Navigational Tool – Community and @ Home Services

Patient Need	Non Admitted Services	Admitted Services
Chronic Disease Management	Health Independence Program (HIP) Complex Care Services (Chronic Disease)	Rehab @ Home
Chronic Disease Management	Cardiopulmonary Rehabilitation	Geriatric Management and Evaluation, GEM @ Home
	Health Management Coaching
Aged Care Needs	Aged Care Assessment Service (ACAS)	Rehab @ Home
	Transition Care Program (TCP)	Geriatric Management and Evaluation, GEM @ Home
	Health Independence Program (HIP) Complex Care Services (Aged)
	Cognitive Dementia & Memory Service
	Falls and Balance Clinic
	Residential In-Reach (RIR)
	Geriatric Medicine Community Consultation Service (GMCCS)
	Pain Clinic for Older People
Complex Psychosocial & Homelessness	Health Independence Program (HIP) Complex Care Services (Psychosocial/ALERT)	The Cottage (part of HITH)
Complex Psychosocial & Homelessness	Better Health and Housing Program (BHHP)
Hospital in the Home "St Vincent's at Home"	District Nursing	Hospital in the Home (HITH)
Hospital in the Home "St Vincent's at Home"	Cancer Care @ Home
Specialist Assessment Clinics	Cognitive Dementia & Memory Service
	Continence Clinic
	Falls and Balance Clinic
	Geriatric Medical Clinic
	Geriatric Medicine Community Consultation Service (GMCCS)
Rehabilitation	Community Rehabilitation Centre (Fairfield & Kew)	Rehab @ Home
	Cardiopulmonary Rehabilitation	Geriatric Management and Evaluation, GEM @ Home
	Rehabilitation in the Home (RITH)
Palliative Care		Palliative Care @ Home
Disability	Young Adult Complex Disability Service
	Intrathecal Baclofen Clinic
	Disability Liaison Officer
	Polio Services Victoria
Pain Management	Barbara Walker Pain Management Centre
	Pain Clinic for Older People