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This was an innovation project supported by the Better Care Victoria Innovation Fund.
Lead organisation
Bolton Clarke
Partner
Northern Health
Summary
Feelings of social isolation, loneliness and depression are prevalent among people aged 65 years and older and are a growing public health concern.
Older people experiencing these symptoms are more likely to be at risk of poor health and hospitalisation. However, patients are not routinely screened for these factors during hospital admission, meaning vulnerable older people are often discharged to the community with inadequate social support.
Through health and aged care provider Bolton Clarke’s HOW-R-U? project, older hospital patients experiencing social isolation, loneliness or depression will be identified and matched with a volunteer, who will provide regular telephone support after they have been discharged to improve their quality of life and wellbeing.
Aims
- Reduce social isolation, loneliness and depression for participating patients, and keep their symptoms at the reduced levels
- Reduce participating patients’ unplanned hospital presentations for non-emergency care
- Increase the number of participating patients engaging in regular community social service
Update
August 2021 – Early outcomes are showing positive results for participants, volunteers and staff. Results of the project will be available later in 2021.
Project summary
- Cardiac, renal and stroke
- Chronic disease
- Consumer engagement and support
-
Emergency and critical care
- Delirium Evaluation in the Timely delivery of Emergency Care Trial (DETECT)
- Artificial intelligence in cardiac arrest (AIDE)
- Acute coronary syndrome project
- Establishing the Victorian ECMO service
- Gippsland region telehealth
- Sepsis bundle of care
- Improving emergency access collaborative
- Lower complexity urgent care
- Standardising inotropes and vasopressors
- Supporting statewide Medical Emergency Team/rapid response
-
Medications, treatment and infection prevention
- Antibiotic allergy de-labelling program
- Central pharmacy
- Choosing Wisely champion hospital
- Choosing Wisely Scaling Collaboration
- Decreasing infections associated with peripheral intravenous cannulas
- No unecessary tests
- Partnered pharmacist medication charting (PPMC) scaling project
- Sepsis improvement
- ‘Think sepsis. Act fast.’ scaling collaboration
- Mental health and wellbeing
-
Mothers, babies and children
- Assessment and care of the jaundiced newborn at home
- Better births for women collaborative
- Closing the gap on maternal immunisation
- Developing ambulatory care services for women in Peninsula Health
- Expanding our Maternity and Neonatal eHandbooks
- Improving the management of paediatric sepsis
- Medical management of miscarriage at home
- Obstetric triage decision aid
- Perineal protection project - audit tool
- Postpartum Haemorrhage Collaborative
- Reducing clinical variation in paediatric adenotonsillectomy
- Reducing preventable stillbirths in Victoria
- Reducing unnecessary prescribing in infant reflux
- Safer baby
- Sharing service data through a maternity dashboard
- Reducing paediatric outpatient and emergency department referrals
- Strengthening safety oversight
-
Older people and palliative care
- Families And Carers as part of healthcare Teams (FACT) Pilot Project
- Advance care plans across the health system in rural Victoria
- Creating Age-Friendly Health Systems in Victoria
- Falls review tool: Pilot project
- Building an age-friendly Indigo health system
- Collaborative model for a falls response service
- Delirium collaborative
- Early intervention palliative and supportive care clinic
- End PJ paralysis: Preventing functional decline in inpatients
- Frailty recognition and response in the community
- Geri-Connect
- Geri-Connect scaling project
- Guiding the safe use of bed rails
- Hospitals and patients working in unity (HOW-R-U?)
- Informing best practice for managing patients with hip fractures
- Preventing delirium
- RAPID Assist
- We are Ambulance Victoria Engaged (WAVE)
-
Patient flow, outpatient care and telehealth
- Bendigo Cancer Centre survivorship service
- Telehealth for people with young onset dementia (BRIGHT-YOD)
- Critical care telehealth
- Critical care telehealth scaling project
- Improving after hours care at Monash
- North east robotics development
- Outpatient demand management strategy
- Rapid access musculoskeletal care
- Remote drug and alcohol recovery for the Southern Otways region
- Low-risk fever and neutropenia program
- Using big data modelling to improve access to outpatient clinics
- Virtual fracture clinics
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