INVESTING IN GENERAL PRACTICE

BendigoWednesday 20 February

DR EWA PIEJKOMedical Advisor, Murray PHN

Murray PHN acknowledges the Dja Dja Wurrung peoples of the Kulin Nation,

the traditional owners of the land on which we meet tonight.

We pay our respect to elders past, present and emerging, and extend that respect to all

Aboriginal and Torres Strait Islander people.

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MATT JONESCEO, Murray PHN

REGIONAL WORKSHOPS

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AlburyMantra HotelMonday 18 February

SheppartonThe Teller CollectiveTuesday 19 February

BendigoThe CapitalWednesday 20 February

MilduraBotanica RestaurantThursday 21 February

TONIGHT’S PROGRAM

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Time Session6.05 Acknowledgement and welcome6.15 Dinner6.45 Introduction to investing in general practice

6.50 Overview of prospectus and application process

7.25 Break (coffee and dessert)7.30 Care coordination presentation8.15 Q&A8.30 Finish

www.murrayphn.org.au

TONIGHT’S PROGRAM

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Time Session6.05 Acknowledgement and welcome6.15 Dinner6.45 Introduction to investing in general practice

6.50 Overview of prospectus and application process

7.25 Break (coffee and dessert)7.30 Care coordination presentation8.15 Q&A8.30 Finish

MURRAY PHN’SFIRST PROSPECTUS AIMED DIRECTLY AT GENERAL PRACTICE

ANNE SOMERVILLEExecutive Director, Strategy, Murray PHN

AN INVITATION TO EXPLORE COLLABORATION TO ADDRESS LOCAL COMMUNITY NEEDS

PLANNING TEMPLATE

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• Jot down any ideas tonight

• Talk to Murray PHN staff about opportunities or barriers

• Take away to share with your teams for more ideas and discussion

MURRAY PHN $3m INVESTMENT

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Patient-centred care coordination services

Low intensity mental health services for children

Alcohol screening and brief intervention

Rostered After Hours GP network

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2

3

4

$1.9m

$222k

$300k

$648k

PATIENT CENTRED CARE COORDINATION SERVICES

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• What’s on offerOpen, to allow flexibilityPatient centred services, ‘frontline’

• ConsiderChronic disease needs in your community, lifestyle management, partnerships,

• SupportGeneral practice support program

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$1.9m

• What’s on offerOpen limit to allow flexibility

• ConsiderWorkforce availability, telehealth and digital health options, geographical coverage, needs of rural communities, access for patients, parent/carer to low intensity mental health services

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LOW INTENSITY MENTAL HEALTH SERVICES – CHILDREN2

• SupportHealthPathways, Stepped Care guidelines

$222k

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ALCOHOL SCREENING AND BRIEF INTERVENTION

$300k

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• What’s on offer6 x $50,000 packages available; one per location clusterNurse-led activity

• ConsiderExisting nurse workforce

• SupportAPMHA training, resources and community of practice; HealthPathways

ROSTERED AFTER HOURS GP NETWORK

• What’s on offerOpen limit to allow flexibility

• ConsiderTelehealth, nurse triaging, medical record access/management, in hours systems

• SupportPromotion of the GP After Hours helpline; Secondary telehealth AH consultations for UCCs

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4

$648k

SO WHAT DO WE NEED?

• Collaboration with other general practices?

• How can you work with other service providers?

• The interest and experience of your existing team?

• Blueprint for the future?• Needs of the region –

see our 2018 – 2022 Needs Assessment

www.murrayphn.org.au/generalpractice18

GENERAL PRACTICE SUPPORT PROGRAM – THREE LEVELS

• Building on our existing practice support

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PENNY BOLTONProgram Coordinator

APPLICATION AND PROCUREMENT PROCESS

WORKSHOPS APPLICATIONS EVALUATION CONTRACTS

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TENDERSEARCH / E-PROCURE

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• All Murray PHN open tenders go through the TenderSearchportal

• All application forms and resources are found in the portal

• You can register for TenderSearch tonight

www.tendersearch.com.au/murrayphn

APPLICATION AND PROCUREMENT OVERVIEW

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REGISTER PRE-QUAL FORMS WRITE SUBMIT

