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Ambulatory Clinics

What is it

Scheduled services that deliver health care to older persons from the hospital campus to both reduce hospital readmission and support the transition from hospital to the home (assisting in continuity of care for these individuals). These services can also prevent the need for a hospital presentation or stay, with many people accessing these services directly from the community.

How it works

Patients, hospital staff, General Practitioners or community staff can request ambulatory care by directly arranging it with the facility. Patients present to the clinic and are provided with care. The clinics comprise a range of services and programs that deliver multidisciplinary care across acute, subacute and community program areas (some also include dedicated services delivered to Residential Aged Care Facilities).

Resourcing

Ambulatory care staff includes but is not limited to: physiotherapists, orthopaedic surgeons, geriatricians, occupational therapists, social workers, speech pathologists, dietitians, diabetes educators, podiatrists and allied health assistants.

Success factors

  • Strong administration process to facilitate booking appointments
  • Multidisciplinary staff that are able to run clinics, e.g. from podiatry and speech pathology
  • Senior aged health staff to undertake clinics, e.g. geriatricians
  • Using ambulatory clinics as a key part of the hospital’s aged health strategy
  • Evaluation framework to measure the success of clinics.

Models in operation

  • Osteoporosis Primary Care Program (Wagga)
  • Fracture Clinic (Wagga Wagga, Hornsby)
  • Podiatry services (Wagga)
  • Cognitive disorders clinic (Concord)
  • Memory Clinic via Telehealth (Hornsby)