Peninsula Model Executive Group (PMEG)€¦ · Letter to be sent from Chair letting partners know...

Peninsula Model Executive Group (PMEG)

Agenda

For the Meeting to be held

22 May 2014

Peninsula Model Executive Group (PMEG) – Meeting Agenda Date: 22 May 2014

Time: 1.30 – 3.00pm

Venue: Boardroom, Mt Eliza Centre, 33 Jacksons Road, Mt Eliza (enter through Gate 1 or 2)

Attendance

Present

Members:

Rob Macindoe (Mornington Peninsula Shire) – Acting Chair, Jan Child (Peninsula Health), Margaret Radin for Lisa Rollinson (BSL), Liz Daley for Gill Kay (FCC), Martin Wischer (RDNS), Robin Whyte (FMPML), Ro Dowling (Headspace Frankston), Ruth Azzopardi (FMPML), Fiona Smith for Sandy Austin (Department of Health), Terry Palioportas (Peninsula Support Services), Sue Glasgow (WHISE), Christine Burrows (FMPPCP)

Invitee/s: Alliances Chairs or delegated reps - Karen Anderson, Iain Edwards, Mark Gravell, Shane Wright (apology)

Minutes: Anita Eichholtz (FMPPCP)

Apologies

Joe Cauchi (Family Life) – Chair, Lisa Rollinson (BSL) – Deputy Chair, Gill Kay (FCC), Helen Keleher (FMPML), Margaret Martin (Peninsula Health)

Item# Topic Person Responsible

1. Acceptance of Previous Minutes

The unconfirmed Minutes of the meeting held 27 March 2014 (Attachment 1)

Chair

2. Matters Arising PMEG Action Sheet (Attachment 2) C Burrows

3. Standing Items Correspondence

Letter from Dr Michael Cross, Chair of Frankston Mornington Peninsula Medicare Local (FMP ML) (Attachment 3)

C Burrows

4. PCP Executive Officer Report (Attachment 4) – for information only. Discussion items contained in Agenda

C Burrows

5. PCP Financial Statement (to be tabled) and 2014/15 Budget – ACTION special meeting of full PCP Executive required in June to approve budget

C Burrows

6. Alliance Upates (2.30 – 3.00pm)

Progress against Workplans – 5 mins each 1. Childrens Health Alliance – Karen Anderson 2. Chronic Disease Management Alliance – Iain Edwards 3. e-Health Alliance – Mark Gravell 4. Prevention and Better Health Alliance – Christine Burrows 5. Ageing Well Alliance – delegate of Lisa Rollinson 6. Mental Health Alliance – Terry Palioportas 7. Aboriginal Health Alliance – Ruth Azzopardi

Alliance Chairs or delegates

7. Communications Strategy

7.1 Peninsula Model Website – deferring stage 2 development due to budget pressure

7.2 Stakeholder Communication Strategy

7.3 Presentations to Local Government

7.4 Stakeholder Forum - Community Needs Assessment and Collective Impact – proposed for September. Action - small planning group required

C Burrows

Chair

Chair

C Burrows

8. Care/Clinical Pathways Update (5 mins) R Azzopardi

9. Resourcing of Peninsula Model (20 mins) R Whyte/C Burrows

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Item# Topic Person Responsible

10. New Items Update re Medicare Local funding (5 mins) R Whyte

11. Response to Statewide PCP C Burrows

12. Rebranding PCP and Peninsula Model C Burrows

13. Terms of Reference – for sign off (Attachment 5) C Burrows

14. 5 June Primary Care & Population Health Committee Meeting

J Child

15. PCP MoU Review (including GP rep) and PCP Governance C Burrows

16. Other Business

17. Next Meeting 24 July 2014 – with two hour meeting from 1.30 – 3.30pm proposed

Special Meeting of PCP (ex Strategic Directions Committee) to approve FMP PCP Budget 2014-15

C Burrows

Attachments

1. Unconfirmed Minutes of 27 March 2014 Meeting 2. PMEG Action Sheet 3. Letter from Dr Michael Cross, Medicare Local 4. PCP Executive Officer Report 5. Terms of Reference – for sign off

