Hospital Admission Risk Program (HARP)

HARP is a program for people who have complex care needs and frequently present or are at risk of presenting to hospital. This may be because of chronic disease or complex medical and social issues.

What we do

The Hospital Admission Risk Program aims to provide one-on-one education, goal setting and self-management plans to assist people to remain at home and to have an improved quality of life, to help refer you to other services for ongoing support if required and to discharge you from our program once your goals have been reached and you are self-managing.

Our team provides: 

  • Home visits and telephone contact
  • Education and information about health conditions
  • Support about monitoring of symptoms
  • Support to maximise independence
  • Support to communicate with other health service providers
  • Supportive and psychological counselling for wellbeing
  • Referrals to other services.

Who we care for

We provide information and support to people and their families with, Chronic Obstructive Pulmonary Disease (Emphysema, Chronic Bronchitis), Asthma, Chronic heart failure, Chronic kidney disease, Diabetes and other complex issues affecting wellbeing.

How to access this service

The Hospital Admission Risk program can be accessed free of charge.
Referrals to this service are accepted from health service providers, individuals and their families.

Anne Caudle Campus

Location

100 Barnard Street, Bendigo, VIC, 3550

Phone

(03) 5454 6971

How to refer your patient

Clients must be residing in the City of Greater Bendigo and surrounding areas within approximately a one hour drive of Bendigo Health and are not eligible to access another HARP service.

HARP does not replace existing eligibility to mental health or drug and alcohol services.

Clients must:

Have had more than one unplanned and potentially avoidable hospital admission or emergency department presentation in the last 12 months, or be at imminent risk of hospital admission due to self-management, and have more than one of the following:

  • Cardiovascular disease
  • Chronic respiratory disease e.g. COPD, chronic asthma, bronchiectasis, pulmonary fibrosis
  • Complex diabetes including diabetes-related foot problems
  • Heart failure
  • Chronic renal failure
  • Other complex health problems for which care coordination may be indicated
  • Complex psycho-social and support needs which impact on health and admission risk.

Referrals are accepted from:

  • Health service providers
  • Community support agencies
  • Individuals and their families.        

All referrals are made to the Bendigo Health Referral Centre.

Anne Caudle Campus

Location

100 Barnard Street, Bendigo, VIC, 3550

Phone

(03) 5454 6971