Our Unique WA Or how the Wild West is finally winning! Jodie South, Director, Health Infrastructure Elizabeth Rohwedder, Senior Project Manager, HSIU Nancy Bineham, Manager Planning, WACHS - PowerPoint PPT Presentation


Title: Our Unique WA Or how the Wild West is finally winning! Jodie South, Director, Health Infrastructure Elizabeth Rohwedder, Senior Project Manager, HSIU Nancy Bineham, Manager Planning, WACHS


1
Our Unique WAOr how the Wild West is finally
winning! Jodie South, Director, Health
InfrastructureElizabeth Rohwedder, Senior
Project Manager, HSIU Nancy Bineham, Manager
Planning, WACHS
2
The WA Health Clinical Services Framework 2010
2020 (CSF 2010) More than a service role
delineation framework.
3
CSF - Timeframe
  • 2005 First CSF released (2005-2015)
  • Metropolitan hospitals
  • State Cabinet endorsed
  • 2007-2009 Area Health Service Clinical Service
    Plans developed
  • 2009 Second CSF released (2010-2020)
  • Metropolitan Country hospitals and
    non-hospital services
  • State Cabinet endorsed

4
CSF 2010
  • High level health service planning framework for
    the next 10 years
  • Basis for content and direction of enablers of
    health service delivery

5
Delivering a Healthy WA WA Health Strategic Intent


Models of Care
WA Health Policy
Clinical Service Framework 2005 2015/2010-2020

WA Health Activity Modelling
Planning
Inpatient modelling
Non-Inpatient modelling
Emergency Dept modelling
Resource Allocation Model ABF/ABM

Enablers
Workforce
Infrastructure
Recurrent Cost
ICT
RAM/Efficient Price
BUSINESS INTEGRATION MODEL
Operational Deployment
AHS/Divisional Operational Plans
RAM / ABF/ABM Budget Allocation
Feedback and Accountability Mechanisms
6
CSF 2010 Impact
  • Influences content and direction of
  • Workforce strategy and planning
  • Infrastructure State Health Infrastructure Plan
    (SHIP)
  • Recurrent Cost - Budget setting, funds allocation
    (ABF/ABM)
  • Information, communication medical technology
    strategy and planning
  • Aligns with
  • Reform initiatives
  • Strategic intent
  • Expects consistency from
  • AHS planning
  • Annual operational plan

7
Enabler 3 Recurrent Cost, Budget setting,
funds allocation (ABF/ABM)
  • Whole of Health Cost Model annual budget bid
    and forward estimates
  • Funds allocation Activity Based Funding/
    Management (ABF/ABM)

8
Whats Happening in the Country? Major
Investment in Country Health Infrastructure and
Services aligned to the CSF.
9
  • Our country health services and infrastructure
    includes
  • 70 hospitals
  • 6 Regional Health Campuses
  • 15 District Health Campuses
  • 49 small hospitals including
  • 30 multi-purpose services

26 community mental health services 38 remote
nursing posts 2 state government nursing homes
and 1 aged care hostel 50 Community health
services 206 Child health services
10
Our aims in WA Country Health Service are
aspirational but were hard to achieve..
1. A fair share for country health 2. Service
delivery according to need 3. Closing the gap to
improve Aboriginal health 4. Workforce stability
and excellence
11
  • In 2008/09
  • 22 of population of WA lived in country areas
  • 10 Aboriginal
  • WA Country Health Service provided
  • 45 of all WAs ED activity (lack of GPs)
  • 22 of all WAs public inpatient activity
    (declining)
  • 22 of all WAs births in public hospitals
    (declining)
  • 80 self sufficient

12
  • To close the gap in country health and Aboriginal
    health outcomes
  • To meet health needs of increasing population
    incl. FIFO
  • To bring high quality care closer to home
  • To provide equitable access to services
    investment
  • To attract, retain and skill the country
    workforce
  • To improve patient safety satisfaction

