Hospital Admission Risk Program (HARP) clinicians work with you and those caring for you, to help you to manage your health conditions.
What we do
We provide care in a range of different settings including residential aged care facilities, clinics, or your own home. We also help you gain access to the care you need in the community.
We offer a number of different services as part of HARP. These include:
- complex medical assessment and care coordination with a multi-disciplinary team in clinics, as well as providing visits to your home
- a respiratory service with nurses in the hospital and in the community, who can help you with strategies to better manage your lung condition
- community-based Pulmonary Rehabilitation Programs for people with a chronic lung disease
- a coaching phone service to help you with your heart health
- specialists who can come to your home including a pharmacist, an occupational therapist, a physiotherapist, a dietician, and a social worker to assist you in managing your medical and social needs
- case managers who work with you and your family to link you with services and supports
- a clinical outreach service - called the Mobile Assessment and Treatment Service (MATS) - for elderly clients in the community or in Residential Aged Care Facilities, that provides rapid access to acute medical and nursing care
Who we care for
We care for people in the community who have complex medical conditions and may also have complex social conditions.
Most of our care is delivered in the community, but we also run complex care clinics across four sites, and pulmonary rehabilitation clinics across two sites (Inner South Community Health and Caulfield Hospital).
We accept referrals for people who reside in the Alfred Health catchment, and for client known to specialty services at The Alfred.
What to expect
HARP may receive a referral from hospital staff or from your GP. You or your family can also refer to us directly. Although a GP referral is not essential, involvement of your GP is encouraged.
Firstly a HARP staff member will phone you to ask some general questions about your overall well-being so that we can plan the right clinicians to deliver your care. Then, we will conduct a thorough assessment with you to understand what it is you would like to achieve for your health and wellbeing. We work together with you and your family to put together a plan of care. This may involve getting other services involved.
Most people only need HARP for a short period of time but you may need HARP again in the future if circumstances change. Before being discharged from HARP we aim to have you well linked into the services you need.
Commonly asked questions
There is no cost to patients for HARP services.
How to access this service
Contact us directly
Caulfield Access is responsible for intake, information and referral processing for a wide range of community and ambulatory services.
Family, carers, case managers and patients can contact the Caulfield Access Unit to access our services.
Once a referral has been received, a Care Coordinator will phone the patient to discuss their needs and organise appropriate services. The Care Coordinator will provide the patient with their phone number. Patients are encouraged to contact the Care Coordinator if they have any concerns.
To make a referral
Call the Caulfield Access Unit on (03) 9076 6776.
What to bring
Every time you come
- Medicare card
- Health Care Card and/or concession card (if you have one)
- Private health insurance card (if applicable/if you want to use it)
- Adverse drug alert card (if you have one)
- Previous x-ray films, scans, ultrasounds or any other test results or reports
- Medicines you need to take while you are here
- List of medicines you are currently taking (or the boxes), including medicines you have bought without a prescription, such as herbal supplements and vitamins
- Glasses, hearing aid, walking frame
For a clinic appointment
- Your appointment letter
- Any special items listed on your letter
- TAC or Workcover claim number (if relevant)
For day rehabilitation
- Comfortable day clothes, such as a tracksuit
- Well-fitting, closed-toe styled shoes with firm grip soles. Do not wear open back, slip-on slippers