Future Bearings of SA Wellbeing inside of the Casemix Setting.

Uploaded on:
Future Headings of SA Wellbeing inside of the Casemix Setting. Dr Tony Sherbon CEO, SA Wellbeing. 2008 Casemix Gathering Adelaide, South Australia. Presentation position. Connection Why do we require change Brief outline on the national wellbeing change motivation
Slide 1

Future Directions of SA Health inside of the Casemix Context Dr Tony Sherbon Chief Executive, SA Health 2008 Casemix Conference Adelaide, South Australia

Slide 2

Presentation position Context Why do we need change Brief diagram on the national wellbeing change motivation Detailed review of the changes arranged and in progress in SA How casemix can bolster these changes

Slide 3

Context Demographics SA’s populace is around 1.6M, with approx 28,000 Indigenous individuals SA has the most seasoned populace in Australia (15.2% are more than 65 in SA contrasted with 13.2% broadly) SA has the least conception rate in Australia (11.6 for each 1,000 populace contrasted with 12.8 broadly) 74% surprisingly in SA live in metropolitan Adelaide 16% of the state’s area mass is delegated remote and 74% as extremely remote Data sources: ABS Australian Historical Population Statistics, ABS ERP, ABS Census Geography Data

Slide 4

Context Health Status 83% of SA individuals studied rate their own wellbeing as great, great or brilliant SA future is 78.6 years for guys & 83.6 females (both inside 0.1 of national normal) SA has the most minimal newborn child death rate in Australia at 4.0 passings/1,000 live births (4.8 broadly) Data sources: South Australian Monitoring & Surveillance System, ABS Australian Historical Population Statistics, ABS Deaths

Slide 5

Context Risk components profile in SA 21% of individuals 15+ are ebb and flow smokers 57% of individuals are named overweight or stout 28% of individuals 16+ are at danger of mischief from liquor 47% of individuals are not doing what\'s necessary physical action 90% of individuals 19+ are not eating 5 serves of vegetables for every day Data source: South Australian Monitoring & Surveillance System

Slide 6

Context Prevalence rates for incessant ailments in SA 7.2% of individuals have Diabetes 12.9% of individuals have Asthma 7.8% of individuals have Cardiovascular infection 4.1% of individuals have Osteoporosis 20.4% of individuals have Arthritis 11.9% of individuals have Mental Health condition Data source: South Australian Monitoring & Surveillance System for individuals 16 years and over

Slide 7

Why we need change Patient Activity Levels Total open doctor\'s facility partitions in 2007-08 were 368,328; 11.4% development since 2003-04 Total open clinic ED presentations in 2007-08 were 362,901; 17.2% development since 2003-04 3.1 open doctor\'s facility beds per 1,000 populace (most astounding in the country) In 2006-07 had: RSI of 1.06 DOSA of 80% Only 64% of ED patients seen on time 1,441 individuals on elective surgery holding up records, with 850 of them holding up over 12 months Data sources: ISAAC, EDDC, BLIS, Australian Hospital Statistics

Slide 8

Why we need change Changing demographics Aging populace Prevalence of ceaseless sickness Increasing interest Community desires Technological upgrades Workforce deficiencies Aging of the workforce Decreasing numbers entering the workforce Increasing expense

Slide 9

Why we need change - Population: Changing profile Data source: Planning SA High Series (July 2007)

Slide 10

Why we need change – Projected affirmations Data source: AIMS (Hardes) Model

Slide 11

Why we required change – Projected work request and supply Demand Supply Data source: John Spoehr (2004) Sleepers Awake: demographic change, maturing and the workforce.

Slide 12

Why we required change – Chronic malady doctor\'s facility affirmations Data source: ISAAC, AIMS Model

Slide 13

National Reform Initiatives Elective Surgery Reduction Plan $5bn open doctor\'s facility foundation financing COAG considering changes & subsidizing Complex incessant illness administration Hospital and wellbeing workforce change (counting action based financing) Prevention Cancer Indigenous wellbeing e-Health

Slide 14

National Reform Initiatives – Accountability Focus COAG OOMS execution markers and result measures Funding attached to execution against pointers Greater responsibility and straightforwardness through open reporting More open doors for likeness between wards All prompting substantially more accentuation on information, estimation and casemix

