October 2015 2 Health services briefing Overview Objectives and priorities Performance framework Murray PHN structure Governance Operational Strategy Population Health Planning Next steps ID: 492166
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Slide1
Murray PHN Introduction
October
2015Slide2
2
Health
services briefing
Overview
Objectives and priorities
Performance framework
Murray PHN structure
Governance
Operational
Strategy
Population Health Planning
Next stepsSlide3
3
Health
services briefingSlide4
Improving health outcomes
Reducing costs of health delivery
Health system integration
Effectiveness
Efficiency
4
Health
services briefing
What we are here to doSlide5
“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.
5
Health
services briefing
Preventable hospitalisationsSlide6
6
Health
services briefing
Preventable
hospitalisations
Separations
Between 2009/10-2013/14
Number separations increased
on average 3.3% per year
Population growth was only
1.6% per year
*
Separations = episodes of admitted careSlide7
7
Health
services briefing
Improving health outcomes
9.7 million
hospitalisations
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
/Slide8
8
Health
services briefing
Health system integration
Issues
Fragmented
configuration
Private or
public
Commonwealth or State G
overnment
Funding and policy
implications
System of independent providers
Interdependency of providers enhances the system Slide9
9
Health
services briefing
Health system integration
Issues
Difficult 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”Slide10
10
Health
services briefing
Cost of health careSlide11
11
Health
services briefing
Cost of health care
2011/12 cost of health care in
Australia
= $140
billion
= $6,230 per Australian
Murray PHN catchment = $3.5 billion
Primary care component:
MBS
= ~ $160
million
PBS
= ~ $270 millionSlide12
12
Strategic
Collaboration
Shared
Interpretation
Locally
Relevant
Action
Goulburn Valley Health System
5 Local Government Authorities
Over 151,237 people, spanning land
mass of
about 16,500
km2
42 General Practices
12 Acute facilities with GV Health the largest health service in the region
11 community
health
services (combination of community managed and
i
ntegrated)
1 Aboriginal
Community Controlled Health Organisation (ACCHO
)
Significant number of
social
services, allied health and pharmacy services Slide13
13
Data source:
Public
H
ealth I
nformation Development Unit, University of Adelaide 2011, Victorian Population Health Survey 2011-2012, Victorian Department of Health LG profiles 2013
ATSI population
is higher in the Goulburn Valley region than the rest of
Victoria
Greater
Shepparton LGA has the highest
%
of
ATSI people in GV region - 4.2
%
pop compared
to the Victoria overall percentage of 0.8
%
All municipalities GV area have a higher degree of disadvantage than both the Victorian and Australian populations
All municipalities in GV are under the 90% recommended rate for immunisation for 24-27 month olds (84%-88%)
3 out of 5 Municipalities have higher rates of depression and anxiety compared with both the Victorian and Australian average
Goulburn Valley CommunitiesSlide14
Health services briefing
14
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
Objectives and priorities
Commonwealth a
greementSlide15
Health services briefing
15
National health priorities Slide16
Health services briefing
16
National
h
eadline indicators
Local performance indicators
To be formed through needs assessment
Organisational indicators
Performance framework
Commonwealth a
greementSlide17
Health services briefing
17
Murray PHN Board
Continued
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
Structure
Governance - Key features Slide18
Health services briefing
18
Structures
Governance - 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 BurrowsCommunity Service/EducationMilduraMs Sue Clarke Ret’ Health Service Executive BendigoMr Victor HamitLawyerEchuca
Mr Ted Rayment Acute Services CEOSwan Hill Mr Hal Swerissen Public health policyDaylesfordMs Di ThomasNewspaper Editor Albury Slide19
Health services briefing
19
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
Structures
Operational
Facilitate engagement, integration and innovation
Needs
identification
Procurement and
commissioning
System-wide improvements
Selected, reviewed and revised on the basis of Needs
AssessmentsSlide20
Health services briefing
20
Structures
Operational Slide21
Health services briefing
21
Structures
Operational Slide22
Health services briefing
22
Structures
Operational Slide23
Health services briefing
23
Structures
Operational
The number and location of Advisory Committees will be determined through a consultation process Slide24