The Rapid Interdisciplinary Senior Engagement (RISE) model of care enhances access to allied health, nursing, and geriatrician services to rapidly support older residents in the community. RISE helps older community members return home sooner and or keep them home whilst keeping them safe through rapid access to community-based services including allied health and nursing. In addition, the RISE service provides improved rapid access to services within a non-acute care setting whilst bridging and coordinating the gap between acute care presentation and engagement with other community care providers for ongoing care. It also provides the ability to be a point of contact out of the acute setting for partner organisations who may have a client at risk of presentation to Fraser Coast Acute hospitals.
Rapid Interdisciplinary Senior Engagement (RISE)
Summary
Aim
To improve access to community-based services for non-complex older persons to safely reduce acute service demand.
Benefits
- community based management and optimisation of preventable admission conditions
- reduced utilisation of acute/hospital services including short stay services
- safe earliest discharge for older community
Background
Fraser Coast, within Wide Bay Hospital and Health Service (WBHHS), faces the challenges of an ageing population with increased levels of potentially preventable admissions and demand for acute care services for our older community members.
The initiative was the result of extensive work undertaken by the Fraser Coast Healthy Ageing collaborative. The collaborative was a group of public and private health services, community organisations, general practitioners, consumers, residential aged care facilities and supportive living arrangement providers with a common goal of assisting Fraser Coast older persons to access the right care in the right place at the right time. Further guidance was obtained from opportunities identified by peer review processes and gap identification with key stakeholders within the acute areas and allied health.