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Kay Trotman and Jane Cassidy

Outreach Services Medical Specialist Outreach Assistance Program (MSOAP) Medical Specialist Outreach Assistance Program - Indigenous Chronic Disease Measure (ICDM). Kay Trotman and Jane Cassidy. General Practice Queensland (GPQ).

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Kay Trotman and Jane Cassidy

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  1. Outreach ServicesMedical Specialist Outreach Assistance Program (MSOAP)Medical Specialist Outreach Assistance Program - Indigenous Chronic Disease Measure (ICDM) Kay Trotman and Jane Cassidy

  2. General Practice Queensland (GPQ) • General Practice Queensland is a state based organisation that provides strategic leadership, advocacy and representation for 17 divisions of general practice • GPQ was established in 1997 • GPQ has been a fundholder for the MSOAP since 2000 • MSOAP supports the delivery of services to outreach communities by private medical specialists

  3. GPQ MSOAP Services • To manage existing services and to establish new services based on identified areas of need, the GPQ team works collaboratively with: • GPs in specific locations via the Divisions of General Practice • Qld Health MSOAP team • Department of Health and Ageing • Key location specific stakeholders eg. RFDS, QAIHC, Community Controlled Health Services, Deadly Ears • Facilities in the identified locations

  4. GPQ MSOAP Review Process

  5. GPQ MSOAP Services • MSOAP budget • 2009 - 2010 service delivery $2,155,242.40 • 2010 - 2011 service delivery $1,979,325.00 • 2009-2010 • will provide 116 individual private services • contracted 36 private providers • will visit 54 locations - from Torres Strait in the north, Goondiwindi in the south, to Mount Isa in the west

  6. Map of Services

  7. GPQ Specialist information

  8. GPQ MSOAP • From 1 July 2009 to 9 March 2010 • 5817patients received services from private outreach specialists • 972 or 16.7% of these patients identified as Aboriginal or Torres Strait Islander origin • 621 clinical sessions • ENT services delivered to Aurukun, Hope Vale, Kowanyama, Pormpuraaw, Cooktown

  9. Closing the Gap • The Council of Australian Governments (COAG) has pledged to develop and implement strategies to address Indigenous disadvantage and has agreed six high level targets for Closing the Gap between Indigenous and non Indigenous Australians • Within the Indigenous Health National Partnership Agreement, five priority areas in relation to chronic disease have been identified: • Tackling smoking ($161 million) • Primary health care services that delivers ($474 million) • Fixing the gaps and improving patient journey($171million) • Providing healthy transition to adulthood • Making Indigenous health services everyone's business

  10. MSOAP Indigenous Chronic Disease Measure (ICDM) • Implementation: • Service delivery commencing 1 July 2010 - to include medical specialists, GPs, allied health professionals. Pilot services to commence prior to July 2010. • Delivery: • Services are to be delivered through Aboriginal Medical Services where possible. • Target: • Rural and remote Indigenous communities with a high prevalence of complex and chronic disease. The Australian Standard Geographical Classification (ASGC) Remoteness Index (RA) 2 to 5 is being used. • Chronic conditions under MSOAP - ICDM are: • Diabetes • Cardiovascular disease • Chronic respiratory disease • Chronic renal (kidney) disease • Cancer

  11. Proposed Pilot Services MSOAP - ICDM April to June 2009 • Division: RHealth • Medical specialty: Respiratory • AHP: Physiotherapy • Locations: Charleville, Cunnamulla, Roma, St George • Division: North West Qld Primary Health Care • Medical specialty: Endocrinology • AHP: Podiatry, physiotherapy • Locations: Jundah, Birdsville, Windorah, Bedourie, Winton, Longreach, Barcaldine, Blackall • Division: Central Qld Rural Division of General Practice • Medical specialty: Endocrinology, Ophthalmology • AHP: Dietitian, Diabetes Educator • Locations: Emerald, Woorabinda, Eidsvold

  12. MSOAP and MSOAP - ICD • Working together at the state and local level to provide • outreach service delivery. • Coordinated approach in particular between GPQ and the other QLD MSOAP fundholder QH • Established program • Provision of private specialists • Supported by robust review process • Comprehensive key stakeholder engagement

  13. Thank you

  14. General Practice QueenslandProposed MSOAP 2010 - 2011 services MSOAP services are continuing from 2009 -2010, and any new services are to be approved by the MSOAP State Advisory Forum.

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