Tender Information Session. Mental Health Integrated Complex Care. June 20, 2017

Transcription

1 Tender Information Session Mental Health Integrated Complex Care June 20, 2017

2 Overview 1. Background, Stepped Care Model Elizabeth Deveny 2. Funding, reporting Chris Wood 3. Morning Tea 4. MHICC Service Guidelines Kiera Mansfield & Fotini Strongylos 5. Next steps Kiera Mansfield & Fotini Strongylos 6. Q&A - Panel Please note, this session is being recorded

3 Purpose of today Detailed information about MHICC services and tender process What happens after Provider Organisations are appointed (exact locations of services, what practitioners will be paid) Mild/moderate services (tenders closed 9 June) and other parts of stepped care model

4 40% of SEMPHN residents have MH needs (3% severe illness) Severe 3% Mild 8% Moderate 6% Early Intervention 15% Relapse prevention 8% *Modelled estimates, not actual counts, provided to PHNs in the National Mental Health Service Planning Framework.

5 Mental health consultations Oct 15 Dec 15 Feb 16 Apr 16 Nov 16 Mar 16 Preparing for the future Better Mental Health Help reshape primary mental health services across SE Melbourne Building an effective mental health response in SEMPHN Mental Health Stepped Care stakeholder review Info sessions for current ATAPS and MHNIP Providers

6 What wasn t working before? Lack of accessibility e.g. GP/patient connections Funding/programs not based on data Lack of program visibility - consumers and GPs No formal outcome measures agreed and executed Unbalanced location of services

7 MHNIP: Service locations and client need

8 MHNIP: Service contacts per client 54% of clients received fewer than 5 service contacts

9 Proportion of Nurses MHNIP: Nurse Client Caseload 30% 25% 20% 15% 17% Annual Caseload of Mental Health Nurses 28% 30% of MHNs have more than a full-time case load 10% 11% 13% 9% 13% 5% 0% 4% 4% >=71 Number of Clients

10 % of Clients MHNIP: Outcome Measures 70% K10 Scores 60% 62% 50% 40% 30% 38% of clients may be better served in a different program 20% 10% 0% 18% 14% 6% Well Mild Moderate Severe Severity of Mental Illness *NOTE: About 60% of records were missing K10 data

11 MHNIP: Lack of program visibility We currently have insufficient data on: Number of clients seen in an average nurse session (3.5hrs) Standardised diagnosis information Client demographic information Planned discharge dates Types of referrers to MHNIP How frequently clients receive sessions

12 The Stepped Care Model for Mental Health Severe/complex Moderate Low At-risk

13 Six design principles 1. Person-centred 2. Effective 3. Flexible 4. Efficient 5. Timely 6. Co-ordinated

14 Person-centred

15 Effective

16 Flexible

17 Efficient

18 Timely

19 Co-ordinated

20 MHICC services Each LGA will have one or more Provider Organisations that deliver MHICC services

21 MHICC Services Four key parts: 1. Clinical nursing services 2. Family support and liaison 3. Care co-ordination & liaison (clinical and non-clinical) 4. Improving access to psychiatrist & psychological care.

22 MHICC services Central intake through SEMPHN Referral via clinician, self, family, intake, other services

23 MHICC services - practitioners Mental health nurses Mental health workers (minimum Cert IV MH) Occupational Therapists Social Workers Clinical psychologists Psychiatrists

24 Funding for MHICC Services

25 MHICC Funding Structure Funding will be allocated by Local Government Area Funding distributed based on 4 indicators of service need: 1. Population size 2. Socioeconomic disadvantage 3. Psychological distress 4. Mental health-related hospitalisation rate

26 The SEMPHN Catchment

27 Population Size and Density Population Density Population Size Source: ABS Census 2011 Source: PHIDU estimates based on ABS Census 2011 data

28 Socio-Economic Disadvantage Source: ABS Census 2011

29 Psychological Distress Source: Public Health Information Development Unit (PHIDU) Social Atlas of Australia (Victoria), as measured by the Kessler 10 Psychological Distress Scale (K10).

