Partnerships for Children - HARP

Programs

  • Partnerships for Children -HARP currently offers four (4) services:

    ACE Program (ACE)

    This program is available to any child or young person who because of their complex care needs (medical and/or psychosocial) either frequently present to RCH or are likely to frequently present. ACE is available statewide as long as the majority of care occurs at RCH.

    ACE provides care coordination and 24 hour phone support for children, young people and their families and aims to assist them in managing their child at home or assisting with presentation/admission to RCH if required.

    ACE's highly skilled Care Coordinators work with other specialist treating teams to support and provide education to families about the care needs for their child/young person. Care Coordinators are based in the hospital during business hours (0700-1800 Monday to Friday) and are on-call after hours and on weekends. Each Care Coordinator always has access to information pertaining to each child's; history, primary medical practitioners, contact details and an up-to-date emergency care plan.

    ACE Brochure

    Program aim

    The aim of the Program is to reduce avoidable use of acute services (hospitals and emergency departments) by providing an experienced nursing support to a group of children living with multiple complex medical needs who are expected to access the hospital on a frequent basis. These nurses are highly experienced and provide care coordination for the child and their family and are available 24 hours per day, seven days per week.  The team develops care plans in conjunction with the multiple treating teams and the families, and follow this plan when a family contact the service.  The team member on duty will discuss the issue/s with the family and based on their knowledge of the child's condition and the details in the care plan, will i) provide advice and action plan for the carer; ii) contact the relevant consultant and seek advice or iii) advise the family to make their way to the ED for further investigation / treatment.

    Another key aspect to the program is to assist with a child/young person's presentation (and if necessary admission to RCH) by notifying the Emergency Department of the child/young persons pending arrival and reason for presentation. This means that the Emergency Department have an opportunity to prepare for the child/young persons arrival including accessing the child/young persons Emergency Care Plan which contains advice regarding that child/young persons medical management.

    Eligibility

    ACE admission criteria:

    • A child or young person with complex chronic care needs (medical and/or psychosocial) who is managed by multiple units within RCH.
    • A history of multiple presentations to the RCH emergency department (4 or more in the last 12 months).
    • A child or young person who has experienced a recent, significant change in circumstances which means that they are likely to frequently present to the RCH Emergency Department.

    Each child/young person is assessed on an individual basis and referrers are notified of the outcome of the referral process in writing. If a child is deemed eligible their parents/carers are contacted and detailed information about ACE program is provided. 

    Referral process

    Referrals can be made by consultants, medical staff, nursing staff, allied health professionals, community carers, community doctors, or parents/carers.

    For internal referrals within RCH including Emergency Department, please place an order within EPIC from the Medications & Orders section of the Visit navigator. The referral should be made to Outpatient ACE Program.

    Referral enquiries can be made via the Intake Liaison on 03 9345 5674.

    Contact us

    ACE Office
    Telephone 9345 6159
    Office Hours: 7:00am to 6:00pm Monday to Friday
    On call 24 hour service for clients: 0409 882 197
    Facsimile 9345 4937
    Email ace.program@rch.org.au

    Program staff

    • Melanie Zan- Nurse Care Coordinator
    • Lisa Carmody - Nurse Care Coordinator

    Links

    Community Asthma Program (CAP)

    Program aim

    CAP aims to reduce avoidable use of acute services while improving the morbidity indicators of children and parents with asthma by providing enhanced primary care through community-based services. The program focuses on provision of co-ordinated, responsive, preventative services, based in the community, with a focus upon asthma self-management and improved cohesion of services for children and young people presenting with asthma symptoms.

    Community Asthma Program brochure (PDF 2.3 MB)

    Eligibility

    Children and young people (0-18 years) presenting to the Royal Children's Hospital with a diagnosis of asthma. CAP provides support to children and young people living in the western, northern, eastern and inner southern suburbs of Melbourne, where CAP are unable to provide direct support these children and young people will be referred onto local asthma support services.

