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Annual Report2015 / 2016

Ph: 07 4615 0900 – Email: [email protected] – www.ddwmphn.com.au

We acknowledge the traditional custodians of the lands on which we work each day, and pay our respect to Elders of those lands, both past and present.



‘The right care in the right place at the right time’

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TABLE OF CONTENTS

Acknowledgement of Country ................................................................................................................................................................2Chairman’s Report ..................................................................................................................................................................................2

Organisational growth and change ................................................................................................................................................2Needs Assessment ..........................................................................................................................................................................3Structural Arrangements ................................................................................................................................................................3HHS Engagement ............................................................................................................................................................................4Strategic Direction ..........................................................................................................................................................................4Board review ...................................................................................................................................................................................4Spirit of Collaboration .....................................................................................................................................................................5What’s next? ...................................................................................................................................................................................6

Chief Executive Officer’s Report .............................................................................................................................................................6About DDWMPHN ..................................................................................................................................................................................7

Our Vision .......................................................................................................................................................................................7Our values .......................................................................................................................................................................................7Our focus areas ...............................................................................................................................................................................8Governance .....................................................................................................................................................................................8

Darling Downs and West Moreton PHN Board ......................................................................................................................8Darling Downs Clinical Council ...............................................................................................................................................9West Moreton Clinical Council .............................................................................................................................................10Darling Downs Community Advisory Committee ................................................................................................................10West Moreton Community Advisory Committee ................................................................................................................10

Our Needs Assessment Journey ...........................................................................................................................................................13The original process ..............................................................................................................................................................13The refresh process ..............................................................................................................................................................13

Our Service Directory ............................................................................................................................................................................15The Services, Workforce and Needs Directory ....................................................................................................................15Services, Workforce and Needs Heat maps .........................................................................................................................16Overlaying Population Health Data ......................................................................................................................................17Populating the ShED .............................................................................................................................................................17Engagements ........................................................................................................................................................................17Programs ...............................................................................................................................................................................18Next Developments ..............................................................................................................................................................18Technical Details ...................................................................................................................................................................19For more information ...........................................................................................................................................................19

Other achievements .............................................................................................................................................................................19Engagement ..........................................................................................................................................................................20GP and Stakeholder Engagement .........................................................................................................................................20Conferences and Workshops: ...............................................................................................................................................20Practice Data and the Clinical Audit Tool .............................................................................................................................20




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AcknowledgementofCountryTHEDARLINGDOWNSANDWESTMORETONPHNWISHESTOACKNOWLEDGEAUSTRALIA’SABORIGINALPEOPLEASTHECUSTODIANSOFTHISLAND.WEPAYOURRESPECTANDRECOGNISETHEIRUNIQUECULTURESANDCUSTOMSANDHONOURTHEIRELDERSPAST,PRESENTANDEMERGING.

Chairman’sReport

ItiswithgreatpleasurethatIpresentyouwiththefirstAnnualReportfortheDarlingDownsandWestMoretonPHN(DDWMPHN).

On1July2015,theAustralianGovernmentestablished31PrimaryHealthNetworkstoreplacetheexistingMedicareLocalsystemwiththeobjectivesof:

► increasingtheefficiencyandeffectivenessofmedicalservicesforpatients,particularlythoseatriskofpoorhealthoutcomes;and

► improvingcoordinationofcaretoensurepatientsreceivetherightcareintherightplaceattherighttime.

TheDDWMPHNworkswithGPs,alliedandmentalhealthprofessionals,practicenurses,practicemanagers,theHospitalandHealthServicesandourkeystakeholderstodevelopanddeliveraseamlesshealthcaresystemthatfulfilstheprimaryhealthcareneedsofourcommunity.

TheorganisationisajointventurebetweentheDarlingDownsHospitalandHealthServiceandGPConnectionsandisoverseenbyaBoardofDirectorsandoperatedasanindependentnon-governmentprivateentity.DDWMPHNdidnothavethebenefitoftransitioningfromaMedicareLocal,norhavingthepeopleandinfrastructuretransitionfromthepreviousMedicareLocal.Therewasalmostnothingbywayofphysicalandinformationassetsattransition.Wewereacoldstart-upinmanyways.IwouldliketothanktheDarlingDownsHHSandtheGPConnectionsfortheirforesightinworkingtogetherandinvestresourcestodevelopthesuccessfulbusinesscaseforthisregion.

TheDarlingDownsandWestMoretonregionshaveacombinedpopulationofover530,000peoplewithdifferingneedsacrossthecommunities.Fromurbantoruralcommunities,individualsandfamilies,diverseculturalgroupsandAboriginalandTorresStraitIslanderpeoples,theDDWMPHNknowsthata'onesizefitsall'approachtoprimaryhealthcaresimplydoesnotwork.Throughgenuineandactiveengagement,educationandtrainingopportunitiesandpartnerships,wewillcontinuetoworkintheDarlingDownsandWestMoretonareastoensureaccessibleandappropriateprimaryhealthcare.

ORGANISATIONALGROWTHANDCHANGEStartingwithastaffoffiveonJuly1,2015,theDDWMPHNhasgrowntoacurrentstaffcomponentof27permanentrolesalongwiththreecontractedcasualswithfurthergrowthexpectedinto2016-17.TheinauguralCEO,MrKenMurphy,transitionedtheorganisationfromthesystempreviouslyoperatedbytheMedicareLocals,




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workingwiththeCommonwealthDepartmentofHealth,keystakeholdersandtheteamtoensurethatservicedeliverywasconsistentandusersoffundedserviceswerenotdisadvantagedduringthechangeoverperiod.TheeffortofMrMurphyandhisteamwasadistinctsuccessofthatstart-upperiod.

ReplacingMrMurphyinMay2016,MsSamFreeman,asActingCEO,oversawaperiodofgrowthandregenerationasweworkedtowardsallocatingfundstoprogramswehadagreedtoby30June2016.MsSimoneFinchjoinedusinAugust2016.Herreport,outliningthenextstepsfortheDDWMPHNisfoundatpage7.

NEEDSASSESSMENTTheroleofallPHNsistorespondtolocalprimaryhealthneeds.OurfocusisverymuchonthespecificneedsofthebroadanddiversecommunitiesacrosstheDarlingDownsandWestMoretonregions,withanadditionalfocusacrossspecificcohorts,suchasAboriginalandTorresStraitIslanderpeople,peopleexperiencingmentalhealthchallenges,olderpeopleandpeoplewithchronicillness.

