Transitional Aged Care Program – Mercy Health AlburyLocations:
The Mercy Health Albury Transitional Aged Care Program, Healthy Ageing @Home, provides short-term care (up to 12 weeks) for older people in their home when they are ready to be discharged from hospital, but still require some extra support to feel safe and confident at home.
In the comfort of your own home, we will focus on your individual goals and what you want or need to achieve to feel confident and independent after your hospital stay.
Healthy Ageing @ Home provides a comprehensive, tailored service to older people experiencing a broad range of illnesses and disabilities, including those admitted for surgical, medical, geriatric, rehabilitation and mental health treatment.
If you need ongoing support, Healthy Ageing @Home can also help you find community service providers.
With access to nursing, physiotherapy, occupational therapy, social work and other specialist allied health clinicians, Healthy Ageing @ Home gives you the time and support you need to recover from an injury or illness and help you return to your normal activities.
We will support you to make the most of your overall health and wellbeing. We create a care plan just for you, tailored to your individual needs and priorities. We also provide case management in case you need help accessing other services.
When you are nearing the end of the 12-week program, we will talk to you about your long-term requirements and help you arrange any additional support you may need to continue living independently at home.
With the ongoing COVID-19 pandemic, we can also provide many of our services via telehealth. Please ask our friendly staff for more information. Alternatively we can visit your home multiple times a day, in the evening and over the weekend, if you require additional support while gaining your confidence at home with daily activities.
Healthy Ageing @ Home is funded by the government and a small patient contribution is requested. You will not be excluded from the program if you cannot contribute. The fee will depend on how often you require the service. Please discuss your individual circumstances with the Transitional Aged Care Program Manager.
Find us at:
550 Poole Street
Albury, NSW, 2640
Albury New South Wales 2640
For more information on getting here, visit Mercy Health Albury .
Mercy Health Albury, Ground Floor, 550 Poole Street, Albury, New South Wales, 2640
The Mercy Health Albury Transitional Aged Care Program, Healthy Ageing @ Home, is a community service available seven days a week, operating hours 7.30am–6pm, or by arrangement.
What to do before
To access the Transitional Aged Care Program, you will first need an assessment from the Aged Care Assessment Team (ACAT) in NSW or Aged Care Assessment Service (ACAS) in Victoria. Speak to a member of your treatment team at the hospital about making a referral or we can arrange this for you before you are discharged from hospital.
During your experience, you may be supported by a number of clinicians including a:
- case manager
- registered nurse
- occupational therapist
- social worker
- speech pathologist
- assistant in nursing
- allied health assistant
Your general practitioner (GP) will continue to attend to your medical needs and prescribe treatment.
All patients over 65 years and Aboriginal and Torres Straight Islander people over 50 years may benefit from the program on discharge from hospital.
If you or a loved one is worried about managing at home home after being in hospital, or would like to continue rehabilitation in the home after an injury or operation, Healthy Ageing @ Home is for you. Speak to a member of your treatment team at the hospital about making a referral.
Who to call if you have concerns afterwards
For health professionals
To be eligible for the Mercy Health Albury Transitional Aged Care Program, Healthy Ageing @ Home, your patient needs to be:
- medically stable and ready for discharge from hospital
- assessed by the Aged Care Assessment Team in NSW or ACAS in Victoria
- able to benefit from a program of short-term, low intensity therapy
- willing to participate in optimising their independence
- interested in the opportunity to assess their option for long-term services and care
The care recipient’s medical needs will be attended to by their GP while they are on the program.
A financial contribution is requested based on the frequency of services offered and a percentage of the Aged Care Pension. If the care recipient is unable to contribute due to financial hardship they are still eligible to participate in the program. Please speak to the Transitional Aged Care Program Manager to discuss the cost of the program.
How to prepare the patient
The Mercy Health Albury Transitional Aged Care Program, Healthy Ageing @ Home, provides short-term care (up to 12 weeks) for older people in the comfort of their own home after a stay at hospital. This expanded program includes more community places and a significant focus on allied health, case management and personalised care.
We provide individualised care plans with a significant focus on nursing and allied health, so that patients have the confidence and ability to continue living at home independently.
Through our comprehensive case management, we will also connect patients with other programs and services they may need during, or after, the 12-week program.
What/when you should refer to us
Referral to Healthy Ageing @Home is via the treatment team at the hospital. Eligible patients are referred to the Aged Care Assessment Team or Aged Care Assessment Service via My Age Care, who will assess their eligibility for the program.
Self-referrals are not available for this service, but if you or your loved one feels they would benefit from the program, please speak to your treatment team at the hospital.
What/when you should not refer to us
Self-referrals are not available for this service.
550 Poole Street
Albury, NSW, 2640
Albury New South Wales 2640
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