Why is government industry focusing more now on
Country WA?
13
  • Royalties for Regions funding program
  • Regional Investment (873m 2010/11)
  • Twin Cities in the Pilbara region plan to
    almost double population
  • East Kimberley Development Project
  • COAG NPA and Commonwealth funding
  • -

Finally - A Fair Share For Country

14
Royalties for Regions - Capital initiatives
R4R funding to date 363.8m includes Karratha
Hospital- planning/staff accommodation 8m
Pilbara health equipment 2.5m Pilbara Health
Initiative 32m Kalgoorlie hospital
(total 55.8m) 15.5m New Albany Health Campus
(total 166m) 60.9m Karratha Health Campus
160m Exmouth Clinic 8m Carnarvon
Hospital 20.8m Esperance Hospital 18.8m Re
mote Indigenous Health Clinics 22.2m
15
  • TOTAL to date 152.43 m over 6 years 08/09
    13/14
  • RFDS 37 m
  • ST JOHN AMBULANCE - 26.1 m
  • PATS 49.8 m
  • RURAL GENERALISTS - 8.5 m
  • PILBARA CARDIO POINT OF
  • TESTING PROGRAM - 1.2 m
  • PILBARA SPECIALIST SERVICES
  • - 29.8 m

Royalties for Regions - Service Initiatives
16
  • COAG INDIGENOUS AGENDA
  • Close the Gap NPA 117M
  • Indigenous Early Childhood NPA 28M
  • COMMONWEALTH PARTNERSHIPS
  • HHF
  • Kimberley renal dialysis 8.6m
  • 5 rural cancer units 22.29m
  • Broome paediatric ward 7.9m
  • Bunbury radiotherapy 15.21m
  • Bunbury ED ICU 14.1 m
  • East Kimberley Development Package 50m
  • Clever Networks Telehealth 6m
  • National Health Reform

Commonwealth COAG partnerships
17
Thank you Nancy.Bineham_at_hea
lth.wa.gov.au 08 9223 8565Jodie.South_at_health
.wa.gov.au 08 9222 6471Elizabeth.Rohwedder_at_h
ealth.wa.gov.au 08 9222 4195
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Our Unique WA Or how the Wild West is finally winning! Jodie South, Director, Health Infrastructure Elizabeth Rohwedder, Senior Project Manager, HSIU Nancy Bineham, Manager Planning, WACHS

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Title: Our Unique WA Or how the Wild West is finally winning! Jodie South, Director, Health Infrastructure Elizabeth Rohwedder, Senior Project Manager, HSIU Nancy Bineham, Manager Planning, WACHS


1
Our Unique WAOr how the Wild West is finally
winning! Jodie South, Director, Health
InfrastructureElizabeth Rohwedder, Senior
Project Manager, HSIU Nancy Bineham, Manager
Planning, WACHS
2
The WA Health Clinical Services Framework 2010
2020 (CSF 2010) More than a service role
delineation framework.
3
CSF - Timeframe
  • 2005 First CSF released (2005-2015)
  • Metropolitan hospitals
  • State Cabinet endorsed
  • 2007-2009 Area Health Service Clinical Service
    Plans developed
  • 2009 Second CSF released (2010-2020)
  • Metropolitan Country hospitals and
    non-hospital services
  • State Cabinet endorsed

4
CSF 2010
  • High level health service planning framework for
    the next 10 years
  • Basis for content and direction of enablers of
    health service delivery

5
Delivering a Healthy WA WA Health Strategic Intent


Models of Care
WA Health Policy
Clinical Service Framework 2005 2015/2010-2020

WA Health Activity Modelling
Planning
Inpatient modelling
Non-Inpatient modelling
Emergency Dept modelling
Resource Allocation Model ABF/ABM

Enablers
Workforce
Infrastructure
Recurrent Cost
ICT
RAM/Efficient Price
BUSINESS INTEGRATION MODEL
Operational Deployment
AHS/Divisional Operational Plans
RAM / ABF/ABM Budget Allocation
Feedback and Accountability Mechanisms
6
CSF 2010 Impact
  • Influences content and direction of
  • Workforce strategy and planning
  • Infrastructure State Health Infrastructure Plan
    (SHIP)
  • Recurrent Cost - Budget setting, funds allocation
    (ABF/ABM)
  • Information, communication medical technology
    strategy and planning
  • Aligns with
  • Reform initiatives
  • Strategic intent
  • Expects consistency from
  • AHS planning
  • Annual operational plan