InMarch2016,wecompletedourinitialNeedsAssessment.Theassessmentmappedover1,000servicesdeliveredbymorethan400organisations,andcrossrelatedthisservicedatawithpopulationdemographic,healthbehaviourandhealthoutcomesdataforthe10localgovernmentareasinourregion.

Thisdataassistsus,andourstakeholders,tounderstandtheneedsofaparticularcommunityorregion,allowingustorespondeffectivelyandtailorourcommissioningeffortsinusefulways.FurtherinformationabouttheNeedsAssessmentcanbefoundatpage14.

OfparticularinterestisthedevelopmentoftheShEDandthe'heatmaps'.Thistechnologyallowsustounderstandtheparticular,emergentneedsofacommunity-withdatabeingabletobedrilleddownto'town'level.Interestingly,thisisalsoallowingustoundertake'deepdives'intospecificissuessuchasmentalhealth,physiotherapyandcommunitynursing.

STRUCTURALARRANGEMENTSWehavebeencognisantoftheneedtoengageandprovideservicesinboththeDarlingDownsarea,aswellastheWestMoretonarea.Weseeourselvesasservingoneregion.

WeconductedaBoardmeetinginIpswichinOctober2015andareplanning,atleast,twoBoardmeetingsperannuminIpswich.Thisallowsustofurtherengagewithgeneralpractitioners,alliedstaffandrepresentativesoftheWestMoretonHHS.

WehaveformalisedtwoClinicalCouncilsthatmeetonapproximatelyaquarterlybasis.TheseCouncilsrepresenttheDarlingDownsandWestMoretonareasrespectively.WehaveconductedonejointmeetingoftheTwoClinicalCouncilsinAprilthisyear.

InOctober2016,wecoordinatedajointmeetingoftheDarlingDownsPHNandDDHHSClinicalCouncils.ThishasbeenarrangedwiththeassistanceofDrColinOwenwhosereputation,respectandexperienceasapractitionerhasresultedinsignificantopportunitiesforcollaborationbetweenthePHNandtheDDHHS.Theimportantworkcurrentlybeingdoneinrelationtorefiningdiabeteseducation,healthpathwaysandtreatmentisjustoneexampleofthiscollaboration.

WehaveinstigatedCommunityAdvisoryCommitteesinboththeWestMoretonandDarlingDownsareas.Intheinterestofcontinuingstrongcollaboration,wewillcoordinatetheseAdvisoryCommitteesintheWestMoretoninto




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HealthAdvisoryCommitteessoweworktowardsmultiplewaysofworkingtogetherandtrulyengagewithconsumersinordertoheartheirneedsandfullyincorporatetheirexperienceintoourwork.

WehavecreatedtheMentalHealthCommitteeundertheleadershipofDrPatStuart.GiventhestronggovernmentandDDWMPHNfocusonmentalhealth,thisCommitteeprovidesexpertclinicalandlived-experienceadvicethatassiststheDDWMPHNtodetermineneedsandassessopportunitiesforimprovementstooverallprimaryhealthinthisarea.

HHSENGAGEMENTInadditiontotheworkoutlinedabove,theChairsofthePHNandtwoHHSsinthisRegionhavemetseveraltimestorefinecommunicationandcommitmenttoworkingtogetherforoverallcommunityhealthimprovements.Thiswilltranslateintobenefitsinprimaryhealthandunnecessarypresentationsathospitals.

TheActingCEO,andournewpermanentCEO,implementedfrequentinteractionsbetweentheCEOsofthePHNandthetwoHHS.Thereisastrongspiritofworkingtogethertosupportandimprovecommunityhealth.

STRATEGICDIRECTIONTheBoardmettwicewiththeinitialCEOindiviningthevision,purposeandhighlevelareasofstrategicfocus.WeagreedthatthecorecustomersofthePHNwereour1,500generalpractitionersandalliedhealthworkforce.WetookthesixcoreareasoffocusasdeterminedbytheCommonwealthGovernmentandintegratedtheseintoouroperationalobjectivesandprograms.WeassignedeachofoursixclinicalDirectorsaportfolioofresponsibilitytocovertheseclinicalpriorities.

Originally,therewaslittleopportunityforfurtherstrategydevelopmentandthesubmissionoftheActivityWorkPlans(AWP)totheCommonwealthDepartmentofHealth.ThetimingwasfurthercomplicatedbyaFederalGovernmentelectionandrelateddeadlinesforsubmissionoftheAWPs.ManyoftheseAWPsweretestedandassessedbytheClinicalCouncilsbutinhindsightthereareanumberoflearningsaboutamoredeliberateandplannedapproachtostrategydevelopmentandexecution.

BOARDREVIEWInAugust2016,theboardadoptedaBoardandCommitteePerformancePolicywhichincludedanorganisationandfurthercementthewayforward.Theperformancereviewincludedindividualquestionnaires,discussionbetweentheChairmanandindividualDirectorsandaBoarddiscussioninOctober2016.AGovernanceImprovementPlanhasbeendevelopedtoguidetheoptimalperformanceofthePHN.

Asmentionedearlier,oneareaofimprovementrelatedtothedeliberateandprogrammedapproachtostrategydevelopmentandexecution.AsChairman,IhavedevelopedaGovernanceBlueprintwhichincludesstrategypreparation,strategicplanning,operationalplansandstrategies,thebudgetingprocess,theActivityWorkPlans,thereportingtoDepartmentofHealth,theperformanceassessmentofboththeCEOandtheBoardnextyearandthefeedbackloopthatincludesourfoundationmemberstheDarlingDownsHHSandGPConnections.TheCEOhasalreadystartedthestrategyplanningwithherstaff.Intheinterestsofintegrationandcollaboration,itiscrucialthatourstrategyreviewfor2016/17isdoneincollaborationwithourkeystakeholders–GPConnectionsandbothHHSs.




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TheBoardPerformancereviewdidnotuncoveranysurpriseswithrespecttothePHN’sandBoard’sperformancesinceinception.Incontext,thePHNwasnew,theBoardwasnew,thespecificgovernancearrangementswerenew.TheBoardhasrespondedin2016toleadershipchallenges,aswellasinadequateengagementacrossthesector.However,therehavebeensomeclearlearningsforourBoard.

