18-19 AWP Collated 10-12-18Web · 2020. 3. 25. · Title: Microsoft Word - 18-19 AWP Collated 10-12-18Web Author: helen.kostiuk Created Date: 2/28/2019 4:41:27 PM

1 Activity Work Plan 2018-2019 (Core Funding, General Practice Support Funding, After Hours Funding) V1 – 16 April 2018 (D18-634620)

Activity Work Plan 2018-2019: Core Funding

General Practice Support Funding

After Hours Funding

Please follow the below steps (and the instruction sheet) for completing your Activity Work Plan (AWP) template for 2018-19:

1. Core Operational and Flexible Funding 2018-2019 has three parts: a) Provide a link to the strategic vision published on your website. b) Complete the table of planned activities funded by the Core Flexible Funding Stream

under the Schedule – Primary Health Networks Core Funding (including description of any Health Systems Improvement (HSI) activity to support delivery of commissioned activity).

c) Complete the table of planned activities funded by the Core Operational Funding Stream: HSI1 under the Schedule – Primary Health Networks Core Funding and planned activities under the Schedule – General Practice Support Funding2.

2. Attach indicative Budget for Core Operational and Flexible Funding Streams for 2018-2019 using the template provided.

3. Attach the indicative Budget for General Practice Support for 2018-19 using the template provided.

1 HSI Funding is provided to enable PHNs to undertake a broad range of activities to assist the integration and coordination of health services in their regions, including through population health planning, system integration, stakeholder engagement and support to general practice. HSI activities will also support the PHN in commissioning of health services in its region. 2 Planned activities under the Schedule - General Practice Support Funding have been combined with the HSI activities to lessen the reporting burden on PHNs.

Western Victoria Primary Health Network


4. After Hours Primary Health Care Funding 2018-2019 has two parts: a) Provide strategic vision for how your PHN aims to achieve the After Hours key

objectives. b) Complete the table of planned activities funded under the Schedule – Primary

Health Networks After Hours Primary Health Care Funding.

5. Attach the indicative Budget for After Hours Primary Health Care for 2018-2019 using the template provided.

When submitting this Activity Work Plan 2018-2019 to the Department of Health, the PHN must ensure that all internal clearances have been obtained and that it has been endorsed by the CEO.

The Activity Work Plan must be lodged to your Program Officer via email on or before four (4) weeks after the execution of the Core Schedule Deed of Variation.


Overview The key objectives of Primary Health Networks (PHN) are:

Increasing the efficiency and effectiveness of medical services for patients, particularly those at risk of poor health outcomes; and

Improving coordination of care to ensure patients receive the right care in the right place at the right time.

Each PHN must make informed choices about how best to use its resources to achieve these objectives.

This Activity Work Plan covers the period from 1 July 2018 to 30 June 2019.

1. (a) Strategic Vision for PHN

Please provide a link to your organisation’s strategic vision published on your website.

https://www.westvicphn.com.au/images/publications/Strategic_Plan_Web_version_FINAL.pdf


1. (b) Planned PHN activities

– Core Flexible Funding Stream 2018-19

Proposed Activities – Chronic Conditions

Activity Title / Reference (eg. CF 1) CF 1 Chronic Conditions Models of Care.

Existing, Modified, or New Activity Existing activity.

Program Key Priority Area Select one of the following: Population Health

Needs Assessment Priority Area (eg. 1, 2, 3) This activity is related to the ‘Chronic Conditions (Health and Service Need)’ and ‘Chronic Conditions Models of Care in rural and regional Western Victoria PHN Region’ priorities presented on pages 67 and 68 of the Western Victoria PHN 2017-2018 Needs Assessment update.

Aim of Activity To improve the health outcomes of people with chronic conditions in rural areas by providing access to integrated care.

Description of Activity

This activity maintains the delivery of currently contracted models by Western Victoria PHN, that respond to local chronic condition management needs within the context of Wagner’s Model of Chronic Care. The prevalence of chronic conditions and the associated costs upon the health care system necessitates the optimisation of health resources, particularly human resources. Each of the contracted providers identified the most appropriate model of care for their local area. The models are based on scope of practice and capability to ensure cost effective and efficient service delivery for improved health outcomes. This activity responds to the chronic conditions priority identified in the Western Victoria PHN Needs Assessment providing services in rural areas to increase access and reduce the impact of chronic disease. This activity involves the delivery of services within a system that improves the health and consequently health outcomes for people experiencing chronic illness. Each of the models must also focus on delivering optimal service delivery by developing and enhancing:

practitioners’ knowledge base and quality of care, while educating patients about their condition.


appropriate clinical governance to provide best care.

clinical information systems to provide optimal service delivery that supports patients to achieve their own health goals, and assists practitioners to manage patient’s care more effectively.

Target population cohort People with identified chronic conditions in rural areas of Western Victoria PHN receiving funding under the Chronic Conditions Model of Care Programme.

Consultation - HSI Component

Information from consultations by Western Victoria PHN staff members feeds into the ongoing development and enhancement of this funded programme and occurs through community consultations, surveys, phone consultations, face-to-face interviews, and forums bringing all providers together.

Health consumers accessing services through the Chronic Conditions Models of Care programme are provided with the opportunity to provide input to Western Victoria PHN through the completion the following surveys:

Patient Assessment of Chronic Illness Care Survey (PACIC-S). The PACIC-S measures health consumers’ experiences related to the Wagner Model of Chronic Care.

Patient-Reported Outcomes Measurement Information System (PROMIS) survey. The PROMIS survey is a set of person-centred measures that evaluates and monitors physical, mental and social health.

Assessment of Chronic Illness Care (ACIC) survey completed by providers.

Collaboration - HSI Component

Services provided under the Chronic Conditions Models of Care programme were developed in 2016-17 and implemented in 2017-2018.

Support contracted organisations in the development and maintenance of services and promote the program through journal articles and conference presentations.

Identifying emerging issues and working with contracted organisation to identify rectification strategies.

Provide quarterly reports to contracted providers with aggregated and individual organisation performance data. Including service delivery, survey and systems data to drive quality improvement and identify emerging issues.

