HIMAA National Conference 2010 Health Information: the Golden Thread in Health Reform The National Health Reform Agenda Philip Davies Professor of Health Systems & Policy University of Queensland School of Population Health

The Golden Thread

The Golden Thread in Health Reform The goal The labyrinth Health information – The Golden Thread

Health Reform – The Goal “Create an agile, responsive and self-improving health system for future generations.”

Health Reform – The Goal Multi- disciplinary Long-term Convenient & accessible Quality & safety Sustainable Affordable Accountable Equitable

Health reform – The labyrinth

Local Hospital Networks Responsible for managing and delivering hospital services:-  120 – 150 nationally  Geographical or functional focus  Activity-based funding … in some cases  40% State / 60% Commonwealth funding  Governing Council  Subject to “clear and transparent performance reporting”

Health reform – The labyrinth Medicare locals will:- work with local health care professionals to ensure services cooperate and collaborate with each other so that patients can easily and conveniently access the full range of services they need; facilitate allied health care and other support for people with chronic conditions, as identified in personalised care plans prepared by GPs; identify groups of people missing out on GP and primary health care, or services that a local area needs, and better target services to respond to these gaps, for example, targeting gaps in GP services for aged care recipients; work with LHNs to identify the best pathways between services, and to assist with patients’ transitions out of hospital, and where relevant into aged care; deliver health promotion and preventive health programs targeted to risk factors in communities, in cooperation with the National Preventive Health Agency, once it is established; as needed in the execution of other functions, undertake population level planning and potential fund-holding roles in areas of market failure and where patient needs are not being met. Source:Council of Australian Governments. National Health and Hospitals Network Agreement. Canberra: COAG Unit, Department of the Prime Minister and Cabinet; 2010

Budget 2010/11 $163.4 million Introduction of activity based funding for public hospital services beginning on 1 July 2012 $449.2 millionA new approach to primary care for people with diabetes $466.7 million Establish personally controlled electronic health records, for every Australian who would like to use one, from July 2012 $416.8 million Establish a national network of Medicare Locals and improve access to after hours primary care services $91.8 millionEstablish an Independent Hospital Pricing Authority $109.5 millionEstablish a National Performance Authority Election commitment $392.3 millionTo provide Medicare rebates for online consultations across a range of specialties Health reform – The labyrinth

The golden thread New funding for primary care Hospital costs & performance Population health information Integration & oversight E-health records & telecare Operational performance improvement

The golden thread New funding for primary care Patient registration Care planning & management Health assessment & monitoring Financial management

The golden thread E-health records & telecare Communications  referral/requesting  discharge/reporting PCEHR Telehealth services

The golden thread Population health information Community health status, risk factors & service needs Service access, utilisation & gaps Population-based planning Healthy Communities Reports

The golden thread Hospital costs & performance Activity-based funding  Count  Classify  Cost Performance & Accountability Framework  Clinical quality & safety standards  Service & financial performance

The golden thread Integration & oversight Promotion of ‘seamless’ services Information sharing for management & monitoring Establishment of ‘local health economies’

The golden thread Operational performance improvement Activity-based funding Increased accountability & transparency  Management information Work-process redesign

Health Reform – The Goal Multi- disciplinary Long-term Convenient & accessible Quality & safety Sustainable Affordable Accountable Equitable

The Golden Thread in Health Reform