Intheinterestsoffulltransparency,weknowthattheleadershipstructureandpersonnelwerenotoptimaltotheinterestsofprimaryhealthinourRegion.Wehavefixedthat.Weknowthattheengagementwithallstakeholders,includingourfoundationmembersandcorecustomerswasnotadequate.IhavecommittedtotheChairoftheDDHHSBoardthatthissituationwillimprove.ThekeystakeholdersforthwithwillreceivemonthlyperformancereportsfromthePHN.Thiswilladdressperformance,furtherstrategiesandprogressonrelevantcollaborationprojects.Theengagementwithcorecustomershasnotbeenuptostandard.WiththeappointmentofournewCEO,wehavedramaticallyimprovedourengagement.ExamplesincluderecentmentalhealthforumsinbothIpswichandToowoombawhichwerewellattendedandthetopicofverypositivefeedback.OurCEOisshortlypresentinganewEngagementStrategytoBoardandthiswillformaliseandrationalisetheengagementstrategiesthataPHNshouldbeperforming.

AsaBoardteam,thereisgoodsynergy,respectforindividualcompetences,strongclinicalbackgrounds,agoodskillmixinourcompositionandapassionandenergyforimprovedhealthoutcomes.

IwouldliketothankallDirectorsfortheirenormouscontributiontoourstart-upPHN,thetimetheyhavedevotedtoBoard,CouncilandCommitteeresponsibilities.

Weunderstandthatourcorecustomersneedourhelp.WeknowthatwithMedicareLevyfreezes,generalpractitionersaredoingithard.Weneedtobeworkingbytheirsideandassistingthemwithclinicalandpracticeimperatives.Ourcommitmenttostrongengagementwillassistusunderstandhowwecanbestdothis.

SPIRITOFCOLLABORATIONNotonlyisthereastrongspiritofcollaborationbetweenthefoundationmembers,WestMoretonHHSandthePHN,thereisrealcollaborationhappeningbetweenthePHNs.AsanewChairmanofaPHN,IhavecometorealisethattherearemanygreatthingsbeinginventedwithFederalmoneyinindividualPHNRegions.ItdoesnotmakesensetokeepthesepearlsofFederally-fundedinnovationisolatedtoaparticularregion.TheCommonwealthDepartmentofHealthhasbroughtustogetherthreetimesnowtonetwork,showcaseinnovationandfacilitatecollaborativeeffort.IknowthatourCEOisworking,andmeeting,withotherQueensland-basedPHNstocoordinateinnovativeservices.

IparticipatedinameetingofallPHNChairsinCanberratodiscusstheimplementationofHealthCareHomesandDirectorStuartrepresentedourPHNonlytwoweeksagoondiscussionsinthisarea.TheQueenslandDepartmentofHealthhasfacilitatedanumberofforumstobringHHSandPHNstoidentifyandprogressareasofcollaborativeeffort.Idon’tbelieveinre-inventingwheelsandisolatedpillarsofprimaryhealthexcellence.Theenvironmentisnowripeforinnovationtosupportourcorecustomersandpartnerinprogramsthatimprovecommunityhealth.




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WHAT’SNEXT?TheDDWMPHNhashadachallengingbeginning.Wehavebeenthroughchangeandarenowemergingthroughthisperiodstrongerandmorefocused.WearecommittedtotheDarlingDownsandWestMoretoncommunitiesandtheincreasedefficiencyandeffectivenessofprimaryhealthservicesintheregion.

WelookforwardtocontinuingtoworkwiththeDarlingDownsHospitalandHealthService,GPConnections,theWestMoretonHospitalandHealthService,andourotherstakeholderstoincreaseaccessibilityandcoordinationtopatientsintheregionsotheyreceivetherightcareintherightplaceattherighttime.

JohnMinzChairman,DDWMPHN

ChiefExecutiveOfficer’sReport

ItismygreatpleasuretojoinwithourChairman,JohnMinz,topresentyouwiththefirstAnnualReportfortheDDWMPHNforourinauguralyearofoperation.

Overourinitialperiod,DDWNPHNhasfacedthechallengeofmobilisingandestablishingitselfacrosstheregion,recruitingandretainingstaffwithdesiredskillsandexperiencesandtransitioningservices,whilstendeavouringtomaintainservicedeliveryforlegacyMedicareLocalprograms.

Itwasayearofestablishment,changeandhardwork.IfeelprivilegedtobeleadingDDWMPHNintooursecondyearofoperation.

Asanorganisation,wearecommittedtodeliveringaseamlesshealthcaresystemthatfulfilstheneedsofprimaryhealthcareprovidersandcommunityoftheDarlingDownsandWestMoretonregion.

InlinewiththiscommitmentandinlightofrecentchangesintheExecutiveteam,wehaveworkedwithEYtoundertakeaRapidCurrentStateAssessmentwithaviewofidentifyingopportunitiestoimprovethewayweoperateanddeliveronourvision.

Thisassessmentwasacrucialopportunitytoreflectupontheworkthathashappenedoverthepastyear,considertheworkthattheteamisforgingaheadonandlistentotheirperspectiveonthechallengesourPHNisfacing.

Asaresult,weareworkingonstrengtheningthestructureofthePHNitselfandimprovingourinternalsystems,toolsandgovernanceframeworkstoensurethatweremainafunctioningandeffectiveorganisation.

Weunderstandthatthereisopportunitytoimproveontheclarityofourbrandandqualityofourengagementwithourcommunity.Wearepleasedtoannouncethatwehaveengagedacreativefirmtoassistwithourcommunicationsandmarketing.Inpartnership,weplantodeveloparefreshedbrandandenhanceoursocialmediaandwebpresence.




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Inaddition,wehavealsoengagedEYtoundertakearapidassessmentofourAboriginalandTorresStraitIslanderhealthservicecoordination,integrationandprovision.WelookforwardtoimplementingtheirrecommendationstoimproveourengagementwiththeAboriginalMedicalServicesandcommunity-controlledorganisationsinourregion.

