ACAT) and a TCP officer while they are hospitalized.
Clients can only access transitional care immediately after discharge from hospital. Transitional care is offered for up to 12 weeks, with a possible extension if both parties agree. This is a time-limited program with clients who are typically on the program for 6 to 8 weeks (with a 12-week cap), depending on the requirements. TCP provides all clients with a case manager to coordinate the client`s care package. Other client support services include physiotherapy, occupational therapy, language pathology, dietetics, nursing, therapy assistant, social work and care staff. These services may include shower assistance, household help, food purchase and podatrie, transportation only when the family is not available, loans of equipment prescribed during the program and the supply of wounds according to the needs identified in the assessment. In addition, the cost of medical services, such as pathology, radiology and pharmacies (prescription) drugs are not included in the TCP and you will be required to pay separately.