Multidisciplinary Ambulatory Consulting Service (MACS) - CALHN outpatient services
The MACS clinic provides outpatient services to patients living in the Central Adelaide Local Area Health Network (CALHN). MACS is a multidisciplinary service consisting of physicians specialising in medication management, nursing, pharmacists, and a psychologist supporting patients who are at risk of being hospitalised from their chronic conditions, including, but not limited to, patients with polypharmacy and multiple chronic conditions..
The service combines evidence based clinical guidelines, patient centred practice and a shared care approach with general practitioners to enable patients to optimise their health and wellbeing and reduce hospital admissions.
Criteria for referral
Patients that have one or more of the following:
medication optimisation and or review of medication related complications
require medical management due to multimorbidity
would benefit from holistic care management with multidisciplinary input
coordination of care, as they see multiple medical specialists and would benefit from case management.
further health education and support for effective self-management.
Some examples of the type of patients we see, include:
frequent acute exacerbations of chronic conditions, that potentially results in emergency
presentations and /or hospital admissions
patients with complications related to polypharmacy
young adults transitioning from paediatric chronic care management to the adult system.
When treatment of one condition affects the treatment of another
For patients in residential care facilities please contact our team directly to discuss the most suitable follow-up options which may include discussion with other services.
Clinic fax (for referrals): (08) 84296070
Named referrals are accepted. Please state the reason for referral.
Comprehensive referrals including medications and a problem list assist with triaging
Triage categories include:
Immediate appointment (please call if the referral is urgent)
Category 1 (<4 weeks)
Category 2 (1-3 months)
Category 3 (>3 months)
Bulk bill clinics: (named referral / or colleague required) eg Dr Rami Tadros or colleague
Dr Sepehr Shakib
Dr Rami Tadros
Dr Josephine Thomas
Dr Tam Le Cong
Endocrinologist (please phone the clinic number for the Dr ‘s name)
Cardiologist (please phone the clinic number for the Dr ‘s name)
If the patient, or their general practitioner, is concerned about deterioration in the medical condition, and assessment is required earlier than planned, a phone call to the MACS Nursing staff on 0434 362 390 or to RAH Clinical Pharmacology Department on (08) 7074 2701 will allow this to be discussed with one of the team members.
Post discharge guidelines
Patients will be discharged once their medical conditions have stabilized. If re-assessment is required, a new referral, preferably a named referral (see consultant list), should be faxed to the the clinic fax (08) 8429 6070.
Appointment location – Outpatients
Royal Adelaide Hospital (RAH) — Wednesday afternoons and Friday afternoons
RAH Level 5 East Outpatients 1 Port Road, Adelaide SA 5000 Please view the Outpatient map (go to level 5 map)
Sefton Park Primary Health Care Services — Tuesday all day
221 Main North Road Sefton Park 5083
Appointment enquiries: (08) 7074 2701
Review / change of appointments: (08) 7074 2701
Clinical Pharmacology Department/ MACS Team Level 8, RAH, 1 Port Road, Adelaide SA 5000 Telephone: (08) 7074 2701 Fax: (08) 8429 6070
Multidisciplinary team members
Dr Nicholas Farinola (Clinical Pharmacologist, General Physician)
Professor Sepehr Shakib (Clinical Pharmacologist, General Physician)
Associate Professor Josephine Thomas (General Physician)
Dr Rami Tadros (Clinical Pharmacologist, General Physician)
Dr Tam Le Cong (General Physician)
Dr Alice O’Connell (General Physician)
Dr Angela Molga (Clinical Pharmacologist, Geriatrician)
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