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Community Hospital Interface Program

Service Description

The Community Hospital Interface Program (CHIP) team is a discharge assessment and coordination team supporting patients who have been admitted to hospital and who require ongoing support on discharge. Ongoing care for short term or long term services is facilitated. The Community Hospital Interface Program provides the single point of contact between the hospital, residential facilities or community service providers for patients of the Sunshine Coast Hospital Health Service.

Services Provided

Community Hospital Interface Nurses (CHIP Nurses): Assessment, planning and support on discharge – referring for nursing and non nursing services; review current home care packages, resource for information and a liaison person for service providers

Aged Care Residential Nurses (ACRU Nurses): Liaison between hospital and residential care facilities (nursing homes & hostels) to facilitate timely and appropriate discharges; ensuring clinical handover for discharge and follow up needs are provided to the facilities

Community Hospital Interface Occupational Therapist (CHIP OT): Rapid response in-home safety assessments for access and equipment. Pre-admission plus pre and post discharge home visits only.

Eligibility

  • No specific condition
  • Frail aged or younger with disability
  • Patients requiring nursing services (any age)
  • Aged Care Facility residents - existing residents and new placements
  • Patients already receiving community services
  • All patients with identified potential risks and complex needs on discharge especially falls risk  (i.e. home oxygen, palliative care, Hospital in the Home candidates, chronic diseases, home safety)
  • Hospital in the Home eligible patients

Referral

  • Inpatient: Patient or Hospital multidisciplinary team (doctors, nurses and/or allied health)

Area Serviced

Sunshine Coast University Hospital, Nambour, Caloundra and Maleny Hospitals

Age Range

Across the life span

Cost

  • Nil
  • Costs associated with Commonwealth Home Support Program (over 65 funding); Queensland Community Care Services (under 65 funding); L1-4 packages (Information on packages is available at My Aged Care)

How to Submit a Referral

Internal verbal referrals are made to the Community Hospital Interface Program nurses or occupational therapist by the multidisciplinary team in the wards/units or by patient/family request

Last updated: 9 May 2017

Contact details


Sunshine Coast University Hospital
6 Doherty Street
Birtinya, QLD 4575
Phone: (07) 5202 1852

Nambour General Hospital
Hospital Road
Nambour 4560
Phone: (07) 5470 5638

Caloundra Hospital
West Terrace
Caloundra 4551
Phone: (07) 5436 8709

Maleny Soldiers Memorial Hospital
17 Bean Street
Maleny 4552
Phone: (07) 5436 8701 (based at Caloundra)

Gympie Hospital
Henry Street
Gympie 4570
Phone: (07) 5489 8668


Hours of service


Nambour
0800 1600, 7 days
(includes public holidays with exception of Christmas Day, Boxing Day & Easter )

Caloundra/Maleny
0800 1600, Mon-Fri
(excluding public holidays)

Gympie:
0800 - 1600
Monday to Friday (excluding public holidays)


GP resources



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