The CEDRiC project aims to strengthen the capacity of the aged care sector to deliver high quality aged care, to improve care for older adults in the Emergency Department and improve interaction between the Residential Aged Care Facility (RACF) and both primary and secondary healthcare sectors.
CEDRiC encompasses two interconnected elements:
- HIPS (Health Intervention Projects for Seniors) - RACF and primary health sector mediated interventions including provision of a Nurse Practitioner Candidate (NPC) within the RACFs to support to an enhanced model of primary health care (PHC) encompassing general practitioners (GP); development of advanced care plans for residents; better coordination of GP care in the RACF; a training program for RACF staff; and development of a sustainable model of care through endorsed NP Medicare billing.
- GEDI (Geriatric Emergency Department Intervention) - Hospital ED mediated interventions (ED nurses with further education/experience in gerontology and community health) providing a dedicated single point of contact within the ED for RACF and primary health professionals; rapid and comprehensive assessment of RACF residents on presentation; streamlined patient flow in ED; clear and timely inter-sectoral communication; focused discharge planning and health professional education and training.
It is anticipated that this innovation will reduce inappropriate transfer of RACF residents to ED, improve resident and family satisfaction with care, decrease re-presentations to ED, improve compliance with National Emergency Access Targets (NEAT) in the ED, minimise hospital access block and provide a better level of care to older Australians while providing net reduction in or cost neutral Government expenditure.