Care Coordination

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Care coordination

SEMPHN has commissioned general practices to provide care coordination within their practice.

Care coordination is a term used to describe working with a patient to develop a comprehensive plan that helps patients take more control of their health and achieve their goals.

Care coordination is for patients with a chronic condition(s), at risk of admission to hospital, or who may have complex needs (which include the social determinants of health).

It is a patient-centred approach that involves the timely coordination of health, community and social services to meet a patient’s needs. For care coordination to succeed, it is crucial that a partnership is developed between the patient, carers and providers.

For more information about Care Coordination, click here.

Why is this service needed? 

Chronic disease is a leading cause of illness and death and a most significant burden on the Australian health system. 

Three-quarters of Australians over the age of 65 have at least one chronic condition that puts them at risk of serious complications and premature death. 

People on low incomes have more chronic conditions and nearly twice the rate of avoidable hospital admissions as those with high incomes. 

Who have we commissioned?

Twenty-seven general practices were commissioned in 2019 to deliver care coordination for patients with a chronic condition(s) or complex needs. The funding, between $125,000 and $250,000, also enables general practices to address the after-hours health needs of these patients. 

Eleven of these general practices have also provided this care coordination for over 100 refugee patients.

 A further twenty-five general practices have been commissioned in 2021 to provide care coordination services for patients with chronic conditions over a period of two years.

In total, $12.5 million has been allocated to this program, across 10 local government areas in the south east.

The following practices received funding from SEMPHN:

Practices that received funding from 2019–2021 Practices that received funding from 2021–2023
  • Access Health/Salvation Army
  • Airlie Women's Clinic - Prahran East
  • Atticus Health - Hastings
  • Bayside Family Medical
  • Bluff Road Medical Centre
  • Casey Gate Medical Centre
  • Casey Medical Centre Clyde
  • Casey Medical Centre Cranbourne
  • Dr Peter Pereira
  • East Bentleigh Medical Group
  • Eastbound Medical Clinic
  • Eramosa Family Medical Centre
  • High Street Medical Clinic
  • Hill Medical Services
  • Langpark Medical Centre
  • McDonald Street Medical Centre
  • Mediclinic Clayton
  • Murray House Clinic
  • North Road Medical Centre
  • Officer Medical Centre
  • Pakenham Family Health
  • Prahran Health Care Clinic
  • Seaford Beach Family Clinic
  • St Kilda Medical Group
  • St Kilda South Medical Clinic
  • Whole Medicine
  • Your Health Place Medical Centre Glen Huntly
  • Atticus Health - Bangholme
  • Balnarring Medical Centre
  • Beaumaris Medical Centre
  • Berwick Healthcare
  • Better Health Family Clinic
  • Broad Oak Medical Dental
  • Casey Family Practice
  • Doctors@Bayside
  • Elsternwick Medical Centre
  • Emerald Medical Centre
  • First Step
  • Lakeside Square Medical Centre
  • Mackie Road Clinic
  • Modern Medical Dandenong
  • Mornington Medical Group
  • Narre Gate Medical and Dental Centre
  • Noble Medical Clinic
  • Primary Medical and Dental Centre Highett
  • RealCare Health Clinic
  • South Coast Medical - Rye
  • Star Health Group - South Melbourne
  • The Hastings Clinic
  • Thompson Road Clinic
  • Ti-Tree Family Doctors
  • Tyabb Health


Check out this short video about how our care coordination funding is benefiting practices and patients.  

Commissioning approach

An open tender commissioning process was used for both 2019 and 2021 Care Coordination funding. Applicants registered and applied through eProcure, SEMPHN's commissioning portal.

For the first group of practices, contracts commenced in June 2019 and will end between June and August 2021. For the second group of practices, contracts commenced in March 2021 and will end in April 2023. 

Current and upcoming commissioning opportunities

Tenders to deliver services are announced via our SEMaphore newsletter and on this website as they are released.

Click here to receive tender announcements and updates by email. You can unsubscribe at any time.

SEMPHN uses eProcure to manage the procurement process. If you think you might be interested in applying for SEMPHN tenders, register your interest on SEMPHN's eProcure page. Once you register, you’ll receive information about the tender as it’s released.

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Funding Opportunities

Tenders, Quotes & Expression of Interest Portal

If you’re interested in applying for funding opportunities, register your interest on SEMPHN's eProcure page. Once you register, you’ll receive information as it’s released.

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