HSI Component – Other Other HSI components needed to support this activity include:


Performance monitoring

Continuous review of Minimum Data Set, quarterly review of qualitative data and survey responses.

Performance reporting Provide performance reports to management and Board. Monitor contracted providers quarterly to ensure the appropriate delivery of each model.

Quality Improvement Undertake quality improvement activities to enable benchmarking with other PHN’s to determine how activities and performance measures against likeminded activities in other PHN’s. Work with local and interstate PHN’s to devise a benchmarking program that enables information, capability and capacity building to improve outcomes.

Evaluation

Completion of the ACIC survey which is a validated survey designed to evaluate the level and nature of improvements implemented in the delivery of Chronic Conditions Model of Care. Provide a report back to contracted organisations on aggregated results and the individual organisations results.

Documenting changes within the models in keeping with an action learning model to inform the evaluation of the overall activity and the individual models that have been contracted.

Contract administration Development of comprehensive schedules for each of the contracted organisations and all reports have been completed in accordance with requirements prior to generation of payment. Identification and implementation of any variations to contract.

Indigenous Specific No.

Duration

Service delivery: July 1 2017 – June 30 2020.

Programme evaluation: July 1 2019 – December 30, 2019.

Potential revision of activities and approach to market.

Coverage


Commissioning method (if known) Procured.

Decommissioning Not applicable.

Planned Total Expenditure 2018-19 (GST Excl.) –

Commonwealth funding

Planned Flexible Expenditure 2018-19 (GST Excl.) - Commonwealth funding.

Planned Health System Improvement Expenditure 2018-19 (GST Excl.) – Commonwealth funding

Planned Expenditure 2018-19 GST Excl.) –

Funding from other sources


Proposed Activities - copy and complete the table as many times as necessary to report on each activity

Activity Title / Reference (eg. CF 1) CF3- Immunisation –

Existing, Modified, or New Activity Modified activity based on activity F3 included in the Western Victoria PHN Updated Activity Work Plan 2016-18.

Program Key Priority Area Select one of the following: Population Health

If Other (please provide details): Childhood immunisation – national headline performance indicator.


Needs Assessment Priority Area (eg. 1, 2, 3) This activity is related to the ‘Immunisation’ priority presented on page 73 of the Western Victoria PHN 2017-2018 Needs Assessment update.

Aim of Activity This activity aims to ensure 95 per cent of one, two, and five year old children in the Western Victoria PHN catchment on the Australian Immunisation Register are immunised, in keeping with the National Immunisation Program Schedule and immunisation coverage target.


Activity one This activity will align with the eight strategic priority areas of the National Immunisation Strategy for Australia 2013-2018. The key focus will be on childhood immunisation rates in Western Victoria PHN i.e. 95% of registered children are immunised as per the National Immunisation Program Schedule. The activities to be delivered include:

Maintain immunisation data for all childhood immunisation providers (general practices, local government authorities, Aboriginal Community Controlled Organisations [ACCOs] within the Western Victoria PHN catchment

Create overdue childhood immunisation reports from the Australian Immunisation Register to inform and increase the timeliness of immunisation services

Procure biannual Immunisation forums Procure and conduct quarterly immunisation provider network meetings in collaboration with

the State Government of Victoria Department of Health and Human Services Activity two This activity will procure an evaluation of the current PHN childhood immunisation model. Based on the evaluation the PHN will also scope and assess the feasibility of an outcomes based model to improve childhood immunisation rates, to be commissioned from July 2019

Target population cohort Children aged five years and younger in the Western Victoria PHN catchment on the Australian Immunisation Register.


In conducting this activity, Western Victoria PHN will consult with

local government general practice State Government of Victoria Department of Health and Human Services

Collaboration - HSI Component In conducting this activity, Western Victoria PHN will collaborate with


Australian Government Department of Human Services in regards to the Australian Immunisation Register, Immunise Australia Program

State Government of Victoria– lead stakeholder for Victorian immunisation programs Local government authorities – local governments deliver 52 per cent of childhood

immunisations within the Western Victoria PHN catchment, and are the primary provider for school-based immunisation programs

General practice – general practices delivers 46 per cent of childhood immunisations in Western Victoria PHN

Aboriginal and Community Controlled Health Services – as immunisation service providers to Aboriginal and/or Torres Strait Islander persons

Community Health Centres – as immunisation providers servicing rural and remote populations

HSI Component – Other

Planning: o Utilise contracted immunisation organisations’ expertise in the evaluation and

scoping of new childhood immunisation models Performance monitoring:

o Analyse childhood immunisation quarterly reports to identify emerging issues Performance reporting:

o Procure the development and analysis of performance reports to Western Victoria PHN management and Board

o Procure the development and analysis of quarterly immunisation reports to contracted providers

Evaluation: o Procure an Evaluation of current PHN childhood immunisation model. Develop new

outcomes based model o


Duration

Activity one o Delivery commence July 1 2018

Activity two o Evaluation of current model July 1 2010 – October 30 2018


o Scope new model in consultation with market November 1 2018 – March 30 2019 o Approach to market from April 1 2019; mew model commence July 2019

Coverage Entire Western Victoria PHN catchment.

Commissioning method (if known) Procured.









Proposed Activities – Aged Care

Activity Title / Reference (eg. CF 1)

CF4 -Review of ageing and aged care in the Western Victoria PHN catchment.

Engage actively either at individual PHN, VPHNA or national PHN collaborative on critical policy development and advocacy processes linked directly with the strategic agenda.


Existing, Modified, or New Activity

Indicate if this is an existing activity, modified activity (2016-18 Activity Work Plan), or a new activity. If a modified activity, provide the relevant Activity reference/s (e.g. NP 1.1) from previous AWP/s where possible.

This is a modified activity based on activity OP4, ‘Building capacity in aged care’, included in the Western Victoria PHN 2016-18 Activity Work Plan, and activity F3, ‘Building Capacity in Aged Care’ included in the Western Victoria PHN Updated Activity Work Plan 2016-2018. Since the Western Victoria PHN 2016-18 Activity Work Plan was developed, more and more instructive data relevant to understanding ageing and aged care issues has become available. Furthermore, recent Australian Government budget announcements relating to aged care and changes to the PHN programme need to be reviewed and considered. As such, Western Victoria PHN believes a more in-depth investigation into the aged care system, the ageing population, and how the latter might shape population health outcomes and health service utilisation in communities across the Western Victoria PHN catchment is warranted. Other aged care activities discussed in prior Activity Work Plan submissions will not proceed until Western Victoria PHN is assured these activities represent the most productive use of resources in the aged care space.

Program Key Priority Area Select one of the following: Aged Care

Needs Assessment Priority Area (eg. 1, 2, 3)

Provide the number, title and page reference for the priority as identified in Section 4 of your Needs Assessment that this activity is addressing. If this activity is a ‘possible option’ in Section 4 of the Needs Assessment, provide details.

The forerunner to this activity was discussed on pages 20 and 21 of Section 4 of the Western Victoria PHN Baseline Needs Assessment, under the heading ‘Aged Care’.

Aim of Activity

Provide a short description (no more than 300 words).

The aim of this activity is to engage a consultant with expertise in the aged care sector and current reform to work with the Western Victorian PHN and key stakeholders to develop deeper insights in to the impact of the ageing population on population health and health services within the Western Victoria PHN catchment. This will culminate in the development of a Regional Primary Health Aged Care strategy to guide Western Victoria PHN’s future activities in the aged care space.


Provide a short description of the activity, including how the activity will address the Needs Assessment Priority and what results the activity is expected to achieve within the planning period (no more than 300 words).

This activity will involve the engagement of an expert consultant to development of a Regional Primary Health Aged Care strategy incorporating relevant population health and aged care data, service mapping and consideration to the system impacts relating to the current aged care reform. The activity will engage relevant community stakeholders, primary care providers and consumers to develop an integrated roadmap for future work. In doing so, the activity is in keeping with


most recent Western Victoria PHN 2017-18 Needs Assessment update, which noted that, compared to Victoria and Australia, a higher proportion of the population in the Western Victoria PHN catchment is aged 65 years and over (calculation based on ABS 2016 Census of Population and Housing. PHN-level data aggregated from Statistical Area Level 3 regions). Furthermore, the number of persons in this age group is projected to increase in most local government areas in the Western Victoria PHN catchment in the years ahead (see State of Victoria Department of Environment, Land, Water and Planning, 2016. Victoria in Future 2016. Population and household projections to 2051). The strategy will assist Western Victoria PHN to pinpoint and prioritise which issues relating to ageing and aged care to progress to the next stage in the commissioning cycle.

Target population cohort Describe the cohort that this activity will target. The target population cohort for this activity will be persons aged 65 years and over. However, a comprehensive assessment of health system challenges posed by the ageing population necessitates an additional focus on persons aged in their 40s, 50s, and early 60s.


Provide details of community engagement and consultation activities – please outline whether the consultation has already occurred, or is planned for a future phase of the activity.

Community engagement will be undertaken with relevant stakeholders, including primary health providers and consumers, to ensure that the strategy identifies possible future actions/ outcomes. This will enable Western Victoria PHN to co-design new services/system initiatives moving forward in future activity work plans.


List stakeholders that will be involved in designing and/or implementing the activity, including Local Hospital Network or state/territory government. Describe the role of each party.

In undertaking this activity, Western Victoria PHN will seek advice from the following:

Consumers and carers General practitioners Allied health providers Local Hospital Networks Residential care providers and packaged care providers Local governments

In addition, Western Victoria PHN will collaborate on this activity with the following external stakeholders:

Primary care sector: users of digital enablers, included in quality feedback loops for improvements and evaluations


Health peak bodies: Royal Australian College of General Practitioners, Australian College of Rural and Remote Medicine (ACCRM), and the Practice Managers Association will be consulted and considered in strategy development for alignment.

Local public and private hospitals: for local partnering to enhance data and information flow across primary to tertiary health care continuum

Federal organisations and federally funded organisations: Australian Digital Health Agency and Rural Workforce Agency Victoria (telehealth) will be engaged to align activities with Western Victoria PHN

Victorian government: for consultation regarding state based activities (telehealth, eReferrals, secure messaging) that align to, and enhance, Western Victoria PHN objectives

Primary Care Partnerships: for local partnering in areas that cross the primary to tertiary health care continuum Local government

Internal Stakeholders:

Western Victoria PHN Regional Integrated Councils : community and clinical members will be consulted for advice in strategy development


Provide a summary of other HSI components required for this activity eg. staff, planning, contract administration, monitoring and evaluation.

The HIS components will include defining the scope of the consultancy engagement and preparing a Consultancy Brief to release to three direct suppliers (with expertise in Aged Care). Oversight of the Consultant selected to undertake the work will be required.

Indigenous Specific Is this activity targeted to, or predominantly supporting, Aboriginal and Torres Strait Islander people? No.

Duration List the anticipated activity start and completion dates, and key milestones including planning, procurement, and commencement of service delivery.

October 2018 – April 2019.

Coverage Outline coverage of the activity. Where area covered is not the whole PHN region, provide the statistical area as defined in the Australian Bureau of Statistics (ABS), or LGA.

The activity is concerned with ageing and aged care across the Western Victoria PHN catchment.

Commissioning method (if known)

Briefly outline the planned commissioning method, including whether the activity will be commissioned in whole or part.


The activity will be commissioned by direct approach to three potential suppliers.

Decommissioning

Outline any decommissioning arising from the activity and potential implications.

List the name of the provider, the type of service, 2018-19 funds, and the provider that the service will be transitioned to (if applicable). Describe planned strategies to manage transition and continuity of care for patients or clients.

Not applicable.










Provide a title and reference for the activity with prefix ‘CF’.

CF 5 – Health Pathways




Modified

Program Key Priority Area Select one of the following: Workforce

If Other (please provide details):



Workforce page 71

Aim of Activity

Provide a short description (no more than 300 words).

Procuring the services of GPs to draw on their clinical knowledge to commission referral pages and health pathways clinical work stream activities. In addition to commissioning clinical knowledge, the health pathways pages are processed through a web portal managed by “Streamliners” to ensure consistency, and relevance to front line primary care providers.



