Outreach Services

Medical Specialist Outreach Assistance Program (MSOAP)

Medical Specialist Outreach Assistance Program - Indigenous Chronic Disease Measure (ICDM)

Kay Trotman and Jane Cassidy

General Practice Queensland (GPQ)

• General Practice Queensland is a state based organisation that provides strategic leadership, advocacy and representation for 17 divisions of general practice

• GPQ was established in 1997

•GPQ has been a fundholder for the MSOAP since 2000

• MSOAP supports the delivery of services to outreach communities by private medical specialists

GPQ MSOAP Services

To manage existing services and to establish new services based on identified areas of need, the GPQ team works collaboratively with:

• GPs in specific locations via the Divisions of General

Practice• Qld Health MSOAP team• Department of Health and Ageing• Key location specific stakeholders eg. RFDS, QAIHC,

Community Controlled Health Services, Deadly Ears• Facilities in the identified locations

GPQ MSOAP Review ProcessFormal Reports to AGDHA:

December, June

Financial, Data Reports

Formal Service

Review

Annually

Review templates

Division visits

Specialist visits

Consult stakeholders

Develop budgetsService Approval:

MSOAP

State Advisory Forum

Annual Plan submitted

Contracts

Specialist Contractor Agreement:

Budget and service deliverables

Location Visit Reports and invoices

Contract Divisions of General Practice

Monthly Analysis

of data sources:

Location Visit Report

Visit Schedule

Compliance to Service deliverables

Analysis of Database; Chilli

Budget Analysis

Communications; List serve etc.

GPQ MSOAP Services

MSOAP budget

2009 - 2010 service delivery $2,155,242.40

2010 - 2011 service delivery $1,979,325.00

2009-2010• will provide 116 individual private services

• contracted 36 private providers

• will visit 54 locations - from Torres Strait in the north, Goondiwindi in the south, to Mount Isa in the west

Map of Services

GPQ Specialist informationSpecialty Locations

Anaesthetics Thursday IslandDermatology Aurukun, Ayr, Badu Island, Bamaga, Barcaldine, Biloela, Blackall, Charleville, Charters Towers,

Cooktown, Cunnamulla, Doomadgee, Emerald, Goondiwindi, Hope Vale, Ingham, Kowanyama, Kurumba, Lockhart River, Longreach, Mapoon, Mornington Island, Murray Island, Napranum, Pormpuraaw, Saibai

Island, St George, Thursday Island, Weipa, Winton, Wujal Wujal and Yorke Island

O&G – General Biloela, Charters Towers, Clermont, Emerald, Moranbah, Woorabinda and Ingham (reserve)

Ophthalmology – General Badu Island, Bamaga, Biloela, Charleville, Cunnamulla, Darnley Island, Hope Vale, Kingaroy, Kubin Island, Mossman Gorge, Quilpie, Saibai Island, Thursday Island, Warraber Island and Yarrabah

Paediatrics – General Emerald, Ingham, Kingaroy and Biloela (reserve)

Physician –Endocrinology Bowen, Charleville, Chinchilla, Cunnamulla, Goondiwindi, Quilpie, Roma, Cherbourg (reserve), Emerald (reserve), Kingaroy (reserve) and St George (reserve)

Physician – Gastroenterology Emerald and Longreach

Physician – General Alpha, Barcaldine, Biloela, Charleville, Clermont, Emerald, Longreach, Monto, Winton and Woorabinda

Physician – Respiratory Longreach and Mt Isa

Physician – Rheumatology Thursday Island (reserve)

Physician – Thoracic Innisfail

Psychiatry – General Blackwater, Clermont, Emerald, Mt. Isa, Roma, Weipa, Charleville (reserve) and Springsure (reserve)

Radiology Goondiwindi

Surgery – ENT Aurukun, Coen, Hope Vale, Kowanyama, Lockhart River, Pormpuraaw, St George, Charleville (reserve) and Roma (reserve)

Surgery – General Goondiwindi and Kingaroy

Surgery – Orthopaedic Roma

Surgery – Paediatric Thursday Island

Surgery – Urology Kingaroy and Roma

GPQ MSOAP

From 1 July 2009 to 9 March 2010

• 5817 patients received services from private outreach

specialists

• 972 or 16.7% of these patients identified as Aboriginal or

Torres Strait Islander origin

• 621 clinical sessions

• ENT services delivered to Aurukun, Hope Vale,

Kowanyama, Pormpuraaw, Cooktown

Closing the Gap

The Council of Australian Governments (COAG) has pledged to develop and implement strategies to address Indigenous disadvantage and has agreed six high level targets for Closing the Gap between Indigenous and non Indigenous Australians

Within the Indigenous Health National Partnership Agreement, five priority areas in relation to chronic disease have been identified:

• Tackling smoking ($161 million)

• Primary health care services that delivers ($474 million)

• Fixing the gaps and improving patient journey($171million)

• Providing healthy transition to adulthood

• Making Indigenous health services everyone's business

MSOAP Indigenous Chronic Disease Measure (ICDM)

Implementation: • Service delivery commencing 1 July 2010 - to include medical specialists, GPs, allied health professionals. Pilot services to commence prior to July 2010.

