The Transition Care Program helps people over 65 years plan their care after an extended hospital stay.
This short term care is up to 12 weeks (but generally 5 – 8 weeks) and includes case management, nursing, personal care, allied health and social work while a long-term plan is finalised.
The program is available in Hospital/ Residential Aged Care Facility and at home, and often happens as a combination of both.
The type of care you receive will depend on your needs and what setting you receive transition care.
It includes:
Your Case Manager will coordinate your care and services. The Transition Care Program Team will meet with you weekly to set goals and plan your care. This is achieved with initial and regular assessments.
Your case manager will:
The Transition Care Program receives funding from the Victorian and Australian governments, which covers most of the cost of the program; however, you are also asked to pay a fee to contribute to the cost of your care. TCP is not covered by private health insurance and Department of Veterans’ Affairs recipients are not exempt from the fees unless you were a prisoner of war.
The contribution will be discussed prior to the commencement of the program. If you have difficulty paying fees, please discuss with your Transition Care Case Manager.
The Department of Health has produced a booklet that provides important information about the Transition Care Program and explains what you can expect when you are receiving care. It explains your rights and responsibilities and the obligations of your Transition Care service.
Download the booklet.
Residents of Hepburn Shire:
Phone: (03) 5321 6596
Fax: (03) 5321 6584
Email: agedcare@hhs.vic.gov.au
Central Highlands Rural Health
PO Box 465
Daylesford Vic 3460
Residents of Macedon Ranges Shire:
Phone: (03) 5422 9911
Fax: (03) 5422 9917
Email: district@kynetonhealth.org.au
Kyneton Health
P.O. Box 34
Kyneton Vic 3444
