solution for rural and remote health care Aidan dan Hobbs bbs - - PowerPoint PPT Presentation

An integrated planning solution for rural and remote health care

Aidan dan Hobbs bbs

Business Lead – Outreach CheckUP Australia

Ou Outr treach each Ov Overvie view

1. 1.

Rural al Health Outreach ach Fund (RHOF) OF)

2. 2.

Medical l Outreach ch Indigenous Chronic c Disease ase Program ram (MOICDP)

3. 3.

Healthy y Ears s – Better ter Hearin ing, , Better ter Listen tenin ing (Heal alth thy Ears) s)

4. 4.

Visitin ing Optom tometrist rist Scheme (VOS)

5. 5.

Other Project cts s – Eye ye and Ear Surgical al Services es (EES ESS), ), Indigenous s Eye ye Health Coordinat nation ion and the Nutrit ition ion Program ram Commonwealth Dept. of Health funding which aims to increase ase access s to a range of health services and improve health outcomes for people living in urban, regional, rural and remote locations. RHOF

(RA 2 – 5)

MOICDP

(RA 1 – 5), Aboriginal and Torres Strait Islander people

HEALTHY EARS

(RA 1 -5, Aboriginal and Torres Strait Islander people, 0-21 years)

VOS

(RA 1 – 5)

• Maternity and Paediatric
• Eye Health
• Mental Health
• Support for Chronic Disease

Management

• Women’s Health
• Diabetes
• Cardiovascular disease
• Chronic respiratory disease
• Chronic renal disease
• Cancer
• Chronic Disease
• Ear Health
• Eye Health

Our purpose: Create healthier communities and reduce health inequities. Our guiding principles: We coordinate the delivery of Outreach health services that are:

1.

Tailored to address priority health needs

• 2. Appropriate, affordable and accessible for the consumer
• 3. High quality
• 4. Delivered efficiently
• 5. Based locally where possible
• 6. Appropriately funded for the provider
• 7. Integrated with other services and population health strategies

The Outreach Regional Structure

To identify and tailor local solutions to address challenges and

• pportunities in the coordination of Outreach health services,

including:

• local health needs, priorities and corresponding service gaps
• workforce supply versus community need and supplementary

resources required

• local community health trends
• priority locations for services
• appropriate models of service delivery
• referral pathways
• local infrastructure and equipment needs
• pportunities to leverage off existing services and programs
• service delivery and provider data - uptake and spread of

services

• monitoring and reviewing services to ensure compliance with

local service schedules

The Outreach Management System

The Outreach Management System (OMS) is a custom built, online monitoring and reporting tool which provides a consistent approach to contracting and management of health providers delivering Outreach Services.

• Custom user dashboard for community*,

provider, fundholder, and Australian Government Department of Health.

• Manage service delivery budgets across multiple

program

• Automatically generate invoices on submission
• f provider service delivery reports,
• Monitor service delivery, plan future visit dates,

and submit service delivery visit reports or activity logs.

• Share data across a regional workforce.
• Meet funder reporting requirements

The Outreach Management System

http://outreach.checkup.org.au/

Th The Ou Outr trea each ch health ealth Anal alyt ytics ics Platfor atform

9

Population Health Priorities Economic Investment Stakeholder Input OPTIMAL OUTREACH HEALTH SERVICE DELIVERY MODELS GOAL OUTCOMES Demographics Social determinants Health status Hospitalisations Healthy habits and behaviours Access/Utilisation/ Productivity Health spend efficiency Workforce demand Expenditure compared with need Funding distribution Perceived need Equitable access Workforce availability Sustainability SERVICE PRIORITIES Outreach investment

• ptions for action

INDICATOR AREAS

Th The Ou Outr trea each ch health ealth Anal alyt ytics ics Platfor atform

❖ Highlighted variation across Queensland between high needs communities and the spend cost relative to state average. ❖ Provided the visibility for decision makers to understand the relationship between demand and supply for each SA2 and to help inform where services potentially needed to be redirected to areas of greatest need. ❖ Allowed comparisons by exploring specialist’s visits, clinical performance, area breakdown, investment and funded programs. ❖ Provided interactive visualisation of population health and demographic data which provided an additional level of comparison to inform local priorities.

Th The Outr trea each ch health ealth Anal alyt ytics ics Platform atform

Avai ailabi bility ty Geogra raph phy Affordab fordability ty Timeliness Accommodatio dation Acceptabi ptability ty Aware reness

Acces ess s and Efficienc ficiency

Fli linder nders s Repor port: t:

Outre reach ach ser ervic ices es analysis is

Avai ailab lability ility

• Availability: defined by the quantity and types of services available in relation to the health needs of a population. Here we have

described the number of clinic days and types of services as a measure of availability.

