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RAPHS - Extended Care Support Team
Community Health Service
Today
Description
The RAPHS Extended Care Support Team was established to provide support, advice and guidance to RAPHS practices and community organisations.
The team combines the resources of nursing, pharmacy, hospital and community-based health and social services through an integrated multidisciplinary team.
The service aims to:
- Reduce unnecessary ED/hospital admission/readmission for at risk patients.
- Support transitional care for complex patients discharged from the hospital setting to home.
- Support complex patients to better self-manage their personal health in their own environments.
Ages
Adult / Pakeke
How do I access this service?
Referral
For practitioners:
If you have patients who you consider would benefit from the RAPHS team input, please refer using the ‘Extended Care Support Team’ referral form available on BPAC or send a quick email to provider services with the patient's details.
Email:
If you have any questions please phone RAPHS on: 07 349 3563
Fees and Charges Categorisation
Free
Hours
| Mon – Fri | 9:00 AM – 4:00 PM |
|---|
Languages Spoken
English
Services Provided
In collaboration with the GP practice, the team will assist with clinical assessment and care coordination of complex patients in their home, outreach visits or at RAPHS. This may include: Written care plans Facilitation of patient's care, compliance/adherence Pharmacist clinics within your GP practice Medication reviews and/or education Optimisation of patient’s medicines Medicines reconciliation/support post hospital discharge Clinical audits to identify patients in whom pharmacotherapy can be improved for example patients on ‘triple whammy’
In collaboration with the GP practice, the team will assist with clinical assessment and care coordination of complex patients in their home, outreach visits or at RAPHS. This may include: Written care plans Facilitation of patient's care, compliance/adherence Pharmacist clinics within your GP practice Medication reviews and/or education Optimisation of patient’s medicines Medicines reconciliation/support post hospital discharge Clinical audits to identify patients in whom pharmacotherapy can be improved for example patients on ‘triple whammy’
Service types: Home support, Home visits, Needs assessment, Community nursing, Self management support, Medication administration.
In collaboration with the GP practice, the team will assist with clinical assessment and care coordination of complex patients in their home, outreach visits or at RAPHS. This may include:
- Written care plans
- Facilitation of patient's care, compliance/adherence
- Pharmacist clinics within your GP practice
- Medication reviews and/or education
- Optimisation of patient’s medicines
- Medicines reconciliation/support post hospital discharge
- Clinical audits to identify patients in whom pharmacotherapy can be improved for example patients on ‘triple whammy’
In collaboration with the GP practice, the team will assist in improving patient access to community service providers, e.g. community dietitians, heart failure nurses, WINZ, etc.
In collaboration with the GP practice, the team will assist in improving patient access to community service providers, e.g. community dietitians, heart failure nurses, WINZ, etc.
Service types: Information & support, Home support, Immunisation, Pregnancy vaccinations, Childhood immunisation programme, Adult flu vaccine, Workplace flu vaccinations, Advocacy, Family / whānau support, Cervical screening, Health screening.
In collaboration with the GP practice, the team will assist in improving patient access to community service providers, e.g. community dietitians, heart failure nurses, WINZ, etc.
Case management, CVD self-management education, Diabetes self management, Respiratory, Stop smoking, Self management support
Case management, CVD self-management education, Diabetes self management, Respiratory, Stop smoking, Self management support
- Case management
- CVD self-management education
- Diabetes self management
- Respiratory
- Stop smoking
- Self management support
Additional Details
Face to face / Kanohi ki te Kanohi
Region
Lakes
Website
Contact Details
-
Phone
(07) 349 3563
Healthlink EDI
Helthnet
Email
Website
Level 1
1165 Tutanekai Street
Rotorua 3010
Street Address
Level 1
1165 Tutanekai Street
Rotorua 3010
Postal Address
PO Box 1626
Rotorua
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This page was last updated at 11:22AM on July 22, 2024. This information is reviewed and edited by RAPHS - Extended Care Support Team.