The aim of Complex Care is to assist clients to remain healthy and safe at home for as long as possible.
Complex Care service assists people who:
- have chronic heart disease,
- have chronic respiratory disease,
- have complex needs requiring care from a team of clinicians, and
- are at risk of a hospital admission that may be avoided.
The role of the Complex Care service is not to take over the clients care, but to work with clients, carers, doctor and other health professionals to help the client understand, and promote self management with their chronic health condition. Complex Care clients are usually seen by their Care Coordinator in the convenience of their own home or at the Complex Care office if preferred. Telephone or Telehealth consultations are available as well.
The Care Coordinator will:
- support clients when they have been discharged from hospital,
- support clients with regular visits, telehealth consults and phone calls,
- refer to other allied health services
- help clients to learn how to manage and monitor their health condition(s),
- provide information and links to other services, and
- help clients stay at home.
To be eligible for this service you must be:
- living in the Southern Grampians Shire and surrounds
- been in hospital or attended the emergency department in the last 12 months, and
- at risk of having frequent admissions to hospital
Referral
- Acute Care via Trakcare or email
- GPs & other health agencies
- Self-referral from clients/community
Contact Details:
- Phone: 5551 8351
- Email: complex.care@wdhs.net
- Hamilton House, Tyers St, Hamilton, VIC, 3300
Last updated: August, 2023