AsIwritethisreport,weareworkingonastrategicplanandrefreshedengagementstrategyforourPHNthatwillinformournext18months.Insummary,weareplanninganumberofkeyexcitinginitiativesinthefuture,including:

► Facilitationofastaffstrategyeventinthecomingweekstoplantheoutcomesandstrategiesofourkeyfocusareasoverthenext18months

► ReleaseofarevisedorganisationalstructurethatalignstothegrowingneedsofourPHN► Rolloutofaninvigoratedbrandandenhancedsocialmediaandwebpresence

► ImplementationofEY’srecommendationsacrosstheorganisation► Considerationofwayswecansignificantlyimproveengagementwithourotherstakeholdersintheregion► Implementationofnewsystems,toolsandgovernanceframeworkstosupportcommissioningandinternal

operations

Inthecomingyear,theDDWMPHNwillcontinuetobuildonourachievementthisyeartodriveimprovedhealthoutcomesinourcommunity.Welookforwardtopartneringwithstakeholdersandthebroadercommunityintheplanning,coordinationandintegrationofservicesthatrespondtoourregionalneed.

SimoneFinchChiefExecutiveOfficer,DDWMPHN

AboutDDWMPHN

OURVISIONAseamlesshealthcaresystemthatfulfilstheneedsofPrimaryHealthCareProvidersandtheCommunity.

OURVALUES




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OURFOCUSAREAS

GOVERNANCEInadditiontotheBoardofDirectors,theGovernanceFrameworkforDDWMPHNincludesClinicalCouncils,CommunityAdvisoryCommitteesandMentalHealth/AODSub-CommitteesforbothWestMoretonandDarlingDownregions,alongwithanAntimicrobialTaskforcefortheDarlingDownsregion.

DarlingDownsandWestMoretonPHNBoard

MrJohnMinz

Chair

JohnistheChiefExecutiveOfficerofHeritageBank.Hehasheldthispositionsincelate2003,andhasbeenwithHeritagesince1993whenheinitiallyjoinedasHeadofInternalAudit.

Afterfulfillinganumberofmanagerialroles,hebecameDeputyCEOin2002andwasthenappointedCEOin2003.

DrPatriciaStuart

DeputyChair

PatworkedinGeneralPracticeinChinchillafor10yearsbeforemovingtoToowoombawhereshehasbeeningeneralpracticesince1987.

Duringthattime,PatundertookpostgraduatetrainingandcompletedaMastersinMedicalEducation.Shehasbeeninvolvedinmedicaleducationatbothunderandpostgraduatelevels.

SheiscurrentlytheAssociateDirectorofMedicalEducation(Rural)forGeneralPracticeTrainingQueensland(GPTQ)andDirectorofLearningfortheUQRuralClinicalSchools.

PatisanexaminerforthefellowshipofbothRACGPandACRRMcolleges.Herspecialinterestsareinmedicaleducationwithanemphasisonrecruitingandretainingdoctorsinruralandregionalareas.

PathasmaintainedherlinksandinterestsinallthingsruralandsheandherhusbandhavecattleonafarmnearChinchilla.

DrAmandaIlllingworth

BorninSouthAfrica,MandyhasbeeninAustraliaforoveraquarterofacenturyandcurrentlypracticesinIpswich.

Sheispassionateaboutexcellentprimaryhealthcare;involvedinlocalmedicalpoliticsandmedicaleducationtocontinuallyimprovelocalhealthcare.

DrAndyMellis

AndyandhisfamilymovedfromtheUKtoToowoombain2005.AsapractisingGPinToowoomba,heisexcitedtohavetheopportunitytoinputintothechallengesfacingGeneralPractice.

Hisspecialinterestsincludefamilyhealthandmedicaleducation.

DrLynneKing

LynnegraduatedfromtheUniversityofQueenslandin1981.PractisinginToowoomba,sheprovidesgeneralmedicalcaretoallagegroupsforbothwomenandmen.Shehasaspecialinterestinagedcareandpalliativemedicine.




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DrRolandOwen

RolandmovedoverfromtheUKin2006andpracticesinHighfields.

HefoundthathisexperienceoftheturbulentUKsystemishelpingwiththecurrentunprecedentedchanges&similaritiesoccurringwithinourmedicalsystem.

AsoneoftheyoungerGPsinthearea,oneofhisareasofinterestistotrytoensurethefutureofPrimaryHealthCareintheregion.

DrColinOwenAO

ColinhaspractisedasaGPinInglewoodsince1968wherehehasraisedfivechildrenattheirInglewoodpropertythatisnowapopularretreatforthegrandchildren.

HewasthefoundingpresidentoftheRuralDoctorsAssociationofQueensland(RDAQ)in1989,theinauguralpresidentoftheRuralDoctorsAssociationofAustralia(RDAA)in1991,afoundationFellowoftheAustralianCollegeofRuralandRemoteMedicineandapastPresidentoftheRACGP.

MsAnnetteScott

InadditiontoAnnette’scurrentroleasDirectoroftheboardfortheDDWMPHN,sheisExecutiveDirectorAlliedHealthfortheDarlingDownsHospitalandHealthService.Shecommencedhercareerinhealthasaphysiotherapist.AfterspendingherearliercareerasaprivatepractitionerinsolopracticeinCentralQueensland,shejoinedthepublichealthsysteminQueenslandin1993.Annettehassubsequentlyfulfilledanumberofclinical,qualityimprovementandmanagementroles,includingmanagementofarangeofcommonwealthandstatefundedhealthprograms,andhasworkedacrossarangeofservicesettingsincludingprimarycaresettings.

AnnetteisagraduateoftheAustralianInstituteofCompanyDirectorsandalsorecentlysuccessfullycompletedtheWomeninExecutiveLeadershipprogramthroughtheUniversityofQueensland.In2015AnnetteplayedakeyroleinthetransitionofservicesfromtheDarlingDownsandSouthwestQueenslandMedicarelocaltotheDarlingDownsandWestMoretonPrimaryHealthNetwork.ShebringstotheroleofDirectorastrongcommitmenttoimprovingtheintegrationofhealthservicesacrosstheregion.

MrRobertWalker

Robwasawell-knownsolicitorinprivatepracticeinIpswichfor40years,andbringstotheBoardawealthofexperiencenecessaryforeffectivegovernance.