• 1,000

2,000 3,000 4,000 5,000 6,000 7,000 8,000 9,000 Central Far North Far North (North) North West South East South West

Contracted clinic days (by region)

2013/14 2014/15 2015/16 2016/17 2017/18

• 2,000

4,000 6,000 8,000 10,000 12,000 HE - BHBL MOICDP RHOF VOS

Contracted clinic days (by program)

2013/14 2014/15 2015/16 2016/17 2017/18

Avai ailab lability ility

• Availability: defined by the quantity and types of services available in relation to the health needs of a population. Here we have

described the number of clinic days and types of services as a measure of availability.

100 200 300 400 500 600 700 800

Number of services provided by health professional type

2013/14 2014/15 2015/16 2016/17 2017/18

Geogr

• graph

aphy

• Geography: which refers to the proximity of services or how easy it is for the consumer to travel

to them. Here we describe the number of locations from which services are provided and stratify them by a measure of remoteness (Modified Monash Model classification).

20 40 60 80 100 120 140 160 HE - BHBL MOICDP RHOF VOS

Number of locations serviced by program

2013/14 2014/15 2015/16 2016/17 2017/18

Geogr

• graph

aphy

• Geography: which refers to the proximity of services or how easy it is for the consumer to travel

to them. Here we describe the number of locations from which services are provided and stratify them by a measure of remoteness (Modified Monash Model classification).

• 10

20 30 40 50 60 70 80 1 2 3 4 5 6 7

Number of locations serviced by program

2013/14 2014/15 2015/16 2016/17 2017/18

Affor

• rda

dabil bility ity

• Affordability: the direct and indirect costs of accessing a service in conjunction with the

resources of the individuals requiring those services. Due to the nature of services and available information this aspect of access has not been addressed in this evaluation.

Timeli meline ness ss

• Timeliness: the degree to which the service is available within an appropriate timeframe relative

to the urgency of need. Change in the number of visits to a region per annum and patient wait lists can give some indication of changes in timeliness of services.

5 10 15 20 25 30

Average number of visits per year

2013/14 2014/15 2015/16 2016/17 2017/18

Timeli meline ness ss

• Timeliness: the degree to which the service is available within an appropriate timeframe relative

to the urgency of need. Change in the number of visits to a region per annum and patient wait lists can give some indication of changes in timeliness of services.

5 10 15 20 25 30 35 1 2 3 4 5 6 7

Average number of visits per year by MMM

2013/14 2014/15 2015/16 2016/17 2017/18

Timeli meline ness ss

• Timeliness: the degree to which the service is available within an appropriate timeframe relative

to the urgency of need. Change in the number of visits to a region per annum and patient wait lists can give some indication of changes in timeliness of services.

5 10 15 20 Central Far North Far North (North) North West South East South West

Average number of people on the waitlist by region

2013/14 2014/15 2015/16 2016/17 2 4 6 8 10 12 14 16 1 2 3 4 5 6 7

Average number of people on the waitlist by MMM

2013/14 2014/15 2015/16 2016/17

Timeli meline ness ss

• Timeliness: the degree to which the service is available within an appropriate timeframe relative

to the urgency of need. Change in the number of visits to a region per annum and patient wait lists can give some indication of changes in timeliness of services.

10 20 30 40 50 60 70 80 90

Top 20 disciplines with highest average waitlist

Average waitlist Average visits per year

Accom ccommodation, modation, Acce ccepta ptabil bility ity an and Awareness areness

• Accommodation: reflects the ease with which the consumer navigates the system and how well that system logistics meet

consumer’s needs. Patients non-attendance rates and reasons for non- attendance may provide some insight as to accommodation of services as well as analysis of the difficulties experienced by providers.

• Acceptability: the degree to which the service is commensurate with the consumer’s values. This includes concepts of cultural

appropriateness, and may also be reflected in patient non-attendance rates.

• Awareness: consumers’ knowledge of the services available and how to access them. Analysis of patient non-attendance may

indicate levels of service acceptability and awareness.

0% 5% 10% 15% 20% 25% 2013-14 2014-15 2015-16 2016-17

% of patients that did not attend appointment

% of patients that did not attend appointment 0% 5% 10% 15% 20% 25% 30% 35% 1 2 3 4 5 6 7

MMM

% of patients that did not attend appointment in 2016/17 by MMM

1000 2000 3000 4000 5000 6000 7000 8000 9000 Unaware of appointment Unable to attend e.g. Illness Access issues e.g. transport Reason unknown

Reasons for non-attendance by year

2013-14 2014-15 2015-16 2016-17*

Accom ccommodation, modation, Acce ccepta ptabil bility ity an and Awareness areness

Accom ccommodation, modation, Acce ccepta ptabil bility ity an and Awareness areness

Other er reasons ns for non attenda ndance: nce:

Accom ccommodation, modation, Acce ccepta ptabil bility ity an and Awareness areness

0% 20% 40% 60% 80% 100% Central Far North Far North (North) North West South East South West

Proportion of Aboriginal and Torres Strait Islander patients seen (by region)

2013/14 2014/15 2015/16 2016/17 2017/18 0% 20% 40% 60% 80% 100% HE - BHBL MOICDP RHOF VOS

Proportion of Aboriginal and Torres Strait Islander patients seen (by program)

2013/14 2014/15 2015/16 2016/17 2017/18