Australian Commission on Safety and Quality in Health Care Healthcare Variation GPO BOX 5480 Sydney NSW 2001

Size: px
Start display at page:

Download "www.clinicaltrialsalliance.org.au Australian Commission on Safety and Quality in Health Care Healthcare Variation GPO BOX 5480 Sydney NSW 2001"

Transcription

1 ACTA Founding Directors Professor John Zalcberg OAM (Chair) MBBS PhD FRACP FRACMA FAICD Medical Oncologist, Peter MacCallum Cancer Centre Professor of Cancer Research, School of Public & Preventative Medicine, Monash University Professor Fran Boyle AM MBBS FRACP PhD Medical Oncologist, Nth Sydney s Mater Hospital Director, Patricia Ritchie Ctr for Cancer Care & Research Prof of Medical Oncology, University of Sydney Professor Alan Cass BA MBBS FRACP PhD Director, Menzies School of Health Research, Darwin Prof. Research Fellow, Renal & Metabolic Division The George Institute for Global Health Professor Geoff Donnan AO MBBS MD FRACP FRCP Director Florey Institute of Neuroscience & Mental Health Co-Chair, Neuroscience Trials Australia A/Professor Ross Haslam AO MBBS, FRACP Head, Neonatology Women s and Children s Hospital A/Prof of Neonatal Medicine, Adelaide University A/Professor Carmel Hawley MBBS(Hons) M Med Sci FRACP Nephrologist, Princess Alexandra Hospital A/Prof of Medicine, University of Queensland Professor Anthony Keech MBBS MSc Epid FRACP Cardiologist, Royal Prince Alfred Hospital Prof of Medicine, Cardiology and Epidemiology University of Sydney Deputy Director, NHMRC Clinical Trials Centre Professor John McNeil AM MSc PhD FRACP FAFPHM Prof and Head School of Public Health & Preventive Medicine Faculty of Med, Nursing & Health Sciences Monash University Professor Paul Myles MBBS MPH MD FCARCSI FANZCA FRCA Director Dept of Anaesthesia and Perioperative Medicine Alfred Hospital & Monash University Professor John Simes BSc(Med) MBBS SM FRACP MD Director NHMRC Clinical Trials Centre Australian Commission on Safety and Quality in Health Care Healthcare Variation GPO BOX 5480 Sydney NSW August, 2014 Dear Receiving Officer, RE: Exploring Healthcare Variation in Australia: Analyses Resulting from an OECD Study The Australian Clinical Trials Alliance (ACTA) welcomes the opportunity to provide feedback on the discussion paper Exploring Healthcare Variation in Australia: Analyses Resulting from an OECD Study and to highlight to the Australian Commission on Safety and Quality in Health Care (the Commission) the critical role of clinical quality registries and public- good clinical trials in reducing unwarranted variation in healthcare and patient outcomes. ACTA acknowledges the important work being undertaken by the Commission to develop Clinical Care Standards, and as part of this program, to better understand and reduce unwarranted variation in Australia. Not only will improvement in such variation improve patient care, but it would improve productivity and efficiency within the health system, driving down costs and ensuring that funders such as the Federal and State Governments and private health insurers pay for outcomes rather than services, devices and consumables. Our submission addresses questions 1, 5, 6 and 7 of the discussion paper and we would welcome the opportunity to explore ways that ACTA can assist the Commission in the next phase of this important work. Clin Professor Steve Webb MBBS MPH PhD FCICM FRACP FAHMS Intensive Care Physician, Royal Perth Hospital School of Medicine & Pharmacology University of Western Australia Adj A/Professor Nik Zeps BSc PhD Group Res Coordinator, St John of God Healthcare Adjunct A/Professor, University of Western Australia Contact Prof John Zalcberg OAM Chair, Australian Clinical Trials Alliance Rhiannon Tate Executive Officer Australian Clinical Trials Alliance Level 6, The Alfred Centre Commercial Rd Melbourne VIC 3004 P: F: M: E:

2 Key Points 1. Addressing the silent and prohibitively expensive epidemic of unwarranted variation in healthcare, is an urgent imperative for Governments and for the payers and providers of healthcare. 2. The strategy to reduce unwarranted variation in healthcare must include the infrastructure necessary to systematically: I. IDENTIFY unwarranted variation II. INTERPRET unwarranted variation III. RESPOND to unwarranted variation 3. The systematic identification, interpretation and response to unwarranted variation requires a self- improving healthcare system. Such a system combines: the accurate collection of treatment and outcome data; the capacity to analyse these data to provide meaningful feedback to clinicians and providers; and the capacity to undertake robust clinical trials that provide definitive answers to important clinical questions that arise from understanding these variations. 4. Essential infrastructure for establishing optimal practice and reducing unwarranted variation within a self- improving health system are: I. Clinical quality registries that can monitor health care interventions and report risk- adjusted outcomes across whole populations (IDENTIFY and INTERPRET). II. Clinical trials networks that can conduct large, definitive public- good trials (analyse and RESPOND). 5. Critical and urgent investment is needed to embed the infrastructure for clinical quality registries and clinical trials networks, particularly in high- significance and high cost areas of healthcare, within the health system in order to realise improvements in patient outcomes and reduction of wasted health dollars. 6. Complex and inconsistent regulatory processes across jurisdictions are unnecessarily impeding the collection and use of clinical data within registries and clinical trials. 7. Nationally coordinated public education is needed to highlight to the community that unwarranted variation occurs, and that participation in clinical trials and registries is part of the solution to this problem. Page 2 of 9

3 The Australian Clinical Trials Alliance The Australian Clinical Trials Alliance (ACTA) was established in 2013 as a national peak body to support high- quality investigator- initiated clinical trials and clinical quality registries within the Australian healthcare system. The mission of ACTA is to promote effective and cost- effective health care in Australia through investigator- initiated clinical trials that generate evidence to support decision- making by health practitioners, policymakers and consumers (see attached document for further background about ACTA). ACTA represents more than 50 clinical trials networks, clinical trial coordinating centres and clinical quality registries (see Appendix A). Each of these networks comprise up to several hundred senior doctors, nurses, allied health professionals and career researchers, and cover a broad range of disease groups and clinical disciplines. These groups are among Australia s most productive and high- impact researchers - responsible for establishing the effectiveness, and in some cases the harm, associated with new and/or commonly used investigations and treatment. ACTA members are at the coalface of efforts aimed at reducing unwarranted healthcare variation to improve patient s care and outcomes, while also ensuring value for money for the health dollar. 1 Reducing unwarranted variation should be a National priority ACTA strongly endorses the findings of this report which indicate that variation in healthcare - and identifying and reducing unwarranted variation - is a critical issue for Australia and our health system. It is widely accepted that: many treatments that are proven to be effective are not provided to patients (failure of translation of evidence into practice); many treatments are adopted without proof of effectiveness or knowledge of cost- effectiveness (translation without evidence); many variations of standard treatments are widely practiced without knowledge of relative effectiveness and cost- effectiveness (comparative effectiveness); and even when treatment is best practice based variation can still occur as a result of other factors such as resource availability, access to care, clinician experience and volume, team morale and clinical leadership. We agree that Australia cannot afford, nor shouldn t continue to pay for healthcare services, technologies, devices and pharmaceuticals for which there isn t a clear understanding of their comparative benefit and value. 1 Australian Commission on Safety and Quality in Health Care and Australian Institute of Health and Welfare. In Brief Exploring Healthcare Variation in Australia: Analyses Resulting from an OECD Study. Sydney: ACSQHC, Page 3 of 9