Register with TenderSearch

Complete pre-qualification

questions

Download application form and supporting

resources

Prepare your proposal

Submit your proposal on

TenderSearch

OPEN25 FEBRUARY

2019

CLOSE25 MARCH

2019

PRE-QUAL CLOSES

18 MARCH 2019

APPLICATION FORMS

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• One application form for all funding packages

• Separate project plan and budget per funding package

• Templates to enable editing or modelling before uploading to Tendersearch

PROCUREMENT DATES

WORKSHOPS APPLICATIONS EVALUATION CONTRACTS

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18 - 21 FEBRUARY

25 FEBRUARY –25 MARCH APRIL MAY 2019 –

JUNE 2020

CARE COORDINATION PRESENTATION

RIWKA HAGEN Medical Business Services

KIM POYNERMedicoach

After the break ...

Care CoordinationRiwka Hagen – Medical Business Services

riwka@medicalbusiness.services

Kim Poyner – MediCoachkim@medicoach.com.au

Agenda

Defining the role of Care Co-ordination

3 Clinical Service delivery Care Co-ordination Ideas

Tips & Hints

Designing solutions

Care Co-ordination

Ref: Advisory Committee – Health Care Homes

2 or more care

providers involved in a patient’s

care

Activities & interventions• ↓ fragmentation• ↑ quality of

referrals and transitions

Involves a broader Health

neighbourhood

Requires strong team structure• clearly defined

roles - skills & qualifications

• use staff more efficiently

Communication

Access & equitable

Accountability

Quality and safety

Confidentiality

Wellness

Person-centered

care

Information understoodEmpathy reflectionsListening skills

Opening hoursTele-Health Psycho - social

To the patientHealth pathwaysTo the Health system

Scope of PracticeRisk ManagementGovernance Culturally Aware

PrivacyConsent

Cultivating AwarenessEducationPersonal Growth

Customising care needsPatient centred goalsAdvocacy

Developing Care Coordination Clinics

A clear plan Identify opportunitiesAims & goals of your clinicModels of careCreating the business case

https://www.apna.asn.au/nursing-tools/nurse-clinics/Buildingblocks/a-clear-plan

Example 1. Care Co-ordination for Diabetes Team Care

Observation screening

ECG, Doppler, Pathology

Motivational interviewing skills to set patient agreed goals till next review

Upload to My Health Record

Inviting

Booking patients in for timely reviews and checking primary GP is in attendance

Encouraging patient feedback

Care Co-ordination for Diabetes Team Care

Primary PhysicianExecutorMedication ManagerReferral

Collaborative Care to patient agreed goals

Two way Communication

Example 2. Care Co-ordination for engaging complex patients

Increase time with the patients that require-

more support

intensive team based consultations

to improve surveillance,

accountability and

adherence to treatment goals and plans

Billing Available – Utilising Current MBS

Case conference time (up to 5 a year)MBS 735-758

+ MBS 10997 + GP consultations (up to 5 a year)

+ MBS 10987 + GP consultations (up to 10 year *)

Telehealth MBS 2100 – 2220 & nurse 10983

• indigenous item to be used in conjunction with 715

Example 3. Care Co-ordination- broadening your

team

Partnering with outside resources

share the load

Knowing your local service providers and collaborate

Pool together with other practices, resources and funding

For Example :- GP practices partnering with other health organisations; Community Health for Spirometry and sick day action planning

An Example

A GP practice/s partnering with other health organisations;

Community Health for Spirometry and sick day action planning

Designing Solutions

What are your opportunities?

Brain storm your ideas -10 mins

How could your solution impact on the needs of your community?

What could you achieve with additional funding?

What service(s) might you develop/expand?

Who could be your collaborating providers?

What information do you need to gather for decision making?

Tips & Hints

Data – needs assessment/population health

Staff resources & dedicated time

Collaborators

Service costs

Training needs/PD

Infrastructure

Risks

Computer resources

Marketing

Q&A

FREQUENTLY ASKED QUESTIONS

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Can hospitals

apply?

What is the duration of contracts?

Is there a standard model?

What resources are available to help us design

our model?

Will there be funding next

year?

Who is eligible for funding?

Email: GPsupport@murrayphn.org.au

Web: www.murrayphn.org.au/generalpractice

Aida Escall, Primary Health Systems Leadaescall@murrayphn.org.au

Penny Bolton, Program Coordinatorpbolton@murrayphn.org.au

For further information: