This service provides navigation across the lifespan to those individuals who have complex medical conditions.
The West Moreton Health Navigation service aims to provide integrated care to patients with complex health conditions or disabilities across the lifespan. Navigators work across the health care continuum to reduce fragmentation and duplication of services, improve health outcomes, increase health literacy and optimize appropriate use of health resources.
Nursing and Midwifery Navigators are specialist clinicians supporting patients to reduce the impact of poor health outcomes through connection to services for timely intervention.
Nursing and midwifery navigators are highly experienced and have an in-depth understanding of the health system, contributing to improved pathways of care and building partnerships across primary, secondary and tertiary care.
|Aboriginal and Torres Strait Islander||Aboriginal and/or Torres Strait Islander people living in the West Moreton region with chronic or comorbid health conditions||0436 913 220|
|Complex Care Lead Coordinator||Complex chronic/medical conditions and/or disability which impact health outcomes||0436 642 947|
|Emergency Department Frequent Presenters||Patients 18-69 who have over four presentations per month to the Emergency Department related to complex and/or chronic medical conditions
*ED nurse navigator referral pathway is data driven.
|NDIS and Disability Adult Inpatient||Acute Adult inpatients between the age of 18-65 requiring support with disability/NDIS access
*referral pathway inpatient facing
|NDIS and Disability Adult Community||Complex disability impacting health outcomes with multiple services across health continuum involved in care||0418 709 507|
|Paediatric NDIS and Disability||Under the age of 16 with new or pre-existing disability with significant challenges in accessing health care or children under 18 with pre-existing disability requiring transition into adult services.||0436 680 367|
|Paediatric Complex Care||Under 16 with new or pre-existing complex medical condition and children under 18 with pre-existing conditions requiring transition into adult services||0429 662 472|
|Renal Transitions||Adult patients with complex chronic renal failure from stage two to end stage renal failure||0436 913 222|
|Surgical Complex Care||Adult patients requiring surgical intervention with complex challenges impacting surgical journey||0436 928 597|
|Complex Urology Transitions||Adult patients with complex urology conditions and continence needs||0436 913 221|
|Prostate Complex Care||Men diagnosed with Prostate Cancer, undergoing treatment for Prostate Cancer, experiencing side effects relating to Prostate Cancer||0436 691 766|
|Midwifery Navigator||Pregnant women with complex medical and/or psychological challenges impacting their birth journey
History of birth trauma
|0436 680 693|
|Diabetes Nurse Navigator/Practitioner||Patients with Complex Diabetes and comorbidities who require specialist care||0417 697 378|
|Palliative Care Nurse Navigator/Practitioner||*referral via Palliative Care|
|Aged Care Nurse Navigator/Practitioner||Older person's living in Residential Aged Care facilities in West Moreton requiring subacute review for geriatric conditions.||0436 601 808|
Complex chronic disease/condition/disability
Elevated use of health resources including outpatients department, emergency department presentation or multiple stakeholders
- Fragility and intensity
Social determinates of health contributing to complexity
- Refer via WM-Refer; or
- Fax a referral to (07) 3413 7277
*Note: ED nurse navigator referral pathway is data driven.
- Phone via switch: (07) 3810 1111
- Opening hours: 8 am to 4 pm, Monday to Friday
- Email: firstname.lastname@example.org