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 PCP development of the work program

Primary health care policy context Current – Victorian Health Priorities Framework Dec Victorian Primary Health Care Strategic Directions Dec 2012 – National framework for joint primary health care plans July 2013 – Joint Victorian/Commonwealth primary health care plan

At risk Episodic health events Well Early stages of disease/disability Established disease/disability Complex condition Primary prevention Secondary prevention & episodic care Early intervention & treatment Chronic disease/ condition management Focus of the draft primary health care strategic directions Focus of the Victorian Health Priorities Framework Focus of the Victorian Public Health & Wellbeing Plan Continuum of care

People are as healthy as they can be Victorian Health Priorities Framework reform outcomes Direction 1 A service system that is accessible Direction 4 Providing the most effective care & sustainable care Direction 3 Working together for better health Direction 2 Victorians involved in their own health care Primary health care strategic directions Victorian Health Priorities Framework …driving the primary health care strategic directions People have the best health care service outcomes possible People are managing their own health The health system is highly productive & sustainable Care is clinically appropriate & cost effective & delivered in the most clinically appropriate & cost effective settings

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 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 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 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 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 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 development of the work program PCP bridging year guidelines Priorities framework and primary health directions National primary health framework 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 PCP work program? Feedback to Sylvia Barry by 31 August 2012