Commissioning Master Class

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1 Primary Health Networks Commissioning Master Class Friday 1 May :00am to 4:00pm NAB The Hall, 700 Bourke Street, Docklands With thanks to

2 Master Class Objectives Master Class Objectives: Understand the key functions of the commissioning process Consider international best practice in primary healthcare commissioning Understand key principles, service and policy requirements of commissioning in the context of the implementation of Primary Health Networks (PHNs) in Victoria Identifying lessons from Medicare Locals to PHNs Explore current capacity for effective primary health care commissioning by PHNs Explore clinical engagement in commissioning What are expectations of PHN Boards and service providers of PHN management? Time 8:30am 9:00am Session Registration Welcome Dr Linden Smibert Chair NHV Board Overview of PHN Commissioning Master Class Developing an Australian paradigm for commissioning Commissioning self assessment baseline survey results Learning from the development of Medicare Locals Supporting PHN Boards and CEOs Understanding funder, consumer and service provider expectations Presented by Adjunct Assoc Professor John Rasa CEO NHV

3 Time 9:20am Session Commonwealth expectations of PHN commissioning and purchasing Commonwealth expectations of PHN purchasing and commissioning What form will commissioning take in the Australian context? What areas will be subject to commissioning in 2015 and beyond? What will be the performance framework used to assess successful outcomes? How will PHN performance monitoring and reporting occur? How will commissioning impact the broader primary health care sector and what benefits will it bring? Presented by Mark Booth First Assistant Secretary Primary & Mental Health Care Division Commonwealth Department of Health Q & A 10:15am Victorian government expectations of PHN commissioning PHN commissioning in the Victorian context: Challenges and opportunities Population and service planning: Potential for current ML information and MBS data sharing with state government PHN priority setting approaches in the context of state funded service delivery organisations and PCPs PHN commissioning of mental health services Integration issues with Victorian DHHS funded services Presented by Paul Smith Deputy Secretary Mental Health, Wellbeing and Ageing Victorian Department of Health and Human Services Q & A

4 Time 10:50am Session Networking coffee break 11:20am The context: Primary Health Networks and commissioning History of the commissioning approach and its development, particularly in the UK Personal experience as a commissioner of PHC activity What could PHN commissioning of primary health care services in the Australian context look like? Lessons from other countries Priority setting approaches Required organisational capabilities Integration lessons Presented by Associate Professor Terry Findlay Head of Programs Australian Primary Health Care Research Institute Australian National University Q & A 12:00noon Perspectives on clinical leadership in PHNs: Role of Lead GP Importance of effective clinical engagement in commissioning Clinical leadership as perspective for a commissioner Promoting innovation and the use of research evidence Enhance capacity to use research effectively to improve clinical practice and health outcomes Possible forms of general practice and clinical consultation Presented by Dr Paresh Dawda Clinical Adviser ACT Medicare Local Q & A

5 Time Session 12:45pm 1:30pm Lunch Panel: Lessons from Medicare Local experiences of commissioning and purchasing Facilitated activity and discussion. Panel members invited to reflect/ comment on the following topics: Examining Medicare Local experience: What have been the key successes and challenges? Being solely a commissioning/purchasing organisation: how will this be different? In terms of managing the competitive marketplace: how are you going to address the possible conflicts of interest? What will be the mechanisms for engaging with GPs, other clinicians and consumers? How will performance targets be established, monitored and reported? What are the opportunities for innovation and improving chronic disease management? Panel: Jason Trethowan (CEO, Barwon ML) Chris Carter (CEO, Inner North West Melbourne ML) Peter Quigley (CEO,Gippsland ML) Marianne Shearer (CEO, Inner East Melbourne ML) Kristin Michaels (CEO, Eastern Melbourne ML) Elizabeth Deveny (CEO, Bayside ML) Robin Whyte (CEO, Frankston Mornington Peninsula ML) Facilitated by Adjunct Assoc Professor John Rasa CEO NHV Q & A

6 Time 2:15pm Session Panel: Expectations of service providers and consumers What will service providers expect of PHNs What would successful commissioning of health services look like to health service providers? What will be the key challenges? Panel: Dr Rob Grenfell (National Medical Director, BUPA) Jason Rostant (Director Advocacy & Partnerships, cohealth) Martin Wischer (Victorian General Manager, RDNS) Dr Sue Hookey (GPLO, Melbourne Health) 3:00pm 3:15pm Networking coffee breaks Governance challenges in commissioning: What do PHNs need to do? How do PHN Boards ensure engagement of key stakeholders, especially GPs and consumers, in determining priorities in commissioning of services? What will Boards be expecting in terms of performance reporting to manage their risks? How will Boards ensure accountability through the commissioning process? Panel: Dr Ines Rio (Chair, North Western Melbourne PHN) Dr Michael Nolan (Board Director, South Eastern Melbourne PHN) Dr Linden Smibert (Board Director, Eastern Melbourne PHN) Matt Jones (CEO, Loddon Mallee Murray ML) Facilitated by Adjunct Assoc Professor John Rasa CEO NHV Q & A