30 Overnight Hospitalisations All Mental Health-Related Hospitalisations Hospitalisations per 100,000 people Source: AIHW My Healthy Communities

31 MHNIP: Service location & client need Better-serviced areas: Inner-metro regions Frankston Under-serviced areas: Mornington Peninsula Greater Dandenong Springvale, Noble Park Casey Narre Warren, Cranbourne Cardinia Outside of Pakenham Source: SEMPHN MHNIP program data

32 MHNIP Funding: Actual vs. Need-based Total Funding Current Estimated MHNIP Funding Distribution Funding Distribution Based on Need

33 MHNIP Funding: Actual vs. Need-based Dollars per person Current Estimated MHNIP Funding Distribution Funding Distribution Based on Need Source: SEMPHN MHNIP program data Source: SEMPHN estimates

34 MHICC Funding FY17-19 LGA Total FY17-19 Minimum MHN Funding Bayside $330,000 $132,000 Cardinia $320,000 $128,000 Casey $1,060,000 $424,000 Frankston $610,000 $244,000 Glen Eira $520,000 $208,000 Greater Dandenong $720,000 $288,000 Kingston $530,000 $212,000 Mornington Peninsula $620,000 $248,000 40% of funding must be allocated to clinical nursing services provided by mental health nurses Port Phillip $440,000 $176,000 Stonnington $380,000 $152,000 TOTAL $5,530,000 $2,212,000

35 Data reporting requirements for MHICC Services

36 Primary Mental Health Care Minimum Data Set Scope: all PHN-commissioned psychological services delivered to individual clients. Data captured by the PMHC-MDS is designed to answer the question: Who receives what services, delivered by whom, at what cost, and with what effect? National requirement that service providers report data within 31 days of the activity that generated the data. SEMPHN will support provider organisations to utilise their existing data collection systems (where appropriate), however we have developed a system that organisations may use if required.

37 PMHC MDS: Data Model

38 PMHC-MDS Data Elements Provider Organisations Practitioner Client Episode Service Contact Outcome Collection Occasion K10+ K5 SDQ

39 PMHC MDS: Provider Organisation Data Element Organisation Path Organisation Key Provider Organisation Name Provider Organisation ABN Provider Organisation Type Provider Organisation State Values A sequence of colon separated Organisation Keys that fully specifies the upload organisation. Assigned by the Primary Health Network. A sequence of characters which uniquely identifies the provider organisation. Assigned by the Primary Health Network. The name of the provider organisation The Australian Business Number of the provider organisation Private Allied Health Professional Practice Private Psychiatry Practice General Medical Practice Private Hospital Headspace Centre Early Youth Psychosis Centre Community-managed Community Support Organisation Aboriginal Health/Medical Service State/Territory Health Service Organisation Drug and/or Alcohol Service Primary Health Network Medicare Local Division of General Practice Other Missing The Australian state where the organisation is located

40 PMHC MDS: Practitioner Data Element Organisation Path Practitioner Key Practitioner Category Practitioner ATSI Cultural Training Practitioner Year of Birth Practitioner Gender Practitioner Aboriginal and Torres Strait Islander Status Practitioner Active Values A sequence of colon separated Organisation Keys that fully specifies the upload organisation. Assigned by the PHN. A unique identifier for a practitioner within the responsible organisation. Assigned by the organisation. Clinical Psychologist General Psychologist Social Worker Occupational Therapist Mental Health Nurse ATSI Health/Mental Health Worker Low Intensity Mental Health Worker General Practitioner Psychiatrist Other Medical Other Not stated Yes; No; Not required; Missing Year Male; Female; Other; Not stated/inadequately described Aboriginal but not Torres Strait Islander origin Torres Strait Islander but not Aboriginal origin Both Aboriginal and Torres Strait Islander origin Neither Aboriginal nor Torres Strait Islander origin Not stated/inadequately described Inactive; active