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Attachment 1

Attendance

Present

Members: Joe Cauchi (Family Life) – Chair Helen Keleher (FMPML), Liz Daly (for Gill Kay, FCC), Peter Sproules (Department of Health SMR), Robin Whyte (FMPML), Ruth Azzopardi (FMPML), Terry Palioportas (Peninsula Support Services), Sue Glasgow (WHISE), Christine Burrows (FMPPCP)

Teleconference:

Minutes: Christine Burrows (FMPPCP)

Apologies

Lisa Rollinson (BSL) – Deputy Chair, Martin Wischer (RDNS); Gill Kay (FCC); Jan Child (PH); Margaret Martin (PHCH); Rob Macindoe (MPS); Ro Dowling (headspace);

# Item

1. Acceptance of Previous Minutes

Motion That the PMEG accept the unconfirmed Minutes of the meeting held 28 February 2014 as a true and accurate account of the meeting. Moved: T Palioportas Seconded: S Glasgow Carried.

2. Matters Arising The Group agreed to add an acknowledgement paying respects to Kulin Nations/Bunurong elders and people to agenda/minutes.

Action: Anita Eichholtz

PMEG Action Sheet

Christine Burrows talked to the Action Sheet and updates were recorded – refer Attachment 1 which incorporates Actions from this meeting.

3. Care/Clinical Pathways

Ruth Azzopardi

Ruth Azzopardi reported on consultation with other Medicare Locals on Care Pathways. She recommended that we learn from what others are doing and take a more strastegic approach, as care pathweays are a key enabler supporting referral management, and we need to get it right.

There are commercial products available that enable a consistent and evidence-based approach for all pathways. The benefits need to be weighed against the costs, and more scoping work is needed to assess this. An evaluation of a NZ CP product showed significant outcomes for primary and acute interface.

Peter Sproules suggested that the issue be raised with Predeep (potential support?).

The group agreed that the agenda should allow for more discussion and presentation of options, costs and benefits. Action: Christine Burrows to add to Agenda as standing item and to allocate discussion time

Peninsula Model Executive Group (PMEG) UNCONFIRMED Minutes of Meeting Date: 27 March 2014

Time: 1.30 – 3.00pm

Venue: Boardroom, Mt Eliza Centre, 33 Jacksons Road, Mt Eliza (enter through Gate 2)

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Attachment 1

# Item

4. Standing Items Correspondence

1. Letter received from Peninsula GP Network notifying of close of business from March 31, 2014

2. Notice from Statewide PCP re Prevention System Forum on 1 May 2014. Christine Burrows to attend representing FMP PCP.

5. PCP Executive Officer Report - Report tabled and attached – refer Attachment 2.

6. PCP Financial Statement (Bi-monthly)

March accounts not finalised at time of meeting. Quarterly report will be tabled at next meeting.

7. Alliance Upates 7.1 Primary Care and Population Health Advisory Committee June 2014 Meeting

Focus on the Community Needs Assessment (20 focus groups, 1200 survey respondents – themed by social determinants of health)

Think tank with Alliances about findings and incorporating them into 2015 workplans

Overview of evaluation Plans Action: Helen Keleher to develop CNA presentation


8.1 Peninsula Model Website

The Group agreed for the budget to be reviewed to identify capacity for communications support. Budget includes Stage 2 Development and functionality but communications support is essential to maintain it. Action: Christine Burrows

8.2 Stakeholder Communication Strategy

The Group discussed and agreed about the need to communicate with membership and to broader (political) stakeholders. The Group also agreed the need for the Newsletter or e-News to be redeveloped and the PCP, Medicare Local and other distribution lists to be consolidated. Action: Christine Burrows to redevelop Newsletter or e-News Action: Anita Eichholtz in liaision with Lyn Joy from Medicare Local

A) Plan for a ‘Community Needs Assessment’ Forum in July

Build momentum

Share success

Present findings of CNA report

Alliances to present ‘What you have told us, what we have done”

Focus on impacts

Results-based accountability

Action: Working Group (Helen Keleher, Robin Whyte and Joe Cauchi to further develop idea)

Action: Meeting to be set up with Sandy Austin, Regional Director, Department of Health