7 Time 3:45pm Session Insights and Way Forward What are the key issues for the Commonwealth DoH and Health Minister to consider? What are now seen as key competencies to be developed in PHNs and what mechanisms are likely to be developed to support PHNs? What are the timelines on commissioning? Presented by Mark Booth First Assistant Secretary Primary & Mental Health Care Division Commonwealth Department of Health 4:00pm Close

8 Master Class Speakers and Facilitators Mark Booth First Assistant Secretary Primary and Mental Health Care Division Commonwealth Department of Health Mark Booth is First Assistant Secretary of the Primary and Mental Health Care Division at the Commonwealth Department of Health. In this role Mark is responsible for Commonwealth policy and programs in primary care and mental health. This has included strategic and operational policy around areas such as Primary Health Organisations, GP infrastructure projects, mental health, rural health, research and funding issues. Mark has worked extensively in health policy across most areas of the health sector in Australia, the UK and New Zealand and was a Commonwealth Fund Harkness Fellow in Health Care Policy at Brown University in the USA. Whilst working in New Zealand he spent a year as senior health advisor to two New Zealand Ministers of Health. Mark's original background is as a health economist and he has post graduate qualifications in health economics, public administration and public health. Mark holds an Adjunct Professor appointment at the University of Technology Sydney (UTS) in the Centre for Health Economics and Research Evaluation (CHERE).

9 Master Class Speakers and Facilitators Paul Smith Deputy Secretary Mental Health, Wellbeing and Ageing Victorian Department of Health and Human Services Paul Smith is the Deputy Secretary Mental Health, Wellbeing, Social Capital and Ageing Division in the Department of Health and Human Services. This covers areas including prevention, primary care, population health, alcohol and drugs, mental health, Aboriginal health and wellbeing, community and economic participation, and sport and recreation. He has a background in community development, housing and homelessness, and has worked in the public and community sectors in Victoria, South Australia, New South Wales, Far North Queensland and the UK.

10 Master Class Speakers and Facilitators Associate Professor Terry Findlay Head of Programs Australian Primary Health Care Research Institute Australian National University Terry was appointed in 2013 as an A/Professor and Head of Programs at the Australian Primary Health Care Institute (APHCRI) at the Australian National University (ANU). In this role he is focused on supporting improvements to primary health care through the commissioning high quality research and translating findings to service and policy improvements. He has had a long career in primary health care and has a comprehensive understanding of primary health care organisation functions, structures and development pathways. This includes experience establishing and managing these types of organisations in Australia and the UK As an independent consultant and academic he has worked with a number of organisations on integrated primary care organisations, performance improvement/ measurement, inter sectoral partnerships, change management and program design to address equity issues. He was the Director of the National Transition Project for AGPN/AMLA, developing and managing the delivery of a program of support activities and resources to support the implementation of Medicare Locals. This combined short term requirements with the foundations of long term capability development in key areas relevant to mature primary health care organisations Terry worked in the NHS in Scotland from He was General Manager of Primary Care in Greater Glasgow NHS and had a significant change management role

11 Master Class Speakers and Facilitators as the Lead Director for integrated Community Health Care Partnerships in Greater Glasgow and Clyde NHS and the Glasgow City Council. He held senior posts in Australia as Executive Director of Community Health and Director of Primary Care in the Australian Capital Territory; Director of Community Health in Blacktown/Mt Druitt in Western Sydney and was involved in primary care policy and planning in the NSW Department of Health. Over his career he has worked in the health services, local authorities and the nongovernment sector in the UK and Australia.

12 Master Class Speakers and Facilitators Dr Paresh Dawda GP, Snr Research Fellow APHCRI, Clinical Advisor ACT Medicare Local Dr Paresh Dawda s areas of expertise are clinical leadership, quality and patient safety improvement in primary care. He has experience of applying organisation development models such as the Excellence Model in healthcare settings and the application of lean and six sigma in health care. His research interests are varied and include quality and patient safety improvement in primary care, including culture, leadership, variation in primary healthcare and strategies to improve them. Dr Dawda recently completed an evaluation study examining the possibility of a dedicated clinical leadership role at the meso level, in fact a Medicare Local Implementation Adviser role that can support the implementation of evidence into practice; and enhance capacity to use research effectively to improve practice and health outcomes. Early evaluation of the role has identified many benefits for having the role including long term engagement of GPs and other primary health care clinicians, consumers and academics in practice based primary health care networks. The role appears to create a leadership role with the capacity to look strategically at improving quality across both primary health care service delivery and service design.

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