Partnerships and Primary Health Overview: - Community Health Services - Primary Care Partnerships

1. Partnerships and Primary HealthOverview:- Community Health Services - Primary Care Partnerships Sylvia Barry – Manager Partnerships and Primary Health

2. Community Health Services – The agencies • 38 registered CHSs: • Companies limited by guarantee • Community Health funding makes up about 15% of their revenue • 62 health services delivering CHSs: • Metropolitan and large regional health services • Small rural health services

3. Community Health Services – the platform CHSs – a platform for the delivery of a diverse range of health and human services

4. Strength of CHSs • Deliver a broad range of health and human services, with capacity to integrate services • Prioritise those at greatest risk of poorer health (disadvantaged communities) • Operate from a social model of health • Well connected to their communities • Work in partnership with health and social services • Use evidence based models, approaches, frameworks

5. Priority Groups • High priority groups are: • People with a risk to their own safety or the safety of others • Homeless people and people at risk of homelessness • Refugees • Aboriginal or Torres Strait Islander people • People with an intellectual disability • People with complex care needs who require a coordinated team approach

6. Models of Care • Models of care are designed to engage ‘hard to reach groups’ and those with complex conditions • Include assertive outreach, drop in clinics, group programs, key worker models • Client flow:

7. Service Profile • The Community Health Programs funds, via a unit price: • Allied health: audiology, counselling, dietetics, exercise physiology, occupational therapy, physiotherapy, podiatry, speech pathology • Nursing • Services provide: • assessment, care planning and treatment • multidisciplinary care • support for prevention and early intervention • education • self management support • The Community Health Program also funds health promotion through block grants

8. Service Profile

9. Client Profile • Demographics (collected from 10/11 data): • 70% had a health care card • Spread of age groups: 16% were 0-12, 4% were young people, 47% were adults (20-64) and 33% were older people (65+)

10. Funded Initiatives CHS use their $ flexibly to provide services that address priority needs and service gaps. Specific initiatives include: • Refugee Health Nurse Program • Early Intervention in Chronic Disease • Child Health Teams • Healthy Mothers Healthy Babies (metro growth areas only) • Diabetes Self Management (rural only)

11. Directions and Priorities • Services that meet local population health needs • Key priorities include chronic disease, child health • Harnessing public/private models of care (and delivering MBS funded services) • Development on new CH program guidelines that support delivery of innovative, responsive and flexible models that are person centred • Improved quality of care – supported by quality indicators • Working in partnership • Improved service efficiency (eg. shared corporate services)

12. PCPs are unique to Victoria • 30 PCPs • 19 in Regional Victoria - 11 in the Metro

13. Ultimate Outcomes sought through PCPs • Consumers experience a better connected health and human services system • Consumers and carers experience improved access to services • Consumers with chronic disease (particularly vulnerable and hard to reach groups) experience client-centred health care delivered by an integrated and coordinated service system • Population groups experience reduced prevalence of risk factors, and increased prevalence of protective factors for health and wellbeing

14. PCP Bridging Guidelines • Partnerships Activities: • Improve or increase participation of consumers. • Establish a process that supports appropriate links between PCPs and MLs • IHP Activities: • Reduce the prevalence of risk factors and increase the prevalence of protective factors

15. PCP Bridging Guidelines • Service Coordination Activities: • Improve the quality of initial needs identification (INI) practice • Ensure all consumers with chronic and complex needs (accessing multiple services) have a shared care/case plan • Increase sharing of relevant consumer health and care information via secure electronic systems • ICDM Activities: • Develop and improve client care pathways for a common client cohort that improves access to services, including those funded by the MBS

16. Achievements in Service Coordination >170,000 e-referrals 1100 services 500 agencies Standardised systems - eReferral Information standards – Service Coordination Tool Templates Practice standards – Victorian Service Coordination Practice Manual