Slide 15

South Australia’s Health Reform South Australia’s Strategic Plan 98 focuses for the following decade Targets for enhancing wellbeing crosswise over precaution wellbeing and future South Australia’s Health Care Act Legislative changes to administration courses of action New outer responsibility body - HPC South Australia’s Health Care Plan Significant capital venture Better coordination of doctor\'s facility administrations Strengthening out of doctor\'s facility division

Slide 16

SA Health Care Plan 2007-2016 Right care, Right time, Right place Increased spotlight on essential human services, wellbeing advancement and sickness anticipation Better organized doctor\'s facility administrations Improved administration of ailment Sets the structure for Service redistribution Demand administration Clinical engagement Workforce improvement Infrastructure speculation

Slide 17

SA Health Care Plan 2007-2016 Outlines most huge interest in social insurance in South Australia ’ s history new cutting edge doctor\'s facility office interest in other real doctor\'s facilities better planned doctor\'s facility administrations GP Plus Health Care Services enhanced data innovation a responsive wellbeing workforce for the future

Slide 18

Major Hospitals Special Purpose Hospitals – Glenside, Hampstead, St Margaret’s General Hospitals – Country & Metro GP Plus Health Care Services–Metro & Country System Architecture Clinical Networks & Statewide Plans GP, Private, NGO, Commonwealth and Community Sector Community & singular limit for own wellbeing and wellbeing

Slide 19

Service Re-dispersion Health Care Plan The new MJMH (focal), FMC (south) and LMHS (north) will shape the foundation of the state’s abnormal state discriminating and complex doctor\'s facility administrations. Three general healing facilities in metropolitan Adelaide, TQEH, Modbury Hospital and Noarlunga Hospital giving administrations to their nearby groups. Separate Country Health Care Plan has been produced, checked on and is right now under thought by the Minister for Health.

Slide 20

Demand Management GP Plus Health Networks and GP Plus Health Care Centers Integrated administrations and proceeding with consideration past doctor\'s facilities adding to a diminishment in the quantity of doctor\'s facility affirmations and rate of spontaneous readmissions Health Improvement Plans Developed for geological populaces inside of Network districts Population wellbeing methodology, managing issues of value in wellbeing status and access to wellbeing administrations Other Statewide Plans Specific arrangements managing constant illness, more established individuals, counteractive action, palliative consideration, stroke, youngster wellbeing, women’s wellbeing and men’s wellbeing

Slide 21

Clinical Engagement Clinical Senate Eight Statewide Clinical Networks Future Directions Committee Purpose: Increased clinician association in administration arranging Better coordination of administrations More engagement prompting higher staff fulfillment and higher staff degrees of consistency

Slide 22

Workforce Development Workforce advancement - New parts Lifestyle counselors Nurse sedationists Physician collaborators Workforce Strategy Committee Increased neighborhood preparing Sustained movement

Slide 23

Impact of the SA Health Care Plan on Projected Admissions Data source: AIMS (Hardes) Model

Slide 24

Casemix Context in SA Casemix subsidizing actualized in SA in 1994-95 & remains the essential subsidizing device for doctor\'s facilities Population based financing model is keep running in parallel to casemix however just to ‘inform’ spending plan setting procedure SNAP information are caught for non-intense and sub-intense administrations yet not at present utilized for financing Casemix is utilized widely for execution observing and benchmarking Classification and costing of patient administrations is connected popular investigation and administration arranging Concept of weighted patient action to depict persistent workload and asset utilization is acknowledged by other government organizations (specifically DTF and AGs)

Slide 25

Casemix supporting change > Casemix information utilized for: Role outline and administration arranging Demand examination Benefit examination of diverse models of consideration Supporting the Health Performance Council in its checking part Undertaken initial phase in ordering patient experiences inside of the Out of Hospital area through improvement of an OOH Minimum Data Set

Slide 26

Challenges for Casemix Standard phrasings and characterizations past the intense inpatient setting (counting uptake of SNOMED CT) Consistency in the way we portray conditions and strategies in the doctor\'s facility segment and out of doctor\'s facility segment, and how patient experiences are costed so we can: Gage the adequacy of treatment (with help of information linkage) Gage the nature of treatment (re-concedes and re-presentations) Measure the degree of substitutable administrations between the areas and the money related effect of option models of consideration Casemix subsidizing ought to be connected to results where conceivable Clinical results Safety and quality Classify benefits reliably crosswise over both segments and store taking into account patient conditions and results, not

View more...