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Attachment 1

# Item

8.3 Presentations to Local Government

The Group agreed for a presentation to be developed and an evening event planned for Councillors of both local governments leading into the July Forum to showcase the Peninsula Model. Action: Gill Kay and Rob Macindoe to inform a working group to prepare presentations

9. Resourcing of Peninsula Model

No feedback has been received regarding resource needs

Partners to explore what inkind support they can offer (eg. meeting rooms, staffing). To be included as agenda item for all Alliances. Action: Anita Eichholtz to advise Chairs to add to Agenda and to collate data

Letter to be sent from J Cauchi letting partners know what’s available for Alliance use when info is collated (include room size, accessibility, location etc). Action: Joe Cauchi

10. New Items Draft Updated Terms of Reference

Action: Christine Burrows to circulate and receive feedback prior to next meeting, to enable finasliation at next meeting

11. Alliance Terms of Reference and Instrument of Delegation

The Group agreed to refresh the Alliance Terms of reference to ensure consistent core components. Action: Ruth Azzopardi to develop a draft

12. Closure of the Peninsula GP Network and communication strategy with GPs

The Group discussed and agreed on importance of direct GP engagement and of having GP on PMEG. The process for inviting membership to be developed and invitation extended. Suggestions included ex PGPN GP’s. Action: Christine Burrows

13. Rescheduling of April 2014 PMEG Meeting – next meeting falls between Easter and ANZAC Day.

The Group discussed meeting frequency and agreed to meet every 2 months, not monthly with the next meeting scheduled for 22 May 2014.

The Meeting time was discussed with some preferring an 8.00am start which doesn’t suit some members who are not present. Action: Anita Eichholtz to survey members (as per January 2014) to gauge majority preference and to circulate updated bimonthly Meeting Schedule

14. Other Business

15. Next Meeting

22 May 2014 1.30 pm – 3.00 pm, Boardroom, Mt Eliza Centre, Jacksons Road, Mt Eliza.

The meeting concluded at 3.30pm.

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Attachment 2

Item# Action Required Person Responsible Timeframe

Meeting 17 December 2013

1. PCP MoU Review

To be progressed when time enables

Update 23/01/14: Deferred to next meeting. Update 28/02/14: Deferred to 27 March 2014 Meeting.

Update 27/03/14: Deferred to 22 May 2014 Meeting.

Update 22/05/14: Refer Agenda Item 15

C Burrows

Meeting – 28 February 2014

27 March 2014

22 May 2014

Meeting 28 February 2013

2. Resourcing of Peninsula Model

Alliances to advise how many hours and dollars they need prior to March 2014 Meeting

Update 27/03/14: No information received from Alliances. Partners to explore what inkind support they can offer (eg. meeting rooms, staffing). To be included as agenda item for all Alliances. Completed

Letter to be sent from Chair letting partners know what’s available for Alliance use when info is collated (include room size, accessibility, location etc).

Update 22/05/14:

A Eichholtz to advise Chairs to include on agenda

Anita to collate data

J Cauchi to send letter

Completed

When information is received

3. Draft Updated Terms of Reference 1. Latest version to be circulated to Group with comments welcome 2. Jan Child’s comments to be incorporated

Update 27/03/14: To be circulated, with feedback to C Burrows for 22 May Meeting


C Burrows

Meeting - 22 May 2014

4. Care Pathways

This item to be listed at the start of the 27 March 2014 Meeting Agenda

Update 27/03/14: To be added as a Standing Agenda item and discussion time allowed. Completed

A Eichholtz

Ongoing - Completed

Meeting 27 March 2014

5. Alliance Updates

CNA Presentation to be developed for Primary Care and Population Health Advisory June 2014 Meeting


H Keleher

Meeting – 22 May 2014

Status of PMEG Action Sheet at 22 May 2014

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Attachment 2

Item# Action Required Person Responsible Timeframe


Peninsula Model Website

Budget to be reviewed to identify capacity for communications support.

