Greater Metro South Brisbane Medicare Local Pharmacy Engagement 29 November 2012

What is a Medicare local? “A local, independent, not-for-profit organisation limited by guarantee with responsibility for coordinating and integrating Primary Health Care services to best meet the health needs of local communities.” MLs are to be representative of their communities and jointly accountable to Government and their communities.

GREATER METRO SOUTH BRISBANE MEDICARE LOCAL Who are we? Population 890, square kms Range from inner city to suburban to rural and island settlements Diverse range of population groups including Aboriginal and Torres Strait Islander, Refugee and CALD, Remote and Rural Skills based Board Diverse membership base 250 General Practices 245 Community Pharmacies 150 Allied Health Practices 7 Public Hospitals and 24 Community Health Services 45% of hospital separations are from private facilities 4 Aboriginal Medical Services

Dr John Kastrissios Dr Ian Williams Mrs Patrice Cafferky Mr Graham Carpenter Mrs Cheryl Herbert Mr Eugene McAteer Dr John O’Donnell Professor Cindy Shannon Mr Nino Di Marco Our board

Mater Health Services Pharmaceutical Guild of Australia Qld Branch Pharmaceutical Society of Australia Queensland Branch Private Hospitals Association Queensland Queensland Alliance of Mental Health The Royal Australian College of General Practitioners South East Alliance of General Practice SouthEast Primary HealthCare Network University of Queensland Aged Care Queensland Allied Health Professions Australia Australian Association of Practice Managers Australian Practice Nurses Association Central and South Queensland Training Consortium Council on the Ageing Queensland Ethnic Communities Council of Queensland Health & Community Services Workforce Council Institute for Urban Indigenous Health Our members

Institute for Urban Indigenous Health Mater Health Services Pharmaceutical Guild of Australia Qld Branch Pharmaceutical Society of Australia Queensland Branch Private Hospitals Association Queensland Queensland Alliance of Mental Health The Royal Australian College of General Practitioners South East Alliance of General Practice SouthEast Primary HealthCare Network University of Queensland Local Governments Metro South HHS Beaudesert Chapter Queensland Health Department of Communities Department of Human Services Aged Care Queensland Allied Health Professions Australia Australian Association of Practice Managers Australian Practice Nurses Association Central and South Queensland Training Consortium Council on the Ageing Queensland Ethnic Communities Council of Queensland Health & Community Services Workforce Council Health Consumers Queensland Working together with our partners

A) Founding members. Pharmaceutical Society of Australia (PSA) Queensland Pharmacy Guild. Potential for expansion 2013: Society of Hospital Pharmacists of Australia (SHPA) Australian Association of Consultant Pharmacists (AACP). Rationale - Why? Health Services 2 GP Super Clinics 245 Community Pharmacies 79 Aged Care Homes 7 Public Hospitals 6 Private Hospitals

B) Specific engagement with Allied Health as a strategy. Embraces support of broader primary care “Practice” as opposed to solely “General Practice”. First “profession” targeted. C) Service Models. New doctors want more flexibility in their career and working conditions than traditional models of general practice. Pharmacists are advocates for these new service models. Rationale - Why?

D)National Health Reform. Shift center of gravity of the health system from hospitals to primary health care. Rationale - Why? Every year up to 210,000 Australians are admitted to hospital due to medication problems. At least 50% of these admissions could be avoided by better medicine management.

E) Strong Foundations Fifth Community Pharmacy Agreement ( ).“Local Divisions” collaboration since Medication Management Programs: i. Home medicines review ii. Residential medication management review; and iii. Diabetes medication management service (Diabetes MedsCheck-launched 1 July 2012) Rationale - Why?

E) Strong Foundations cont…. Aboriginal and Torres Strait Islander Programs. This priority embraces the PBS Co-Payment Measure. Pharmacy Practice Incentive (PPI) support priorities areas: Dose Administration Aids Clinical Interventions Staged Supply Primary Health Care Community Services Support and Working with Others. Applied as “Know Your Numbers” initiative with integrative aspects to Chronic Disease Managemen t. Rationale - Why?

Aligned with Medicare Local 3 year Strategic Plan (7 targeted initiatives) Currently identifying population health needs and service gaps in our local area A)Health Promotion - Dietary & Lifestyle Support. What can we offer pharmacy? B) Relationship Engagement - Pharmacy Guild, PSA, Council of the Ageing (COTA), Aged Care Qld, UQ School of Pharmacy. – advisory groups to be convened Rationale - How?

F) Health provider directory Completed consultation with Qld Pharmacy Guild GMSBML Whole of Region Needs Assessment H) Marketing and Promotion PSA Depression QUM Kit-investigating role in Primary Care multi-disciplinary education Rationale - How?

I)Quality of Care and (L) Integration 1.PBS co-payment measure. Community pharmacy visiting program with health workers. 2.Pharmacy Practice Incentives i.e. enabler for enhanced GP referrals for Diabetes Medscheck 3. NPS event (Diabetes) & Pharmacy audits promotion. K.eHealth PCEHR & Electronic Transfer of Prescriptions (eTP) Rationale-How?

Engaging our community’s providers eHealth Mental Health Informatics Closing the Gap Early Intervention & Prevention Primary Care Liasion Officer Content owner Primary Health Care Area

GMSBML Whole of region Needs Assessment

Population Trends Supports population of 897, 594 people Region covers four LGAs Population Trends Supports population of 897, 594 people Region covers four LGAs Socio-economic Status in Region SEIFA scores across region vary Outer South Zone contains most socio- economically disadvantaged population Socio-economic Status in Region SEIFA scores across region vary Outer South Zone contains most socio- economically disadvantaged population Population Growth Patterns SEQ Australia’s fastest growing metro area GMSBML population projected to increase approx 30% between 2010 and 2025

Age Distribution High numbers of 0-4 years in ‘nappy belt’ High proportion over 65 years in Beaudesert and Outer East Zones Age Distribution High numbers of 0-4 years in ‘nappy belt’ High proportion over 65 years in Beaudesert and Outer East Zones GMSBML Zones Grouped regional characteristics Established six Zones GMSBML Zones Grouped regional characteristics Established six Zones Chronic Disease High levels Asthma, Circulatory System Disease, Arthritis 2 Zones show people with min. 1 of 4 risk factors

Aboriginal and Torres Strait Islander Populations In GMSBML region over people identify as having an Aboriginal or Torres Strait Islander background. This equates to 1.9% of the total population. Culturally and Linguistically Diverse Community Approximately 130,000 people in the region were born in non-English speaking countries.

SOME ISSUES Whole of community- Pharmacy COPD service pressures Risk factors and chronic disease - GMSBML determining pharmacy 5 year vision Culturally and linguistically disadvantaged needs - GMSBML culturally specific QUM information Population growth - After hours pharmacy services? Aged Care-QUM service delivery being mapped Mental Health - more education?

GMSBML and After Hours Ceasing of the After Hours Practice Incentive Payment on June 30, With the aim to help better provide all Australians, regardless of where they live, with accessible and effective after hours primary care services. MLs charged with: 1.Conducting capacity mapping of existing after hours services 2.Develop an understanding of the after hours primary health care needs 3.Address gaps in local after hours health service provision.

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