Rob’sexperienceincludes15yearsontheIpswichHospitalFoundation,halfofwhichwasasChairman.HewasalsoontheBoardofTrusteesofIpswichGirlsGrammarSchoolfor20years,8yearsasChairman,andhe’salsobeenaRotarianfor28yearsholdingmanypositionsincludingPresident.

Robhasastrongcommitmentandaffiliationwiththelocalcommunity.

DarlingDownsClinicalCouncil

DrColinOwen ChairDrDebraCarroll GPLiaisonOfficerDaphneCleaves SpeechPathologistMarkGoddard RegisteredNurseDrPennyHutchinson PublicHealthPhysicianandDirectorDrKevinLynch GeneralPractitionerLainieNicholson PsychologistDrHumeRendle-Short BoardChairBarrySheehan PsychologistPaigeSkinner Pharmacist




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WestMoretonClinicalCouncil

DrAmandaIllingworth ChairGeorgiaAsh PsychologistDrJoanBaker GPDrSimonBarnett GeneralPractitionerMaryEllenMuller NurseMrsLeslieRoberts NursePractitionerDrKennyTay EmergencyMedicineConsultantCameronFoote PharmacistDeanJohnson IndigenousHealthCoordinator&ProfessionalLeadIndigenousHealthServices

DarlingDownsCommunityAdvisoryCommittee

DrLynneKing Chair

CharlieRowe ProgramsDevelopmentManager/WHSCarbalCatherineScales DisabilitiesSupportWorker/Carer

JimMadden RetiredTeacherBreeSauer AccreditedExercisePhysiologist

RochelleJesser Semi-retiredgrazierLouisaHandyside Pharmacist/Student-MasterofPharmPublicHealth

NeilMeiklejohn CouncillorwithSouthernDownsRegionalCouncilLynTate CorporateServicesTeamLeaderCentacare

LouiseJudge MemberofHealthConsumersQld

WestMoretonCommunityAdvisoryCommittee

RobertWalker Chair

BelindaBarrie Carer

HelenMees

BrendaMoloney Retiree

CarmelO'Connor RetireeShandelleSchmidt PracticeManager

KimStanton FlorescoCarer’sRepresentativeTimEltman ContractSocialPlanner-IpswichCityCouncil

PaulBrew GMIpswichHospiceCareIncTaniaSchmakeit PIRManagerWestMoreton-Oxley




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Indicator Priority PHN QLDDemographics (2016 data)

1. High population growth rate Projected population 2016 586,328 2. High proportion of aged persons Projected population 2026 780,436

Annual population growth rate 3.3% 2.1%Special needs groups (% of 2011 population)

Aged population (65+) 14.7% 14.0%Indigenous population 3.8% 3.6%CALD population 5.1% 5.2%

Social determinants (2011 data)3. Low socio-economic status SEIFA Score (Q1%) 31.4% 20.0%

Lower paid occupations 32.0% 27.7%Unemployment 6.3% 6.5%Social cohesion 20.5% 18.7%Psychological distress 10.9% 10.6%

4. High prevalence of chronic diseases Self-assessed poor health 17.3% 15.7%Chronic disease health status (2013 to 2015 data)

Type 2 Diabetes 5.3% 4.5%5. High prevalence of poor health behaviors COPD 2.9% 2.4%

Respiratory Disease 29.1% 27.2%Cardiovascular Disease 17.9% 17.8%

Health behaviours (2014 data)Overweight and obese 62.9% 57.8%Poor fruit consumption 43.3% 41.6%Poor vege consumption 91.6% 91.2%Risky drinking 16.1% 19.8%Insuficient physical activity 42.6% 39.9%Smoking (daily smokers) 16.0% 13.8%

6. Cancer incidence and screening rates Drug offences 1.8% 2.1%Suicide rate (SDR) 124 122Immunisation 1 year olds 93.98% 92.98%Immunisation 2 year olds 91.21% 91.10%Immunisation 5 year olds 94.36% 93.15%

Cancer incidence (2005-09 data) and screening rates (2013-14 data)7. High premature mortality rates Bowel cancer incidence rate 66.4 63.4

Bowel cancer screening rate 36.3% 35.5%Breast cancer incidence rate 112.3 116.3Breast cancer screening rate 57.8% 57.6%Cervical cancer incidence rate 6.9 8.0Cervical cancer screening rate 50.4% 57.6%

Premature mortaility rates (2008-2012)from all cancers 109.4 108.5from endocrine diseases 9.0 7.0from circulatory diseases 60.5 50.5from respiratory diseases 19.1 15.6from COPD 11.5 9.6from falls, fires, suicide 39.8 37.9

A priority issueDarling Downs and West Moreton PHN Currently no issue145 Taylor Street TOOWOOMBA QLD 4350 P: 07 4615 0900 Not a priority issue

Priority key symbols allocatation based on rank order within peer group

Demographically, the key issues facing the PHN are the high population growth rate and the high proportion of the population that are aged 65 years and over. These factors will have a significantly impact on future health needs and health service delivery.

A significant number of the social determinants of health in the PHN are higher than the state levels, and overall, the region is more disadvantaged than other regions in the state.

Chronic disease prevalence rates in the PHN are all higher than the state averages.

The health behaviors of the population are generally below the state averages, with weight, diet, physical inactivity and smoking being our key challenges.

SOURCES: This dataset is a summary of individual datasets prepared by the Darling Downs and West Moreton PHN between September 2015 and March 2016. Sources for each indicator are identifed in the original "By the Numbers" dataset publications.

The premature mortality rates for all disease groups are significantly above the state premature mortality rates.

While the region generally has lower incidence and higher screening rates for cancers, the incidence rate for bowel cancer is above the state rate and the cervical cancer screening rate is below the state rate.

Childhood immunisation rates in the PHN are above the state average, however they are all below the national target of 95%.

The suicide death rate is only slightly above the state suicide death rate.

* These datasets contain preliminary data only, as at March 2016, and will be updated as more up-to-date population health data becomes available.

