The Care coordination through Emergency Department, Residential aged care and prImary health Collaboration (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 (ED)and improve interaction between the Residential Aged Care Facility (RACF) and both primary and secondary healthcare sectors.
CEDRiC encompasses two elements:
1. 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.
2. GEDI (Geriatric Emergency Department Intervention) - a hospital ED mediated intervention (ED clinical 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 frontload comprehensive assessment of RACF residents and frail older persons from the community on presentation; streamlined patient flow in ED; clear and timely inter-sectoral communication; focused discharge planning and health professional education and training.
The research evaluation of the CEDRiC project is led by Professor Marianne Wallis, NURTURE cluster, School of Nursing, Midwifery and Paramedicine, University of the Sunshine Coast and GEDI innovator,Dr Elizabeth Marsden, Emergency Physician, Sunshine Coast Hospital and Health Service.