Being For Others - Calvary Health Care Bethlehem

Community Palliative Care ServiceThe Community Palliative team has been reorganised and a CommunityPalliative Manager has been appointed to coordinate this service. Intake nurseshave also been appointed to coordinate and facilitate referrals and admissions tothe service.The Palliative Care Day Centre continues to operate two days per week and hasmoved to a new staffing structure, sharing the Leisure and Lifestyle Coordinatorrole to coordinate programs delivered to patients in the day centre setting.Care PlanningA care planning tool has been trialled and introduced to the inpatient teammeeting which then allows staff, patients and family/carers outside of themeeting to know and understand the current issues, interventions and plans.This tool will be implemented across both inpatient and outpatient settingsand aims to involve the patient and their carer/s in goal setting and agreedmanagement plans.Electronic referralsAs part of an update to the inpatient management software system (iPM),to enable collection of data for reports to the DoH, CHCB has moved to apaperless system of referral to internal staff and services within CHCB. Thiswill be further augmented with a planned move to an electronic medicalrecord in the next 12 months.Government sponsored projectsPatients, and their families,receive high quality,compassionate care.CHCB has been part of several Government funded projects over the lastyear: The Palliative Care Pathway in MND, Collaborative Care in MND andthe Continuous Care Pilot Project. These projects address the importanceof service collaboration in order to focus on the client’s priorities, planrealistic care options and anticipate future needs. Reports from the projectsadvocate health and disability service reform to allow services to be unitedand streamlined. Through this ‘continuous care’ model, ambulatory servicescan help a person or health professional struggling with such neurologicalconditions, anywhere in the community, and provide the right advice at theright time to better manage the situation.Through the strength of these service partnerships we will continue todevelop our outreach activities, particularly in the areas of Telehealth andsatellite services, education, training and research.Calvary Health Care Bethlehem 2009 – 10 Annual Report Service Development23