Update 22/05/14: Refer Agenda Items 5 and 7.1

C Burrows

Meeting – 22 May 2014


Stakeholder Communication Strategy

Newsletter or e-News to be redeveloped

PCP, Medicare Local and other distribution lists to be collated for Newsletter or e-News once they are redeveloped

Working Group to further develop idea of July ‘Community Needs Assessment’ Forum

Meeting to be set up with Sandy Austin, Regional Director, Department of Health

Update 22/05/14: Refer Agenda Item 7.2

C Burrows

A Eichholtz

H Keleher, R Whyte, J Cauchi

C Burrows

Meeting - 26 June 24 July 2014

Progress report - Meeting 22 May 2014

Further discussion – Meeting 22 May 2014


Presentations to Local Government

A presentation to be developed and an evening event planned for Councillors of both local governments leading into the July Forum to showcase the Peninsula Model

Update 22/05/14:

G Kay/R Macindoe to inform working group to prepare presentations

June/July 2014

Report and further discussion - Meeting 22 May 2014

9. Alliance Terms of Reference and Instrument of Delegation

Terms of Reference to be refreshed to ensure consistent core components

R Azzopardi to develop draft


10. Closure of the Peninsula GP Network and communication strategy with GPs

The process for inviting membership to be developed and invitation extended

C Burrows


11. Rescheduling of April 2014 PMEG Meeting

PMEG Members to be surveyed (as per January 2014) to gauge majority preference for start time and updated (bimonthly) Meeting Schedule to be circulated Completed

A Eichholtz

Completed

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6 May 2014

Mr Joe Cauchi CC: Lisa Rollinson Director Projects & Partnerships Christine Burrows Family Life Peter Sproules Rob Macindoe Margaret Martin Terry Palioportas Rose-Mary Dowling Re: FMPML gets on with the job

Dear Joe,

As I am sure you are aware there has been a lot of media speculation about the future of Medicare

Locals. However the reality is that no-one yet knows what the budget announcements will mean for

Medicare Locals.

What is certain is that funding for the majority of our programs will continue for the next financial year,

so Frankston-Mornington Peninsula Medicare Local (FMPML) will be getting on with the job of

delivering mental health services, aged care services, and support for general practice and other

primary care providers. We will also be continuing our important work of integrating and coordinating

primary health care across Frankston Mornington Peninsula.

Whatever the future holds for the primary care environment there will still be a need for local

coordination of primary care services and local planning. FMPML will be engaging with Government

to help shape the future environment and to emphasise the importance of a local presence to tailor

services to meet local need.

During these uncertain times FMPML has already received many letters of support from our members

and partners. As FMPML prepares for the transition into a new primary care environment we look

forward to your continued advocacy and involvement as we work to connect health to meet our local

needs and to fill identified service gaps in Frankston Mornington Peninsula.

For your information I attach a copy of materials that we are presenting to our local and federal

politicians as evidence of the value of locally coordinated primary care. Many of these outcomes have

been achieved through the extraordinary local partnerships and collaborations occurring under the

umbrella of The Peninsula Model.

Thank you for your ongoing support

Yours Sincerely

Dr Michael Cross

Attachment 3

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Chair of the Board Frankston-Mornington Peninsula Medicare Local (FMPML)

Attachment 3

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Frankston-Mornington Peninsula Medicare Local: Snapshots of our work Issued May 2014

Improving Access to Mental Health Services

Police, Ambulance and Clinical Emergency Response pilot

FMPML has funded Peninsula Health to deliver the clinical component of a Police, Ambulance and Clinical Emergency Response (PACER) pilot. PACER offers early intervention in mental health crisis and avoidance of potentially inappropriate delays. A mobile emergency mental health clinician assesses the person close to the time of crisis. Almost 90% of the responses are related to suicide / self-harm, and in the first 2 weeks of operation this service has prevented eight people from having to be apprehended under Section 10. Only 39% of attendances required an admission to hospital.

Supporting the needs of the homeless

FMPML is working with a range of partners to address to the high levels of homelessness in the catchment, particularly homelessness related to mental illness. FMPML is supporting the Mental Health Alliance’s Homelessness Working Group as they work with Councils to improve the experience for consumers living in rooming houses - an insecure form of housing many of which are unregistered. Strategies include improving regulations and implementing systems to systematically connect people in rooming houses to mental health support services.