R

A summary of identified health needs* in the Darling Downs and West Moreton PHN

KEY HEALTH NEEDS

phn (whole of region)B Y T H E N U M B E R S

LGA Datasets 2016-v2 : Regional Health Needs Published: 21/03/2016




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Indicator Priority PHN QLDChronic disease services (per 1,000 pop, 2014-15 data)

Chronic disease MBS items 276 278Allied health MBS items 197 231Health Assessments 51 53Practice Nurse MBS items 69 71

Mental health services (per 1,000 pop, 2014-15 data)by Community mental health 345 305by mental health focused allieds 337 396by GPs 326 383by Psychiatrists 250 294by Psychologists 174 204by mental health nurses 146 132through ATAPS 56 37through CheckUP 11 N/A

Who delivered non-acute mental health services in the PHNCommunity mental health 21%Mental health focused allieds 20%GPs 20%Psychiatrists 15%Psychologists 11%Mental health nurses 9%through ATAPS 3%through CheckUP 1%

After hours services (per 1,000 pop, 2014-15 data)GP after hours MBS items 299 384ED Cat 4&5 presentations 34 N/A(PHN rural hospitals after hours presentations only)1300 Health calls after hours 17.0 17.9

Who delivers after hours services in the PHN in 2014-15

5. Workforce issues

Digital health services (per 1,000 pop, 2014-15 data)Telehealth MBS items 862 765

Workforce datasetsGPs (per 100,000 pop) 106 112Aged care places 85 71

A priority issueDarling Downs and West Moreton PHN Currently no issue145 Taylor Street TOOWOOMBA QLD 4350 P: 07 4615 0900 Not a priority issue

1. Chronic disease servicesWith the exception of allied health MBS items, the claim rate for all chronic disease item groups in the PHN in 2014-15 was similar to the claim rates in the state.2. Mental health services

From a health services point of view, the PHN region includes communities with both high and low rates or levels of health services. The rate or level of services is linked to the rurality of the communities, with more urban communities having a higher rate or level of service provision than regional and rural communities.

Non-acute mental health services, in 2014-15, were delivered by a range of service providers.The service rate per 1,000 pop for community mental health, mental health nurses and ATAPS was above the state rates for these services, while the rate for GP mental health services and mental health focused allied health services was below the state rates.

350 after hours services per 1,000 pop were delivered in the region, in 2014-15, by GPs, hospitals and the 1300HEALTH telephone triage service, a rate below the rate for the state.

The number of GPs and doctors per 100,000 pop in the region is equal to the average for similar geographical regions in Australia.

4. Digital health servicesThe claim rate for telehealth MBS items in the region in 2014-15 was 12.5% above the state average claim rate.

Priority key symbols allocatation based on rank order within peer group

The number of aged care places per 100,00 pop aged 65 years and over in the region is higher than the state average.

3. After hours services

85% of after hours services delivered in the region in 2014-15 were delivered by GPs. Only 10% of all after hours services were delivered by hospital emergency departments.

SOURCES: This dataset is a summary of individual datasets prepared by the DDWM PHN between September 2015 and March 2016. Sources for each indicator are identifed in the original "By the Numbers" dataset publications.* These datasets contain preliminary data only, as at March 2016, and will be updated as more comprehensive and accurate service delivery data becomes available.

A summary of identified health service gaps* in the Darling Downs and West Moreton PHN

KEY HEALTH SERVICE GAPS

phn (whole of region)B Y T H E N U M B E R S

R

85%

10% 5%

GP after hours MBS itemsED Cat 4&5 presentations1300 Health calls after hours

21%

20%

20%

15%

11%

9%

3% 1%

LGA Datasets 2016-v2 : Regional Health Service Gaps Published: 21/03/2016




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OurNeedsAssessmentJourney

TheDarlingDownsandWestMoretonPHNregioncoversthemajorQueenslandcommunitiesofIpswichandToowoomba,plusthesurroundingruralcommunitiesoftheLockyerValley,Boonah(ScenicRim),Esk(Somerset),SouthBurnett,SouthernDowns,GoondiwindiandtheWesternDowns(Dalby,Chinchilla,MilesandTara).

ThePHNregioncoverstwoHospitalandHealthServiceareas,tenlocalgovernmentareas(orpartsthereof),nineAustralianStatisticalGeographyStandard(ASGS)SA3statisticalareas(orpartsthereof)and64SA2statisticalareas.

Theoriginalprocess

Theneedsassessmentprocessusedincludesananalysisofhealthissues(whereweidentifiedthehealthstatusandneedsofourcommunities);ananalysisofserviceissues(whereweundertookservicemappingtoidentifyourcurrentcapabilitytoaddresstheneeds);andanassessmentprocessforidentifyingprioritiesandoptionsforpossibleaction(orwheretostart).

Wherepossible,thePHNfollowedtheprocessoutlinedintheNeedsAssessmentGuideprovidedbythegovernmentinDecember2015.

Thisprocesswasconductedoverthesix-monthperiodfromOctober2015toMarch2016bystaffatthePHN,withthesupportofHealthWorkforceQueenslandwhowerecontractedtoundertakeservicemappingforPrimaryHealthCareintheDarlingDownsandWestMoretonRegion;andSigginsMiller,whowerecontractedmid-March2016todevelopamethodology,approachandreportidentifying,analysingandevaluatingtheserviceneedsandprioritiesoftheregion,withaspecificfocusonmentalhealth,drugsandalcohol.

Therefreshprocess

TheDarlingDownsandWestMoretonPHNNeedsAssessmentprocesshasbeendesignedasaniterativeprocessandbetweenMarchandNovember2016datasetshavebeenupdatedand/orexpandedasnewdatabecameavailableoradditional“deepdive”activitieswereundertaken.

Currentoutputsinclude:

1. TheongoingpopulationoftheinternaldatabaseTheShED(StakeholderEngagementDatabase).Inadditiontokeepingtrackofallhealthcareprovidersandhealthpractitionersintheregion,thisdatabasemapsservices,recordsandtracksneedsraisedbystakeholders,tracksengagementactivitiesandeventattendances,andprovidesreportsatthelocalcommunity,LGA,HHSandPHNlevels.ThefollowingtablesummarisestheincreaseinentriesinTheShEDfromthedateofthefirstNeedsAssessment(30/03/2016),tothedateofthisrefreshreport(9/11/2016),foreachmajordataset,




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demonstratingthehugeincreaseindatarelevanttothePHNNeedsAssessmentbeingcollected.

