The TAC and Victorian Paediatric Rehabilitation Services (vprs) communication guidelines The TAC and VPRS provide support to children in different ways following a transport accident. This document has been developed to enable a joint collaboration of the two organisations and to assist VPRS and the TAC to support TAC clients who are in receipt of VPRS. This information is based on current TAC policy and work practices in addition to the VPRS model of care. For the TAC client who is an inpatient What does the client need? Reporting and Information The TAC claim Claim Acceptance Action required by VPRS Action required by the TAC • Contact client or family member upon the TAC claim acceptance • Send claim acceptance letter and relevant information booklets to the TAC client Note: The TAC cannot consider any request for services until the claim has been submitted and accepted Referral Referral to VPRS Acceptance of VPRS Communication Verbal Contact Meetings Requests • Referral made to VPRS by inpatient medical team • If referral accepted and client has an accepted the TAC claim, notify the TAC of referral within three working days by telephone call • Return • Treaters • Contact provide inpatient rehabilitation to the TAC client • Engage and work collaboratively with the TAC • Invite the TAC to attend appropriate team and family meetings phone calls within one working day client or family, treater and employer phone calls within one working day • Respond to all written requests within 10 working days • Engage and work collaboratively with VPRS • For Independence client’s: Refer to ‘Guidelines for the TAC and hospital: Independence clients only’ * document • Return * Refer to ‘Guidelines for the TAC and hospital: Independence clients only’ document The TAC respects a client’s privacy and is committed to ensuring information is valued and safeguarded in accordance with the Transport Accident Act 1986, Information Privacy Act 2000 and the Health Records Act 2001. For the TAC client who is an inpatient (continued) What does the client need? Reporting and Information Action required by VPRS Action required by the TAC Discharge planning Discharge meeting • Conduct discharge case meeting and invite the TAC to attend in person or via telephone • Identify key contacts and treaters (Eg. School, OT, PT, etc) who will be managing client in outpatient environment • For regional client’s: VPRS inpatient team to liaise with VPRS community team to negotiate which team will conduct home assessments (if appropriate) • Provide the TAC with a discharge summary within five working days of receiving request from the TAC ^ • Attend Discharge contacts Discharge summary appropriate meetings if required in person or via telephone conference as per team work practices • For Independence client’s: Refer to ‘Guidelines for the TAC and hospital: Independence clients only’ * document Multidisciplinary Outpatient Rehabilitation Outpatient Rehabilitation Plan (ORP) • Requested services must relate to transport accident injuries • ORP to be submitted to the TAC at least five working days prior to program commencement • ORP must incorporate multidisciplinary rehabilitation • ORP must identify measurable goals • Requested services must have clinical justification • Inpatient VPRS team consider making request for outpatient services to avoid delay of treatment • Review Support for family members Accommodation • Submit • Respond Travel Family counselling written request to the TAC for accommodation, travel and/or family counselling • Specify relationship of family member to the TAC client on written request ORP within five working days of receipt and notify client or family and VPRS of decision to all written requests within 10 working days decision to client or family • Communicate Note: The TAC are only able to pay Family Counselling for family members of clients who are severely injured in their transport accident * Refer to ‘Guidelines for the TAC and hospital: Independence clients only’ document ^ Refer to the TAC document ‘VPRS Discharge summary’ For the TAC client in the community (outpatient) What does the client need? Reporting and Information The TAC claim Claim Acceptance Action required by VPRS Action required by the TAC • Contact client or family member upon the TAC claim acceptance • Send claim acceptance letter and relevant information booklets to the TAC client Note: The TAC cannot consider any request for services until the claim has been submitted and accepted Referral Communication • Referral • Return Acceptance of VPRS made to VPRS by inpatient medical team or outpatient practitioner • If referral accepted and client has an accepted the TAC claim, notify the TAC of referral within three working days Verbal contact • Allocate key contact person for multidisciplinary program • Home/School visits conducted when necessary • Respond to the TAC phone calls or emails within two–three working days • Ensure client information is transmitted via fax or postal mail • Discuss client goals with the TAC • Engage and work collaboratively with the TAC • Return • Consider • Respond Referral to VPRS Reports/Requests Team meetings Goal planning