    Referrals must meet HARP eligibility. This means that children have had at least one presentation to hospital with asthma, or are at risk of hospital presentation due to the complexity of their chronic illness and other social or medical reasons.

    Ineligible children may be referred to other health professionals or agencies, with the appropriate consent from the family.

    CAP respects the needs of different languages and is able to link with interpreting services, if needed at no cost to the child or their family.

    Service

    CAP support commences with an appointment to attend a Group Asthma Education Clinic at The Royal Children's Hospital. AT this appointment you will receive asthma education. You will have an opportunity to speak with an Asthma Educator to asnwer your questions, and also to speak with other families who are experiencing similar issues. Following the clinic appointment you will be contacted by an Asthma Educator who will provide any additional support that you may need.

    For families that are unable to attend a Group Asthma Education Clinic alternative arrangements can be made by contacting the CAP Intake Staff (RCH Liaison Nurse) as detailed below.

    Referral process

    The following referral sources are accepted: medical and nursing staff, self-referrals, GP and maternal and child health. Referral enquiries can be made via the Intake Liaison on 9345 5295.

    For internal referrals within RCH including Emergency Department, please place an order within EPIC from the Medications & Orders section of the Visit navigator. The referral should be made to Outpatient Community Asthma Program.

    Contact us

    Katie Rogers / Lisa Carmody

    RCH Liaison Nurse

    Community Asthma Program

    Tel: 03 9345 5295 or 03 9345 5522 pager# 5295

    email: asthma.liaison@rch.org.au

    Program staff

    Staff name Role Location Contact
    number
    Email
    Jeanette Jarvis CAP Program Manager Dianella Community Health 0407 523 449 jeanette.jarvis@dianella.org.au
    Karyn Hassett Administration Assistant Dianella Community Health 8345 5545      karyn.hassett@dianella.org.au
    Katie Rogers Asthma Educator cohealth Inner North 0402 352 126 katie.rogers@cohealth.org.au
    Adele Berry Asthma Educator Dianella Community Health 0409 439 229 adele.berry@dianella.org.au
    Naomi Oborne Asthma Educator cohealth North 0425 854 441 naomi.oborne@cohealth.org.au
    Rebecca Casey Asthma Educator cohealth North 0425 877 882 rebecca.casey@cohealth.org.au
    Kate De La Mere Asthma Educator cohealth North 0425 854 441 katedelamere@cohealth.org.au
    Roslyn Scholz Asthma Educator cohealth Inner North 0488 208 329 roslyn.scholz@cohealth.org.au
    Emma TarquinioAsthma Educatorcohealth Inner North 0419 152 899emma.tarquinio@cohealth.org.au 
    Christine Shaw Asthma Educator cohealth Inner North 0411 121 830 christine.shaw@cohealth.org.au
    Janice BestAsthma EducatorDianella Community Health0407 528 077janice.best@dianella.org.au
    Alicia LandsAsthma EducatorDianella Community Health0439 019 543alicia.lands@dianella.org.au


    Links

    RCH Emergency Department Website

    CAP at Dianella Community Health Service

    Asthma Foundation of Victoria: www.asthma.org.au

    Diabetes Allied Health Service (DAHT)

    The Diabetes Allied Health Team is a joint program supported by Partnerships for Children -HARP and the Department of Endocrinology. The team provide education and support to any RCH patient with diabetes (type 1 or 2).   This support includes but is not limited to:

    • Newly diagnosed diabetes
    • Insulin Pump Management
    • Sick Day Management
    • Dietary Education
    • Psychosocial Support
    • Continuous Glucose Monitoring

    Partnerships for Children - HARP support focuses on children and young people who because of their diabetes are assessed as being at risk of admission either due to medical instability or psychosocial issues. There are 2 types of support offered:

    • Ambulatory Stabilisation - intense ambulatory education for newly diagnosed patients instead of traditional inpatient care.
    • Allied Health Clinic - extended 1 hour appointments with Dietician, Social Work and Diabetes Nurse Educators.

    Program Aim

    The aim of the Diabetes Allied Health Team is to support young people and their families living with Diabetes through education and support, to improve outcomes and the quality of life for all involved.