Providing support options for adults with severe and ongoing mental health conditions

The FMPML Partners in Recovery (PIR) model is delivering increased opportunities for ‘wrap-around’ care for adults living with severe and persistent mental health conditions and complex needs. PIR aims to support these people, their carers and families by getting multiple sectors, services and supports they may need to work in a more collaborative, coordinated and integrated way.

Identifying barriers to accessing health care for the intellectually disabled

Frankston Mornington Peninsula has relatively high numbers of people living with intellectual disability. FMPML is undertaking research to understand the barriers that those with an intellectual disability experience in accessing health care in a primary care setting and in a hospital Emergency Department setting.

Training for professionals who come into contact with people affected by adoption

In late 2013, FMPML coordinated the provision of training from the Victorian Adoption Network for Information and Self Help (VANISH) to professionals in the local health and community services sector. The training aimed to raise understanding and awareness of adoption issues and the associated experiences of loss, grief and trauma.

Improving Access to Aged Care Services

Aged Care video consults commence

FMPML has signed up four residential aged care facilities and six general practices (with more to come) to do video consults. Free access to specialist consults with 32 Residential Aged Care Facilities (RACFs) across the catchment have also been facilitated as a trial. Potentially 350 residents may benefit from the GP initiative, and many more will benefit if their facility makes use of the specialist video consultations.

Extended hours for Residential Aged Care Facility in-reach program

FMPML funded a pilot to extend Peninsula Health’s Residential Aged Care Facility In-reach program in the evenings and weekends. The six month pilot prevented 109 emergency department

Attachment 3

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presentations/admissions and was particularly effective on the weekends. Following this success, the program has been extended (weekends only) for a further four months.

Collaborative work on Aged Care Planning

Collaborative work with Peninsula Health on advanced care planning has seen the development of a strategy to significantly increase the number of older people in the catchment having advanced care plans in place. The strategy includes aged care assessment teams and aged care facilities implementing systems to support older people develop their plan, have GPs involved in validating documentation and local hospitals ensuring that advanced care plans are honoured.

Improving Access for Vulnerable Children

Reduced wait times for vulnerable children

Evidence shows that for children with developmental delays early intervention before the age of 4 years old is critical. Extended wait times to access services means the window of opportunity for improvement can be lost. FMPML has intervened to provide additional early intervention places and to work with providers to reduce wait lists for these vulnerable children.

Increased access to child mental health support

The Listening to Individual Needs of Kids (LINKS) element of the ATAPS program is now accepting ‘provisional referrals’ from school principals and school nurses, which enables children to access two support sessions while their GP prepares a mental health care plan. Mental health nurses can also now make provisional referrals for preschool aged children.

Focused Psychological support for children and adolescents in catchment hot-spots

FMPML funded the local Headspace to deliver additional early intervention psychological support services for adolescents in Hastings and Rosebud with a particular focus on a ‘wrap around’ approach to ensure adolescents get the care they need in a coordinated way.

Building Capacity in Our Local Health Care Services

Providing support for general practice and primary care

Every month FMPML’s Provider Support team meet with on average 50 -55 general practices, engaging with approximately 140 practice staff including GPs, practice managers, and practice nurses. During our visits we provide support with immunisation, accreditation, chronic disease management, quality improvement, population health, MBS, clinical placement, cultural awareness, workforce development and training requirements, and e-health. We also run a substantial education and professional development program for clinicians and general practice which delivered training to over 150 clinicians across our catchment in a 6 month period.

Preventing admissions to hospital

FMPML has been working alongside Victorian Department of Health SMR to analyse Emergency Department statistics and the burden of preventable admissions on our local Frankston and Rosebud hospitals. As a result of this analysis FMPML is focusing on diabetes, chronic heart disease, smoking/COPD, pain management, and chronic kidney disease. We are working with GPs and Peninsula Health to: develop web-based care pathways; provide front line clinicians with training and resources; better link existing services for consumers.

