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Allied Health Connections Showcase Central Adelaide and Hills Medicare Local

October 22nd 2013

Intro – Cathy Zesers – Manager Health Provider Support

Kaurna Welcome - Mr Robert Taylor

Reflections of local Allied Health (video)

Getting to know the Central Adelaide and Hills Medicare Local

Local Health Network Connections – looking forward as a region

The Allied Health move into the Digital World

- eHealth – CAHML perspectives and opportunities

- Overview of Clinical software vendors

- National Health Services Directory (NHSD)

Communities of Practice

Exploring shared interests with Allied Health

Networking Session and Communities of Practice 3.20 – 4pm

Allied Health Showcase Introduction to CAHML October 22nd 2013

Chris Seiboth CEO

Overview of CAHML

• Introduction to CAHML

• CAHML and its communities

• Identified priorities

• 2013/14 activities

• Opportunities for partnering with CAHML

Medicare Locals

Medicare Local Objectives • Improving the patient journey by developing integrated and

coordinated services;

• Providing support to clinicians and service providers to improve patient care;

• Identification of the health needs of local areas and development of locally focussed and responsive services;

• Facilitation of the implementation and successful performance of primary health care initiatives and programs; and

• Be efficient and accountable with strong governance and effective management

Board (Strategy)

Members

(Accountability)

Partners in Health

(Mutual benefit)

Staff (Operations)

Community Connections

(Health Improvement)

Membership • RDNS • Pharmacy Guild SA Branch • Aboriginal Health Council SA • Heath Consumers Alliance SA • Multicultural Communities SA • RACGP • Pharmaceutical Society of Australia SA Branch • APNA • GP partners Adelaide • Summit Health • Healthfirst Network • AOGP • SFGPET • Carers SA • Aged and Community Services SA & NT • Occupational Therapy Australia SA

CAHML Strategic Intent

• To be a national leader in regional health intelligence that makes a difference

• To enable people to take more responsibility for their own health in their environment

• To enhance integrated clinical practice across providers to ensure better health outcomes, equity and access

• To engage other PHC providers and build on the strengths of Divisions have in place with GPs and General Practice

• To grow a vibrant and viable Medicare Local that influences the health system and positions PHC to lead system Reform

CAHML Geography

CAHML Snapshot

• Population 520,000

• 14 LGAs, 26 SLAs

• 220 GP practices, 730 GPs, 205 PNs

• 400 + Allied Health Professionals

• 98 RACF (5735 beds)

• 9 public hospitals,

• 13 private hospitals

• 156 pharmacies

Population Health Profile and Planning

Demographic Profile

SEIFA index by SLA

Refined Priorities 2013-14 • Population Health Planning

• Comprehensive Chronic Disease Management - COPD

• After hours care

• Mental Health • ATAPS

• PIR

• Young people and mental health

• Aboriginal health

• Immunisation

• eHealth

• Community Engagement • Healthy weight

• Aboriginal Communities

• CALD Communities

• Care of the Elderly – community based

• health assessments of the elderly • Falls prevention

• Oral health

• Palliative Care

• Preventative screening

Stakeholder Engagement

To achieve strategic objectives and deliverables we will ensure that the breath and diversity of CAHML stakeholders and community are;

• Well-informed on issues that may directly or indirectly affect them

• Engaged with the activities undertaken by the Medicare Local

• Actively encouraged to participate in CAHML’s decision-making and program development and delivery processes

• Provided with appropriate opportunities to voice opinions, concerns or interest in matters that affect them.

Implications for Allied Health

• Partnering with CAHML through Partners in Health

• Membership through Allied Health peak bodies

• Joining a Community of Practice with other like minded AHPs

• Participating in our wider stakeholder engagement activities and contributing to the Comprehensive Needs Assessment

• Exploring the interface and collaboration between private and public allied health….

CALHN and CAHML

introducing…

Paul Lambert

Executive Director

Allied Health

Central Adelaide Local Health Network

For healthcare professionals

The eHealth record system The Basics

Distributed health information

The average Australian yearly:

• 4 visits to a GP

• 12 pharmacy prescriptions

• 3 visits to a medical specialist

• 2 visits to an allied healthcare professional

• 1 visit to the dentist

In addition, there are about 8 million accident and emergency visits every year.

