himaa national conference 2010 health information: the golden thread in health reform the national...
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HIMAA National Conference 2010Health Information: the Golden Thread in Health
Reform
The National Health Reform Agenda
Philip Davies
Professor of Health Systems & Policy
University of Queensland
School of Population Health
The Golden Thread
The Golden Thread in Health Reform
• The goal
• The labyrinth
• Health information – The Golden Thread
Health Reform – The Goal
“Create an agile, responsive and self-improving health system for future generations.”
Health Reform – The Goal
Multi-disciplinary
Multi-disciplinary
Long-termLong-termConvenient & accessible
Convenient & accessible
Quality & safety
Quality & safety
SustainableSustainable
AffordableAffordable
AccountableAccountableEquitableEquitable
Health reform – The labyrinth
Health reform – The labyrinth
Local Hospital Networks
• Responsible for managing and delivering hospital services:-
120 – 150 nationally Geographical or functional
focus Activity-based funding … in
some cases 40% State / 60%
Commonwealth funding Governing Council Subject to “clear and
transparent performance reporting”
Health reform – The labyrinth
Medicare locals will:-• work with local health care professionals to ensure services cooperate and
collaborate with each other so that patients can easily and conveniently access the full range of services they need;
• facilitate allied health care and other support for people with chronic conditions, as identified in personalised care plans prepared by GPs;
• identify groups of people missing out on GP and primary health care, or services that a local area needs, and better target services to respond to these gaps, for example, targeting gaps in GP services for aged care recipients;
• work with LHNs to identify the best pathways between services, and to assist with patients’ transitions out of hospital, and where relevant into aged care;
• deliver health promotion and preventive health programs targeted to risk factors in communities, in cooperation with the National Preventive Health Agency, once it is established;
• as needed in the execution of other functions, undertake population level planning and potential fund-holding roles in areas of market failure and where patient needs are not being met.
Source: Council of Australian Governments. National Health and Hospitals Network Agreement. Canberra: COAG Unit, Department of the Prime Minister and Cabinet; 2010
Budget 2010/11
$163.4 million Introduction of activity based funding for public hospital services beginning on 1 July 2012
$449.2 million A new approach to primary care for people with diabetes
$466.7 million Establish personally controlled electronic health records, for every Australian who would like to use one, from July 2012
$416.8 million Establish a national network of Medicare Locals and improve access to after hours primary care services
$91.8 million Establish an Independent Hospital Pricing Authority
$109.5 million Establish a National Performance Authority
Election commitment
$392.3 million To provide Medicare rebates for online consultations across a range of specialties
Health reform – The labyrinth
The golden thread
New funding for primary
care
New funding for primary
care
Hospital costs &
performance
Hospital costs &
performance
Population health
information
Population health
information
Integration & oversight
Integration & oversight
E-health records & telecare
E-health records & telecare
Operational performance improvement
Operational performance improvement
The golden thread
New funding for primary
care
New funding for primary
care
• Patient registration
• Care planning & management
• Health assessment & monitoring
• Financial management
The golden thread
E-health records & telecare
E-health records & telecare
• Communications
referral/requesting
discharge/reporting
• PCEHR
• Telehealth services
The golden thread
Population health
information
Population health
information
• Community health status, risk factors & service needs
• Service access, utilisation & gaps
• Population-based planning
• Healthy Communities Reports
The golden thread
Hospital costs &
performance
Hospital costs &
performance
• Activity-based funding Count
Classify
Cost
• Performance & Accountability Framework Clinical quality & safety standards
Service & financial performance
The golden thread
Integration & oversight
Integration & oversight
• Promotion of ‘seamless’ services
• Information sharing for management & monitoring
• Establishment of ‘local health economies’
The golden thread
Operational performance improvement
Operational performance improvement
• Activity-based funding
• Increased accountability & transparency
• Management information
• Work-process redesign
Health Reform – The Goal
Multi-disciplinary
Multi-disciplinary
Long-termLong-termConvenient & accessible
Convenient & accessible
Quality & safety
Quality & safety
SustainableSustainable
AffordableAffordable
AccountableAccountableEquitableEquitable
The Golden Thread in Health Reform