HealthPathways frontline, services, meeting and obtaining relevant clinical information to ensure local place based information. The referral pages written by GPs for GPs will ensure accurate real time information to available to front line providers and ensure right care, right place at the right time.

Target population cohort Describe the cohort that this activity will target.

Frontline General Practitioners and primary care providers, health services and specialists



Western Victoria PHN will undertake extensive stakeholder consultation with General Practitioners and other primary care providers to create HealthPathways




Local Hospital Networks

Specialists

Primary Care Providers

State Government


Provide a summary of other HSI components required for this activity eg. staff, planning, contract administration, monitoring and evaluation.

Western Victoria PHN Practice Facilitators (practice support staff)

Contract administration

Performance and Population Health

Indigenous Specific Is this activity targeted to, or predominantly supporting, Aboriginal and Torres Strait Islander people? (YES)


Procurement to commence in December 2018 with commencement in January 2019 and continue until June 2019.



Briefly outline the planned commissioning method, including whether the activity will be commissioned in whole or part. Commissioned activity through expression of interest process and through direct contracting of General Practitioners and Primary care providers

Decommissioning









Proposed Activities – Other


Provide a title and reference for the activity with prefix ‘CF’.

CF6 -Other



New activity

Program Key Priority Area Select one of the following: Other (please provide details)

If Other (please provide details): As this activity works with small primary health services to identify local needs from the needs assessment, it is likely that the actual activity will vary from area to area.




Aim of Activity Provide a short description (no more than 300 words).

Develop and procure place based innovation grants and practice based commissioned activities, built on PENCAT data collection, for rural providers to assist with development of High Performing Primary Care in rural locations.



This activity is designed to recognise that there are a number of place based community activities identified via the needs assessment. The aim of this activity is to establish a regional grants program to look for innovative activities that meet the objectives of the needs assessment and assist communities to test and demonstrate the merits of locally based innovative activities. It will also recognise that small communities and primary health service providers may have difficulty sourcing collaborative partners due to location.

Target population cohort Populations identified as priorities within the needs assessment



Community engagement will be undertaken with relevant stakeholders, including primary health providers and consumers, to ensure that the strategic plan identifies possible future strategic actions/ outcomes. This will enable Western Victoria PHN to co-design new strategies moving forward in future activity work plans.



In undertaking this activity, Western Victoria PHN will seek advice from the following:

Consumers and carers General practitioners Allied health providers Local Hospital Networks Residential care providers and packaged care providers Local governments


In addition, Western Victoria PHN will collaborate on this activity with the following external stakeholders:

Primary care sector: users of digital enablers, included in quality feedback loops for improvements and evaluations Health peak bodies: Royal Australian College of General Practitioners, Australian College of Rural and Remote

Medicine (ACCRM), and the Practice Managers Association will be consulted and considered in strategy development for alignment.

Local public and private hospitals: for local partnering to enhance data and information flow across primary to tertiary health care continuum

Federal organisations and federally funded organisations: Australian Digital Health Agency and Rural Workforce Agency Victoria (telehealth) will be engaged to align activities with Western Victoria PHN

Victorian government: for consultation regarding state based activities (telehealth, eReferrals, secure messaging) that align to, and enhance, Western Victoria PHN objectives

Primary Care Partnerships: for local partnering in areas that cross the primary to tertiary health care continuum Local government

Internal Stakeholders:

Western Victoria PHN Regional Integrated Councils : community and clinical members will be consulted for advice in strategy development

HSI Component – Other Provide a summary of other HSI components required for this activity eg. staff, planning, contract administration, monitoring and evaluation.

There will be a level of administration and contract and procurement administration.

Indigenous Specific Is this activity targeted to, or predominantly supporting, Aboriginal and Torres Strait Islander people? No.


October 2018 – June 2019.




Briefly outline the planned commissioning method, including whether the activity will be commissioned in whole or part.

The activity will be commissioned by open tenders.

Decommissioning

Outline any decommissioning arising from the activity and potential implications.

List the name of the provider, the type of service, 2018-19 funds, and the provider that the service will be transitioned to (if applicable). Describe planned strategies to manage transition and continuity of care for patients or clients.

Not applicable.



(please enter numbers only, no text)







1. (c) Planned PHN activities – Core Operational Funding Stream: Health Systems Improvement 2018-19 – General Practice Support Funding 2018-19

Please complete this table for Core Operational Funding Stream b) Health Systems Improvement (HSI)3 and planned activities under the General Practice Support Funding Schedule only. Stream a) Corporate Governance, should not be included. Do not include HSI activities previously specified in 1. (b) Planned PHN activities – Core Flexible Funding 2018-19.


Activity Title / Reference (eg. HSI or GPS) GP and Primary Care Development (Cancer)

HSI/GPS Priority Area Select one of the following: General Practice Support

If Other, please provide details:

Existing, Modified, or New Activity Modified –previously OP3

Aim of Activity

Prevention, early detection and early intervention for bowel, breast and cervical cancer (National Screening Program).

Improving access for “under-screened” consumers, being our culturally and linguistically diverse, low socio-economic backgrounds, rural and remote and Aboriginal and Torres Strait Islander consumers by co-designing the service offer to these consumer groups.

Raising awareness and adherence to use of the Cancer HealthPathways among health professionals and the health services at system, organisation and individual level to promote quality cancer care and patient experiences.

Increasing the survivorship of patients in the region Supporting practices in recording and using patient data for quality improvement in key areas

such as smoking status, weight measurements.


Screening rates for bowel, breast, and cervical cancer in Western Victoria PHN region as a whole exceeded national screening rates in 2013-14 and have continued to do so as captured in 2015-16 data (example 2015-16 Bowel Screening 45.4% vs 40.9% for Australia). However, there is significant variability across sub-regions with under-screened communities such as Corio-Norlane (Bowel 36.5%).