Family meetings Interim treatment Written/Verbal request requesting ‘interim’ allied health services if request for ORP will be delayed • Submit written request to the TAC phone calls within one working day phone calls within one working day to written requests within 10 working days • Engage and work collaboratively with VPRS • Respond to written requests within 10 working days • Consider payment of initial allied health treatment inline with associated policy and work practices (Eg. First five physiotherapy, etc) For the TAC client in the community (outpatient – continued) What does the client need? Reporting and Information Action required by VPRS Action required by the TAC Multidisciplinary Outpatient Rehabilitation Outpatient Rehabilitation Plan (ORP) • Requested services must relate to transport accident injuries • ORP to be submitted to the TAC at least five working days prior to program commencement • ORP must incorporate multidisciplinary rehabilitation • ORP must identify measurable goals • Requested services must have clinical justification • Review Equipment Equipment Prescription Form (EPF) Public Hospital • Review Hospital Direct Order Form (HDOF) Attendant Care Attendant Care program Child Care Post Acute Support • The Public Hospital should supply the TAC client with all equipment needs for the first 30 days post discharge • When equipment is required beyond 30 days, the hospital should submit either an EPF or HDOF seeking the TAC funding for ongoing hire or purchase • If highly customised equipment is required, discuss first with the TAC, then submit an EPF seeking the TAC prior approval • Refer to EPF or HDOF for further information • If client is in receipt of attendant care, treating team to review and consider attendant care program using goals • Allied Health to consider ongoing hours/duration of attendant care program • Allied Health to consider ongoing hours/duration of child care program • Submit written request to the TAC * Refer to ‘Guidelines for the TAC and hospital: Independence clients only’ document ORP within five working days of receipt and notify client or family and VPRS of decision all written equipment requests and respond within 10 working days • Arrange highly customised equipment and delivery in a timely manner • Organise equipment through appropriate provider if required beyond 30 days post discharge from a Public Hospital • Review requests from provider and respond within 10 working days • Review request for services ensuring they relate to injuries sustained in transport accident • For Independence client’s: Refer to ‘Guidelines for the TAC and hospital: Independence clients only’ * document For the TAC client in the community (outpatient – continued) What does the client need? Reporting and Information Action required by VPRS Action required by the TAC Benefit and Support Services Assessment (BASSA) Discussion • Be available for discussion with the TAC arranged BASSA • Review and discuss recommendations/findings of BASSA report with the TAC • The Neuropsychology Assessment • Need for assessment/treatment must relate to transport accident injuries • Treater should identify need for future Neuropsychology assessments on VPRS discharge summary ^ • Provide the TAC with copies of all report/s • The • Provide • Respond Report Treatment Report Concurrent Treatment The TAC policy clinical justification in writing to the TAC detailing reason concurrent treatment is required and why an exceptional circumstance exists • Refer to the TAC website ‘Concurrent Physical Treatment by Health Care Providers’ for further information TAC may arrange and pay for a BASSA to review attendant care, child care or equipment needs • The TAC to provide copy of BASSA report to treating allied health team TAC claims manager to refer to VPRS discharge summary ^ when considering request for Neuropsychology assessment/treatment to all written requests within 10 working days Note: Other than exceptional cases, the TAC will only fund physical treatment by one provider type or single practice where treatments are considered similar Discharge planning Discharge case meeting Discharge summary Discharge contacts Support for family members Family counselling • Conduct case meeting with appropriate team (Incl. School, the TAC, VPRS, Community, etc) • Provide the TAC with VPRS discharge summary ^ • Identify key contacts and treaters who will be managing client in community • Attend • Submit • Respond written request to the TAC for family counselling • Specify relationship of family member to the TAC client on written request appropriate case meetings if required in person or via telephone conference as per team work practices • For Independence client’s: Refer to ‘Guidelines for the TAC and hospital: Independence clients only’ * document to all written requests within 10 working days decision to client or family • Communicate Note: The TAC are only able to pay Family Counselling for family members of clients who are severely injured in their transport accident * Refer to ‘Guidelines for the TAC and hospital: Independence clients only’ document ^ Refer to the TAC document ‘VPRS Discharge summary’