4 Identify! Interpret! Respond IDENTIFYING AND INTERPRETING UNWARRANTED VARIATION Variation at a macro level is widely reported, but as this report highlights, is often due to multiple causes. An effective response to variation can only be generated with the more detailed (often individual patient- level) information that is collected by clinical quality registries. What is needed is to not only collect registry data about treatments received, clinical processes, comorbidities and patient- centered outcomes, at the individual patient level, but also health service- level data regarding workforce, service capabilities and clinical models of care; and community- level data regarding crucial population- level determinants. Variation is a valuable signal in healthcare because it is a powerful indicator of one or more of the following - poor quality care, wasted money, a knowledge gap, or a translation gap. In addition, clinical variation can point to areas where high quality care is provided. Without clinical quality registries, these important signals will go undetected. Targeted research should seek to understand the factors contributing to both poor and high quality care by analysing the relationship between variation in treatment and variation in outcome. RESPONDING TO UNWARRANTED VARIATION Uncertainty about the merits and outcomes of interventions can also contribute to healthcare variation. While there should be little variation where a healthcare intervention is known to be effective, of clear benefit for patients, and of proven value, for many healthcare interventions, there is considerable uncertainty about their merits. 1 The policy response to unwarranted variation should depend on whether there already exists definitive evidence regarding the optimal treatment approach. In the absence of definitive evidence, unwarranted variation is a strong pointer to the need for robust clinical trials to provide high quality evidence about the effectiveness, or comparative effectiveness, of an intervention. ACTA estimates that up to half of the treatment decisions made by clinicians today are based on poor quality evidence, or worse, no evidence at all. Where there is definitive evidence, unwarranted variation needs research to identify its causes and to develop implementation strategies that result in effective translation of high quality evidence, coupled with monitoring of adherence into routine care. Irrespective of the quality of available evidence, the response to unwarranted variation will be most effective if it is systematic, focuses on conditions with high public health burden or cost or both, and involves partnerships between patients, providers, clinicians, registries, and clinical trialists. The role of clinical trials networks Clinical trials networks are large collaborations of clinicians representing hospitals or community- based care facilities. These networks provide a ready- made solution for addressing unwarranted variation because they provide a bottom- up approach. The networks are based around a community of clinicians who are at the coalface of healthcare delivery and who are engaged and passionate about improving patient outcomes and healthcare productivity. Page 4 of 9

5 These networks are significantly more than the sum of their constitute parts, because: networks are broad based and representative; they access sample sizes sufficient for statistical reliability; they acquire expertise in the valid conduct and analysis of registry data and clinical trials; the infrastructure, once created, can be reused at low marginal cost; and the engagement of clinicians who care for patients leads to the generation of clinically relevant research questions and analyses. Clinical quality registries and clinical trials networks working in partnership harness clinical leadership within a specialty or defined disease group to effectively identify, interpret and respond to variations in clinical care and outcomes though the design and conduct of clinical research. The Australian and New Zealand Dialysis and Transplant Registry (ANZDATA) provides an excellent example. The registry has been used extensively for applied health research purposes, crucial in generating evidence about patterns of care that are associated with both good and poor health outcomes of kidney disease. More recently, it is being used more explicitly to identify, interpret and discuss clinical variation. These processes create value most effectively and efficiently when they are accompanied by a deep understanding of the clinical context. This can only be achieved through the engagement of active clinicians. A self-improving healthcare system requires critical infrastructure to generate quality data and quality evidence. Each year in Australia there are over 9 million hospital separations (increasing by around 6% per year), 2.4 million surgical procedures, and more than 200 million prescriptions are issued 2. Despite enormous activity within the healthcare sector, comparatively little effort is spent learning about its effectiveness and cost- effectiveness. Only a tiny fraction of patients that currently receive treatment in Australia have their data collected within a quality registry or are enrolled into a clinical trial. Every time a patient interacts with the healthcare system and receives a treatment of uncertain effectiveness is a missed opportunity to improve the healthcare system. The components of a systematic response to variation are identification of variation through registries, analysis and interpretation of variation, and one or more of I) the generation of new definitive evidence, II) generation of new evidence about effective implementation, III) development of clinician- led guidelines, and IV) monitoring of adherence to guidelines. Each of these is necessary but not sufficient. They are links in the chain of a virtuous cycle and all components are essential. This is our definition of a self- improving, productive healthcare system. Figure 1 demonstrates the virtuous cycle of improvement that is created when clinical quality registries and clinical trials are integrated as part of healthcare delivery to generate a self- improving healthcare system. 2 Australian Institute of Health and Welfare Australian hospital statistics Health services series no. 50. Cat. no. HSE 134. Canberra: AIHW. Page 5 of 9

6 Figure 1.! Clinical Quality Registries Measure treatments & outcomes Identify variation Monitor translation & adherence Analyse & Interpret Variation Generate hypotheses BETTER OUTCOMES BETTER VALUE Research & Clinical Trials Test hypotheses Generate evidence Develop evidence-based guidelines! Healthcare Practice Policy & Stewardship! A self-improving healthcare system In Australia we do not lack the expertise to undertake systematic evaluation of variation; we lack the infrastructure necessary to support the collection and analysis of high-quality data through registries, and the conduct of public-good clinical trials as part of routine healthcare delivery. Page 6 of 9

