Murray PHN Introduction
October 2015
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Health services briefing
Overview
Objectives and priorities
Performance framework
Murray PHN structure Governance Operational Strategy Population Health Planning
Next steps
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Health services briefing
Improving
health outcomes
Reducing costs of health
delivery
Health system
integration
Effectiveness Efficiency
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Health services briefing
What we are here to do
“60,000 Victorians were being admitted to hospital every year unnecessarily”
Premier Andrews
“They could avoid being admitted to hospital if they were better managed, but…. we are failing to organise the work GPs do, the work hospitals do, the work pharmacists do”
Premier Andrews
The Victorian government wants “tailored programs of support” to be created for patients and better co-operation between state and federal governments.
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Health services briefing
Preventable hospitalisations
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Health services briefing
Preventable hospitalisationsSeparations
Between 2009/10-2013/14
Number separations increasedon average 3.3% per year
Population growth was only1.6% per year
*Separations = episodes of admitted care
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Health services briefing
Improving health outcomes
9.7 million hospitalisations 2013/14 Digestive system = 978,000
Cancer = 616,000
Circulatory = 481,000
Genitourinary = 457,000
Respiratory = 408,000
“One in three cancer cases are preventable and the number of cancer deaths could be reduced significantly by choosing a cancer smart lifestyle. More than 13,000 cancer deaths each year are due to smoking, sun exposure, poor diet, alcohol, inadequate
exercise or being overweight”.
www.cancer.org.au/preventing-cancer/
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Health services briefing
Health system integrationIssuesFragmented configuration
Private or public
Commonwealth or State Government
Funding and policy implications
System of independent providers
Interdependency of providers enhances the system
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Health services briefing
Health system integrationIssuesDifficult for patient to navigate
Patient lacks information about system
Health implications
Bigger impact in rural areas
Disruptive and encounter blockages
Clinical information stays with provider
Impacts upon quality of care
Gaps in provision of key information
System “doesn’t talk to each other”
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Health services briefing
Cost of health care
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Health services briefing
Cost of health care
2011/12 cost of health care in Australia = $140 billion
= $6,230 per AustralianMurray PHN catchment = $3.5 billion
Primary care component:
• MBS = ~ $160 million
• PBS = ~ $270 million
12Strategic Collaboration Shared InterpretationLocally Relevant Action
Goulburn Valley Health System
• 5 Local Government Authorities
• Over 151,237 people, spanning land mass of about 16,500 km2
• 42 General Practices
• 12 Acute facilities with GV Health the largest health service in the region
• 11 community health services (combination of community managed and integrated)
• 1 Aboriginal Community Controlled Health Organisation (ACCHO)
• Significant number of social services, allied health and pharmacy services
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Data source: Public Health Information Development Unit, University of Adelaide 2011, Victorian Population Health Survey 2011-2012, Victorian Department of Health LG profiles 2013
• ATSI population is higher in the Goulburn Valley region than the rest of Victoria
• Greater Shepparton LGA has the highest % of ATSI people in GV region - 4.2% pop compared to the Victoria overall percentage of 0.8%
• All municipalities GV area have a higher degree of disadvantage than both the Victorian and Australian populations
• All municipalities in GV are under the 90% recommended rate for immunisation for 24-27 month olds (84%-88%)
• 3 out of 5 Municipalities have higher rates of depression and anxiety compared with both the Victorian and Australian average
Goulburn Valley Communities
Health services briefing
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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
Objectives and priorities Commonwealth agreement
Health services briefing
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National health priorities
Mentalhealth
Populationhealth
Healthworkforce eHealth Aged
care
Aboriginaland Torres
Strait IslanderHealth
Health services briefing
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National headline indicators
Local performance indicators
To be formed through needs assessment
Organisational indicators
Performance frameworkCommonwealth agreement
Potentiallypreventable
hospitaladmissions
Childhoodimmunisation
rates
Mental healthtreatment
rates
Cancerscreening
rates
Stakeholdermanagement
Financialmanagment
Delivery ofcontractedservices
Governance
Health services briefing
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Murray PHN Board Continued entity LMMML MPHN
Skills based board of management
Expanded initial composition 7 10
Combination of appointed and co-opted
Concertina down to 9 over three years
Recruitment of registered stakeholders
StructureGovernance - Key features
Health services briefing
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StructuresGovernance - Board members
Name Background Residence
Dr Tali Barrett (Chair) General Practitioner Bendigo
Mr Fabian Reid (D Chair) Consultant/Government Relations Bendigo
Dr Chris Atkins GP/Lawyer Kyneton
Mr Kevin Boote Business/Community Service Shepparton
Ms Leonie Burrows Community Service/Education Mildura
Ms Sue Clarke Ret’ Health Service Executive Bendigo
Mr Victor Hamit Lawyer Echuca
Mr Ted Rayment Acute Services CEO Swan Hill
Mr Hal Swerissen Public health policy Daylesford
Ms Di Thomas Newspaper Editor Albury
Health services briefing
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Key Features
Regional configuration
Equitable distribution of resources and capability
Consistent, adaptable, flexible, responsive
Supported by corporate structure Provides organisational support
and co-ordination
Corporate support including finance, administrative, communications
Performance management and evaluation
StructuresOperational
Facilitate engagement, integration and innovation
Needs identification Procurement and commissioning System-wide improvements Selected, reviewed and revised
on the basis of Needs Assessments
Health services briefing
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StructuresOperational
Health services briefing
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StructuresOperational
Health services briefing
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StructuresOperational
Health services briefing
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StructuresOperational
The number and location of Advisory Committees will be determined through a consultation process
Murray PHNBoard
CommunityAdvisoryCouncils
CV GV NE NW CV GV NE NW
ClinicalCouncils
Population HealthPlanning Advisory Panel
Commissioning servicesCoordinationEngagement
Publication of identifiedneeds (catchment and regional)
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