Murray PHN Introduction October 2015. 2 Health services briefing Overview Objectives and priorities Performance framework Murray PHN structure Governance

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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Improving

health outcomes

Reducing costs of health

delivery

Health system

integration

Effectiveness Efficiency

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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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Preventable hospitalisations

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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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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 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 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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Cost of health care

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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


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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


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National health priorities

Mentalhealth

Populationhealth

Healthworkforce eHealth Aged

care

Aboriginaland Torres

Strait IslanderHealth


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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


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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


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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


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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


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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)

Documents

Murray PHN Introduction October 2015. 2 Health services briefing Overview Objectives and priorities Performance framework Murray PHN structure Governance