Dedicated after-hours primary care support in catchment ‘hot-spots’

The work that FMPML has undertaken with general practices and with Peninsula Health on after hours services has seen an increase in the number of after hours services available and a reduction in lower acuity attendances at Rosebud Emergency Department. FMPML has provided grants to support three

Attachment 3

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dedicated after-hours general practices to deliver services in the known ‘hot-spots’, Frankston and Rosebud. FMPML has engaged with 84% of the catchment’s general practices to incentivise them to provide after-hours services, either directly or via other arrangements.

Supporting eHealth adoption

FMPML is working proactively with 45 General Practices who have signed up for eHealth, and participating in the Personally Controlled Electronic Health Record (PCEHR). 38 GPs have completed the full sign up process and are able to upload Shared Health Summaries into the PCHER. Four GPs are actively involved with consumer assisted registration.

FMPML has 69 Pharmacies in its catchment. Of this number, 16 Pharmacies have signed up for eHealth and four have completed the full sign up process and are able to view and upload to the PCEHR. Pharmacies in the catchment have proven to be very positive regarding eHealth and the work to engage them is ongoing.

Advocacy for the health needs of our catchment

On behalf of our primary care clinicians and provider organisations across Frankston Mornington Peninsula, FMPML has prepared a number of submissions to Government advocating for the health care needs of our vulnerable communities. FMPML has prepared submissions about: access by children with developmental delay to timely Speech Pathology services; and access to community-based mental health services for people living with mental illness. Copies of these submissions can be found on our website:

Attachment 3

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Attachment 4

EO Report to Peninsula Model Executive Group - May 2014

PCP Statewide

Prevention forum held on 1 May - partnership between Statewide PCP and Central Department of Health, Primary Care and Population areas. Aim was to engage high level stakeholders in a conversation about building a sustainable prevention system. A report and next steps will be disseminated.

Tricia Folvig has been attending Statewide Service Coordination and ICDM Network meetings. SC and ICDM forum planned for 28 July. Opportunity to showcase work in this space

PCP reporting guidelines now distributed. Some changes in the way PCP’s report annually in the revised domains outlined in the 2013-2017 Program Logic for PCP’s. Mix of case studies/vignettes, surveys and financial report

Networking with other PCPs, including INW and Southern Region group.

Communications with PCP Member Agencies

Plan developed for e-Bulletin and other communication strategies for members. First edition will be in early June. Volunteers for small task group/editorial group if required.

Service Coordination (Tricia Folvig)

Place-based FMP catchment

The Youth Wellbeing Stakeholder Advisory Group (YWSAG) is hosting a workshop for the youth sector on the 28 May to:

share information about youth specific projects in the catchment

discuss how agencies, Schools Students Support Officers and other key stakeholders can participate in, and contribute to priority projects for the catchment

plan and develop the next steps for priority projects. An initial draft of the Integrated Share Care Planning Protocol Agreement between agencies will be presented at the workshop as a consultation strategy. The Course in Service Coordination will be advertised to member agencies and the broader sector soon with the course anticipated to commence towards the end of June.

E-referral

Refer: The Peninsula Model eReferral Project – Options for Implementation report by David Hutcheson FMP MCL.

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Strategic Framework for Young People

The priority areas for the FMP Local Government Areas Strategic Framework for Young People have been identified through a consultation undertaken with young people and agencies working in the youth sector across the FMP, in addition to key local and Statewide research. The draft Strategy has been handed over to Frankston City Council to be finalised and adopted as Council’s Youth Strategy.

Integrated Health Promotion

The Integrated Health Promotion Coordinator, Trisha Kilgour, commenced on 28 April. Current focus areas are:

Partnership

Improve partnership opportunities and strengthen existing partnerships

The IHP coordinator will address this by:

Mapping Health Promotion and preventive health services in the catchment

Making contact with all member agencies

Communication plan consultation to develop best way to connect with members – communicate preventative and Health Promotion messages

Looking at needs of member agencies for capacity building opportunities.

Priority Issues Family Violence Prevention

Working group to review: Respectful Relationships - Stronger Communities Project

Evaluation to ensure learnings from SC project are taken on board

Dissemination plan to be completed and implemented.

Smoking Cessation and Tobacco Control

Workplans being finalised

Follow up and ensuring that working groups are familiar with the Evaluation plan

template.

