Statewide PCP Chairs and Executive Officers Tuesday 14 August 2012 - - PowerPoint PPT Presentation
Statewide PCP Chairs and Executive Officers Tuesday 14 August 2012 - - PowerPoint PPT Presentation
Statewide PCP Chairs and Executive Officers Tuesday 14 August 2012 Sylvia Barry Manager Partnerships and Primary Health What I will cover today Primary health care strategic directions Work to strengthen community health
What I will cover today
- Primary health care strategic directions
- Work to strengthen community health services
- Work to strengthen community health services
- PCP 2013-17 development of the work program
Primary health care policy context
Current – Victorian Health Priorities Framework 2012-22 Dec 2012 - Victorian Primary Health Care Strategic Directions 2012-22 Dec 2012 – National framework for joint primary health care plans July 2013 – Joint Victorian/Commonwealth primary health care plan
Early stages of disease/disability Established disease/disability Complex condition Early intervention & treatment Chronic disease/ condition management
Focus of the draft primary health care strategic directions
Focus of the Victorian Health Priorities Framework
Continuum of care
At risk Episodic health events
Well
disease/disability Primary prevention Secondary prevention & episodic care
Focus
- f the
Victorian Public Health & Wellbeing Plan
People are as healthy as they can be
Victorian Health Priorities Framework 2012-22 reform outcomes Direction 1 A service system that is accessible
Victorian Health Priorities Framework 2012-2022 …driving the primary health care strategic directions
People have the best health care service outcomes possible People are managing their
- wn health
The health system is highly productive & sustainable
Care is clinically appropriate & cost effective & delivered in the most clinically appropriate & cost effective settings
Direction 4 Providing the most effective care & sustainable care Direction 3 Working together for better health Direction 2 Victorians involved in their own health care Primary health care strategic directions
Draft National framework for joint state/Commonwealth plans
- Consistent with National primary health care strategy
- 4 draft strategic outcomes:
Build a consumer-focused integrated primary health care system Improve access and reducing inequity Increase the focus on screening, prevention and early intervention Improve quality, safety, performance and accountability
Work to strengthen CHSs
Community Health Indicators
- Drawn from the Commission’s work on indicators for primary care and
developed for CHSs – some have a focus on SC and ICDM
- Progress to date – draft suite of process / structure indicators developed,
recommendations for outcomes indicators being considered recommendations for outcomes indicators being considered
Community Health Integrated Program Guidelines
- Service design based on local population needs
- Improved consistency in service delivery and program design
- Increased implementation of evidence based practice
- Focus on client flow in accordance with service coordination principles
PCPs reporting 2011 - results
Highlights:
- All PCPs have core agencies as members, and increasingly are engaging
with mental health services and human service organisations
- The SC survey indicated areas of consistent practice include; obtaining
client consent for disclosure of information, acknowledgement of urgent and client consent for disclosure of information, acknowledgement of urgent and routine referrals, implementation of SC principles into practice
- The ICDM survey indicated that the following improvements were made; an
increase in consistent assessment, improved provision of self management
- Some case studies flagged strong consumer engagement in PCP work
- Some case studies showcased IHP and ICDM work that led to tangible
- rganisational improvements at a catchment level (that are expected to
result in better care for clients)
PCPs reporting 2011 - results
Areas for improvement:
- Reporting identified that consumer engagement could be strengthened
- The SC and ICDM surveys indicated that areas that require continued
focus are; coordinated care plans and sharing care planning information with General Practice with General Practice
- Very few case studies identified the benefits for providers and for
consumers
- Few ICDM case studies referenced the development and implementation
- f care pathways for clients with chronic/complex conditions
- Many IHP case studies lacked detail about evaluation results, and the
impact of work
PCP 2013-17 development of the work program
- PCP bridging year 2012-13 guidelines
- Priorities framework and primary health directions
- National primary health framework
- Evolving work of medicare locals
- Evolving work of medicare locals
Other work that informs the directions:
- E care planning
- PCP and private providers project
- Service coordination workforce initiative