41 PMHC MDS: Client Data Element Organisation Path Client Key Client Statistical Linkage Key Client Date of Birth Estimated Date of Birth Flag Client Gender Client Aboriginal and Torres Strait Islander Status Client Country of Birth Client Main Language Spoken at Home Client Proficiency in Spoken English Values A sequence of colon separated Organisation Keys that fully specifies the upload organisation. Assigned by the PHN. This is a number or code assigned to each individual referred to the commissioned organisation. The client identifier is unique and stable for each individual within the PHN. A key that enables two or more records belonging to the same individual to be brought together. The date on which an individual was born Date of birth is accurate Date of birth is an estimate Date of birth is a dummy date (ie ) Accuracy of state date of birth is not known Male; Female; Other; Not stated Aboriginal but not Torres Strait Islander origin Torres Strait Islander but not Aboriginal origin Both Aboriginal and Torres Strait Islander origin Neither Aboriginal nor Torres Strait Islander origin Not stated/inadequately described List of country codes List of language codes Very well; well; not well; not at all; not stated; not applicable (person under 5 years of age or who speak only English)

42 PMHC MDS: Episode Data Element Organisation Path Episode Key Client Key Episode End Date Client Consent to Anonymized Data Completion Status Principal Focus of Treatment Plan Values A sequence of colon separated Organisation Keys that fully specifies the upload organisation. Assigned by the PHN. This is a number or code assigned to each episode. The Episode Key is unique and stable for each episode at the level of the organisation. This is a number or code assigned to each individual referred to the commissioned organisation. The client identifier is unique and stable for each individual within the PHN. The date on which an Episode of Care is formally or administratively ended Yes; No Blank: Episode is open Episode closed treatment concluded Episode closed administratively client could not be contacted Episode closed administratively - client declined further contact Episode closed administratively - client moved out of area Episode closed administratively - client referred elsewhere Episode closed administratively - other reason Not stated/inadequately described Psychological therapy Low intensity psychological intervention Clinical care coordination Complex care package Child and youth-specific mental health services Indigenous-specific mental health services Other

43 PMHC MDS: Episode (continued) Data Element GP Mental Health Treatment Plan Flag Homelessness Flag Area of Usual Residence, postcode Labour Force Status Employment Participation Source of Cash Income Health Care Card NDIS Participant Marital Status Suicide Referral Flag Principal Diagnosis Values Yes; No; Unknown; Not stated/inadequately described Sleeping rough or in non-conventional accommodation Short-term or emergency accommodation Not homeless Missing/not stated The Australian postcode of the client Employed; Unemployed; Not in the labour force; Not stated/inadequately described Full-time; Part-time; Not applicable not in the labour force; Not stated/inadequately described N/A - Client aged less than 16 years Disability Support Pension Other pension or benefit (not superannuation) Paid employment Compensation payments Other (e.g. superannuation, investments etc.) Nil income Not known Not stated/inadequately described Yes; No; Not known; Not stated Yes; No; Not stated/inadequately described Never Married; Widowed; Divorced; Separated; Married (registered de facto); Not stated/inadequately described Yes; No; Unknown See codes:

44 PMHC MDS: Episode (continued) Data Element Additional Diagnosis Medication Antipsychotics (NO5A) Medication Anxiolytics (N05B) Medication Hypnotics and sedatives (N05C) Medication Antidepressants (N06A) Medication Psychostimulants and nootropics (N06B) Referrer Profession Referrer Organisation Type Values See codes: Yes; No; Unknown Yes; No; Unknown Yes; No; Unknown Yes; No; Unknown Yes; No; Unknown List of referrer professions List of referrer organisation types

45 PMHC MDS: Service Contact Data Element Organisation Path Service Contact Key Episode Key Practitioner Key Date Service Contact Type Postcode Modality Participants Values A sequence of colon separated Organisation Keys that fully specifies the upload organisation. Assigned by the PHN. A number or code assigned to each service contact. The Service Contact Key is unique and stable for each service contact at the level of the organisation. This is a number or code assigned to each episode. The Episode Key is unique and stable for each episode at the level of the organisation. A unique identifier for a practitioner within the responsible organisation. Assigned by the organisation. The date of each mental health service contact between a health service provider and patient/client, family/client support network or other health professional/service provider. Assessment Structured psychological intervention Other psychological intervention Clinical care coordination/liaison Clinical nursing services Child or youth specific assistance NEC Suicide prevention specific assistance NEC Cultural specific assistance NEC The Australian postcode where the service contact took place. Face-to-face; Telephone; Video; Internet-based Individual client Client group Family/Client Support Network Other health professional or service provider Other Not stated