7 Regulation of registries and clinical trials Complex regulatory and administrative processes - particularly those that cross jurisdictional boundaries limit (or in some cases preclude) the collection, linkage and analysis of clinical and administrative data. This is a major barrier to the identification, interpretation, and response to unwarranted variation. Similar barriers inhibit the conduct of multi- jurisdictional clinical trials. While these issues are well documented and are the focus of a number of ongoing Commonwealth and State- based initiatives, progress has been slow - particularly give the consequences of inaction. The publication of this report adds further weight to the argument that we need, as a matter of urgency, to adopt a nationally consistent approach to oversight the routine collection and use of clinical data for the public good. The role of the public ACTA suggests that members of the general public are largely unaware of the degree to which unwarranted variation exists within healthcare or what steps - namely the collection and analysis of data and the conduct of randomised controlled trials - are necessary to maximise the likelihood that every patient treated in an Australian healthcare facility will receive the best quality care based on the highest quality evidence. We support the Commission s commitment to promote shared decision making as a means to reducing variation, but suggest that in addition to providing patients with tools and resources to assist them in evaluating the clinical evidence, patients need to be aware of the critical role they play in generating data and evidence. A sophisticated, national, public education campaign is needed to raise awareness about the importance of routine data collection and public-good clinical trials within an effective, productive and efficient health system. What s needed? Cost is often cited as the most prohibitive factor influencing the conduct of more clinical trials and the establishment of registries. Clinical trials and registries are often expensive, but they don t need to be as expensive as they are currently. Table 1 outlines a series of proposed reforms that would substantially improve efficiency and allow clinical quality registries and clinical trials networks to support a self- improving healthcare system: Page 7 of 9

8 Table 1. What s needed. support the infrastructure of existing clinical quality registries that allow practicing clinicians to identify areas of important clinical variation and develop strategies to address them; expand the scope of clinical registries to collect risk- adjusted outcomes data across a broad range of high- cost, high- significance areas of medicine; provide support to develop new clinical trials networks in high- cost, high- significance areas of medicine in order to provide the key evidence where knowledge gaps are revealed by registries create a limited number of large- scale data management and data collection services, supported by biostatistical and health economics resources to provide economies of scale to support clinical trials and registries; improve the quality of routinely collected data and facilitate linkage of registry and research databases, adopting open standards for both data and systems, whilst protecting the privacy of individuals; recognizing concerns around privacy should not prevent appropriate data linkage for the public good. define and agree a repository of standard data elements that can be re- used within clinical trials and registries; establish systems that allow common treatments that are currently prescribed in a pseudo- random fashion to be randomised within a clinical trial; ensure that public- good clinical trials should only be required to pay for marginal costs for non- standard investigations and treatments. If a treatment or test would have been provided to a patient by the healthcare system anyway, but is utilised within a clinical trial, then the costs of the treatment or test should be borne by the healthcare system; conduct trials with larger sample sizes sufficient to measure critical patient- centred end- points (death and disability- free survival ) and provide these outcomes to trial co- ordinating centres via a central mechanism that utilises existing sources of administrative data; nest clinical trials within clinical quality registries to screen for recruitment and collect outcome data. This can significantly reduce the cost of conducting clinical trials; provide regulatory agencies (PBAC, MSAC, TGA) with an intermediate option (between approval and rejection) of availability of a new, unproven, treatment but only within a clinical trial or clinical quality registry; collect generic consent at hospital admission for participation in public- good clinical trials; allow opt- out consent for comparisons of variations of standard care that are already in widespread use such that patients may have received any one of these treatments in any case; simplify and standardise ethical and other regulatory approvals using a single national approach; make research part of the job description for clinicians and ensure institutional support for that activity with protected time for conducting quality initiatives and research; and educate the community about unwarranted variation in treatments and the role of clinical trials and registries in providing evidence to improve outcomes Page 8 of 9