Dataset Mar-16 Nov-16 %Increase

Contacts 901 2363 162%

Orgs 428 800 87%

Services 1009 2891 187%

Needs 262 481 84%

Engagements 297 790 166%

EventAttendees 91 2419 2558%

2. ThedevelopmentofaseriesofdynamicHeatmapsforkeydatasetsinTheShED.Theseheatmapsshowboththenumberandprevalenceofservices,workforceandneedsineachcommunityinthePHN.Theheatmapsdataisquitegranular,andwecurrentlymap86servicecategories,over200workforcedisciplinesandover400identifiedneeds.Populationhealthdata,includingkeydemographic,diseaseprevalenceandhealthbehaviourdataforeachsubregion(LGA)isoverlaidontheheatmaps.Thisallowsuserstoquicklyprioritiseservicegaps,workforceshortagesandstakeholderneedsduringtheplanningandcommissioningprocess.(seeattachedforamoredetailedexplanationoftheheatmaps)

3. Theupdatingofindividual“BytheNumbers”datasetspubliclyavailableonthePHNwebsite,www.ddwmphn.com.au,includingdemographic,socialdeterminants,chronicdisease,healthbehaviours,healthservices,andhealthworkforcedatasets.Thepublicationofthisdatacontributestomakingourplanningandcommissioningprocesstransparent,andmakeslocalandregionaldataavailabletothewholecommunity.InMarch2016,64“BytheNumbers”datasetswerepublished.InNovember2016,82datasetsareavailable,anincreaseof28%,althoughtheadditionaldatasetshavenotbeenpublishedonthewebasweawaitthedevelopmentofanewwebsite.

4. Ongoingstakeholderconsultationincludingprivateproviders,non-governmentorganisationsandthetwoHospitalandHealthServices,PHNandHHSClinicalCouncils,regionalchaptermeetingsandtheClinicalLeadersForum.Over500stakeholdersintheregionhavebeenengagedintopicspecificconsultationscoveringMentalHealth,AOD,AboriginalandTorresStraitIslanderHealth,RefugeeandMigrantHealth,AgedCare,PalliativeCare,ServicesforChildrenandYoungPeopleandDigitalHealth.

5. Arangeof“DeepDive”reportsfocusingonspecificidentifiedneedsand/orregions.Thesedeepdivedocumentsincludeanin-depthanalysisofservicesprovidedbyourpublichospitals,anexplorationofmentalhealthneedsintheLockyerValley,andasurveyofhealthserviceproviderperceptionsofservicecoordinationacrossprimaryandacutehealthcare.Additional“deepdives”willbegeneratedinresponsetoneedwiththeresultingdataincorporatedintoTheShED.

6. A2016/17HealthNeedsAssessmentReportforstakeholderconsultation,alsoavailablepubliclyonthePHNwebsite.Thisdocumentsummarisesthewealthofdatanowavailableintoaformatthatfacilitatesthestakeholderengagement,consultationandprioritisingprocessforthePHN.Thisreportisnotyetupdated.




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OurServiceDirectory

TheDarlingDownsandWestMoretonPHNhasdevelopedin-houseacloudbaseddatabasetostoreinformationrelevanttotheongoingprimaryhealthplanningandservicecommissioningprocess.Thisdocumentgivesabriefoverviewofthedatabase,itscapabilitiesanditsapplicationasadecisionsupporttoolinthePHNpopulationhealthplanningandservicescommissioningprocess.

TheServices,WorkforceandNeedsDirectory

TheStakeholderEngagementDatabase(ShED)isprimarilyadirectoryofthehealthworkforceworkinginthePHNregion,thehealthservicesofferedbythatworkforce,andthespecificneedsofthesector.Thedatabaseisrelationalandgeo-codedsothatservicecapacity,workforceandneedsdatacanbefilteredatvariousgeographiclevels:thewholePHN,localgovernmentareas(calledSubregions)andeventownsorlocalcommunities.

Datarelatingtoworkforce,servicesandneedsisprimarilycollectedbythePHNengagementteamastheyworkwithstakeholdersandserviceprovidersacrosstheregion,augmentedwithdatafromanumberofsourcesincludingsectorspecificworkforceandservicedirectories,communitydirectories,commissionedmappingactivitiesandtheinternet.

Existingworkforce,servicesandneedsdatacanbeaccessedandnewdatacanbeenteredintoTheShEDwhileinthefield,usingahandheldortabletapp.Thedataavailableintheappislivedataandnewdataaddedremotelyisinstantlyavailableacrossalldevices.

Geo-codingoftheworkforce,servicesandneedsdataallowsthepresentationofdataasheatmaps.




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Services,WorkforceandNeedsHeatmaps

SERVICES:Thisheatmapshowsthenumberofgeneralpractice(GP)relatedservicesineachtownintheToowoombaSubregion,colourcodedtoreflectthenumberofservicesper100,000population.

ThismapshowsthateventhoughHighfieldshasfourGPservices,whencomparedtothePHNaveragenumberofservicesper100,000population,theyarewellbelowtheaverage(formattedred).Ontheotherhand,Yarraman,withjusttwoGPservices,isformattedblue,indicatingthattheyhaveabovetheregional

averagenumberofGPservicesfortheirpopulation.

Ourservicesdataisquitegranular,andwecurrentlyhave86servicecategoriesandanadditional113disciplinecategories.Frequencyofservicedeliverydataisalsocollected.Thedatabaseisdesignedsothatadditionalcategoriesanddisciplinescanbeaddedatanytimewithouttheneedtomodifyorupdatethedatabase.

WORKFORCE:Hereisanothercutofourdata:thistimeourGPworkforcedatafortheSouthBurnettlocalgovernmentarea.

ThisheatmaptellsusthatwhileMurgonhasalargenumberofGPsanddoctors(FTE12.9),thereareactuallylessdoctorsperheadofpopulationthantheregionalaverage(formattedred).

Theheatmapsarebothdynamicandinteractive.Itispossibletomapthedistributionofover200workforcedisciplinesandbyclickingonthetownnameapopuplistoftheworkforceappearsandbyclickingonanameinthatlist,theuseristakentotherelateddataintheworkforcetable.




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NEEDS:TheShEDalsostoresthewants,requestsandneedsraisedbystakeholders.Currentlyalmost400needshavebeenrecordedinTheShED,arrangedinto18majorneedsgroupsthatincludenewservicesbeingsoughtandeducationrequests,andalmost100needsubgroups,providingahighlevelofgranularity.

