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A health system for future generations Planning and educating a modern health information workforce Health Information Management Association of Australia National Conference Mark Cormack, CEO Health Workforce Australia 29 October 2010 Sydney
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National health workforce reform agenda COAG and health workforce reform ( National Partnership Agreement 2008) Acknowledgment that large scale workforce reform is necessary with a particular focus on linking efforts of health and higher education sectors NPA, $1.1Bn new funding over 4 years to Develop a sound evidence base to inform national reform Devise policy and programs that facilitate workforce reform Work across jurisdictions, sectors, organisations and professions Health Workforce Australia (HWA) established to lead implementation of the NPA
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Health Workforce Australia Legislation enacted July 2009 – HWA established as a Commonwealth statutory authority Board – nominees from jurisdictions (9), independent Chair and 3 other directors Reports to Australian Health Ministers Conference (AHMC) Headquarters in Adelaide - CEO commenced 27 Jan 2010 Transition of National Health Workforce Taskforce (NHWT) work program to HWA.
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Core functions of HWA Progress the NPA national agenda focussed on five key areas Research and workforce planning ($24m) ** Clinical education and training ($547m) $424m Clinical training subsidies, $28m Clinical supervision, $94m Simulated Learning Innovation and reform ($70m) ** International recruitment ($60m) Advice to AHMC, industry & higher education
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National health workforce reform agenda Research and workforce planning Planning to date less than optimal Many knowns, anecdotes and accepted wisdoms Key data sets (e.g. vacancies / shortage) reliant on jurisdiction and professions based information, disparate sources, often inconsistent, out of date and incomplete Today we still cannot accurately say how many doctors or nurses work in our health system, or quantify the shortage Workforce interventions (e.g. boosting training, international recruitment / retention programs, targeted reforms) are complex, have long lead times, and expensive. Governments, industry and higher education sector need better, nationally consistent evidence base to inform policy, investment decisions and interventions.
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HWA - planning and research HWA to lead, encourage and support a health workforce research, planning and policy agenda How? Continually improve national health workforce information National health workforce statistical dataset National workforce projections and research National supply and demand model – macro and by specialty Workforce demand and workload measures National health workforce research collaboration
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HWA - planning and research Interim work program (2010-11) whilst the longer term planning and research program is developed Macro Supply and Demand Postgraduate Medical Training Study National Workforce Study of the NGO Mental Health Sector Alternative Options for Workforce Planning Workload Measure for Allied Health Professionals Supply and Demand Projections for Nursing Professionals (Acute Sector) Nursing Professionals (Aged Care Sector) Anaesthetic Medical Workforce Emergency Medical Specialist Workforce Intensive Care Medical Workforce Cancer services workforce strategy
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Supporting innovation and reform NPA allocated over $70m over four years to Promote better utilisation and adaptability of the workforce Explore new and emerging roles to respond to changing demands Promote national uptake of innovative reforms Test health workforce reform models Research local, national and international innovation initiatives for whole of system uptake Address policy and other barriers to new workforce models Strategies to reform the structure, composition and training of the workforce
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Challenges & issues Getting the numbers right & understanding the demand drivers - assembling the evidence Targeting and linking reform effort to current and emerging burdens of disease – impact on the long term goal. Seeking agreement on what matters most – national strategy to focus effort Supporting the reform and implementing change – leadership and sponsorship Progressively modernising regulation – address barriers Training, payment and remuneration systems – enabling and sustaining National health reforms - relevance
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Opportunities for the health information workforce Australian Health Informatics Education Council (AHIEC)Strategic Workplan Industry review – workforce requirements Training strategy- marketing and development Targeting and linking health information workforce strategies to agreed national health reforms E-health Cancer Primary health care strategy Local Hospital Networks
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www.hwa.gov.au
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