Delivery:• Services are to be delivered through Aboriginal Medical Services where possible.

Target: • Rural and remote Indigenous communities with a high prevalence of complex and chronic disease. The Australian Standard Geographical Classification (ASGC) Remoteness Index (RA) 2 to 5 is being used.

Chronic conditions under MSOAP - ICDM are:• Diabetes• Cardiovascular disease• Chronic respiratory disease• Chronic renal (kidney) disease• Cancer

Proposed Pilot Services

MSOAP - ICDM April to June 2009

Division: RHealthMedical specialty: RespiratoryAHP: PhysiotherapyLocations: Charleville, Cunnamulla, Roma, St George

Division: North West Qld Primary Health CareMedical specialty: EndocrinologyAHP: Podiatry, physiotherapyLocations: Jundah, Birdsville, Windorah, Bedourie, Winton, Longreach,

Barcaldine, Blackall

Division: Central Qld Rural Division of General PracticeMedical specialty: Endocrinology, OphthalmologyAHP: Dietitian, Diabetes Educator Locations: Emerald, Woorabinda, Eidsvold

MSOAP and MSOAP - ICD

Working together at the state and local level to provide

outreach service delivery.

• Coordinated approach in particular between GPQ and

the other QLD MSOAP fundholder QH• Established program• Provision of private specialists• Supported by robust review process• Comprehensive key stakeholder engagement

Thank you

General Practice Queensland

Proposed MSOAP 2010 - 2011 services

MSOAP services are continuing from 2009 -2010, and any new services are to be approved by the MSOAP State Advisory Forum.

Central Queensland Rural Division of General PracticeDivision QH District Specialty Location

CQRDGP Central Queensland Dermatology Biloela

CQRDGP Central Queensland O & G - General Biloela

CQRDGP Central Queensland Ophthalmology - General Biloela

CQRDGP Central Queensland Physician - General Biloela

CQRDGP Central Queensland O & G - General Clermont

CQRDGP Central Queensland Physician - General Clermont

CQRDGP Central Queensland Psychiatry - Adult Clermont

CQRDGP Central Queensland Dermatology Emerald

CQRDGP Central Queensland O & G - General Emerald

CQRDGP Central Queensland O & G - General Emerald

CQRDGP Central Queensland Paediatrics - General Emerald

CQRDGP Central Queensland Physician - Gastroenterology Emerald

CQRDGP Central Queensland Physician - General Emerald

CQRDGP Central Queensland Psychiatry - Adult Emerald

CQRDGP Central Queensland Physician - General Monto

CQRDGP Central Queensland O & G - General Moranbah

CQRDGP Central Queensland O & G - General Woorabinda

CQRDGP Central Queensland Physician - General Woorabinda

       

Far North Queensland Rural Division of General PracticeDivision QH District Specialty Location

FNQRDGP Cairns and Hinterland Physician - Respiratory InnisfailFNQRDGP Cape York Psychiatry - Adult WeipaFNQRDGP Cape York Dermatology AurukunFNQRDGP Cape York Dermatology Lockhart RiverFNQRDGP Cape York Dermatology CooktownFNQRDGP Cape York Dermatology Hopevale FNQRDGP Cape York Dermatology Wujal WujalFNQRDGP Cape York Dermatology Kowanyama FNQRDGP Cape York Dermatology PormpuraawFNQRDGP Cape York Dermatology MapoonFNQRDGP Cape York Dermatology WeipaFNQRDGP Cape York Dermatology NapranumFNQRDGP Cape York Dermatology Weipa FNQRDGP Cape York Dermatology CoenFNQRDGP Torres Strait Dermatology BamagaFNQRDGP Torres Strait Dermatology- consultations Thursday IslandFNQRDGP Torres Strait Dermatology - surgical visits Thursday IslandFNQRDGP Torres Strait Dermatology Badu IslandFNQRDGP Torres Strait Dermatology Yorke IslandFNQRDGP Torres Strait Dermatology Murray IslandFNQRDGP Torres Strait Dermatology Saibai IslandFNQRDGP Cape York Dermatology YarrabahFNQRDGP Torres Strait Surgery - Paediatric Thursday IslandFNQRDGP Torres Strait Anaesthetic Thursday IslandFNQRDGP Cairns and Hinterland Ophthalmology - General YarrabahFNQRDGP Cape York Ophthalmology - General Hope ValeFNQRDGP Cairns and Hinterland Ophthalmology - General Mossman GorgeFNQRDGP Cape York Surgery - ENT AurukunFNQRDGP Cape York Surgery - ENT Hope ValeFNQRDGP Cape York Surgery - ENT Kowanyama FNQRDGP Cape York Surgery - ENT PormpuraawFNQRDGP Cape York Surgery - ENT Lockhart RiverFNQRDGP Cape York Surgery - ENT CoenFNQRDGP Cape York Surgery - ENT MapoonFNQRDGP Cape York Surgery - ENT Napranum       

