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Advocating for change. The vision of the Australian Health Care Reform Alliance. What is AHCRA?. It is not a patient group. Independent alliance of 46 organisations Consumer Clinician Health professional Health provider Academic. Members. Australian Consumers Association (CHOICE) - PowerPoint PPT Presentation
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Advocating for change
The vision of the Australian Health Care Reform Alliance
What is AHCRA?
It is not a patient group.
Independent alliance of 46 organisations• Consumer• Clinician• Health professional• Health provider• Academic
Members
Australian Consumers Association (CHOICE) Australian Council on Intellectual Disability Royal Australian College of GPs Royal Australian College of Physicians Australian Nursing Federation ACOSS Country Women’s Association National Rural Health Alliance Public Health Association of Australia Rural Doctors Association Australian Healthcare Association Catholic Health Australia Maternity Coalition
Common aims
Different groups finding common ground.
Communication, respect, understanding, leadership
Agreed on principles for, and process of reform for the Australian health system to improve: access equity efficiency effectiveness
Our vision
A health system that assists individuals to behealthy and delivers compassionate and goodquality health care to all.
Common principles
Universal access
Equity of health outcomes
Indigenous outcomes to match non-Indigenous
Patient focussed
Principles
Preventing disease and maintaining health balancedwith duty to the unwell
Taxation funded
Appropriate, safe, high quality services and products
Community involvement in the development, planning and implementation of health services
A valued and supported workforce
Challenges
Indigenous health – social determinants of health
Some people cannot get health care when and where they need it (eg rural and remote).
Health promotion and illness prevention is poorly supported
Overall quality and availability is deteriorating
Challenges
Patient out of pocket expenses rising
Overstretched workforce and skills shortages
Inter-governmental arrangementsare inefficient
Over emphasis on acute care
Meeting the challenges
Workforce
Integration
Primary Care
Community Engagement
Workforce
National workforce policy
• Self sufficiency
• Additional places in higher and vocational education sectors
• Improved strategies for entry, retention and re-entry into the health workforce
• Develop policies to attract the full range of health professionals to ‘hard to recruit’ areas.
Integration
Commonwealth/State boundaries inhibit the development of integration across the continuum of health care service
There is widespread recognition of the need to find solutions to jurisdictional inefficiencies
Integration
Further expand pooling of federal, state and territory health funding tofacilitate responsive and integratedhealth services
Creation of National Health Reform Council
National Health Reform CouncilRole: Responsible for carrying out and
monitoring the health reform process and reporting on progress against agreed principles, outcomes and targets
Membership: Federal and State senior policy
personnel, clinicians and other health and community care service providers, technical experts and consumers.
National Health Reform CouncilSome of the questions the council would answer are:
How much Australia needs to spend on health care to achieve the goals wanted and needed by the population?
How do we achieve the right balance in health resource allocation to adequately address the spectrum from prevention to palliative care?
What structures and financing arrangements are needed to achieve a national approach to health care underpinned by agreed basic principles?
How do we achieve a system that is transparent and accountable and which promotes continuous improvement?
Primary care
A National Primary Health Care Policy:
Addresses the social determinants of health
Maximises health promotion, prevention and early intervention
Provide support to allow individuals to maximise their own health
Reduce hospitalisation through early intervention
Primary care
A National Primary Health Care Policy (continued):
Use of multidisciplinary teams to manage chronic illnesses
Funding systems that reward primary health care teams when their patients/populations are well
Community engagement
Fragmented health system is subject to ever increasing pressuresand rising consumer demand and expectations.
Health administrators and cliniciansare being forced to make decisionsabout the allocation of scarceresources.
Who should receive the next hip replacement? How many prematurebabies should one unit support?
Community engagement
Universal health care does not mean everything for everyone.
It means that the whole of the population is covered for a defined package of benefits and services.
What are the boundaries of this package?
Community engagement
The legitimacy and sustainability of any major policy decision increasingly dependson how well it reflects the underlying values of the public.
As governments ponder difficult and at times unpalatable choices on health care, policy needs to be informed by ordinary “unorganised” citizens, as well as powerful“organised” interest groups.
Community consultation
AHCRA models how different groups can come together and resolve differences and find common ground.
It also demonstrates the real challenges in agreeing on more detailed policy, Eg. financing.
Community consultation
Public to be engaged and provide direction on difficult choices involved in health care decision making
Assists governments in priority setting
Community consultation
A national dialogue with citizens and consumers could create a common set of values, principles and priorities, and provide the first national vision and framework for the health system to inform all governments in Australia.
Next steps for AHCRA
Development of high level indicators of health system performance in terms of access, equity, quality and efficiency.
In consultation with the community.