Lessons from the Trialling allied health service models supported by the MBS projects 2009-2010 Kim Marr and Diana Herd General Practice & Service Improvement.

Slides:



Advertisements
Similar presentations
Delivering Equitable Care in Mental Health Services A Clinical Area Based Approach Itai Nyamatore Clinical Team Manager O.B.M.H.
Advertisements

Leicestershires Vision for short break transformation Leicestershire is committed to the transformation and expansion of short break services for disabled.
E Care Planning Project
Review of Maternal and Child Health Service
The Practice Standards for the Implementation of Care Planning in Victoria. Presented by: Kate Boucher, Integrated Chronic Disease Management Team &
MEDICAL HOME 1/2009 Mary Goldman, D.O., President of MAOFP.
Leadership and good practice Presentation to the International Conference on Law Enforcement & Public Health 13 November 2012.
Patient Centered Care Model The model which was drawn from NMH’s Henderson Framework for Nursing Practice proposes to provide a healing environment centered.
A CONSTRUCTION SAFETY COMPETENCY FRAMEWORK: DEVELOPMENT, INDUSTRY APPLICATION, AND FUTURE BENEFITS Herbert Biggs PhD.
JSNA Schizophrenia progress report Martina Pickin Locum Consultant in Public Health.
Linking Actions for Unmet Needs in Children’s Health
A framework for community based mental health services 8 th October 2008 Mervyn Morris Professor of Community Mental Health Professor II, U.C. Buskerud,
Mission Possible Paula N. Garrett, MS, RD WIC Program Manager Division of Community Nutrition Virginia Department of Health.
REFUGEE HEALTH CONNECT Building patient centred primary health care through partnerships and research Donata Sackey (Senior Program Manager) Mater UQ Centre.
Disability and special educational needs: local area responsibilities under the Children and Families Act, 2014 Charlie Henry HMI National lead for disability.
Quality evaluation and improvement for Internal Audit
What should be the basis of
Building Public Health / Clinical Health Information Exchanges: The Minnesota Experience Marty LaVenture, MPH, PhD Director, Center for Health Informatics.
Introduction to Standard 2: Partnering with consumers Advice Centre Network Meeting Nicola Dunbar October 2012.
First, a little background…  The FIT Program is the lead agency for early intervention services under the Individuals with Disabilities Education Act.
SWAHS Clinical Redesign Aged & Chronic Complex Peter Stralow Responding to the Challenge Forum 12 September 2007.
Creating a service Idea. Creating a service Networking / consultation Identify the need Find funding Create a project plan Business Plan.
National Standards for Safer Better Healthcare
1 Guidelines for a Palliative Approach in Residential Aged Care AcLan August 2005.
EBT Pilot WIC EBT Online Pilot Commonwealth of Kentucky.
TTBIZLINK PROJECT MINISTRY OF TRADE, INDUSTRY, INVESTMENT & COMMUNICATIONS.
Cross Border Animal Health Plan of Action – Kenya and Uganda Four Strategic areas 1. To improve prevention, management and control of cross border animal.
Development and Implementation of a National Multisectoral Output Monitoring System (SHAPMoS) for HIV Responses in Swaziland:  Challenges and lessons learned.
Presenter-Dr. L.Karthiyayini Moderator- Dr. Abhishek Raut
Planning for Inclusion From 0 – 12 in a decade! L. Dillon August, 2006.
Module 3. Session DCST Clinical governance
East Renfrewshire – Better Community Engagement Staff Workshops – October 2010.
Homelessness 2020 The Lift We Need on the Long Road Home? Michelle Burrell Council to Homeless Persons.
Allied Health Professions Learning Needs Analysis and Workforce Planning Workshop 7 th May 2010 Lesley Barrowman Senior Professional Officer.
2004 National Oral Health Conference Strategic Planning for Oral Health Programs B.J. Tatro, MSSW, PhD B.J. Tatro Consulting Scottsdale, Arizona.
Registrant Engagement Through CPD Aoife Sweeney, Head of Education, CORU - Health and Social Care Professionals Council, Ireland.
The Health Roundtable Parent Education Workshops Targeting Early Intervention & Prevention of Speech and Language Delay in Children Presenter: Megan Free.
Understanding TASC Marc Harrington, LPC, LCASI Case Developer Region 4 TASC Robin Cuellar, CCJP, CSAC Buncombe County.
Evaluating Effectiveness To what effect? Joanne Sharpe, Office of Development Effectiveness, AusAID.
Aligning the Workforce to Organisational Values & Behaviors Chris Belcher, George Eliot Hospital Trust.
Evaluation Highlights from Pilot Phase July 2005 – June 2007 Prepared for Leadership Team Meeting January 11, 2008.
Campaspe PCP Getting started with Care Planning Campaspe Primary Care Partnership.
Developing a standardised introductory course for HCA’s in General Practice - lessons learnt and future directions.
Addressing Maternal Depression Healthy Start Interconception Care Learning Collaborative Kimberly Deavers, MPH U.S. Department of Health & Human Services.
Advance Care Planning Project Margaret Colquhoun, Jackie Whigham & Peter McLoughlin.
Evaluation of the Indiana ECCS Initiative. State Context Previous Early Childhood System Initiatives –Step Ahead –Building Bright Beginnings SPRANS Grant.
From Vision to Reality: Transitioning to Community- based Approaches …our journey so far 4 th May 2012.
General Medicine Improving Quality Care Presenter: Jane Lees Health Service: Auckland District Health Board Innovation Poster Session HRT1215 – Innovation.
Good Life Club Project System change to embed self-management. Jill Kelly.
Anne Foley Senior Advisor, Ministry of Health New Zealand Framework for Dementia Care.
Performance Management Training October , 2015 Grace Gorenflo, MPH, RN Principal Gorenflo Consulting, Inc.
…to integration Information and advice: A single point of access that filters enquiries using a single source of information (the ‘local offer’) as soon.
Developing a Monitoring and Evaluation Framework: Insight into internal stakeholder learnings Beth Ferguson AES Conference Sydney 2 September 2011.
Unit 8a: The Implementation Team HIT Implementation Planning for Quality and Safety This material was developed by Johns Hopkins University, funded by.
Edinburgh Shadow Strategic Planning Group Friday 19 June 2015 Welcome Back.
WHY WAIT?: A Productive Model of partnership between a Child & Family Support Service and Allied Health Professionals in the Real World of "Waiting Lists"
A Professional Development Series from the CDC’s Division of Population Health School Health Branch Professional Development 101: The Basics – Part 1.
Extended School Hubs Field Trials. Number of partnerships by organisation type.
Speech, Language and Communication Therapy Action Plan: Improving Services for Children and Young People (2011/ /13) Mary Emerson AHP Consultant.
Welcome to the Consumer Centered Family Consultation Implementation Webinar Hosted by: The Family Institute for Education, Practice & Research The webinar.
Training for organisations participating in Peer Review of Paediatric Diabetes.
Baseline The baseline at July Previously there was a lack of consistency for: Pathways into specialist clinics; Policies, procedures and guidelines.
Increased # of AI/AN receiving in- home environmental assessment and trigger reduction education and asthma self-management education Increased # of tribal.
MBS and Community Health services Grampians Region- Industry Advisor project Judy Perkins Primary Health Program and Service Advisor.
Enhancing the Victorian Community Based Pharmacotherapy System: Future Directions Thomas Roszkowski Operations, Mental Health Drugs & Regions Department.
Gill Lewin Silver Chain, Perth, WA Curtin University of Technology, Perth, WA Examples of Evaluations that have influenced Community Care Practice and.
Critical Program Movement: Integration of STD Prevention with Other Programs Kevin Fenton, MD, PhD, FFPH Director National Center for HIV/AIDS, Viral Hepatitis,
The GEF Monitoring and Evaluation Policy
International Summer School on Integrated Care Daniela Gagliardi
Finance & Planning Committee of the San Francisco Health Commission
Presentation transcript:

