Geriatric Evaluation Management Program (GEM @ Residential)


The Geriatric Evaluation Management at Residential Care program (GEM @ Resi) provides care to people who are well enough to be cared for at an aged care facility but still require support from GEM doctors, nurses and allied health.

Admission to GEM@Resi can be through an inpatient hospital service, an emergency department or from the community where a benefit can be identified.

Patients may be considered for GEM@Resi if:

  • The patient is medically stable and ready for discharge from acute or subacute services.
  • The patient would benefit from time-limited care and support to complete their restorative process during a non-weightbearing period or whose long-term plan is permanent residential care.
  • The patient would benefit from case management and low intensity physiotherapy.
  • The patient is deemed ineligible for the Transition Care Program (TCP) program.
  • The patient does not require multidisciplinary support including occupational therapy, speech therapy, podiatry and dietetics.
  • The patient is in:
    • Hospital (public or private) from an ED, SSU, Observation Unit, HITH or inpatient ward.
    • An ambulatory or continuing care service.
    • From the community where medically stable but at risk of an emergency department presentation.

The patient (or their appointed Guardian) must agree (consent) to being supported by this program.


What to expect from the service?

  • Safe and supportive environment while unable to weight bear
  • Returning to GEM/Rehab once weight bearing to complete Rehabilitation phase
  • Long term care planning to residential care
  • Stabilisation and management of medical conditions
  • Access to nursing, physiotherapy and medical care

Any health professional in an acute/subacute team can refer directly to GEM@Resi via GEM@RESI โ€“ referrals. Equiries regarding the program and referrals can be made via TCP/GEM@Resi admin team on 9495 3101. Completion of the Inpatient โ€“ Referral for Aged Care/Rehabilitation/Gem Consultation (ARC) – is required. A Transition Services Clinical Coordinator or Discharge Support Coordinator will assess the needs of the referred patient and determine if the GEM@Resi program can support those needs.



Resources


Last edit: 27/04/2026

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