Philip Davies Professor of Health Systems & Policy University of Queensland

1. HIMAA National Conference 2010Health Information: the Golden Thread in Health ReformThe National Health Reform Agenda Philip Davies Professor of Health Systems & Policy University of Queensland School of Population Health

2. The Golden Thread

3. The Golden Thread in Health Reform • The goal • The labyrinth • Health information – The Golden Thread

4. Health Reform – The Goal “Create an agile, responsive and self-improving health system for future generations.”

5. Health Reform – The Goal Quality & safety Multi-disciplinary Sustainable Equitable Accountable Convenient & accessible Long-term Affordable

6. Health reform – The labyrinth

7. Health reform – The labyrinth Local Hospital Networks • Responsible for managing and delivering hospital services:- • 120 – 150 nationally • Geographical or functional focus • Activity-based funding … in some cases • 40% State / 60% Commonwealth funding • Governing Council • Subject to “clear and transparent performance reporting”

8. Health reform – The labyrinth Medicare locals will:- • work with local health care professionals to ensure services cooperate and collaborate with each other so that patients can easily and conveniently access the full range of services they need; • facilitate allied health care and other support for people with chronic conditions, as identified in personalised care plans prepared by GPs; • identify groups of people missing out on GP and primary health care, or services that a local area needs, and better target services to respond to these gaps, for example, targeting gaps in GP services for aged care recipients; • work with LHNs to identify the best pathways between services, and to assist with patients’ transitions out of hospital, and where relevant into aged care; • deliver health promotion and preventive health programs targeted to risk factors in communities, in cooperation with the National Preventive Health Agency, once it is established; • as needed in the execution of other functions, undertake population level planning and potential fund-holding roles in areas of market failure and where patient needs are not being met. Source: Council of Australian Governments. National Health and Hospitals Network Agreement. Canberra: COAG Unit, Department of the Prime Minister and Cabinet; 2010

9. Health reform – The labyrinth

10. The golden thread New funding for primary care Population health information E-health records & telecare Hospital costs & performance Integration & oversight Operational performance improvement

11. The golden thread New funding for primary care • Patient registration • Care planning & management • Health assessment & monitoring • Financial management

12. The golden thread E-health records & telecare • Communications • referral/requesting • discharge/reporting • PCEHR • Telehealth services

13. The golden thread Population health information • Community health status, risk factors & service needs • Service access, utilisation & gaps • Population-based planning • Healthy Communities Reports

14. The golden thread Hospital costs & performance • Activity-based funding • Count • Classify • Cost • Performance & Accountability Framework • Clinical quality & safety standards • Service & financial performance

15. The golden thread Integration & oversight • Promotion of ‘seamless’ services • Information sharing for management & monitoring • Establishment of ‘local health economies’

16. The golden thread Operational performance improvement • Activity-based funding • Increased accountability & transparency •  • Management information • Work-process redesign

17. Health Reform – The Goal Quality & safety Multi-disciplinary Sustainable Equitable Accountable Convenient & accessible Long-term Affordable

18. The Golden Thread in Health Reform