Lessons from the Trialling allied health service models supported by the MBS projects Kim Marr and Diana Herd General Practice & Service Improvement Team MBS-billed services in community health workshop 31 August 2011

Purpose of the trials What we set out to answer: models for high quality and accessible services most suitable client conditions seamless service

Framework for models

Evaluation results

Absorbed Costs In surplus In deficit Major Surplus Breakeven Major Deficit

Financial/business Viability Payment for assessment/1 st session Getting referrals & GP engagement Insufficient rebate Quality of client care 5 visits not enough Competition for 5 visits Clinical governance & monitoring Goal of seamless care Staffing Contracting process Integrating contracted staff Change management with existing staff – culture shift Understanding of MBS by staff Implementation Project management too time consuming IT difficulties Key issues identified in trials

Financial/business Viability Payment for assessment/1 st session Getting referrals & GP engagement Insufficient rebate Quality of client care 5 visits not enough Competition for 5 visits Clinical governance & monitoring Goal of seamless care Staffing Contracting process Integrating contracted staff Change management with existing staff – culture shift Variable understanding of MBS by staff Implementation Project management too time consuming IT difficulties Key issues identified in trials

Lessons learnt re implementation Initial steps critical –promote relevant understanding of MBS eg training –GP & PN engagement, division support, establish value – needs analysis – workforce – processes & supporting systems Internal change management Ongoing engagement of GPs –early evidence –clear communication (eg waiting lists, feedback) Realistic about limitations of MBS –adapt practice –mixed state-funded/MBS models –co-payments –client/model fit

Twelve months on from the trials……… Approximately 4,520 additional consultations in last 12 months Most agencies maintained or expanded services –one agency reduced services 3 out of 8 agencies operating at a breakeven level –other five agencies operating in deficit Key positive experience – increased service access Key negative experience – not achieving viability (for those agencies that haven’t)

Resources MBS flipchart (online – shortly to be updated) Client services through Medicare. Opportunities & challenges Guide to developing an optimal business model for general practice in community health Working with general practice position statement Guidelines for feedback to general practice Report on Trialling allied health services supported by the MBS (arriving soon) Victorian Service Coordination Practice Manual

Contacts Diana Herd Kim Marr Senior Policy Officer & lead re MBS service models Manager General Practice & Service Improvement