Integrated Chronic Disease Management

Recruited to position of Integrated Chronic Disease Coordinator – Dianne Berryman commences on 27 May.

Meetings attended

Prevention and Better Health Alliance

e-Health Alliance

FMP PCP and FMP ML Interface meetings

Statewide PCP and DoH Prevention Forum

Prevention Working Group – Statewide PCP

Implemented PCP Team Meetings

Other outcomes

Budget developed for 2014-15.

Attachment 4

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Attachment 5

Peninsula Model Executive Group

Terms of Reference

May 2014

BACKGROUND

The Peninsula Model for Primary Health Planning (the Peninsula Model) is a comprehensive

and sustainable catchment-wide framework for collaborative population health planning. The

Peninsula Model provides a platform to bring together a range of agencies involved in

primary health and community service delivery to collectively engage in planning and

implementation of initiatives to improve the service system across the Frankston and

Mornington Peninsula catchment. The Peninsula Model builds on previous partnership and

success, and harnesses current and emerging opportunities inherent in a strong

collaborative approach.

The Peninsula Model facilitates the harnessing of the collective effort of organisations at a

catchment level (resources, sites, personnel, information, policies, models of care, evidence

bases) for the purpose of connecting healthcare and community services to meet local

needs. The Peninsula Model encompasses a five-tiered approach to Primary Health Service

System Redesign:

1. The first tier (and independent of the Peninsula Model) is individual organisational

governance. Organisations with mandated responsibilities for local area health

planning have these responsibilities preserved. These organisations are Frankston

City Council (FCC), Mornington Peninsula Shire (MPS), the Frankston Mornington

Peninsula Primary Care Partnership (FMPPCP), the Frankston Mornington Peninsula

Medicare Local (FMPML), the Department of Health (DH) and Peninsula Health (PH).

Each organisation is clearly responsible for its own governance however, each

organisation actively endorses the Peninsula Model and nominates representatives

to all tiers of the model to support a coordinated planning and service system

redevelopment response.

2. The second tier consists of the Peninsula Health Primary Care Population Health

Committee (PCPHC) which has Director / CEO / Senior Management representation

from key organisations in the catchment. The PCPHC is the vehicle for engagement

of stakeholders and provides oversight for coordination of strategy and collaboration.

3. The third tier is The Peninsula Model Executive Group (PMEG) which comprises

representatives from the organisations on the FMPPCP Strategic Directions

Committee (active until August 2013) and senior managers from the FMP Medicare

Local. This tier is responsible for establishing and coordinating the Alliances and

working groups, monitoring the FMPPCP strategic plan, facilitating service

development and implementation methodologies, monitoring and evaluation, and

providing formal communication to PCP member agencies and the PCPHC on The

Peninsula Model issues, processes and outcomes.

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Attachment 5

4. The fourth tier layer is the implementation layer. It comprises the Alliances, ‘virtual

teams’ of representatives from relevant agencies engaged in the Alliance area of

service development or population health outcome improvement. This is the ‘power

house’ level of the model, engaging the key people with the expertise required to

best inform the development of effective and evidence-based strategies to address

the key issues. The Alliances are supported by facilitators (project officers and

coordinators) from the FMPML and the FMPPCP, and in-kind resources of

participating agencies.

5. The FMPPCP/FMPML facilitators support the Alliances with the coordination of

meetings, project methodology, capacity building, development of action plans and

evaluation.

6. The fifth tier is service delivery or community/consumer interface. This tier engages

clinicians and practitioners working in health and social service organisations

(ranging from large to small, including GP practices) within the catchment. This level

works to re-design service delivery priorities and implement improvements in service

coordination and service user outcomes. The membership of the Working Groups is

drawn from this tier.