A shared summary of health information

Better access to accurate

information about patients

Quick and efficient sharing

of patient information

More time treating patients, less time finding

records

Faster access to relevant

information

Benefits over time More participation, more benefits

Adding information to an eHealth record

Information can come from three sources.

• Shared health summary

• Event summary

• Discharge summary

• Diagnostic test results

• Referrals

• Specialist letters

• NPDR

• Patient claims data

• Pharmaceutical Benefits Scheme and Repatriation Pharmaceutical Benefits Scheme

• Australian Childhood Immunisation Register

• Australian Organ Donor Register

• Personal health summary

• Personal health notes

How healthcare professionals access an eHealth record

Healthcare identifiers Healthcare identifiers ensure that the right information is associated with the right patient and the right healthcare professional.

They identify:

HPI-I HPI-O IHI

Available features A wide range of information can be entered and shared in the eHealth record system:

• Shared health summaries

• Health overview

• Event summaries

• Discharge summaries

• Specialist letters

• eReferral letters

• Child eHealth Record

• NPDR

• Medicare data including:

• Child immunisation data

• Organ donor register data

• DHS – Medicare and DVA claiming events

• PBS and RPBS data

What to do next

• The eHealth record system is now available.

• Patients and healthcare organisations can register for an eHealth record.

• It is an opt-in system for patients and professionals deciding if they will adopt the system.

• Your organisation can start preparing today to be involved in the eHealth record system.

• Go to www.ehealth.gov.au or the Medicare Local for more information.

Preparing for the eHealth record system

• Obtain a Healthcare Provider Identifier – Individual (HPI-I).

• Check whether your healthcare organisation has registered for a Healthcare Provider Identifier – Organisation (HPI-O).

• Register with the eHealth record system.

• If you are planning to use the provider portal, request a PCEHR compliant digital credential.

• Plan for an upgrade to a conformant system.

• Plan to integrate new clinical information into existing practices.

Preparing for the eHealth record system

In the longer term:

• Update your local clinical information system to a conformant version

• Develop policies and implement your new work and clinical practices.

• Start working in ‘local service networks’.

Indicate your interest on the evaluation form and check out the vendors!!

Central Adelaide and Hills Medicare Local SA Health Allied and Scientific Health Office

Communities

of Practice

Overview

• What are Communities of Practice?

• Aims

• Who can be involved?

• Focus Areas

• Next steps

WHAT are Communities of Practice?

• Widely implemented in health care systems around Australia and the world

• Different formats, but all are intended to facilitate learning, information exchange and the translation of research into clinical practice

WHAT are Communities of Practice?

Three distinct elements comprise a Community of Practice:

1. a community that enables interaction

2. a shared domain of interest or focus area

3. shared practice experiences and knowledge

Aims of Communities of Practice

To provide a forum in which practitioners

• can learn from each other

• promote evidence based practice and innovation

• discuss translation of research into practice

• share “how-to” knowledge

• identify and strengthen referral pathways

• develop professional relationships

• solve identified problems and address barriers

• strengthen partnerships across sectors and disciplines

Aims of Communities of Practice

• Development of specific knowledge

• Provision of support

• Development of resources and tools of practice

• Finding locally relevant solutions to complex problems

• Continuing Professional Development points

Who can be involved?

• Allied Health Professionals seeing clients in the CAHML region

• SA Health, CALHN, CHSA and WCHN Allied Health Professionals

• University Allied Health and Researchers

• Groups will be multi-disciplinary with a mixture in levels of experience

Local Priorities

• Aged Care, Mental Health, COPD, Healthy Weight, Palliative Care, Chronic Disease Management, Aboriginal and Torres Strait Islander Health

Allied Health interests – survey results

Consumer input – patient journey

What will be the areas of focus?

Next steps

• It is intended that the Communities of Practice will commence in early 2014

• Focus on 1-2 areas initially, with plans to expand to further areas in future

Networking/ Vendors/ CoP

• Argus

• Medical Objects

• Global Health

• HTR Telehealth

• Zedmed

• NHSD

• CAHML

• MMEX

- Register interest for Communities of Practice

- CAHML connections