Keeping care in the community through effective referral management, comprehensive assessment and resourceful coordination of service solutions.
Care Coordination works in partnership with clients, their families and healthcare and support services so clients can remain in their own home or community of choice whenever possible.
By identifying the priorities and goals of clients Care Coordination helps them achieve the best possible level of independence.
The Capital and Coast and Hutt Valley services carry out needs assessments for clients aged over 65 or with a chronic health condition and high support requirements.
Following the interRAI assessment the Care Manager, an experienced senior health professional with advanced clinical judgement and expertise, develops a care plan. This is done in collaboration with the client's family/whanau and primary health care providers with the objective of ensuring the client has best support options in order to achieve optimal health and independence.
Canterbury Update
The Canterbury Care Coordination Centre (CCCC) is closing on 31 October 2020. From 1 November 2020, referrals will be processed by the Canterbury DHB Adult Community Referral Centre (ACRC).
Referral processes for home based support, district nursing, specialist nursing or falls prevention will be unchanged. The referral form and the fax number are not changing at this time.
If you require advice regarding a referral, please phone ACRC on (03) 3377765 between the hours of 0800 – 1630 Monday to Friday, or email CommunityReferralCentre@cdhb.health.nz.