Informed by this national data and region specific insights, Western Victoria PHN will continue to focus on a number of initiatives to improve cancer-screening rates within General Practice, targeting under-screened, who are often vulnerable populations. Resources and services to support primary care practitioners are being further enhanced in 2018 to strengthen the cancer program and include:

Education for primary health care professionals – face to face, e-learning, smaller centres and extending to wider range of health professionals, use of tools such as i-PACED and building workforce capacity through nursing scholarships.

Development of e-patient information eg GoShare patient information for GPs to aid in patient health literacy.

Targeting vulnerable populations such as aboriginal communities and support for ACCOs. HealthPathways eg focus on psycho-social/supportive care referrals/support. Screening rates data - improve usefulness and accessibility of information for trending with

focus on under-screened populations. These initiatives reinforce our messages of prevention, early intervention and screening in the primary care setting. Western Victoria PHN continues work in collaboration with key partners such as Integrated Cancer Services (ICSs) and providers to support peak body programs across Western Victoria, such as Victorian Cancer Council Telehealth for Supportive Survivorship Cancer Project providing access to education, exercise and wellness programs for rural and regional cancer survivors and carers. Western Victoria PHN will continue to undertake targeted campaign on smoking cessation and other life-style induced illnesses using the QUIT and LiveLighter resources (Daylesford). As part of a State-wide PHN approach, Western Victoria PHN will work with two local Integrated Cancer services (ICS) to implement and embed the Optimal Care Pathways (OCPs) in 2018 Tranche 2 Oesophageal and Prostate Cancer and 2018-19 Tranche 3 Melanoma, Head and Neck and Pancreatic Cancers One new initiative 2018-19 is:

1. A community-led cancer screening program Department of Health and Human Services (DHHS) aims to increase the early detection of bowel, cervical and breast cancer by building local


capacity to increase participation in cancer screening within primary care settings and through targeted community-led interventions across Western Victoria PHN region and more specifically focused on cancer screening participation screening rates for the Aboriginal community Glenelg Shire. Western Victoria PHN will seek to leverage work in this area by extending the program to other under-screened indigenous communities.

Supporting the primary health care sector Improving quality of service provision and supporting quality improvement in primary health care.

Collaboration

Cross sector knowledge exchange, sharing and communication across the health sector is and will continue to be proactively fostered with:

General Practices Ballarat and Barwon Health Services and Integrated Cancer Services – Barwon and Grampians 8 ACCHOS Other providers eg, Specialists, Allied Health Local Health Networks Cancer Council Victoria and Cancer Australia Department of Health and Human services (VIC) Other PHNs – North West Melbourne and Murray

Duration 1 July 2018-30th June 2019

Coverage

Entire Western Victoria PHN Region

Targeted approach for under-screened communities – SA3s Glenelg-South Grampians (ATSI for Bowel, Breast and Cervical), Maryborough (Cervical, Breast), Grampians (Cervical) and Creswick-Daylesford-Ballan (Cervical, Breast and Bowel)

Expected Outcome

Increasing the number of individuals being screened for bowel, cervical and breast cancer

across Western Victoria and in targeted areas of under-screening (low socio-economic backgrounds, rural and remote and Aboriginal and Torres Strait Islander consumers).

Raising awareness and adherence to use of the Cancer HealthPathways including OCPs among health professionals and the health services at system, organisation and individual level to promote quality cancer care and patient experiences, specifically for prostate and oesophageal cancers OCPs in 2018.

Increasing the survivorship of patients in the region


Ensuring voice of clinicians and consumers/community is incorporated into implementation of projects.

Supporting practices in recording and using patient data for quality improvement in key areas such as smoking status, weight measurements.

Better patient outcomes (reduction in smoking)

Planned Core Operational Funding Stream b) Health Systems Improvement Expenditure 2018-19 (GST Excl.) – Commonwealth funding

Planned General Practice Support Funding Expenditure 2018-19 (GST Excl.) – Commonwealth funding

Planned Expenditure 2018-19 (GST Excl.) –


Funding from other sources Department of Health and Human Services (VIC)

3 HSI funding is to be used to deliver core functions within the PHN program such as population health planning, system integration and stakeholder engagement, as well as support to general practice which is not funded under the General Practice Support Funding Schedule. PHNs are able to use flexible funding to commission referral or health pathways activities (including non-staff costs such as ‘Streamliners’) but all associated PHN staff costs must be funded from HSI funding. HealthPathways activity to be undertaken by commissioned services should be separately identified as a Core Flexible Activity in 1. (b) Planned PHN activities – Core Flexible Funding Stream 2018-19.

PHNs cannot commission frontline services using HSI funding. PHNs may use HSI funding to subcontract specific activities under this stream, for example a health data analyst or consultant may be contracted to identify priorities for improved care coordination. Contracted or consultant arrangements are particularly appropriate for time-limited and specialist projects.

Practice support is to be provided through HSI funding and must be primarily delivered through PHN employees. Practice support cannot be commissioned out to a third party. Practice Support includes general practice support not funded under the General Practice Support Funding Schedule and support provided by your PHN to other practices, eg. allied health practices.



Activity Title / Reference (eg. HSI or GPS) H S I & GPS- Integrated Primary Care

HSI/GPS Priority Area

Select one of the following: General Practice Support

If Other, please provide details: Also includes Other Practice Support, Care Coordination, and Digital Health.

In addition, the activity aligns to the following flexible funding program key priority areas: Health workforce, Aboriginal and Torres Strait Islander health, mental health.

Existing, Modified, or New Activity Modified activity across the following : F1, F2, F4, OP1, OP2, OP3, ITC

Modified activity based on activities F1, F2, F4, OP1, OP2, OP3 reported in the Western Victoria PHN Updated Activity Work Plan 2016-2018: Core Funding document, and ITC in the Western Victoria PHN Updated Activity Work Plan 2016-2018: Integrated Team Care Funding document.

Aim of Activity

Integrated Primary Care aims to develop a high-performing primary care sector.

