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Measuring for a healthy nation Building the evidence base for national health workforce reform

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Measuring for a healthy nation Building the evidence base for national health workforce reform NatStats 2010 Mark Cormack Chief Executive Officer – PowerPoint PPT presentation

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Title: Measuring for a healthy nation Building the evidence base for national health workforce reform


1
Measuring for a healthy nation Building the
evidence base for national health workforce
reform
  • NatStats 2010
  • Mark Cormack
  • Chief Executive Officer
  • Health Workforce Australia
  • 17 September 2010

2
National health workforce reform agenda
  • COAG and health workforce reform ( National
    Partnership Agreement 2008)
  • Acknowledgment that large scale workforce reform
    is necessary with a particular focus on linking
    efforts of health and higher education sectors
  • NPA, 1.1Bn new funding over 4 years to
  • Develop a sound evidence base to inform national
    reform
  • Devise policy and program solutions that
    facilitate training and workforce reform
  • Work across jurisdictions, sectors, organisations
    and professions
  • Health Workforce Australia (HWA) established to
    lead implementation of the NPA

3
Health Workforce Australia
  • Legislation enacted July 2009
  • HWA established as a Commonwealth statutory
    authority
  • Board nominees from jurisdictions (nine),
    independent Chair and three other directors
  • Reports to Australian Health Ministers Conference
    (AHMC)
  • Headquarters in Adelaide
  • Establishment phase

4
Core functions of HWA
  • Progress the NPA agenda focussed on five key
    areas
  • Research and workforce planning
  • Clinical education and training
  • Clinical training subsidies
  • Clinical supervision
  • Simulated Learning
  • Governance and co-ordination
  • Innovation and reform
  • International recruitment
  • Advice to AHMC, industry higher education

5
National health workforce reform agenda
  • Building the evidence base
  • Planning to date less than optimal
  • Key data sets (e.g. vacancies / shortage) -
    inconsistent, out of date and incomplete
  • Workforce interventions are complex, have long
    lead times, and expensive.
  • Inadequate evidence base to inform policy,
    investment decisions and interventions.

6
HWA - planning and research
  • 24M allocated over four years to HWA to lead,
    encourage and support a health workforce
    research, planning and policy agenda
  • Continually improve national health workforce
    information
  • National health workforce statistical dataset
  • National workforce projections and research
  • National supply and demand model
  • macro and by specialty
  • Workforce demand and workload measures
  • National health workforce research collaboration

7
HWA - planning and research
  • National Health Workforce Data Set (NHWDS)
  • Nationally agreed data set collected from
    National Registration and Accreditation Scheme
    from July 2010
  • Longitudinal data set on ten nationally regulated
    professions
  • Future additions to the national registration
    arrangements, and via alternative means for the
    non regulated professions

8
HWA - planning and research
  • National Health Workforce Planning Tool
  • Complete picture of the health workforce and the
    drivers behind both workforce supply and demand
  • Links workforce data from the NHWDS with national
    activity (demand) data sets
  • Data will be linked at the unit record level so
    de-identified individuals can be tracked over
    time
  • Freely available for use by health industry and
    higher education sectors

9
HWA - planning and research
  • Interim work program (2010-11) whilst the longer
    term planning and research program is developed
  • Macro Supply and Demand
  • Postgraduate Medical Training Study
  • National Workforce Study of the NGO Mental Health
    Sector
  • Alternative Options for Workforce Planning
  • Workload Measure for Allied Health Professionals
  • Supply and Demand Projections for
  • Nursing Professionals (Acute Sector)
  • Nursing Professionals (Aged Care Sector)
  • Anaesthetic Medical Workforce
  • Emergency Medical Specialist Workforce
  • Intensive Care Medical Workforce

10
HWA - planning and research
  • Macro Supply Demand Study 2009 2010
  • First Study 2009, and repeat in 2010
  • 30 Health professions in scope
  • Stock and flow model,
  • Baseline workforce and shortages
  • Entrants training, immigration
  • Exits retirements, departures
  • Demand drivers
  • Projections to 2025
  • Refine, evaluate and continually improve over
    time to be an authoritative, reliable information
    base for decision makers
  • Training requirements
  • Immigration
  • Workforce reform

11
Opportunities and priorities
  • Refinement of health demand measures
  • National health identifiers
  • Providers individual organisation
  • National health reforms
  • Activity based funding
  • E-health
  • National health professional registration
  • Targeted workforce reform which links quality
    national information on
  • Burden of disease
  • Uniquely identifiable health professionals
  • Measurable health service delivery requirements

12
Conclusion
  • An unprecedented opportunity to accurately
    record, track and monitor Australias health
    workforce
  • Supply and demand can be more accurately planned
  • Policy and decision making will be better
    informed by evidence
  • Debates will be over policy, program and other
    interventions rather than data and methodologies
  • National workforce reform initiatives can be
    better targeted to support and enable broader
    health system reforms.

13
www.hwa.gov.au
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