46 PMHC MDS: Service Contact (continued) Data Element Values Venue List of possible venues where service contact was conducted Duration 0-15 mins mins mins mins mins mins mins mins Over 120 mins Service contact co-payment Client Participation Indicator Yes; No Interpreter Used Yes; No No Show Yes; No Final Service Contact No further services are planned for the client in the current episode Further services are planned for the client in the current episode Not known at this stage

47 PMHC MDS: Outcome Collection Occasion: K10+ Data Element Organisation Path Collection Occasion Key Episode Key Measure Date Reason Values A sequence of colon separated Organisation Keys that fully specifies the upload organisation. Assigned by the PHN. This is a number or code assigned to each collection occasion of outcome measures. The Collection Occasion Key is unique and stable for each collection occasion at the level of the organisation. This is a number or code assigned to each episode. The Episode Key is unique and stable for each episode at the level of the organisation. The date the measure was given Episode start; Review; Episode end K10+ Question 1 None of the time; A little of the time; Some of the time; Most of the time; All of the time; Not stated/missing K10+ Question 2 None of the time; A little of the time; Some of the time; Most of the time; All of the time; Not stated/missing K10+ Question 3 None of the time; A little of the time; Some of the time; Most of the time; All of the time; Not stated/missing K10+ Question 4 None of the time; A little of the time; Some of the time; Most of the time; All of the time; Not stated/missing K10+ Question 5 None of the time; A little of the time; Some of the time; Most of the time; All of the time; Not stated/missing K10+ Question 6 None of the time; A little of the time; Some of the time; Most of the time; All of the time; Not stated/missing K10+ Question 7 None of the time; A little of the time; Some of the time; Most of the time; All of the time; Not stated/missing K10+ Question 8 None of the time; A little of the time; Some of the time; Most of the time; All of the time; Not stated/missing K10+ Question 9 None of the time; A little of the time; Some of the time; Most of the time; All of the time; Not stated/missing K10+ Question 10 None of the time; A little of the time; Some of the time; Most of the time; All of the time; Not stated/missing K10+ Question , 99=not stated/missing K10+ Question , 99=not stated/missing K10+ Question , 99=not stated/missing K10+ Question 14 None of the time; A little of the time; Some of the time; Most of the time; All of the time; Not stated/missing K10+ Score 10-50, 99=missing

48 PMHC MDS: Outcome Collection Occasion: K5 Data Element Organisation Path Collection Occasion Key Episode Key Measure Date Reason K5 Question 1 K5 Question 2 K5 Question 3 K5 Question 4 K5 Question 5 K5 Score Values A sequence of colon separated Organisation Keys that fully specifies the upload organisation. Assigned by the PHN. This is a number or code assigned to each collection occasion of outcome measures. The Collection Occasion Key is unique and stable for each collection occasion at the level of the organisation. This is a number or code assigned to each episode. The Episode Key is unique and stable for each episode at the level of the organisation. The date the measure was given Episode start; Review; Episode end None of the time; A little of the time; Some of the time; Most of the time; All of the time; Not stated/missing None of the time; A little of the time; Some of the time; Most of the time; All of the time; Not stated/missing None of the time; A little of the time; Some of the time; Most of the time; All of the time; Not stated/missing None of the time; A little of the time; Some of the time; Most of the time; All of the time; Not stated/missing None of the time; A little of the time; Some of the time; Most of the time; All of the time; Not stated/missing 5-25, 99=missing

