Hospital Admission Risk Program (HARP)

The Program is staffed by multi-disciplinary teams who provide relevant and supportive care to adults with Chronic Health Conditions. Difficult to engage clients can access services through the outreach arm of the program. These programs provide self-management education, support and care coordination for people diagnosed with one or more of the following chronic conditions:

• Complex diabetes
• Cardiovascular diseases
• Respiratory diseases including asthma and chronic obstructive pulmonary disease (COPD)
• Musculoskeletal conditions (non-malignant) including arthritis, fibromyalgia, osteoporosis, trauma

The Programs have developed specific interventions and strategies including:

• Assertive outreach to engage with people living in insecure housing, e.g. Supported residential services (pension-level)
• Access to: Diabetes Healthy Option groups, Podiatry and Diabetes nurse education and Dietitians
• Exercise physiology, massage therapy, Stress management and Respiratory Education sessions are available
• Specific self management focused care with a key worker

Referrals can be made by GPs and any community programs who may identify the client at being at risk of presenting to the Emergency Department.

The care coordinator role in HARP provides opportunity to explore the comprehensive support needs of clients and carers, and develops an interagency care plan to address these needs through sustainable primary care services.

Triggers for referral

Contact Details