Transforming how care works for people living with chronic illness
People living with chronic illness often experience fragmented and poorly integrated care. The consequences of this are magnified with social disadvantage or cultural or linguistic diversity. Fragmentation contributes to poorer outcomes and system wide inefficiencies that undermine value-based healthcare.
TRANSFORM (Transitions and Reform for Seamless Multidisciplinary Care) is a five-year primary health care project designed to meet the needs of the people most affected by fragmentation through a process of collaborative Experience-Based Co-Design.
Set across three Melbourne regions (North-West, Outer East, South-East) and funded by the Medical Research Future Fund, TRANSFORM views the patient journey as the organising principle for reform, with consumer involvement embedded across all stages of governance.
Our vision: A health system where integrated, person-centred care is the standard — and where the evidence exists to make that reform last.
Who We Are
TRANSFORM is a consortium led by primary care clinician-researchers and people with lived experience of chronic illness, drawing on expertise across The University of Melbourne, Monash University and 16 partner organisations. The program is built on the principle that people most affected by fragmentation must be central to designing solutions.
Together, we form a regional learning network focused on making integrated care a reality.
How we work
Listen and map
We work with consumers and carers to map real journeys through primary, community and hospital care, identifying where fragmentation occurs.
Co‑design solutions
Consumers, clinicians, services and policymakers come together to design practical, locally relevant solutions to fragmentation of health services across primary, secondary and tertiary healthcare .
Test and evaluate
Innovations are implemented in real-world settings and evaluated for impact on experience, outcomes, cost and scalability.
Scale and influence
We generate implementation and economic evidence to support adoption across Victoria and Australia.
Where we work
TRANSFORM works across three regions in metropolitan Melbourne, bringing together consumers, clinicians, services and partners to codesign and test practical solutions to fragmented care.
“Together, we're transforming healthcare for the better.”
— Professor Lena Sanci