North and West Queensland Primary Health Care

Division QH District Specialty Location

NWQPHC Central West Physician - General Alpha

NWQPHC Townsville Dermatology Ayr

NWQPHC Central West Dermatology Barcaldine

NWQPHC Central West Dermatology Blackall

NWQPHC Central West Dermatology Longreach

NWQPHC Central West Dermatology Winton

NWQPHC Central West Physician - General Barcaldine

NWQPHC Central West Physician - Endocrinology Bowen

NWQPHC Central West Physician - Endocrinology Bowen

NWQPHC Townsville Dermatology Charters Towers

NWQPHC Townsville O & G - General Charters Towers

NWQPHC Mount Isa Dermatology Doomadgee

NWQPHC Mount Isa Dermatology Normanton

NWQPHC Mount Isa Dermatology Mornington Is

NWQPHC Townsville Dermatology Ingham

NWQPHC Townsville Paediatrics - General Ingham

NWQPHC Central West Physician - Gastroenterology Longreach

NWQPHC Central West Physician - General Longreach

NWQPHC Central West Physician - Respiratory Longreach

NWQPHC Mount Isa Psychiatry - Adult Mount Isa

NWQPHC Mount Isa Physician - Respiratory Mount Isa

NWQPHC Central West Physician - General Winton

       

R HealthDivision QH District Specialty Location

R Health South West Physician - General CharlevilleR Health South West Dermatology CharlevilleR Health South West Dermatology CunnamullaR Health South West Dermatology GoondiwindiR Health South West Dermatology St GeorgeR Health South West Ophthalmology - General CharlevilleR Health South West Ophthalmology - General CunnamullaR Health South West Ophthalmology - General QuilpieR Health South West Physician - Endocrinology CharlevilleR Health South West Physician - Endocrinology CunnamullaR Health South West Physician - Endocrinology QuilpieR Health South West Physician - Endocrinology ChinchillaR Health South West Physician - Endocrinology GoondiwindiR Health South West Radiology GoondiwindiR Health South West Surgery - General GoondiwindiR Health Darling Downs - West Moreton Ophthalmology - General KingaroyR Health Darling Downs - West Moreton Paediatrics - General KingaroyR Health Darling Downs - West Moreton Surgery - Urology KingaroyR Health South West Surgery - Urology RomaR Health South West Physician - Endocrinology RomaR Health South West Psychiatry - Adult RomaR Health South West Psychiatry - Adult Charleville R Health South West Surgery - Orthopaedic Roma R Health South West Surgery - ENT St GeorgeR Health South West Surgery - ENT RomaR Health Darling Downs - West Moreton Physician - Endocrinology KingaroyR Health South West Physician - Endocrinology St GeorgeR Health Darling Downs - West Moreton Physician - Endocrinology Cherborugh       

MSOAP - ICD Services Central Queensland Rural Division of General Practice

Division QH District Specialty LocationCQRDGP Central Queensland Physcian - Endocrinology EmeraldCQRDGP Central Queensland Dietitian EmeraldCQRDGP Central Queensland Physcian - Endocrinology WoorabindaCQRDGP Central Queensland Dietitian WoorabindaCQRDGP Central Queensland Surgery - Ophthalmology EidsvoldCQRDGP Central Queensland Dietitian EidsvoldCQRDGP Central Queensland Surgery - Ophthalmology WoorabindaCQRDGP Central Queensland Dietitian Woorabinda       

North and West Queensland Primary Health CareDivision QH District Specialty Location

NWQPHC Central West Podiatry JundahNWQPHC Central West Podiatry BirdsvilleNWQPHC Central West Podiatry WindoraNWQPHC Central West Podiatry BedourieNWQPHC Central West Podiatry WintonNWQPHC Central West Podiatry LongreachNWQPHC Central West Podiatry BarcaldineNWQPHC Central West Podiatry BlackallNWQPHC Central West Physiotherapy JundahNWQPHC Central West Physiotherapy BirdsvilleNWQPHC Central West Physiotherapy WindoraNWQPHC Central West Physiotherapy BedourieNWQPHC Central West Physiotherapy WintonNWQPHC Central West Physiotherapy LongreachNWQPHC Central West Physiotherapy BlackallNWQPHC Central West Physiotherapy BarcaldineNWQPHC Central West Endocrinology JundahNWQPHC Central West Endocrinology BirdsvilleNWQPHC Central West Endocrinology WindoraNWQPHC Central West Endocrinology BedourieNWQPHC Central West Endocrinology WintonNWQPHC Central West Endocrinology LongreachNWQPHC Central West Endocrinology BlackallNWQPHC Central West Endocrinology Barcaldine       

R HealthDivision QH District Specialty Location

R Health South West Physician - Respiratory CharlevilleR Health South West Physician - Respiratory CunnamullaR Health South West Physician - Respiratory RomaR Health South West Physician - Respiratory St George