Murray PHN Introduction October 2015

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

3 Health services briefing

Improving health outcomes Reducing costs of health delivery Health system integration Effectiveness Efficiency 4 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. 5 Health services briefing Preventable hospitalisations

6 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

7 Health services briefing Improving health outcomes 9.7 million hospitalisations 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”.

8 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

9 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”

10 Health services briefing Cost of health care

11 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 Primary care component: MBS = ~ $160 million PBS = ~ $270 million

12 Strategic Collaboration Shared Interpretation Locally Relevant Action Goulburn Valley Health System 5 Local Government Authorities Over 151,237 people, spanning land mass of about 16,500 km2 42 General Practices 12 Acute facilities with GV Health the largest health service in the region 11 community health services (combination of community managed and integrated) 1 Aboriginal Community Controlled Health Organisation (ACCHO) Significant number of social services, allied health and pharmacy services

13 Data source: Public Health Information Development Unit, University of Adelaide 2011, Victorian Population Health Survey , Victorian Department of Health LG profiles 2013 ATSI population is higher in the Goulburn Valley region than the rest of Victoria Greater Shepparton LGA has the highest % of ATSI people in GV region - 4.2% pop compared to the Victoria overall percentage of 0.8% All municipalities GV area have a higher degree of disadvantage than both the Victorian and Australian populations All municipalities in GV are under the 90% recommended rate for immunisation for month olds (84%-88%) 3 out of 5 Municipalities have higher rates of depression and anxiety compared with both the Victorian and Australian average Goulburn Valley Communities

Health services briefing 14 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 Objectives and priorities Commonwealth agreement

Health services briefing 15 National health priorities

Health services briefing 16 National headline indicators Local performance indicators To be formed through needs assessment Organisational indicators Performance framework Commonwealth agreement

Health services briefing 17 Murray PHN Board  Continued 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 18 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 SwerissenPublic health policyDaylesford Ms Di ThomasNewspaper EditorAlbury

Health services briefing 19 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 20 Structures Operational

Health services briefing 21 Structures Operational

Health services briefing 22 Structures Operational

Health services briefing 23 Structures Operational The number and location of Advisory Committees will be determined through a consultation process