Thisneedsdataisalsoavailableindynamicheatmaps,andherewehaveascreenshotoftheNewServicesSoughtgroupofneedsfortheWesternDownsregion.

Again,userscanclickonthetownnametopullupalistofthespecificneedsonthatcommunityandthestakeholderorganisationthatreportedtheneed.Clickingontheneedinthepopuptakestheusertotherelatedneedintheneedstable.

OverlayingPopulationHealthData

Populationhealthdata,includingkeydemographic,diseaseprevalenceandhealthbehaviourdataforeachsubregion(LGA)isoverlayedontheheatmaps(lefthandsidepanels).Thisallowsuserstoquicklyprioritiseservicegaps,workforceshortagesandstakeholderneedsduringtheplanningandcommissioningprocess.ThepopulationhealthdataisalsorankedasaboveorbelowthePHNaverageandformattedusingthesamecoloursystemforeaseofuse.

Forexample,heartdiseasehasarelativelyhighprevalencerateintheWesternDownsregion(comparedtoPHNaverage),alongwithhighlevelsofoverweightandphysicalinactivity,sowhentheheatmapsarefilteredforservices,disciplinesandneedsrelatedtotheseconditionsandbehaviours,appropriateplanningandcommissioningdecisionscanbemade.

PopulatingtheShED

Likealldirectories,ensuringthedataiscomprehensiveandkeepingitup-to-dateisanongoing,never-endingtask.However,theformatoftheheatmapsquicklyrevealswheredataismissingorincomplete(eg:nonumbersagainstanumberoftownabove),andwhethertherearesimplynoGPservicesavailableinthattown,oravailableserviceshavenotbeenaddedtoTheShEDcanbereadilyinvestigatedandaddressed.

Engagements

TheShEDalsostoresdataonengagementsbetweentheDarlingDownsandWestMoretonPHNstaffandstakeholders.Thisallowsmanagementtomanagestakeholderengagementandeducationactivities.




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Hereweseethenumberofpracticevisitsinasix-monthperiodintheGoondiwindisubregion.TheformattingquicklytellsusthatwehavegoodengagementinInglewoodandTexas,butneedmoreinGoondiwindiitself.Theformattingtakesintoconsiderationnotonlythenumberofvisitsandthenumberofdaysbetweenselecteddates,butthenumberofstakeholdersineachtownandregion.

Onceagain,byclickingonthetownnamealistofallengagementspopsup,andclickingonaspecificengagementrecordtakestheusertotherelateddetails.

Programs

TheShEDalsoallowsPHNprogramstafftotrackandmonitortheirengagementswithstakeholderorganisations.Inthisscreenshotweseeapractice’sengagementwithourPenCSorQualityImprovementProgram.Also,thisportalallowsuserstoquicklyseeallpracticedataandinteractionsthathavebeenrecordedbyusers.

Fromthisoneportal,userscanseethefullstafflist,thestatusofthestakeholderorganisation,eventsstaffhaveattended,needsexpressed,engagementsrecordedandservicesdelivered.

NextDevelopments

TheShEDisconstantlybeingupdatedandplannedenhancementsincludeimprovementsinusercontrolledreportingcapabilityincludingQlikSenseDashboards;anadvancedeventsportallinkedtoonlineeventregistration;andthepublishingoftheinteractiveheatmapstothePHNwebsite.




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TechnicalDetails

TheShEDisarelationaldatabasebuildontheFileMakerPlatform.FilemakerisasimplebutpowerfuldatabasesoftwaresolutionthatenablestherapidandcosteffectivedevelopmentofcustomapplicationsthatworkseamlesslyacrossAppledevices,AppleandWindowscomputersandtheinternet.FileMakerallowsforthedeploymentofuserfriendlyandelegantsolutionsindays,ratherthaninweeksormonths,withouttheneedtoengagehighlyexperienceprogrammers.

Formoreinformation

PleasecontactGarryHansford,ExecutiveManager,PopulationHealthandWorkforce,DarlingDownsandWestMoretonPHN,[email protected].

Otherachievements




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Engagement

Stakeholder management and engagement has been undertaken by various members of the team. They haveundertakenatotalof215engagementsinthe2015-16period(averyslowstartin2015.Forthe115dayssince1stJuly2016therehavebeenatotalof230engagements),workingtobuildstrongrelationshipswithourGPs,practicemanagers,practicenurses,alliedhealthandmentalhealthprofessionals.

GPandStakeholderEngagement

StakeholderengagementiskeytothesuccessoftheDDWMPHN,particularlyinruralandremoteareaswhereGPsandotherhealthprofessionalsstruggletoengageandgetaccesstoresources.ThroughourEngagementteam,theDDWMPHNhasundertakenengagementmeetingsincluding,butnotlimitedto,face-to-facemeetingsandtraining;conferencesandworkshops;andchaptermeetings.

ConferencesandWorkshops:

Immunisation(publichealthunits–DDHHS&WMHHS) Asthma&Spirometry

CancerScreening–Qhealth MyHealthRecord(trainthetrainer)

AFTERCARE ChronicIllness

WMHHS–Telehealth,NUM–EDDept.,IGH Footcare

AGPAL–AccreditationbodyforGeneralPractice Nutrition

eHealthInformationEvent Personalsafety&domesticviolence

Chaptermeetings:Warwick,Stanthorpe,Goondiwindi,OakeyandSurroundingareas,Kingaroy,Murgon,Chinchilla,Dalby

PracticeDataandtheClinicalAuditTool

ThePenCSClinicalAuditTool(Cat4)hasbeeninstalledin115practiceswithinthePHNregion.Thisrepresents72%ofthe159practicesintheregion.Ourtargetwastohavethesoftwareinstalledon75%ofpracticesbyJune30,2017.

Supportcontractshavebeensignedwith73practicesor63%ofthepracticeswiththesoftwareinstalled.Ourtargetwastohavecontractssignedwith75%ofpracticesbyJune30,2018.

DARLING DOWNSPO Box 81145 Taylor StreetTOOWOOMBAQueensland 4350P. 07 4615 0900

WEST MORETONIpswich Corporate Centre16 East StreetIPSWICHQueensland 4305P. 07 3202 4433

E. [email protected]

ddwmphn.com.au

ABN: 51 605 975 602

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