PMEG ROLES AND RESPONSIBILITIES

Whilst the Governing Organisations and the PCPHC retain overall responsibility for strategic

direction, representatives from the PCPHC and the former members of the FMPPCP

Strategic Directions Committee meet to coordinate and implement primary health service

improvement priorities identified and agreed to through The Peninsula Model. This group is

called the Peninsula Model Executive Group (PMEG). The PMEG role is to:

1. Plan for the implementation of The Peninsula Model

2. Plan for the resource allocation required to support The Peninsula Model

3. Support service development and service re-design within and across the Alliances

using standardised methodologies, including:

a. Project management

b. Program logic

c. Stakeholder engagement

d. Consumer engagement

e. Evaluation

4. Monitor the implementation of The Peninsula Model, and in particular, the work of the

Alliances and Working Groups

5. Advise on the development, monitoring, implementation and evaluation of the PCP

Strategic Plan and act as the authorising environment meeting Department of Health

reporting requirements

6. Act as the Strategic Leadership Group for the FMPML Comprehensive Needs

Assessment for the period January – May 2014

7. Prepare the agenda and reports back to the PCPHC and broader stakeholders.

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Attachment 5

PCP SUB-COMMITTEE

The PCPsub-committee comprises the PCP Executive Officer, the PMEG Chair and Deputy

Chair and the representative of the auspice agency (Peninsula Health) to attend to the

governance and operational management issues of specific relevance to the PCP, including

its resourcing and support role for the Peninsula Model.

PMEG MEETING FREQUENCY

The PMEG was first convened in 2012 and will meet bi-monthly or as required/agreed.

PMEG QUORUM

Fifty percent (50%) plus one.

PMEG DECISION-MAKING

Decisions are made by consensus. In the case of consensus not being reached, a vote will

be taken via a show of hands process. The Chair has the deciding vote in the case of a

50/50 outcome. The Chair may propose an alternative decision-making process if there is

significant disagreement, such as deferring the decision and seeking further information.

PMEG ADMINISTRATION

The PMEG is chaired by a nominated and endorsed member of the PMEG. The Chair is

confirmed annually at the December meeting. The PMEG Chair must be from a PCP

member agency, as the Chair function includes the role of Chair of the PCP Sub-Committee.

The PMEG is convened and minuted by the PCP Executive Officer.

PMEG Terms Of Reference (TOR)

The first TOR for the PMEG were developed and provisionally approved on 28/6/13

The TOR were redrafted on 1/11/13 following a recommendation that the PMEG and

PCP Strategic Directions Committee be integrated

The TOR were finalised in May 2014

PMEG BRANDING

The PMEG has approved and adopted a logo to ‘brand’ The Peninsula Model. This

branding should be used at all times, and where possible, also display the logos of

participating organisations.

Author: Christine Burrows

Approved By: PMEG

Approved Date: February 28, 2014;

Review Date: May 2015

This version updated May 22, 2014

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Attachment 5

PMEG MEMBERSHIP current as at May 2014

ORGANISATION REPRESENTATIVE ROLE

Family Life Joe Cauchi (PMEG

Chair)

Director Projects and Partnerships

Brotherhood of St Laurence Lisa Rollinson (PMEG

Deputy Chair)

Senior Manager, Community Aged

Care

Department of Health

Sandy Austin (or

delegate)

Regional Director, Southern and

Eastern Metropolitan Region,

Department of Health

Frankston City Council Dr Gillian Kay General Manager Communities

Frankston-Mornington Peninsula

Medicare Local

Robin Whyte Chief Executive Officer


Medicare Local

Ruth Azzopardi Director of Service Development


Medicare Local

Dr Helen Keleher Director, Population Health &

Planning and Stakeholder Relations


Primary Care Partnership

Christine Burrows Executive Officer

headspace Frankston Rose-Mary (Ro)

Dowling

Manager

Mornington Peninsula Shire Rob Macindoe Director Sustainable Communities

Peninsula Health Jan Child Chief Operating Officer

Peninsula Health Margaret Martin General Manager Community Health

Peninsula Support Services Terry Palioportas Chief Executive Officer

Royal District Nursing Service Martin Wischer Victorian General Manager

Women’s Health in the South East

(WHISE)

Sue Glasgow Chief Executive Officer

General Practitioner (replacing

Peninsula GP Network

representative)

vacant

General Practitioner

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Attachment 5

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Peninsula Model Executive Group (PMEG)€¦ · Letter to be sent from Chair letting partners know...

Documents

Transcript of Peninsula Model Executive Group (PMEG)€¦ · Letter to be sent from Chair letting partners know...