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 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
Focus of the draft primary health care strategic directions Continuum of care Chronic Complex disease/ condition Focus of the condition Victorian management Health Established Priorities Framework disease/disability Early intervention & treatment Early stages of disease/disability disease/disability Secondary prevention & At risk Episodic health events episodic care Focus of the Victorian Public Health & Wellbeing Primary Plan Well prevention
Victorian Health Priorities Framework 2012-2022 …driving the primary health care strategic directions Care is clinically The health system Victorian Health People have the appropriate & cost People are as People are is highly best health care effective & delivered Priorities Framework healthy as they managing their productive & service outcomes in the most clinically 2012-22 can be own health appropriate & cost sustainable possible reform outcomes effective settings Direction 1 A service system that is accessible Direction 2 Victorians involved Primary health in their own health care care strategic directions Direction 3 Working together for better health Direction 4 Providing the most effective care & sustainable care
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 organisational 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 of 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
Your feedback What would you like to see included in the 2013-17 PCP work program? Feedback to Sylvia Barry by 31 August 2012 sylvia.barry@health.vic.gov.au
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