Delivering out of hospital care closer to home
Community Options Australia coordinates several programs to deliver healthcare services closer to home. We offer post-discharge, community-based services through our network of local providers to where help is needed at the essential and often stressful transition from hospital services to home care.
The Out of Hospital Care (OHC) Program is an NSW Ministry of Health funded initiative. The program is for people of all ages who are either patients of a NSW Health public hospital or people who have been referred for OHC services by a NSW Health Community Health Team.
OHC is a six-week program that includes the ComPacks, Safe and Supported at Home (SASH) and End of Life (EoL) programs intended to prevent avoidable admissions to hospital and support people discharged from hospital.
It gives people tailored non-clinical case management and home care services across short and medium-term packages.
Who is eligible?
People of any age who are either in-patients of an NSW Health public hospital or have been referred by a NSW Health Community Health Team for OHC services are eligible. People who are eligible for the program may have acute or chronic health conditions or disabilities that make managing their daily activities difficult or place them at risk of avoidable hospitalisation.
OHC is for low to medium levels of care services in the home. It covers personal care, domestic assistance, transport, social support, meals and respite. It is not intended for people who need long-term intensive home care.
Our current programs include
ComPacks are for up to 6 weeks after being discharged from the hospital. They are available to people of all ages who are in-patients of participating NSW public hospitals and need immediate or short-term non-clinical case management and coordinated home care services to return home safely. They do not provide ongoing or intensive levels of care in the home.
When you are referred to ComPacks, you will be given a Case Manager who will become your key contact during the package. They will create a Care Plan which may include referrals to services, including the Home Care Packages (HCP) program and the Commonwealth Home Support Program (CHSP).
Your Case Manager will arrange carefully selected services to help you at home with the things you need to do in your daily life. In the area of personal care, the services arranged for you would include bathing, oral care, dressing, hygiene, grooming and monitoring medication. Under domestic assistance, services such as cleaning, vacuuming, mopping, laundry and shopping are covered.
There is also provision for help with meals, transport, social support and in-home respite to support carers. In terms of meals, they can be delivered to your home or help with preparation can be given.
Outside the home assistance is available in transport to and from medical and other appointments. Support is also available for accompanying people who are attending appointments, doing shopping, or needing to do other tasks away from home.
When your ComPacks program finishes, your Case Manager will put you in contact with services that can continue to assist you. They may refer you to a disability advocacy service if you are aged under 65 years or to My Aged Care if you are aged 65 years and over.
Safe and Supported at Home Packages (SASH)
Safe and Supported at Home Packages (SASH) are for people aged 18 – 64 years.
To be eligible, you need to have a functional impairment that impacts your ability to manage activities of daily living.
SASH packages are also available to people who have applied and been rejected for the National Disability Insurance Scheme (NDIS), or need support while they are in the process of applying for the NDIS or happen to be appealing an access decision and have no or limited informal support.
At the end of a SASH package, your Care Manager may transition you to an ongoing care service through NDIS or My Aged Care. Your Care Manager will be a good source of information for any services you may want to use in the future.
End of Life (EoL) Packages
End of Life (EoL) packages are available to people with life-limiting conditions or who are experiencing palliative care that is unstable or deteriorating.
The EoL packages are available for people who may have a condition that limits their ability to manage their daily living tasks, or people who want to die at home, or those who wish to remain at home and require support for family members or a carer.
How do I get Out of Hospital Care (OHC) services?
Referrals to the program can only be made by the Local Health District (LHD). Your hospital clinician will discuss the program with you and your family and carer.
Once you are referred, a care plan is created to cover the services you need to support you in your daily activities. These may include personal care, domestic duties, gardening, meal preparation and assistance accessing transport to or from appointments.
Our care team will support you in living independently at home and getting the services you need.
Where is OHC available?
Community Options Australia is funded to provide support through the following Local Health Districts (LHD):
- Hunter New England LHD
- Nepean Blue Mountains LHD
- South-Western Sydney LHD
- Southern NSW LHD
- Far West LHD
- Mid-North Coast LHD
How much does OHC cost?
Being on the ComPacks or SASH programs costs $10 a week for every week you are on the program.
There is no charge for being on the End of Life (EoL) program.
Where do I get referrals for COA programs?
Referrals can only be made by the Local Health District (LHD).