49 PMHC MDS: Outcome Collection Occasion: SDQ Data Element Organisation Path Collection Occasion Key Episode Key Measure Date Reason SDQ Version SDQ Question 1-25 SDQ Question 26 SDQ Question 27 SDQ Question SDQ Question 34 SDQ Question 35 SDQ Question Values A sequence of colon separated Organisation Keys that fully specifies the upload organisation. Assigned by the PHN. This is a number or code assigned to each collection occasion of outcome measures. The Collection Occasion Key is unique and stable for each collection occasion at the level of the organisation. This is a number or code assigned to each episode. The Episode Key is unique and stable for each episode at the level of the organisation. The date the measure was given Episode start; Review; Episode end PC101 Parent report measure 4-10yrs, baseline version, Australian Version1 PC201 Parent report measure 4-10yrs, Follow Up version, Australian Version 1 PY101 Parent report measure 11-17yrs, Baseline version, Australian Version 1 PY201 Parent report measure 11-17yrs, Follow Up version, Australian Version 1 YR101 Self-report version, 11-17yrs, Baseline version, Australian Version 1 YR201 Self-report Version, 11-17yrs, Follow Up version, Australian Version 1 Not true; Somewhat true; Certainly true; Unable to rate; Not stated/missing No; Yes-minor difficulties; Yes definite difficulties; Yes Severe difficulties; Unable to rate; Not stated/missing Less than a month; 1-5 months; 6-12 months; over a year; Unable to rate; Not applicable; Not stated Not at all; A little; A medium amount; A great deal; Unable to rate; Not applicable; Not stated/missing Much worse; A bit worse; About the same; A bit better; Much better; Unable to rate; Not applicable; Not stated/missing Not at all; A little; A medium amount; A great deal; Unable to rate; Not applicable; Not stated/missing No; A little; A lot; Unable to rate; Not applicable; Not stated/missing

50 PMHC MDS: Outcome Collection Occasion: SDQ (cont d) Data Element SDQ Emotional Symptoms Scale SDQ Conduct Problem Scale SDQ Hyperactivity Scale SDQ Peer Problem Scale SDQ Prosocial Scale SDQ Total Difficulties Score SDQ Impact Score Values 0-10, 99 = missing 0-10, 99 = missing 0-10, 99 = missing 0-10, 99 = missing 0-10, 99 = missing 0-40, 99 = missing 0-10, 99 = missing

51 Additional Data Collection Contractor Work and Evaluation Plan Step 1: Co-designed evaluation framework finalised with SEMPHN and submitted prior to commencement of activities Step 2: Data informing the performance indicators outlined in the evaluation framework submitted at 3 month intervals (or as stipulated in the Service Funding Agreement) Client Satisfaction Survey Your Experience of Service (YES) Survey Providers are advised to offer the survey to all consumers routinely or at regular intervals as agreed with the PHN

52 Additional data items Some MHICC activities are not in scope for Commonwealth MDS Desire to measure service outcomes of these activities Therefore SEMPHN will require reporting on a minimal number of additional data items in order to measure relevant service outcomes

53 Data reporting options SEMPHN web-form Web-based interface that allows provider organisations to directly enter required data Best for organisations who do not have a preferred data management system or do not have the capacity to adapt their system to collect PMHC- MDS items Upload a.csv file to SEMPHN data portal Provider organisations may utilise their preferred data management system Application Programming Interface (API) (in development) Computer program that extracts data directly from a provider organisation s data management system Best for provider organisations with IT support

54 Web-form: Login

55 Web-form: Service Contact details

56 Morning Tea

57 Mental Health Integrated Complex Care (MHICC) Service Specifications

58 What are MHICC services? Flexible services to support consumers with a severe mental illness who have complex needs Improved coordination of care for consumers Consist of a package of four core service elements clinical nursing services family support and liaison care coordination and liaison (clinical and non-clinical services) improving access to psychiatrist and psychological care Population groups harder to reach, underserviced and cannot currently access National Disability Insurance Scheme (NDIS) or Partners In Recovery (PIR)

59 Who is eligible for services? To be eligible to receive the MHICC services, consumers need to meet the outlined: Referral criteria Clinical criteria, and Socio-economic needs criteria

60 Who is eligible for services? Referral criteria No restrictions on the source of referral for any consumers. Referrals may come from medical practitioners, self-referral, schools, social services etc Innovative approaches are encouraged to achieve level of program reach

61 Who is eligible for services? Clinical criteria Has been assessed and diagnosed with a mental illness Is currently being managed in a primary healthcare setting Has current Mental Health Treatment Plan, or equivalent plan Mental illness significantly impacting social, personal and work life Has been hospitalised or at risk of hospitalisation Has complex needs

62 Who is eligible for services? Socio-economic needs criteria A consumer must: Reside or work within the South Eastern Melbourne Primary Health Network catchment, and Have a Health Care Card, and/or Not be able to afford similar services, and Not be eligible for National Disability Insurance Scheme (NDIS) or Partners In Recovery (PIR)

