INVESTING IN GENERAL PRACTICE - Murray PHN · referrals and transitions: Involves a broader Health...
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INVESTING IN GENERAL PRACTICE Bendigo Wednesday 20 February
Transcript of INVESTING IN GENERAL PRACTICE - Murray PHN · referrals and transitions: Involves a broader Health...
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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$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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$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 ...
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: [email protected]
Web: www.murrayphn.org.au/generalpractice
Aida Escall, Primary Health Systems [email protected]
Penny Bolton, Program [email protected]
For further information:
