Do you have medically and socially complex patients who would benefit from care coordination support?
Eastern Melbourne Primary Health Network (EMPHN) are inviting general practices to respond to an Expression of Interest to participate in a new project.
Rising Risk Care Coordination sees general practices identify patients at rising risk of a hospital admission and develop a care coordination response, in partnership with an external care coordination provider.
The care coordination provider and the general practice will work together to plan and implement care for the patient. This care coordination support will link patients to a wide range of services according to their individual needs, enable self-management, and reduce their risk of hospitalisation.
General practices will:
- Appoint a Clinical Lead (General Practice clinical champion) and Operational Lead (Practice Nurse or Practice Manager) to facilitate patient identification, develop workflows, engage with care coordination provider, and attend Community of practice workshops.
- Use the POLAR HARP risk stratification tool to identify suitable patients who are at risk of hospital admissions in the next 12 months, and suitable for additional care coordination.
- Collect and analyse data related to the project.
Commencing in July 2019, this one-year initiative aims to lead health system reform through creating a Community of Practice to develop rising risk identification and care coordination, facilitated by a series of workshops.
EMPHN will engage five general practices by this open Expression of Interest (EoI).
Expression of Interest documentation: available on EMPHN’s eProcure online portal www.eprocure.com.au/emphn
Applications open: 8 May 2019
Please ensure you read all parts of the Expression of Interest documentation to understand the process for lodging a response.
Enquiries: All enquiries are to be made via EMPHN’s eTendering Portal www.eprocure.com.au/emphn