murray phn introduction august 2015. 2 health services briefing
TRANSCRIPT
Murray PHN Introduction
August 2015
2
Health services briefing
Improving
health outcomes
Reducing costs of health
delivery
Health system
integration
Effectiveness Efficiency
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Health services briefing
What we are here to do
“60,000 Victorians were being admitted to hospital every year unnecessarily”
Premier Andrews
“They could avoid being admitted to hospital if they were better managed, but…. we are failing to organise the work GPs do, the work hospitals do, the work pharmacists do”
Premier Andrews
The Victorian government wants “tailored programs of support” to be created for patients and better co-operation between state and federal governments.
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Health services briefing
Preventable hospitalisations
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Health services briefing
Preventable hospitalisationsSeparations
Between 2009/10-2013/14 Number separations increased
on average 3.3% per year
Population growth was only1.6% per year
*Separations = episodes of admitted care
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Health services briefing
Improving health outcomes
9.7 million hospitalizations 2013/14 Digestive system = 978,000
Cancer = 616,000
Circulatory 481,000
Genitourinary = 457,000
Respiratory = 408,000
“One in three cancer cases are preventable and the number of cancer deaths could be reduced significantly by choosing a cancer smart lifestyle. More than 13,000 cancer deaths each year are due to smoking, sun exposure, poor diet, alcohol, inadequate
exercise or being overweight”.
www.cancer.org.au/preventing-cancer/
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Health services briefing
Health system integrationIssuesFragmented configuration
Private or public
Commonwealth or State Government
Funding and policy implications
System of independent providers
Interdependency of providers enhances the system
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Health services briefing
Health system integrationIssuesDifficult for patient to navigate
Patient lacks information about system
Health implications
Bigger impact in rural areas
Disruptive and encounter blockages
Clinical information stays with provider
Impacts upon quality of care
Gaps in provision of key information
System “doesn’t talk to each other”
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Health services briefing
Cost of health care
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Health services briefing
Cost of health care
2011/12 cost of health care in Australia = $140 billion
= $6,230 per AustralianMurray PHN catchment = $3.5 billion
of that primary care:
MBS = ~ $160 million
PBS = ~ $270 million
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Health services briefing
Overview
Objectives and priorities
Performance framework
Murray PHN structure Governance Operational Strategy Population Health Planning
Next steps
Health services briefing
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Objective of PHNs To increase the efficiency and effectiveness of health
services for patients, particularly those at risk of poor health outcomes,
To improve the coordination of care to ensure patients receive the right care in the right place at the right time.
PHN priorities Mental Health
Aboriginal and Torres Strait Islander health
eHealth
Objectives and priorities Commonwealth agreement
Population Health
Health Workforce
Aged Care
Health services briefing
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National headline indicators Potentially avoidable
hospitalisations
Childhood immunisation rates
Local performance indicators Selected, reviewed and revised on the basis of Needs Assessments.
Organisational indicators Governance
Financial management
Performance frameworkCommonwealth agreement
Mental health treatment rates
Cancer screening rates
Stakeholder management Delivery of contracted services
Health services briefing
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Murray PHN Board Continuing entity LMMML MPHN
Skills based board of management
Expanded initial composition 7 10
Combination of appointed and co-opted
Concertina down to 9 over three years
Recruitment of registered stakeholders
StructureGovernance - Key features
Health services briefing
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StructuresGovernance - Board members
Name Background Residence
Dr Tali Barrett (Chair) General Practitioner Bendigo
Mr Fabian Reid (D Chair) Consultant/Government Relations Bendigo
Dr Chris Atkins GP/Lawyer Kyneton
Mr Kevin Boote Business/Community Service Shepparton
Ms Leonie Burrows Community Service/Education Mildura
Ms Sue Clarke Ret’ Health Service Executive Bendigo
Mr Victor Hamit Lawyer Echuca
Mr Ted Rayment Acute Services CEO Swan Hill
Mr Hal Swerrisen Public health policy Daylesford
Ms Di Thomas Newspaper Editor Albury
Health services briefing
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Key Features
Regional configuration
Equitable distribution of resources and capability
Consistent, adaptable, flexible, responsive
Supported by corporate structure Provides organisational support
and co-ordination
Corporate support including finance, administrative, communications
Performance management and evaluation
StructuresOperational
Facilitate engagement, integration and innovation
Needs identification Procurement and commissioning System-wide improvements Selected, reviewed and revised
on the basis of Needs Assessments
Health services briefing
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StructuresOperational
Service Continuity and Purchasing
Primary Care Engagement
Health Service Integration
Community & Patient
Engagement
Workforce Support & Development
Clinical
Council
Consumer Advisory
Committee
SUB REGIONAL MANAGER
Administration support
Medical Advisor
Service Continuity and Purchasing
Primary Care Engagement
Health Service Integration
Community & Patient
Engagement
Workforce Support & Development
Clinical
Council
Consumer Advisory
Committee
SUB REGIONAL MANAGER
Administration support
Medical Advisor
Health services briefing
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StructuresOperational
Health services briefing
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StructuresOperational
Our roles
Health services briefing
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StructuresStrategic
