HealthOne NSW COROWA Rosemary Garthwaite Acting Health Service Manager Corowa Health Service May 2007

Corowa Health Service Profile Situated 57kms West of Albury Corowa Shire population 8,257 at the 2001 census 21% of the population aged over 65yrs & predicted to rise to 32% by 2026.

Continuum of Care Standard 1.1 Consumers /patients have access to health care appropriate to their needs. Standard 1.2 Comprehensive assessment by competent professionals identifies the clinical,non-clinical & social needs of consumers/patients, as the basis fro providing quality & safe care. Standard 1.3 Consumer/patient needs for quality & safe care with desirable outcomes are addressed through the planning, delivery& evaluation of care.

Continuum of Care Standard 1.4 Consumer/patient & carer needs for ongoing care are addressed through the coordination of services & provision of timely & useful information. Leadership & Management Standard 2.1 The Governing body leads the organisations strategic direction & establishes an operational framework to ensure the provision of quality,safe services.

Human Resource Management Standard 3.1 The Management of Human resources supports the delivery of quality & safe care & services. Information Management Standard 4.1 Valid information sources support decision making & the identification of consumer/patient care & outcomes.

“INTEGRATION” “A whole of system approach to Health Care, which achieves better health outcomes with optimal use of resources”. This involves: Bringing together common functions within & between organisations to solve common problems. Developing a commitment to shared vision & goals. Using common resources & technologies to achieve these goals.

What is HealthOne Corowa Co-location of the Corowa Medical Centre, Corowa Community Health and Corowa Hospital. Delivery of an integrated primary health care service from a single location. Optimal utilisation of resources available to consumers with particular focus on people with chronic and complex conditions.

How do we make Integrated Health Services happen. Vision,People,Leadership Clear vision: what do you want to achieve? How can you do better together? What are the gaps in care & opportunities for improved care? What would need to change?- process,resources,people Good planning & change management & clear roles & responsibilities. Involve the patient/community-give them a role.

Partners Greater Southern Area Health Service Corowa Medical Centre Border Division of General Practise Corowa Shire Council Corowa Local Health Advisory Committee Corowa/Rutherglen Health Support Group Australian Government, Visiting Specialists, Visiting Allied Health Practitioners

To build on the strengths of Health Professionals such as General Practitioners & Community Health providers working in partnership to enhance: Health Promotion & preventative care Early detection & intervention strategies Continuing & co-ordinated care for Chronic & Complex-Team management Equity & Access for the local community HealthOne Corowa Focus

Current service gaps/issues Services at 3 different locations Little integrated management of patients with chronic conditions. Estimated resident population 10,860 15% over 70 (cf 8.1 % NSW) GP to population ratio 1: 1820 and rising Shortage GPs and allied health staff High proportion of triage 4 & 5 presentations to Corowa Hospital.

Target Client Groups All people who use services from Corowa Community Health & Corowa Medical Centre. Clients with chronic & complex Care needs Child & Family Health Mental Health Drug & Alcohol Wound Care

Outcomes Improved access to services Improved case management and care coordination Greater coordination of care for chronic conditions Early intervention for those at risk Financial and staffing efficiencies Reduced length of stay at Corowa Hospital Reduced presentations to Corowa ED

Governance model Corowa Medical Centre – will remain as an independent financial entity Corowa HealthOne – manager’s position to oversee Community Health and Centre projects GSAHS & Corowa Medical Centre to contribute financially to HealthOne Centre.

Financial model 2 new positions – IPHCC manager and case manager – under review GSAHS to contribute 1.1 FTE from existing positions Corowa Medical Centre to contribute through health assessments Potential for lease income Potential for sharing of administration positions and other resources

Funding submission $30,000 one-off start-up grant to support establishment of service and 1 st year of operation Financial plan to ensure sustainability to be developed within 6 months Capital grant required - $2.0 million+ Other sources of funds to be sort.

Capital works project Architect’s report identifies 2 options: –Both involve relocation of physiotherapy department, reconfiguration of entrance and extension of medical centre –Variation in entry configuration, medical centre expansion –Both achieve single point of entry and creation of IPHCC including space for other service providers

WHERE TO FROM HERE SPP/PDP complete Commencement of Project & Timeframes-May Progress funding opportunities Patient experience & Models of Care Commence Integration NOW

THE VISION The future is not a result of choices among alternative paths offered by the present, but a place that is created- created first in the mind & will, created next in activity. The future is not some place we are going to, but one we are creating. The paths are not to be found, but made,& the activity of making them, changes both the maker & the destination. John Schaer,futurist.

HealthOne NSW COROWA May 2007 Rosemary Garthwaite Corowa Health Service