(03) 5222 5399 info@goldstarcaresolutions.com.au
Individuals & familiesHospital dischargeSupport coordinatorsHealth professionals
Goldstar Care
For hospitals & discharge teams

A discharge is a handover. Not a hand-off.

When you send someone to us, they land clinically. RN-led oversight. A care manager who knows them by name on day one. A rostering model that doesn't fall over in week two. Clear escalation. We're the step-down option built for people who shouldn't be coming back to you in three weeks.

4 hrs
Response to referral
Business hours
48 hrs
Services can start
From confirmed referral
RN
Clinical handover
Direct to hospital team
24/7
Post-discharge support
On-call escalation
A patient and family looking out at a sunlit garden after coming home
Early-discharge pathway

Hospital in the Home,
delivered properly.

HITH is one of the most clinically demanding forms of home-based care. We're built for it. Goldstar Care's RN-led model means we can accept post-acute and sub-acute patients directly from hospital — reducing length of stay, freeing beds, and giving patients a faster return to home without compromising on clinical oversight.

We work directly with discharge teams, ED, post-acute wards, and community clinical leads to make HITH a viable, safe, and scalable discharge option.

What Goldstar Care HITH covers
IV antibiotics & infusions
Administered safely at home under RN supervision.
Post-surgical wound management
Complex dressings, drain care, VAC therapy.
Sub-acute monitoring
Vital signs, symptom review, escalation pathways to treating team.
Anticoagulation & injectables
Supervised administration and patient education.
Respiratory & oxygen management
Including post-exacerbation COPD and CHF stabilisation.
Palliative symptom management
End-of-life care in the home, coordinated with palliative services.
24/7
RN on-call escalation
48 hrs
From referral to home admission
100%
Direct hospital team handover
What we accept

The participants others say no to.

If a discharge planner has told you "the home care provider can't take them," we probably can. RN-led oversight means we're built to accept participants most providers decline.

Post-acute recovery

Post-surgical discharge (hip, knee, cardiac)
Stroke recovery with rehab plan
Post-hospital fall recovery
Oncology post-treatment

Clinical complexity

Complex medication regimes
Wound care & management
PEG feeding & stoma care
Respiratory & oxygen support

End-of-life & palliative

Palliative care at home
End-of-life family support
Symptom management
Bereavement coordination

NDIS high-acuity

Complex behaviour support
High physical support needs
Progressive conditions (MS, MND)
Dual diagnosis presentations
A carer preparing a bed for a returning hospital patient
The handover

From ward to home, seamlessly.

1

Referral received

Discharge planner sends basic referral info — funding status can be confirmed later if urgent.

2

Clinical call

Our RN contacts the ward within 4 business hours to discuss clinical needs and confirm fit.

3

Home assessment

Care Manager conducts home safety and goals assessment — often same day for urgent discharge.

4

Services start

Care begins within 48 hours of confirmed referral. Clinical handover documented back to hospital team.

5

Closed loop

Structured 7, 14, 30-day check-ins. Any deterioration triggers immediate escalation back to treating team.

A support worker visiting a participant at home after discharge
Submit a referral

Start the handover.

Send the basics — we'll call back within 4 business hours to coordinate the clinical handover.

Referrals received outside business hours are actioned at 8am next business day.