Complex Care is a multi-disciplinary team (Nursing, Allied Health and Medical) that provides a comprehensive approach to assisting people with chronic disease and/or complex psychosocial issues by:
- Facilitating access to short term responsive care coordination
- Coordinating the communication and care of client with health and service providers
- Facilitating greater cohesion between acute, sub-acute and continuing care services
Assessment may include review at Chronic Disease Management Clinic.
Eligibility Criteria
- Adults over 18 years old who reside in the Monash Health catchment.
- Adults with three Emergency Department presentations in the last 6 months or are at risk of presentation to an Emergency Department.
This services is not for:
- clients whose primary condition is Mental Health
- clients whose primary condition is Renal Failure on dialysis or eGF <15
- TAC clients
- clients whose primary condition is Cancer
Referral Method(s)
Referrals should be sent by eReferral through Healthlink or by email.
Phone: 03 8572 5631
Email: icareaccess@monashhealth.org
Eligible Postcodes
- Cardinia -3139, 3159, 3781, 3782, 3783, 3806, 3807, 3808, 3809, 3810, 3812, 3813, 3814, 3815, 3816,3978, 3980, 3981, 3984,3987
- Casey – 3156, 3177, 3802, 3803, 3804, 3805, 3806, 3807, 3912, 3975, 3976, 3977, 3978, 3980
- Kingston – 3167, 3169, 3172, 3189, 3190, 3192, 3194, 3195, 3195, 3196, 3197, 3202
- Greater Dandenong – 3171, 3173, 3174, 3175, 3975
- Monash – 3125, 3147, 3148, 3149, 3150, 3166, 3167, 3168, 3170
Additional information required
Include all patient demographic and clinical details as well as relevant investigation results.
Contact hours: 8.30am – 4.30pm, Monday to Friday (except public holidays)
Click here for more information about this service.
Please review the eligibility criteria before submitting a referral.