Murray PHN Introduction August 2015

2 Health services briefing

Improving health outcomes Reducing costs of health delivery Health system integration Effectiveness Efficiency 3 Health services briefing 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. 4 Health services briefing Preventable hospitalisations

5 Health services briefing Preventable hospitalisations Separations Between 2009/ /14  Number separations increased on average 3.3% per year  Population growth was only 1.6% per year *Separations = episodes of admitted care

6 Health services briefing Improving health outcomes 9.7 million hospitalizations 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”.

7 Health services briefing Health system integration Issues Fragmented configuration  Private or public  Commonwealth or State Government  Funding and policy implications  System of independent providers  Interdependency of providers enhances the system

8 Health services briefing Health system integration Issues Difficult 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”

9 Health services briefing Cost of health care

10 Health services briefing Cost of health care 2011/12 cost of health care in Australia = $140 billion = $6,230 per Australian Murray PHN catchment = $3.5 billion of that primary care: MBS = ~ $160 million PBS = ~ $270 million

11 Health services briefing Overview Objectives and priorities Performance framework Murray PHN structure  Governance  Operational  Strategy  Population Health Planning Next steps

Health services briefing 12 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. PHN priorities  Mental Health  Aboriginal and Torres Strait Islander health  eHealth Objectives and priorities Commonwealth agreement  Population Health  Health Workforce  Aged Care

Health services briefing 13 National headline indicators  Potentially avoidable hospitalisations  Childhood immunisation rates Local performance indicators  Selected, reviewed and revised on the basis of Needs Assessments. Organisational indicators  Governance  Financial management Performance framework Commonwealth agreement  Mental health treatment rates  Cancer screening rates  Stakeholder management  Delivery of contracted services

Health services briefing 14 Murray PHN Board  Continuing 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 Structure Governance - Key features

Health services briefing 15 Structures Governance - Board members NameBackgroundResidence Dr Tali Barrett (Chair)General PractitionerBendigo Mr Fabian Reid (D Chair)Consultant/Government RelationsBendigo Dr Chris AtkinsGP/LawyerKyneton Mr Kevin BooteBusiness/Community ServiceShepparton Ms Leonie BurrowsCommunity Service/EducationMildura Ms Sue ClarkeRet’ Health Service ExecutiveBendigo Mr Victor HamitLawyerEchuca Mr Ted RaymentAcute Services CEOSwan Hill Mr Hal SwerrisenPublic health policyDaylesford Ms Di ThomasNewspaper EditorAlbury

Health services briefing 16 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 Structures Operational  Facilitate engagement, integration and innovation  Needs identification  Procurement and commissioning  System-wide improvements  Selected, reviewed and revised on the basis of Needs Assessments

Health services briefing 17 Structures Operational

Health services briefing 18 Structures Operational

Health services briefing 19 Structures Operational

Our roles

Health services briefing 21 Structures Strategic