    Eligibility

    Any young person diagnosed with Diabetes (type 1 or 2) can be referred to the Diabetes Allied Health Team. Newly diagnosed, and those with existing conditions requiring additional support, education and advice can contact the team as required.

    A member of the team will assess the young person once a referral is received to determine appropriateness for service, and then work collaboratively with the other disciplines within the team to ensure relevant health and social needs are addressed.

    Service

    The Allied Health Service is a multi-disciplinary team consisting of Diabetes Nurse Educators; Social Work; Dietitians; Medical Specialists and Administration Staff. 

    Young people identified as being 'at risk' of presenting to the ED will be referred to the service, which will enable higher level of intervention to take place, with the aim of preventing an avoidable presentation and/or admission to the Emergency Department.

    The service works in an 'ambulatory' manner, which means that young people and their families are not admitted as inpatients, but rather access health professionals in the hospital for daily programs or appointments as instructed.

    Referral Process

    Referral enquiries can be made via the Intake Liaison on 03 9345 5674. Referrals can be made by hospital or community based individuals including but not limited to; GPs, paediatricians, patients, families and RCH staff.

    For internal referrals within RCH including Emergency Department, please place an order within EPIC from the Medications & Orders section of the Visit navigator. The referral should be made to Outpatient HARP Diabetes Program.

    Contact us

    Diabetes Department
    Telephone 03 9345 6661
    Facsimile 03 9345 4380

    After hours please contact RCH Switch on 03 9345 5522 and ask for the Diabetes After Hours Service.

    RCH Diabetes Website

    Program staff

    • Andrew Boucher - DAHT Manager and Diabetes Nurse Educator
    • Rebecca Gebert - Diabetes Nurse Educator
    • Amy Grant - Diabetes Nurse Educator
    • Lauren Foulds  - Diabetes Nurse Educator
    • Kathryn Hamilton  - Diabetes Nurse Educator
    • Elle Goss  - Diabetes Nurse Educator
    • Melinda Carvalho  - Diabetes Nurse Educator
    • Linda Hammond  - Diabetes Nurse Educator
    • Clare Slater  - Dietician
    • Vicki Young  - Social Worker
    • Anita Antunovic-Spehar  - Administration
    • Veronica Villena   - Administration

    Community Eczema Program (CEP)

    This Program provides community based nurse-led eczema clinics at Inner East Community Health (Hawthorn), cohealth North (Kensington) and Dianella (Broadmeadows) Community Health Services.

    These clinics provide comprehensive assessment, education and care coordination for children and young people with complex eczema and their family's. Medical support is provided by the GP staff located at the Community Health Centres with additional support from the Dermatology Department at the RCH. Patients and families are linked into additional community health service supports as necessary which could include dietitian, social worker, psychologist etc. Where necessary additional education and support will be provided to agencies with which the patient is involved such as kindergartens, child care centres and schools.

    Program aim

    The aims of this program is to:

    • Improve the ability of families to manage their child/young person's eczema by providing appropriate knowledge and skills.
    • Improve the quality of life of children, young people with eczema and their families by providing the knowledge and skills to effectively mange their eczema.
    • Reduce the length of time children and young people are waiting for existing Eczema support.
    • Stream line the appointment process for eligible patients presenting to the RCH Emergency Department.
    • Reduce the number of eczema related presentations and admissions to RCH.

    Eligibility

    Eligibility is based on complexity as assessed by the following criteria

    • Child/young person presenting to RCH with moderate to sever eczema, or
    • Child/young person with one or more presentations, to the RCH emergency department due to their eczema over a 12 month, or
    • Child/young person requiring one or more admission to RCH due to their eczema in a 12 month period, or
    • Child/young person from a CALD (Culturally and Linguistically Diverse) background who is unable to access existing eczema education and support programs, or
    • Child/young person/family with psychosocial issues impacting on their ability to manage their home treatment plan and impeding self management, or
    • Any other child/young person assessed by the RCH Dermatology or General Paediatric teams as being at imminent risk of admission to the RCH in relation to their eczema.