This activity is guided by the objectives of the quadruple aim of health reform:

Improved patient experience of care Improved health outcomes and population management, Improved cost efficiency and sustainability in health care and Improved health care provider experience

The definitive aim is to support the primary health care sector to improve individual and community health outcomes

___________________________________________________________________________________

Integrated Primary Care is the amalgamation of a range of Western Victoria PHN activities to enhance support for the primary care sector. In 2018-2019 three activities will occur concurrently: Business as usual activities; new activities; and completion of an Integrated Primary Care Strategy for 2019-2021

1. Business as usual activities, which will continue over the year. o Practice support offered to all general practices across the Western Victoria PHN

catchment. This will include support related to general practice accreditations, quality


practice incentive payment (QPIP), cancer screening (cervical, bowel and breast cancer), and data modelling

o Continuing professional development (CPD) opportunities offered across the Western Victoria PHN catchment delivered face-to-face, via webinar, or online

o HealthPathways based on federal, state and local needs rolled out and maintained across the Western Victoria PHN catchment

o Digital enablers are promoted and practices provided with support to improve the uptake of My Health Record, secure messaging and telehealth.

2. New activities o Health care home readiness built into practice support, and utilising the learnings from

national PHN trial sites o General practitioner leadership strategy is developed o Allied health strategy is developed

3. Completion of an Integrated Primary Care Strategy for 2019-2021: o This strategy will take into consideration, and build on, activities 1 and 2 above. It will be

aligned to the Western Victoria PHN Strategic Plan 2017-2020, stakeholder engagement plan and soon to be completed Australian Government Department of Health PHN Program Performance and Quality Framework. The strategy will be linked to operational plans and staff training required for implementation


Activities will be guided by the objectives of quadruple aim of health reform:

1. Improved patient experience of care a. Reduced waiting times, improved access, and patient and family needs met through

i. Direct general practice support via HealthPathways referral pages, increase of primary care skills in areas such cancer screening, health assessments from CPD, Indigenous Integrated Team Care availability to mainstream and Aboriginal Medical Services, uptake of digital technologies of secure messaging/eReferrals and telehealth promotion


ii. Health services integration: the practice support team will link primary care providers into Western Victoria PHN after hours, immunisation, AoD, mental health and chronic disease models of care program

2. Improved health outcomes and population management a. Improved health outcomes, equity of access, and reduced disease burden

i. Direct general practice support via in-practice quality improvement support, accreditations support, QPIP support, health care home readiness support; increase of primary care skills in areas such cancer screening and health assessments from CPD; development of HealthPathways clinical and referral pages; facilitate Indigenous integrated team care availability to mainstream and Aboriginal Medical Services, My Health record support and telehealth promotion

ii. Health services integration: practice support team will link primary care providers into PHN after hours, immunisation, AoD, mental health and chronic disease models of care

3. Improved cost efficiency and sustainability in health care i. Direct general practice support for data (PenCat) and MBS modelling; increase of

primary care skills in areas such workforce models, business models from CPD and network events; uptake of digital technologies of secure messaging/eReferrals, telehealth promotion, MyHR usage; QPIP support; best practice clinical procedures via HealthPathways and CPD

ii. Health Services integration: practice support team will link primary care providers into PHN after hours and chronic disease models of care

4. Improved health care provider experience i. Direct general practice support: In addition to the activities mentioned above GP

leadership strategy and Allied Health strategy will be developed ii. Health Services integration: practice support team will link primary care

providers into PHN after hours, immunisation, AoD, mental health and chronic disease models of care

The above activities directly link to the following priorities presented in the Western Victoria PHN 2017-2018 Needs Assessment update:

Health Needs: chronic conditions a n d health literacy


Health Service Needs: digital services, workforce, population health, bowel, breast, and cervical cancer screening, and immunisation.

Supporting the primary health care sector

In conducting this activity, Western Victoria PHN will support the primary health care sector with

Interpersonal skills to build support for, and facilitate, change in practice Methods for accessing and using data to drive change Quality improvement and change management strategies Health information technology (IT) optimisation CPD and training access for skills, behavioural and attitudinal change in clinical practice

Collaboration

To support this activity, Western Victoria PHN will collaborate with the following external and internal stakeholders

External stakeholders:

Primary care providers: participants in model, included in quality feedback loops for model improvements and evaluations

Peak bodies: Including but not limited to- Royal Australian College of General Practice (RACGP), Australian College of Rural and Remote Medicine (ACCRM), Practice Managers Association will be consulted and considered in model development i.e. areas for collaboration or areas of differentiation for Western Victoria PHN fill gap

Primary Care Partnerships and local public and private hospitals for partnering in areas that cross the primary to tertiary health care continuum

The Commonwealth and Commonwealth funded organisations, including the Australian Digital Health Agency, Rural Workforce Agency Victoria, Murray City Country Coast GP Training will be engaged to align activities, to strengthen, and to enforce complimentary work of Western Victoria PHN

State Government of Victoria, for consultation regarding state-based activities that align to, and enhance, Western Victoria PHN objectives

Internal stakeholders:

Western Victoria PHN’s Regional Integrated Councils will be consulted for advice in model development

Duration 1. Business as usual activities:


o Implement July 2018 o Reviewed by March 2019 and learnings incorporated into Integrated Primary Care

Strategy from July 2019 2. Commencement of new activities:

o Planning completed September 2018 o Implemented from October 2018 o Reviewed by March 2019 and learnings incorporated into Integrated Primary Care

Strategy from July 2019 3. Completion of an Integrated Primary Care Strategy for 2019-2021:

o Integrated Primary Care Strategy planning commences from July 2018 o Business and usual and new activity review completed March 2019 o Integrated Primary Care Strategy developed by 30 June 2019, and implemented from July

2019


Expected Outcome Development of a new Integrated Primary Care strategy and model that will support a high-performing primary care sector.

Planned Core Operational Funding Stream b) Health Systems Improvement Expenditure 2018-19 (GST Excl.) – Commonwealth funding

Planned General Practice Support Funding Expenditure 2018-19 (GST Excl.) – Commonwealth funding






Activity Title / Reference (eg. HSI or GPS) H S I –

Existing, Modified, or New Activity New Activity


Create new funding model to engage primary care providers in particular General Practitioners and other primary care providers, to establish clinical leadership in the sector. Key pillars include: 1) Interpersonal skills to build support for & facilitate change 2)Methods for accessing & using data to drive change 3) QI & change management strategies 4) Health information technology (IT) optimisation. Alignment of clinical leadership activities to the Ten Building Blocks of High Performing Primary Care (Bodenheimer et. al, 2012). Procuring provision of Clinical Leadership coaching, and facilitate contracting services of GPs for advisor roles in key priority areas.

