Care Coordination

As a home and community care patient, you will be supported by a care coordinator or a direct care nurse depending on the services and supports arranged to meet your health care needs. These regulated health care professionals bring a range of expertise in areas such as nursing, social work, occupational therapy, physiotherapy and speech therapy. Acting as a liaison between patients and various health care professionals, they work directly with patients, their families and caregivers, whether it be in hospitals, doctors offices, communities, schools and in patients’ homes to facilitate a seamless, coordinated flow of information between patients, families and care team members. They will develop an individualized care plan to help you achieve optimal health and independence, whether you need specialized nursing while healing after surgery, personal support services to assist with activities of daily living, or therapy sessions to help you regain your strength and mobility. These professionals will work closely with your primary care provider and other health care providers to monitor your progress and adjust your care plan as needed. We will also connect you with support services and resources available in your community that could assist with your care.

We listen, we care

We are about providing a personalized Harmony Horizons service for those participating within the NDIS. It’s about your needs to help you achieve your goals. We enable a connection to be formed that supports and services the community. We work with you to get the best outcomes from your funding to achieve your goals.

Coordination and Care NDIS Support Coordination

Harmony Horizons is designed to help you find and connect with service providers that best suit the participant in order to achieve an optimum level of independence.

 

Allied health professional support

Psychologists can help as they have a great knowledge set that enables for the combination of evidence based and goal directed interventions for participants of Coordination and Care. Participants get benefits from receiving support with social skills, self-esteem, and anxiety.

Our Commitment

Based in Wodonga, we pride ourselves in bringing our country values of service and support across a national footprint. Although our head office is based in regional Victoria, we have clients in diverse locations from around the nation.



Why Is Care Coordination Important?

Although the need for care coordination is clear, there are obstacles within the American health care system that must be overcome to provide this type of care. Redesigning a health care system in order to better coordinate patients' care is important for the following reasons:
  • Current health care systems are often disjointed, and processes vary among and between primary care sites and specialty sites.
  • Patients are often unclear about why they are being referred from primary care to a specialist, how to make appointments, and what to do after seeing a specialist.
  • Specialists do not consistently receive clear reasons for the referral or adequate information on tests that have already been done. Primary care physicians do not often receive information about what happened in a referral visit.
  • Referral staff deal with many different processes and lost information, which means that care is less efficient.