Murray PHN A.I.I.A. Presentation. May 2016

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1 Murray PHN A.I.I.A. Presentation May 2016

2 Murray PHN 2

3 Objectives and priorities Commonwealth agreement 3 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 Objectives

4 National health priorities 4 Mental health Aboriginal and Torres Strait Islander Health Population health Health workforce ehealth Aged care National Priorities

5 Performance framework Commonwealth agreement National headline indicators 5 Potentially preventable hospital admissions Childhood immunisation rates Mental health treatment rates Cancer screening rates Local performance indicators To be formed through needs assessment Organisational indicators Governance Financial managment Stakeholder management Delivery of contracted services Performance Indicators

6 What we are here to do Effectiveness Efficiency 6 Improving health outcomes Health system integration Reducing costs of health delivery PHNs

7 Preventable hospitalisations Separations 7 Between 2009/ /14 Number separations increased on average 3.3% per year Population growth was only 1.6% per year *Separations = episodes of admitted care Poor health outcomes

8 Cost of health care 8 Cost escalation

9 Health system integration Issues 9 Fragmented configuration Private or public Commonwealth or State Government Funding and policy implications System of independent providers Interdependency of providers enhances the system Fragmented Australian Health system

10 Murray PHN Commissioning Framework 10 Commissioning Framework

11 Murray PHN Enablers 11 Health Pathways Admission and Discharge Planning erefferals Telehealth/medicine eprescribing E Health initiatives Enablers

12 12 Murray HealthPathways is a localised, collaborative and structured approach to coordinating patient care between acute and primary health services Brings together GPs, specialists and other health professionals Confirms optimal assessment, management and referral decisions within a local context Murray HealthPathways

13 13 Results in a localised point of care web based tool Builds on existing work both locally and nationally Provides a framework to identify opportunities for improvement Murray HealthPathways

14 14 Prioritising HealthPathway development Local health needs Population health data High risk population groups Avoidable hospital admissions using presentation to emergency department and length of stay data Murray HealthPathways

15 15 Prioritising HealthPathway development Specialist waiting times Responding to GP feedback re referral barriers Availability of subject matter experts Murray HealthPathways

16 Central Victoria Pathway Primary Category Percentage developed 16 Eating Disorders (Not otherwise specified) Mental Health Drug Seekers Mental Health Colonoscopy Gastroenterology Smoking Cessation Respiratory Otitis Media with Effusion (Glue ear) ENT/Otolaryngology, Head, and Neck Hospital Admission Risk Program (HARP) Referral Information Residential In Reach Services Older Persons Health Immunisation Contacts Public Health Acute Chest Pain Cardiology Aboriginal and Torres Strait Islander Health Assessment Resources Immunisation - Childhood Child Health Urinary Incontinence Gynaecology Vulnerable Children Pathway Child Health Murray HealthPathways

17 Admission and Discharge Information 38 Acute Health services Lack of timely and accurate information between primary care and acute system Reliant on manual based system, inconsistent Patient needs fall behind system capability experts Work arounds 17 Admission and Discharge

18 18 erefferal Interface within primary care and between other health sectors Paper-based (fax) system Issues associated with quality of information Inconsistent system provider needs and capacity currently supersede opportunities to improve patient care. ereferral

19 19 Telehealth Increase access to health services and skills Reduce barriers experienced in rural and remote areas to health care distance, time and costs Workforce redesign retention and recruitment Limitations are structural Infrastructure, payment structures Exploration of options DHHS, RFDS, Telstra Health Telehealth

20 eprescribing 20 Medication errors major source of admissions eprescribing

21 My Health Record 21 ehealth

22 Healthdirect 22 ehealth

23 Interim Clinical Council 23

24

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