7
Enabler 3 Recurrent Cost, Budget setting,
funds allocation (ABF/ABM)
  • Whole of Health Cost Model annual budget bid
    and forward estimates
  • Funds allocation Activity Based Funding/
    Management (ABF/ABM)

8
Whats Happening in the Country? Major
Investment in Country Health Infrastructure and
Services aligned to the CSF.
9
  • Our country health services and infrastructure
    includes
  • 70 hospitals
  • 6 Regional Health Campuses
  • 15 District Health Campuses
  • 49 small hospitals including
  • 30 multi-purpose services

26 community mental health services 38 remote
nursing posts 2 state government nursing homes
and 1 aged care hostel 50 Community health
services 206 Child health services
10
Our aims in WA Country Health Service are
aspirational but were hard to achieve..
1. A fair share for country health 2. Service
delivery according to need 3. Closing the gap to
improve Aboriginal health 4. Workforce stability
and excellence
11
  • In 2008/09
  • 22 of population of WA lived in country areas
  • 10 Aboriginal
  • WA Country Health Service provided
  • 45 of all WAs ED activity (lack of GPs)
  • 22 of all WAs public inpatient activity
    (declining)
  • 22 of all WAs births in public hospitals
    (declining)
  • 80 self sufficient

12
  • To close the gap in country health and Aboriginal
    health outcomes
  • To meet health needs of increasing population
    incl. FIFO
  • To bring high quality care closer to home
  • To provide equitable access to services
    investment
  • To attract, retain and skill the country
    workforce
  • To improve patient safety satisfaction

Why is government industry focusing more now on
Country WA?
13
  • Royalties for Regions funding program
  • Regional Investment (873m 2010/11)
  • Twin Cities in the Pilbara region plan to
    almost double population
  • East Kimberley Development Project
  • COAG NPA and Commonwealth funding
  • -

Finally - A Fair Share For Country

14
Royalties for Regions - Capital initiatives
R4R funding to date 363.8m includes Karratha
Hospital- planning/staff accommodation 8m
Pilbara health equipment 2.5m Pilbara Health
Initiative 32m Kalgoorlie hospital
(total 55.8m) 15.5m New Albany Health Campus
(total 166m) 60.9m Karratha Health Campus
160m Exmouth Clinic 8m Carnarvon
Hospital 20.8m Esperance Hospital 18.8m Re
mote Indigenous Health Clinics 22.2m
15
  • TOTAL to date 152.43 m over 6 years 08/09
    13/14
  • RFDS 37 m
  • ST JOHN AMBULANCE - 26.1 m
  • PATS 49.8 m
  • RURAL GENERALISTS - 8.5 m
  • PILBARA CARDIO POINT OF
  • TESTING PROGRAM - 1.2 m
  • PILBARA SPECIALIST SERVICES
  • - 29.8 m

Royalties for Regions - Service Initiatives
16
  • COAG INDIGENOUS AGENDA
  • Close the Gap NPA 117M
  • Indigenous Early Childhood NPA 28M
  • COMMONWEALTH PARTNERSHIPS
  • HHF
  • Kimberley renal dialysis 8.6m
  • 5 rural cancer units 22.29m
  • Broome paediatric ward 7.9m
  • Bunbury radiotherapy 15.21m
  • Bunbury ED ICU 14.1 m
  • East Kimberley Development Package 50m
  • Clever Networks Telehealth 6m
  • National Health Reform

Commonwealth COAG partnerships
17
Thank you Nancy.Bineham_at_hea
lth.wa.gov.au 08 9223 8565Jodie.South_at_health
.wa.gov.au 08 9222 6471Elizabeth.Rohwedder_at_h
ealth.wa.gov.au 08 9222 4195
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