63 Consumer journey IDENTIFICATION REFERRAL INTAKE * ASSESSMENT * TREATMENT REVIEW * EXIT * CONSUMER REFERRAL PATHWAY 1 Consumer is identified by GP, psychiatrist or healthcare practitioner as requiring an MHICC service. GP, psychiatrist, or relevant healthcare practitioner refers consumer to PHN Intake service. Referral includes mental health treatment plan, and meets clinical and socioeconomic eligibility. PHN Intake service checks referral eligibility, allocates consumer to MHICC provider. MHICC service ineligible consumers referred to alternative services such as NDIS, PIR etc. MHICC provider assigns a Care Coordinator and relevant clinical and non-clinical services, to each consumer. MHICC provider reviews the Mental Health Treatment Plan (MHTP) and develops a Consumer Care Plan (CCP) providing a copy to referrer and GP (if referrer is not GP) with consent. MHICC provider notifies PHN Intake service of MHICC service initiation. MHICC provider delivers CCP with consumer, to enable provision of holistic care. Services are delivered in settings and modalities that are appropriate. MHICC provider reviews CCP with consumer, and their clinical and nonclinical services every 3 months. At the completion of the review, MHICC provider provides outcomes to consumer, referrer and GP (if referrer is not GP) with consent. MHICC provider reviews CCP with consumer, and their clinical and nonclinical services and completes CCP. MHICC provider provides outcomes to consumer, referrer and GP (if referrer is not GP) with consent. On exit MHICC provider notifies PHN Intake service of MHICC service completion (episode closure). CONSUMER REFERRAL PATHWAY 2 Consumer is identified through flexible sources (PHN Intake service, consumers themselves, family, welfare and housing services, etc). Identifying service or individual makes a referral to PHN Intake service. Referral includes information on socio-economic eligibility and presenting issues. PHN Intake service checks referral eligibility, allocates consumer to MHICC provider. MHICC service ineligible consumers referred to alternative services such as NDIS, PIR etc. MHICC provider liaises with relevant health care practitioner to develop MHTP. If the plan is not prepared by the GP, a copy must be provided to the GP with consent. MHICC provider confirms clinical eligibility and assigns a Care Coordinator and relevant clinical and non-clinical services, to each consumer. MHICC provider reviews the MHTP, then develops a Consumer Care Plan (CCP) providing a copy to relevant healthcare practitioner and GP (if MHTP is not prepared by GP) with consent. MHICC provider notifies PHN Intake service of MHICC service initiation. MHICC provider delivers CCP with consumer, to enable provision of holistic care. Services are delivered in settings and modalities that are appropriate. MHICC provider reviews CCP with consumer, and their clinical and other support services every 3 months. At the completion of the review, MHICC provider provides outcomes to consumer, relevant healthcare practitioner and GP (if MHTP is not prepared by GP) with consent. MHICC provider reviews CCP with consumer, and their clinical and nonclinical services and completes CCP. MHICC provider provides outcomes to consumer, relevant healthcare practitioner and GP (if MHTP is not prepared by GP) with consent. On exit MHICC provider notifies PHN Intake service of MHICC service completion (episode closure). Note: * Feedback to GP is required at the completion of the identified processes. Ineligible consumers referred to alternative services such as NDIS, PIR etc.

64 Who can provide the services? Each MHICC service element must be delivered by an appropriate mix of qualified and experienced staff. Clinical nursing services Credentialed Mental Health Nurse Family support and liaison Mental Health Nurse, and/or Mental Health Workers, and/or Peer Support Workers, and/or Social Workers, and/or Occupational Therapists Care coordination and liaison Mental Health Workers Improving access to psychiatrist and psychological care Psychiatrists Clinical psychologists

65 Where and when are services to be delivered? Facilitate access by consumers with work, family and other commitments Flexible models of delivery Increased out-of-hours access Available after hours at least 3 days per week between 8am- 8pm Saturday service availability is highly desirable

66 Tender Process

67 Timelines Closing date for questions: 28 June 2017 Closing date for responses: 3:00pm, 10 July 2017 Evaluation of responses: 10 August 2017 Interviews with shortlisted* tenderers: 14 & 15 August 2017 *Tenderers may be asked to attend an interview if required.

