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Our Unique WAOr how the Wild West is finally winning!
Jodie South, Director, Health InfrastructureElizabeth Rohwedder, Senior Project Manager, HSIU
Nancy Bineham, Manager Planning, WACHS
The WA Health Clinical Services Framework 2010 – 2020 (CSF 2010)
More than a service role delineation framework….
CSF - Timeframe
2005 – First CSF released (2005-2015)Metropolitan hospitalsState Cabinet endorsed
2007-2009 – Area Health Service Clinical Service Plans developed
2009 – Second CSF released (2010-2020)Metropolitan & Country hospitals and non-
hospital servicesState Cabinet endorsed
CSF 2010
• High level health service planning framework for the next 10 years
• Basis for content and direction of enablers of health service delivery
BUSINESS INTEGRATION MODEL
Delivering a Healthy WAWA Health Strategic Intent
Models of Care
Clinical Service Framework2005 – 2015/2010-2020
WA Health Policy
WA Health Activity Modelling
Inpatient modellingNon-Inpatient modelling
Emergency Dept modelling
Planning
Workforce Infrastructure Recurrent Cost ICT
ResourceAllocation
Model
ABF/ABM
RAM/Efficient Price
Enablers
AHS/Divisional Operational Plans RAM / ABF/ABM Budget Allocation
Feedback and Accountability Mechanisms
Operational Deployment
CSF 2010 Impact
• Influences content and direction of:1. Workforce strategy and planning2. Infrastructure – State Health Infrastructure Plan (SHIP)3. Recurrent Cost - Budget setting, funds allocation (ABF/ABM)4. Information, communication & medical technology strategy and
planning
• Aligns with: – Reform initiatives– Strategic intent
• Expects consistency from:– AHS planning– Annual operational plan
Enabler 3: Recurrent Cost, Budget setting, funds allocation (ABF/ABM)
• Whole of Health Cost Model – annual budget bid and forward estimates
• Funds allocation – Activity Based Funding/ Management (ABF/ABM)
What’s Happening in the Country?
Major Investment in Country Health Infrastructure and Services aligned to the CSF.
Our country health services and infrastructure includes:
70 hospitals• 6 Regional Health Campuses • 15 District Health Campuses• 49 small hospitals including 30 multi-purpose services
26 community mental health services
38 remote nursing posts
2 state government nursing homes and 1 aged care hostel
50 Community health services
206 Child health services
Our aims in WA Country Health Service
are aspirational but were hard to
achieve…..1. A fair share for country health
2. Service delivery according to need
3. Closing the gap to improve
Aboriginal health
4. Workforce stability and excellence
In 2008/09- 22% of population of WA
lived in country areas
- 10% Aboriginal
WA Country Health Service provided:
- 45% of all WA’s ED activity (lack of GPs)
- 22% of all WA’s public inpatient activity (declining)
- 22% of all WA’s births in public hospitals (declining)
- 80% self sufficient
Why is government & industry focusing more now on Country WA?
•To close the gap in country health and Aboriginal health outcomes
•To meet health needs of increasing population incl. FIFO
•To bring high quality care closer to home
•To provide equitable access to services & investment
•To attract, retain and skill the country workforce
•To improve patient safety & satisfaction
1. Royalties for Regions funding program • Regional Investment ($873m 2010/11)
• Twin Cities in the Pilbara region – plan to almost double population
• East Kimberley Development Project
2. COAG NPA and Commonwealth funding
-
Finally - A Fair Share For Country…
Royalties for Regions -Capital initiatives
R4R funding to date $363.8m & includesKarratha Hospital- planning/staff accommodation $8m Pilbara health equipment $2.5mPilbara Health Initiative $32mKalgoorlie hospital (total $55.8m) $15.5mNew Albany Health Campus (total $166m) $60.9mKarratha Health Campus $160mExmouth Clinic $8mCarnarvon Hospital $20.8mEsperance Hospital $18.8mRemote Indigenous Health Clinics $22.2m
TOTAL to date: $152.43 m over 6 years 08/09 – 13/14
• RFDS – 37 m
• ST JOHN AMBULANCE - $26.1 m
• PATS – $49.8 m
• RURAL GENERALISTS - $8.5 m
• PILBARA CARDIO POINT OF TESTING PROGRAM - $1.2 m
• PILBARA SPECIALIST SERVICES - $29.8 m
Royalties for Regions -Service Initiatives
COAG INDIGENOUS AGENDA •Close the Gap NPA $117M•Indigenous Early Childhood NPA $28M
COMMONWEALTH PARTNERSHIPS• HHF
•Kimberley renal dialysis $8.6m•5 rural cancer units 22.29m•Broome paediatric ward $7.9m•Bunbury radiotherapy $15.21m•Bunbury ED & ICU $14.1 m
• East Kimberley Development Package $50m
• Clever Networks – Telehealth $6m
• National Health Reform
Commonwealth & COAGpartnerships