9 Appendix A Members of the ACTA Community Australasian Child and Adolescent Obesity Research Network (ACAORN) Australasian Consortium of Centres for Clinical Cognitive Research (AC4R Australasian Gastro- Intestinal Trials Group (AGITG) Australasian Kidney Trials Network (AKTN) Australasian Lung Cancer Trials Group (ALTG) Australasian Radiopharmaceutical Trials Network Australasian Sarcoma Study Group (ASSG) Australasian Sleep Trials Network (ASTN) Australasian Society for Infectious Diseases Clinical Research Network (ASID CRN) Australasian Stroke Trials Network (ASTN) Australia & New Zealand Breast Cancer Trials Group (ANZBCTG) Australia & New Zealand Neonatal Network (ANZNN) Australia & New Zealand Society of Cardiac & Thoracic Surgeons (ANZSCTS) National Cardiac Surgery Database Australian & New Zealand Children's Haematology/Oncology Group (ANZCHOG) Australian & New Zealand College of Anaesthetists Trials Group (ANZCA Trials Group) Australian & New Zealand Intensive Care Society Centre for Outcomes & Resource Evaluation (ANZICS CORE) Australian & New Zealand Intensive Care Society Clinical Trials Group (ANZICS CTG) Australian & New Zealand Melanoma Trials Group (ANZMTG) Australian & New Zealand Urogenital & Prostate Cancer Trials Group (ANZUP) Australia New Zealand Gynaecological Oncology Group (ANZGOG) Australia College of Emergency Medicine Trials Group (ACEM Trials Group) Australian Epilepsy Clinical Trials Network (AECTN) Australian Motor Neuron Disease Registry (AMNDR) Australian Musculoskeletal Clinical Trials Group (AUSMUSC) Australian Neuromuscular Network (ANN) Australian Orthopaedic Association National Joint Replacement Register (AOANJRR) Australian Paediatric Research Network (APRN) Australian Primary Care Research Network (APCReN) Australian Research Centre for Health of Women & Babies, Robinson Institute. Bi- national Colorectal Cancer Audit (BCCA) Burns Service of Western Australia Centre for Anaesthesia & Cognitive Function Centre for Biostatistics & Clinical Trials (BaCT) Cooperative Trials Group for Neuro- Oncology (COGNO) Epworth HealthCare Clinical Trials & Research Centre Multiple Sclerosis Research Australia Clinical Trials Network (MSRACTN) Neuroscience Trials Australia (NTA) NHMRC Clinical Trials Centre (NHMRC CTC) NSW Better Treatments 4 Kids (BT4K) Orygen Youth Health Research Centre Paediatric Research in Emergency Departments International Collaborative (PREDICT) Paediatric Trials Network Australia (PTNA) Palliative Care Clinical Studies Collaborative (PaCCSC) Perinatal Society of Australia & New Zealand IMPACT Collaboration Primary Care Collaborative Cancer Clinical Trials Group (PC4) Prostate Cancer Clinical Quality Registry Psycho- oncology Co- operative Research Group (PoCoG) Queensland Centre for Mental Health Research Queensland Clinical Trials & Biostatistics Centre School of Public Health & Preventative Medicine, Monash University South Australian Health & Medical Research Institute (SAHMRI) Spinal Cord Injury Network (SCIN) The ASPREE Study Group The George Institute for Global Health Trans- Tasman Radiation Oncology Group Type 1 Diabetes Clinical Research Network (T1DCRN) Victorian Ambulance Cardiac Arrest Registry Victorian Cardiac Outcomes Registry (VCOR) Victorian Cervical Cytology Registry (VCCR) Victorian State Trauma Outcomes and Monitoring Registry (VSTORM) ACTA submission to the Australian Commission on Safety and Quality in Health Care / Australian Institute of Health and Welfare, August 2014 Exploring Variation in Healthcare Page 9 of 9

ACTA Submission to the Medicare Benefits Schedule Review Taskforce

ACTA Submission to the Medicare Benefits Schedule Review Taskforce ACTA Submission to the Medicare Benefits Schedule Review Taskforce November 2015 Professor Bruce Robinson Chair, Medical Benefits Schedule Review Taskforce 9 November 2015 Dear Professor Robinson, Re:

More information

ADMINISTRATIVE REPORT. NHMRC advice on the effectiveness of homeopathy for treating health conditions

ADMINISTRATIVE REPORT. NHMRC advice on the effectiveness of homeopathy for treating health conditions NHMRC advice on the effectiveness of homeopathy for treating health conditions March 2015 Publication Details Publication title: Administrative Report: NHMRC Advice on the effectiveness of homeopathy for

More information

Health Administration Regulation 2015

Health Administration Regulation 2015 New South Wales Health Administration Regulation 2015 under the Health Administration Act 1982 His Excellency the Governor, with the advice of the Executive Council, has made the following Regulation under