68 Timelines Outcome advised: August 2017 Contract commencement: 1 September 2017 Service commencement date: 1 November 2017 Contract end date: 30 June 2019 (Subject to Commonwealth Funding)

69 Provider Organisation Eligibility Criteria Established within the catchment for a minimum of 2 years Deliver a service within catchment boundaries Commence services on 1 November 2017 Financial statements Current accreditation 2 referees

70 Other Commitments PART C Conditions of Contract Reporting obligations PMHC-MDS Contractor Work and Evaluation Plan development MHICC Service Operational Guidelines Authority for SEMPHN to publish outcomes Digital Health initiatives My Health Record

71 Response Process

72 Response Process Downloading, reading and understanding all Request documents Completing and uploading the Response Template (PART D) Qualification of Responses Evaluation of Responses Participating in an interview (if required)

73 Evaluation Criteria All questions must be answered and supporting documentation uploaded Failure to answer or incomplete or blank submission = noncompliant Word limits have been provided Weightings have been provided where applicable

74 Evaluation Criteria Criteria 1: Previous experience and service structure Criteria 2: MHICC service structure Criteria 3: Workforce capability and capacity Criteria 4: Operational framework Criteria 5: Clinical Governance Criteria 6: Partnerships and key stakeholder engagement Criteria 7: Data Criteria 8: Risk Management Criteria 9: Value for money

75 Criteria 1: Previous experience and service structure The Tenderer must demonstrate, through examples, a successful track record of establishing and delivering a similar service to a diverse population.

76 Criteria 2: MHICC service structure The Tenderer must describe how they intend to deliver the API service, incorporating the following: - Service structure - Service engagement - Co-ordination - Design - Development - Implementation - Ongoing delivery - Budget management

77 Criteria 2: MHICC service structure Lodging as a lead agency Lodging in partnership or in collaboration with a third party organisation Geographical coverage Client journey entry to exit MUST UPLOAD: - Letters of Support MAY CHOOSE TO UPLOAD: - Depiction of client journey

78 Criteria 3: Workforce capability and capacity Evidence of current workforce Plan to expand capacity and capability Skill mix, qualifications, experience and training priority groups MAY CHOOSE TO UPLOAD: - Workforce structure diagram or matrix

79 Criteria 4: Operational framework Operational Plan: - Service delivery commences: 1 November Key personnel roles, responsibilities, expertise - Interface with PHN Intake and Stepped Care Model - Service accessibility and flexibility to suit diverse needs - Delivery of episodes of care to consumers MAY CHOOSE TO UPLOAD: - Operational Plan diagram

80 Criteria 5: Clinical Governance Clinical governance framework to enable safe, effective, efficient and appropriate service delivery Copies of relevant documents triage tools Evidence of effective quality and risk management strategies Evidence of effective management of incidents and complaints Evidence of continuous improvement environment notification process Consortium/lead agency plans to develop a governance framework MUST UPLOAD: - Clinical governance documents and/or framework - Triage tools

81 Criteria 6: Partnerships and key stakeholder engagement Stakeholder engagement strategy Plan for communication, engagement, marketing and promotion How will the engagement improve service uptake and achieve geographical coverage? Evidence of existing relationships with local communities and services MAY CHOSE TO UPLOAD: - Stakeholder engagement strategy or components

82 Criteria 7: Data Process and systems to enable efficient: - tracking, collection, storage and management of data Compliance with the PMHC MDS Compliance with the Privacy Act 1988 requirements Process for capture of patient satisfaction data

83 Criteria 8: Risk Management Processes to identify risks and barriers Risk mitigation strategies MUST UPLOAD: - Organisational risk management plan - Proposed risk management plan for API service

84 Criteria 9: Value for money Good value for money Total price and breakdown of costs Salaries & Wages Direct Program Costs Service Delivery Costs Operating Overheads (Management and Administration) Establishment Costs MUST UPLOAD: - Budget Template

85 Unscored Criteria Previous performance Eligibility mandatory

86 Next Steps

87 Next Steps Completing and uploading response template Qualification of responses Evaluation of responses Participating in an interview All questions posted on Tenderlink in the Forum by 28 June.

88 Questions