February 2016 About WAPHA Our Vision Improved health equity in Western Australia Our Mission To build a robust and responsive patient centred primary health and social care system through innovative ID: 633113
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Slide1
Alcohol and Other Drug Forum
February 2016Slide2
About WAPHA Our VisionImproved
health equity in Western Australia.
Our Mission
To
build a robust and responsive patient centred
primary health
and social care system, through innovative
and meaningful
partnerships at the local and State wide level.Slide3
About WAPHA
T
he
WA Primary Health Alliance (WAPHA) commenced operations on 1 July,
2015.
WAPHA is
the single point where primary health and social care comes together at the State and local level.
Serving
a total population of approximately 2.57 million Western Australians.Slide4
About WAPHA Our health system remains a ‘complex web’ with no unified design principle.
Complexity and fragmentation lead to:
program duplications
inefficiency
limited emphasis on achieving outcomes that actually matter to the patient
Once
in a generation opportunity to contribute to, and influence the delivery of primary health care in WA, to place primary care at the heart of the WA health system
.
Integration
of services across organisations and across boundaries.Slide5
About WAPHA
WAPHA
is contracted to operate the Commonwealth Government’s three Primary Health Networks (PHNs) in:
Perth
North
Perth South
Country
WA
The
key functions of the PHNs are to:
increase the efficiency and effectiveness of
primary health care services
for
Western Australians,
particularly those at risk of poor health outcomes; and
improve the coordination of care to ensure
people receive
the right care, in the right place, at the right time
.Slide6
Governance Framework Slide7
CommissioningWhat is commissioning?
Commissioning
is a process that is based on a needs-led evidence base with solutions/services co-designed to meet these needs.
Commissioning is supported by outcome based evaluations, that focus on ensuring the effective provision of health services that meets the need of the population.
It is more than just procuring and purchasing of services, it relies on building and sustaining effective relationships, and established trust between providers and government agencies. Slide8
Commissioning FrameworkSlide9
Commonwealth Key Priorities Slide10
Outcome Based Commissioning
Supply Driven Health System
Focus on
volume and cost of services
(Block Funding)
Moving toSlide11
Integrated Commissioning Slide12
Patient Centred Medical HomeCommissioning for the Patient Centred Medical Home Model of Care.
A
significant part of WAPHA’s commissioning is to be based on the construct of the Patient Centred Medical Home:
A practice where patients and their families have a continuing relationship with a particular GP, supported by a practice team. Care provided is comprehensive, coordinated and
accessible
with a focus on safety and
quality.
The Australian Centre for the Medical HomeSlide13
Patient Centred Medical Home
Attributes of the patient centred medical home.
Comprehensive
care that meets the majority of a patient’s needs.
Patient-centred care that prioritises the development of relationships between patients and providers.
Coordinated care where care is planned and coordinated across healthcare settings to maximise positive outcomes.
Accessible care, available to patients easily, when it is needed and in responsive settings.
Safe, quality care, where GPs and general practice systems aim for continuous quality
improvement.
US
Department of Health and Human Services; Agency for Healthcare Research and Quality. Defining the PCMH
.Slide14
Patient Centred Medical Home
Patient and community outcomes.
Continuity
of patient care
Increased access to appropriate care
Decreased use of inappropriate services (particularly emergency departments)
Increased provision of preventative services (e.g. cancer screening)
Improved care experiences for patients and staff
Cost savings
RACGP – Vision for general practice and a sustainable healthcare system, September 2015Slide15
Ice Taskforce ReportReport delivered to the Prime
Minister on
9
October
2015.
38 recommendations across 5 priority
areas.
PHNs responsible for planning and commissioning of new treatment and support services (encompasses all of AOD – not just methamphetamine
).Slide16
Government Response$241.5 million in additional funding from 1 July 2016 over 4 years for new AOD treatment
services.
$78
million included to prioritise indigenous specific services (over 3 years
).
$107
million from 1 July 2016 additional funding to support clinical research into new treatment options, training of professionals and evaluating the effectiveness of clinical care for those using
methamphetamine.
$13
million in additional funding for new MBS items for Addiction Medicine Specialists from 1 July
2016.
Services evidence based and
to meet
local
need.Slide17
WAPHA ExpectationsWhat WAPHA expects from Commonwealth Department of Health's, Drug Strategy Branch:
Details
of funding amount for WA
Timing for the allocation of funds
Guidelines – commissioning objectives & outcomes
Kinds of services models they expect
Types of services that can be commissioned
Alignment and interface of services
Information and resources for PHNs to guide planning
Specific
DoH
position on workforce development as it relates to methamphetamineSlide18
National Reviews
Other important national reviews:
Harnessing Good Intentions
Review of the Aboriginal and Torres Strait Islander AOD treatment service sector
New Horizons
The review of AOD treatment services in AustraliaSlide19
CollaborationsWAPHA/State Government Collaborations:
Better
Choices. Better Lives:
WA Mental Health, Alcohol and Other Drug Services Plan,
2015-2025.
Close collaboration with the WA mental Health Commission – co-commissioning
opportunities.
Close collaboration with:
WANADA
AHCWA
WA Government Agencies – (includes) Housing, Transport, Social Services, Justice, Employment and
Training.Slide20
Social Determinants of Health Discrepancies in health outcomes across the socio-economic gradient.
Housing
Education
Availability of nutritional food
Social support
Health care systems
Secure early
life
“These inequities in health, avoidable health inequalities, arise because of circumstances in which people grow, live, work and age and the systems put in place to deal with illness. The conditions in which people live and die are, in turn, shaped by political, social and economic forces”.
World Health OrganisationSlide21
What you can tell usWhere are the services gaps?
What’s working and what’s not?
Why / why not?
Needs analysis – where is the current / projected need?
Service models – what are the exemplary ones?
Procurement process – what works / what doesn’t work? Best practice examples
What do we need to address in respect to workforce and capacity building?
What key collaborations do you consider important for WAPHA?
How do we best measure outcomes?