More information

Australian Healthcare Reform

Australian Healthcare Reform Australian Healthcare Reform Professor Christine Bennett Dean, School of Medicine, Sydney The University of Notre Dame Australia Former Chair of the National Health and Hospitals Reform Commission Hong

More information

Guide to the National Safety and Quality Health Service Standards for health service organisation boards

Guide to the National Safety and Quality Health Service Standards for health service organisation boards Guide to the National Safety and Quality Health Service Standards for health service organisation boards April 2015 ISBN Print: 978-1-925224-10-8 Electronic: 978-1-925224-11-5 Suggested citation: Australian

More information

The Royal Australasian College of Physicians. Curricula Renewal Curriculum Advisory Group members. Page 1. RACP Curricula Renewal

The Royal Australasian College of Physicians. Curricula Renewal Curriculum Advisory Group members. Page 1. RACP Curricula Renewal The Royal Australasian College of Physicians Curricula Renewal Curriculum Advisory Group members Page 1 A/Prof Martin Veysey FRACP Chair, Curriculum Advisory Group Martin is a Gastroenterologist and an

More information

Submission by the Australian College of Midwives (Inc.) in relation to The Australian Safety and Quality Goals for Health Care

Submission by the Australian College of Midwives (Inc.) in relation to The Australian Safety and Quality Goals for Health Care Submission by the Australian College of Midwives (Inc.) in relation to The Australian Safety and Quality Goals for Health Care The Consultation Paper titled Australian Safety and Quality Goals for Health

More information

project funding and funding that is sufficient to cover the true cost of trials

project funding and funding that is sufficient to cover the true cost of trials Impact of clinical trials on health and Australia s scientific outputs Clinical trials are a vital link in the chain between new discoveries related to human biology and the actual delivery of good health.

More information

REVIEW OF AUSTRALIA S RESEARCH TRAINING SYSTEM

REVIEW OF AUSTRALIA S RESEARCH TRAINING SYSTEM REVIEW OF AUSTRALIA S RESEARCH TRAINING SYSTEM Response to the Consultation Questions August 2015 Research Australia Page 1 About Research Australia Research Australia is an alliance of 160 members and

More information

COOPERATIVE RESEARCH CENTRES PROGRAMME REVIEW

COOPERATIVE RESEARCH CENTRES PROGRAMME REVIEW COOPERATIVE RESEARCH CENTRES PROGRAMME REVIEW Submission by November 2014 Page 1 ABOUT RESEARCH AUSTRALIA is an alliance of 160 members and supporters advocating for health and medical research in Australia.

More information

Dear Dr Weaver. Introduction

Dear Dr Weaver. Introduction Dr Ted Weaver Chair Training Program Review Working Party Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG) College House 254 260 Albert Street East Melbourne VIC 3002

More information

Final Report Australian Firefighters Health Study. Summary

Final Report Australian Firefighters Health Study. Summary Final Report Australian Firefighters Health Study Summary School of Public Health & Preventive Medicine Faculty of Medicine, Nursing and Health Sciences December 2014 STUDY TEAM Monash University Principal

More information

Nurse Practitioner Frequently Asked Questions

Nurse Practitioner Frequently Asked Questions HEALTH SERVICES Nurse Practitioner Frequently Asked Questions The Frequently Asked Questions (FAQs) have been designed to increase awareness and understanding of the Nurse Practitioner role within the

More information

Medical Registration What does it mean? Who should be registered?

Medical Registration What does it mean? Who should be registered? Statement 14 March 2012 Medical Registration What does it mean? Who should be registered? Purpose This statement provides advice to help individuals with medical qualifications to decide whether or not

More information

Victorian Quality Council

Victorian Quality Council 1 Victorian Quality Council Dr Sherene Devanesen Chair 2008-2012 www.health.vic.gov.au/qualitycouncil 2 History The VQC was established in 2001 Term 1, 2002-2005: Chaired by Dr Michael Walsh Term 2, 2005-2008:

More information

Moving forward in patient safety: implementation, leadership and culture

Moving forward in patient safety: implementation, leadership and culture The Centre of Research Excellence in Patient Safety presents Moving forward in patient safety: About the seminar This seminar will provide delegates with practical how to and best practice tips for implementing