    Each child/young person is assessed on an individual basis and when deemed eligible their parents/carers are contacted and details about the program and an appointment time/day are provided.

    Where necessary, interpreters are involved to assist families from non-English speaking backgrounds.

    If the patient is deemed not eligible for involvement in the project then the patient will be referred to the RCH Dermatology Department.

    If the patient is enrolled in the project and requires further assistance from the RCH Dermatology Department a referral and prompt appointment will be made.

    Eczema resources

    Knowing your Child's Eczema Booklet       Knowing your Child's Eczema Booklet (Mandarin)        Knowing your Child's Eczema Booklet (Vietnamese) 

    Nappy Rash Information Sheet                Nappy Rash Information Sheet (Mandarin)                Nappy Rash Information Sheet (Vietnamese)

    Eczema Bath Information Sheet               Eczema Bath Information Sheet (Mandarin)              Eczema Bath Information Sheet (Vietnamese)

    Links

    Clinic times

    • New Patient Clinic (AM) 1000 -1230
    • Review Patient Clinic (PM) 1330 -1530

    Community centres

    • Every Monday at Inner East Community Health

             678 Burwood Road, Hawthorn 3122 ph: 9818 6703.

    • A map for the location of the Community Centre can be found through the link below:

      https://iehealth.org.au/location/hawthorn/

      Public Transport

      Train: Alamein, Lilydale or Belgrave Train lines - Glenferrie station


    • Every Thursday  at Dianella Community Health (GP Super Clinic),

             42 - 48 Coleraine Street, Broadmeadows, 8345 5777.

    A map for the location of the Medical Practice can be found through the link below:

    http://www.dianella.org.au/contact-us/where-we-are-1/

    Public Transport

    Train: Craigieburn Train line - Broadmeadows Station

    Buses:

    560, 538 (Camp Rad)

    541,542,540 (Coolaroo, Meadow Heights area)

    477,484 (Westmeadows, Gladstone Park area)

    • Every Thursday  at cohealth North (previously called Doutta Galla Community Health Service),

          12 Gower Street, Kensington 3031, 8378 1600.

      A map for the location of the Medical Practice can be found through the link below:

      http://www.doutta.org.au/Page/Page.aspx?Page_Id=1935

      Public Transport

     Train: Craigieburn line - Kensington Station

     Bus: 402 Footscray to East Melbourne - Stops at Gower Street / Macaulay Road

    Referral Process

    Referrals can be made by hospital or community based individuals including but not limited to; GPs, paediatricians and emergency department staff.

    As this is a HARP program there are eligibility criteria which are outlined above.

    Referral enquiries can be made via the Intake Liaison on 03 9345 5674. Referrals are made by completing the referral from linked below and faxing it to 03 9345 4380.

    Referrals will be accepted in VSRF format but must address eligibility criteria listed above.

    Eczema Program Referral form (PDF 114 KB)

    For internal referrals within RCH including Emergency Department, please place an order within EPIC from the Medications & Orders section of the Visit navigator. The referral should be made to Outpatient Community Eczema Program.


    The referral requests a SCORAD Evaluation. For information on how to calculate SCORAD please follow the link below:

    Contact us

     

    Community Eczema Nurses

    Monday, Wednesday, Thursday and Friday

    9345 5972

    eczema.nurse@rch.org.au

     

    Booking Enquiries

    Monday - Wednesday 

    Data Administration Officer

    Partnerships for Children - HARP

    Royal Children's Hospital

    9345 5972


    Information about the Program

    Monday - Thursday

    Katie Williams

    Manager, Partnerships for Children - HARP

    Royal Children's Hospital

    9345 6146

     

    Program Staff

    Danielle Paea                - Community Eczema Nurse - cohealth Inner North, Inner East Community Health

    Tim Gartland                     - Community Eczema Nurse cohealth North 

    Emma King                   - Paediatric Eczema Nurse Practitioner - Royal Children's Hospital

     

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