To provide local GP engagement

Justification of Activity To ensure the delivery of high performing primary care and integrated primary care (in line with Health Care Home model) to ensure place based delivery of primary care services and assist with the introduction of QPiP and other key performance measure such as accreditation.

2017/18 activity/activities from which the unspent funds occurred, and reason(s) why funds were unspent

Proposed 2017-18 unspent funds allocated toward this activity

Planned total expenditure for this activity in 2018-19


4. (a) Strategic Vision for After Hours Funding

Please outline, in no more than 500 words, an overview of the PHN’s strategic vision for the period covering this Activity Work Plan that demonstrates how the PHN will achieve the After Hours key objectives of:

increasing the efficiency and effectiveness of After Hours Primary Health Care for patients, particularly those with limited access to Health Services; and

improving access to After Hours Primary Health Care through effective planning, coordination and support for population based After Hours Primary Health Care.

In 2018-19 and onwards, your organisation is required to:

Implement innovative and locally-tailored solutions for after hours services, based on community need; and

Work to address gaps in after hours service provision.


4. (b) Planned PHN Activities

– After Hours Primary Health Care Funding 2018-19


Activity Title / Reference (eg. AH 1) AH 1.0 COORDINATION

3.1.1 in the Annual business and implementation plan


Needs Assessment Priority Area (eg. 1, 2, 3) This activity is related to the ‘Access to Primary Care in the After Hours’ priority presented on pages 72 and 73 of the Western Victoria PHN 2017-2018 Needs Assessment update.

Aim of Activity To coordinate Western Victoria PHN after hours activities.


Due to the significant activities currently being delivered through the after hours funding, Western Victoria PHN will continue to fund a dedicated after hours resource to coordinate after hours activities. Key activities include:

Leading the development and implementation of after hours strategies, policies and projects Developing and implementing after hours communication plans to support specific strategies Developing documentation for procurement Work with successful suppliers to implement solution-based project(s) to build the capacity of

after hours service provision in the Western Victoria PHN catchment region Delivery of existing activities

These activities will focus on sustaining community access to primary care medical services in the after hours period by implementing innovative solutions and models that consider the needs and preferences of the community, general practices, hospitals and ambulance services.

Target population cohort Entire Western Victoria PHN catchment.

Consultation Ongoing consultation with all service providers and organisations currently supported by Western Victoria PHN through the after hours program.


Collaboration

Western Victoria PHN will collaborate with the following to support the delivery of after hours activities:

Local Hospital Networks General practitioners Western Victoria PHN’s Regional Integrated Councils National Home Doctor Service Urgent care centres and health services Nurse on Call After Hours GP Helpline Healthdirect Australia Residential Aged Care Facilities Ambulance Victoria Medical imaging services Pharmacies


Duration July 1 2018 – 30 June 2019.


Commissioning method (if relevant) Western Victoria PHN will directly deliver this activity.






Funding from other sources Not applicable.



Activity Title / Reference (eg. AH 1) AH 1.1 ACCESS TO AFTER HOURS CARE

1.5.1, 2.1.1 and 3.1.1 in the Annual business and implementation plan

Existing, Modified, or New Activity Modified activity, based on activities AH 1.1, 1.2 and 1.4 included in the Western Victoria PHN Afterhours Activity Work Plan 2017-18.


Aim of Activity This activity will provide funding for the procurement of co-designed models of after hours care, to improve availability and access.


Western Victoria PHN will utilise the 2018-2019 period to consolidate learnings from the evaluation of a range of previously funded after hours activities and the After Hours Mapping and Stakeholder Engagement Project to guide commissioning of after hours funding going forward. Through this project, Western Victoria PHN will collaborate with key after hours system stakeholders to identify barriers and enablers to after hours service delivery and co-design innovative solutions that build the capacity and integration of after hours service provision in the region in a sustainable way.

2018/19 after hours funding will then be procured for the Access to After Hours Care Project to support

innovative and sustainable ways to address systemic after hours issues and improve integration of after hours services into the future. After hours service models supported through this funding are likely to be required to address some of the following; workforce issues including the recruitment and retention of GPs to participate in after hours work and the demand this places on a part time GP workforce, support for after hours services during period of peak demand, accessibility of after hours services in locations where there is limited access, significant geographical isolation and distance to travel to access services, equity of access to after hours services for vulnerable populations, working collaboratively with other local providers to share the after hours workload, changing work life balance needs of GPs less willing to work in areas where there is significant after hours commitments and the sustainability of after hours service provision.

Target population cohort Entire Western Victoria PHN catchment.


Consultation

Western Victoria PHN will utilise the After Hours Review, evaluations from a range of previously funded after hours activities and the recommendations from the After Hours Mapping and Stakeholder Engagement Project to work with key after hours stakeholders to co design innovative ways to address access and availability of services. This will enable responses tailored to place-based experience.

Collaboration

Western Victoria PHN will collaborate with the following:

Ambulance Victoria Government – Federal and State

General practice Deputising services Western Victoria PHN’s Regional Integrated Councils Triage services Royal Flying Doctor Service Urgent care centres/health services (Emergency Departments) Pharmacies Pathology services Radiology services Safety Link After Hours GP Helpline Healthdirect Australia Aboriginal Community Controlled Organisations Alcohol and Other Drugs and Mental Health Services Key staff from Western Victoria PHN Any other stakeholders relevant to this activity.


Duration Planning and implementation of the co-design process for the identification of after hours models and system improvements with stakeholders through the After Hours Mapping and Stakeholder Engagement Project will occur July- October 2018. Findings from the after hours mapping and stakeholder engagement project and an after hours commissioning plan will be presented to Western


Victoria PHN Regional Integrated Councils (comprised of clinical and community representatives) in November 2018 for input and feedback.

