All IMPRINT conditions

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Emergency Referrals

Useful Management Information

IMPRINT is a community-based multidisciplinary team which aims to reduce hospital length of stay through navigation and intervention of Gold Coast Health residents who have recently been approved a high-level Home Care Package (level 3 or 4 HCP) by the Aged Care Assessment Team (ACAT).

The team includes medical input, occupational therapy, nursing, social work and neuropsychology for assessment and short-term navigation.

Consider Chronic Disease Management Plan eligibility. Consider recommending patient/carers seek independent financial advice, advice via Centrelink

Please note that where appropriate and where available, the referral may be streamed to an associated public allied health and/or nursing service. Access to some specific services may include initial assessment and management by associated allied health and/or nursing, which may either facilitate or negate the need to see public medical specialist.

A change in patient circumstance (such as condition deteriorating or becoming pregnant) may affect the urgency categorisation and should be communicated as soon as possible.

Patient eligibility criteria:

Approved for a high-level (level 5-8) Support at Home Package
Gold Coast Hospital and Health Service patient or resident
Has a nominated GP
Requires an in-home review by a multidisciplinary team

IMPRINT can assist with:

Comprehensive geriatric assessment
Linkage with appropriate community supports
Advanced care planning
Carer and patient education
Education regarding community services, residential aged care and My Aged Care
Review of home environment and need for assistive devices
Support with placement and accessing services

Minimum Referral Criteria

Does your patient meet the minimum referral criteria?

Category 1 (appointment within 30 calendar days)	Patients who have been approved a high-level Support at Home package (level 5 to 8) and are at risk of a prolonged hospital admission
Category 2 (appointment within 90 calendar days )	No category 2 criteria
Category 3 (appointment within 365 calendar days)	No category 3 criteria
If your patient does not meet the minimum referral criteria Assessment and management information may be found on a range of conditions at HealthPathways If the patient does not meet the criteria for referral but the referring practitioner believes the patient requires specialist review, a clinical override may be requested: Please explain why (e.g. warning signs or symptoms, clinical modifiers, uncertain about diagnosis, etc.) Please note that your referral may not be accepted or may be redirected to another service

Standard Referral Information

Reason for request

To establish a diagnosis
For treatment or intervention
For advice and management
For specialist to take over management
Reassurance for GP/second opinion
For a specified test/investigation the GP can't order, or the patient can't afford or access
Reassurance for the patient/family
For other reason (e.g. rapidly accelerating disease progression)
Clinical judgement indicates a referral for specialist review is necessary

Relevant clinical information about the condition

Presenting symptoms (evolution and duration)
Physical findings
Details of previous treatment (including systemic and topical medications prescribed) including the course and outcome of the treatment
All conservative options that have been pursued unsuccessfully prior to referral
Body mass index (BMI)
Details of any associated medical conditions which may affect the condition or its treatment (e.g. diabetes), noting these must be stable and controlled prior to referral
Any special care requirements where relevant (e.g tracheostomy in place, oxygen required)
Current medications and dosages
Drug allergies
Alcohol, tobacco and other drugs use

Patient's Demographic Details

Full name (including aliases)
Date and country of birth
Residential and postal address including whether patient resides at an aged care facility
Telephone contact number/s – home, mobile and alternative
Medicare number (where eligible)
Name of the parent or caregiver (if appropriate)
Name of delegate and contact details (Department of Corrective Services)
Preferred language and interpreter requirements
Identifies as Aboriginal and/or Torres Strait Islander
Any special needs, access requirements and/or disability relevant to the referral

Referring Practitioner Details

Full name
Full address
Contact details – telephone, fax, email
Provider number
Date of referral
Signature
Nominated general practitioner’s details (if known), if the nominated general practitioner is different from the referring practitioner

Other relevant information

Willingness to have surgery (where surgery is a likely intervention)
Choice to be treated as a public or private patient
Compensable status (e.g. DVA, Work Cover, Motor Vehicle Insurance, etc.)

Essential Referral Information

Patient/decision maker agreeable to referral
Patient has a nominated GP

Additional Referral Information

• Previous allied health assessments

• Advance care planning documents

• My Aged Care approval codes or Aged Care Assessment

• Specialist letters

Send Referrals To

Smart Referrals

Preferred Method About Smart Referrals

Secure Web Transfer

Medical Objects Account: GQ42150009Z

HealthLink EDI: Qldgchsd

Internal Referrals

IMPRINT qhRefer

Fax

(07) 5687 4497

Post

Not Available

Enquiries

Not available

Related HealthPathways

No directly related pathways found

HealthPathways home page

Service Availability

Facilities

Gold Coast University Hospital

If you would like to send a named referral, please address it to the specialist listed above, who will allocate a suitably qualified specialist to see the patient. Alternatively, you can view a full list of our specialists.