Procurement of co designed after hour models and system improvements in the Access to After hours Care Project will commence in November 2018. A minimum of fourteen weeks must be allocated to complete the procurement process, therefore it is planned for services to be contracted by mid to late February. This will allow sufficient time for the design of the activities to be procured under the Access to After hours Care Project and a longer funding period to allow for evaluation of the funded activities.

Continuation of Critical Area Support Grants until 30 June 2019 will ensure continuity of existing after hours services for the community until the new after hours funding arrangements commence. This will also allow a four month transition period for Critical Area Support Grant recipients to either be recommissioned under the new after hours funding arrangements or be decommissioned with adequate time to implement any required changes in after hours service delivery. All current providers will be provided the transition timelines to enable then to plan for their service needs.


Commissioning method (if relevant) Western Victoria PHN will use a direct or select tender approach.

Decommissioning

Health services funded under the Critical Area Support and Bellarine after hours support grants have received an extension of contract until 30 June 2019 while Western Victoria PHN completes the After Hours Mapping and Stakeholder Engagement Project and procures co designed after hours models and systems improvements. Critical Area Support Grants will be decommissioned from 30 June 2019 with opportunities for after hours funding available through the Access to After Hours Care Project.








Activity Title / Reference (eg. AH 1) AH 1.2 AFTER HOURS CARE COORDINATION

3.1.1 and 3.3.4 in the Annual business and implementation plan



Aim of Activity To facilitate patient access to the most appropriate and accessible urgent care in the after hours period following professional triage.


A key focus of Western Victoria PHN is to improve the effectiveness and efficiency of after hours primary health care coverage in the Western Victoria PHN catchment. Western Victoria PHN provides coordination of urgent care in the after hours period through a streaming and information service and access to taxi transport assistance to and from urgent after hours care. Safety Link is the contracted provider of this service for Western Victoria PHN.

The streaming service is a fully integrated after hours service working collaboratively with the GP After Hours Helpline (Healthdirect Australia), Nurse on Call, Ambulance Victoria, local hospitals and general practitioners providing after hours services. The aim is to provide local care coordination after professional triage to identify the most appropriate response for patients with after hours urgent care needs.

In areas of limited after hours workforce and geographic distance from health services, taxi transport assistance provides access to transport to facilitate patient care at the most appropriate urgent after hours care provider. Established partnerships are in place with primary care providers, Safety Link, Ambulance Victoria and local health services to facilitate referral of patients to this scheme. Funded general practices and health providers will be required to ensure use of the National Health Services Directory so that patients are directed to the most appropriate point of care in the after hours period.

Target population cohort Persons living in or visiting the Ballarat Goldfields and Wimmera Grampians regions.

Consultation Ongoing consultation with existing service providers and health services.

Collaboration Western Victoria PHN will collaborate with the following:


Health services within the Ballarat Goldfields and Wimmera Grampians regions General practices Safety Link Taxi services Ambulance Victoria Nurse on Call GP After Hours Helpline (Healthdirect Australia)



Coverage Persons living in or visiting the Ballarat Goldfields and Wimmera Grampians regions.

Commissioning method (if relevant) Recontracted - Safety Link.








Activity Title / Reference (eg. AH 1) AH 1.3 AFTER HOURS WORKFORCE DEVELOPMENT

3.1.1 and 4.1.2 in the Annual business and implementation plan.


Needs Assessment Priority Area (eg. 1, 2, 3) Priority Areas: This activity is related to the ‘Access to Primary Care in the After Hours’ priority presented on pages 72 and 73 of the Western Victoria PHN 2017-2018 Needs Assessment update.


Aim of Activity To support the development of the current after hours workforce in rural areas.


Based on the outcomes and recommendations of the evaluation of the Western Victoria PHN Rural and Isolated Practice Endorsed Registered Nurses (RIPERN) scholarships, Western Victoria PHN will continue to support the development of the after hours workforce in rural areas. This may include a revised scholarship model or more broadly support activities that optimise the utilisation of the current workforce within the scope of practice or allow the existing workforce to be upskilled and competent to work to the top of their professional scope, reducing unnecessary demands on general practitioners in the after hours period.

Target population cohort After hours workforce in rural regions of the Western Victoria PHN catchment.

Consultation Ongoing consultation with rural health services, health services previously funded for RIPERN scholarships and their workforce.

Collaboration

Western Victoria PHN will collaborate with the following:

General practices Rural health services Other registered training organisations Peak professional bodies e.g. Rural Workforce Agency Victoria (RWAV) La Trobe University



Coverage Rural regions of the Western Victoria PHN catchment.

Commissioning method (if relevant) Select tender approach.

Decommissioning

Not applicable.








Activity Title / Reference (eg. HSI or GPS) A H 1.4

Existing, Modified, or New Activity Existing Activity – AH 1.1 ACCESS TO AFTER HOURS CARE


Funding to be allocated to the Access to After Hours Care Initiative which will see the procurement of a number of projects that support innovative and sustainable ways to address systemic after hours issues and improve integration of after hours services into the future. After hours projects supported through this initiative include; After Hours Collaborative Innovation Grants, After Hours Telehealth Pilot, After Hours Directory, health professional education, organisation development to support nurse led models after hours and Telehealth Pilot in Residential Aged Care.

This activity is related to the ‘Access to Primary Care in the After Hours’ priority presented on pages 72 and 73 of the Western Victoria PHN 2017-2018 Needs Assessment update.

Justification of Activity

Western Victoria PHN has utilised the After Hours Review, evaluations from a range of previously funded after hours activities and the recommendations from the After Hours Mapping and Stakeholder Engagement Project to guide the development of the projects funded under the Access to After Hours Care Initiative. This process has involved consultation with a range of after hours stakeholders and has utilised a range of evidence to support project design.


2017/18 activity/activities from which the unspent funds occurred, and reason(s) why funds were unspent

Proposed 2017-18 unspent funds allocated toward this activity

Planned total expenditure for this activity in 2018-19

Documents

18-19 AWP Collated 10-12-18Web · 2020. 3. 25. · Title: Microsoft Word - 18-19 AWP Collated 10-12-18Web Author: helen.kostiuk Created Date: 2/28/2019 4:41:27 PM