More information

SUBMISSION TO THE MEDICARE BENEFITS SCHEDULE REVIEW TASKFORCE

SUBMISSION TO THE MEDICARE BENEFITS SCHEDULE REVIEW TASKFORCE SUBMISSION November 2015 SUBMISSION TO THE MEDICARE BENEFITS SCHEDULE REVIEW TASKFORCE Submission by the Chiropractors Association of Australia Page 1 of 10 About the Chiropractors Association of Australia

More information

General Guidelines. for Medical Practitioners on Providing Information to Patients I N V E S T I N G I N A U S T R A L I A S H E A L T H

General Guidelines. for Medical Practitioners on Providing Information to Patients I N V E S T I N G I N A U S T R A L I A S H E A L T H General Guidelines for Medical Practitioners on Providing Information to Patients I N V E S T I N G I N A U S T R A L I A S H E A L T H General Guidelines for Medical Practitioners on Providing Information

More information

Clinical Cancer Research

Clinical Cancer Research Joint submission to the Strategic Review of Health and Medical Research in Australia Clinical Oncological Society of Australia and Cancer Council Australia Clinical Cancer Research March 2012 The Clinical

More information

Australian Federation of AIDS Organisations (AFAO) Primary Health Care Reform

Australian Federation of AIDS Organisations (AFAO) Primary Health Care Reform Australian Federation of AIDS Organisations (AFAO) Primary Health Care Reform 27 February 2009 1 Introduction The Australian Federation of AIDS Organisations (AFAO) is the peak body for Australia s community

More information

Outline. Background Injury in Australia Why a national approach? Re-thinking clinical quality registry development

Outline. Background Injury in Australia Why a national approach? Re-thinking clinical quality registry development AusTQIP - Challenges and Achievements for National Collaboration and Data Sharing Nathan Farrow, National Quality Improvement Manager Meng Tuck Mok, Australian Trauma Registry Manager on behalf of the

More information

Submission to the Medicare Benefits Schedule Review Taskforce Consultation. 9 November 2015. 1 P age

Submission to the Medicare Benefits Schedule Review Taskforce Consultation. 9 November 2015. 1 P age Submission to the Medicare Benefits Schedule Review Taskforce Consultation 9 November 2015 1 P age Introduction The George Institute for Global Health is working to improve the health of millions of people

More information

2015 Postgraduate Courses in Public Health & Preventive Medicine

2015 Postgraduate Courses in Public Health & Preventive Medicine Medicine, Nursing & Health Sciences 2015 Postgraduate Courses in & Preventive Medicine Department of Epidemiology & Preventive Medicine, Alfred Hospital Australia Malaysia South Africa Italy India www.med.monash.edu.au/epidemiology/pgrad/

More information

Anaesthesia. A rewarding and challenging career

Anaesthesia. A rewarding and challenging career Anaesthesia A rewarding and challenging career Have you considered anaesthesia as a career? Anaesthetists are specialist doctors with unique clinical knowledge and skills. They have a major role in the

More information

Royal Australasian College of Surgeons submission to NSW Health concerning the Performance of Podiatric Surgery in New South Wales

Royal Australasian College of Surgeons submission to NSW Health concerning the Performance of Podiatric Surgery in New South Wales Royal Australasian College of Surgeons submission to NSW Health concerning the Performance of Podiatric Surgery in New South Wales Introduction NSW Health is considering amendment of the Day Procedure

More information

Exploring healthcare variation in Australia

Exploring healthcare variation in Australia Exploring healthcare variation in Australia Luke Slawomirski Program Manager, Implementation Support Visiting Fellow, University of Technology Sydney Sep 18, 2014 Outline 1. Australia and its healthcare

More information

Cancer Australia Supporting cancer clinical trials in Australia Evaluation framework and performance criteria

Cancer Australia Supporting cancer clinical trials in Australia Evaluation framework and performance criteria Cancer Australia Supporting cancer clinical trials in Australia Evaluation framework and performance criteria Background Through the Support for Cancer Clinical Trials program the Australian Government

More information

Standard 1. Governance for Safety and Quality in Health Service Organisations. Safety and Quality Improvement Guide

Standard 1. Governance for Safety and Quality in Health Service Organisations. Safety and Quality Improvement Guide Standard 1 Governance for Safety and Quality in Health Service Organisations Safety and Quality Improvement Guide 1 1 1October 1 2012 ISBN: Print: 978-1-921983-27-6 Electronic: 978-1-921983-28-3 Suggested

More information

Federal Budget Submission 2015 16: Funding priorities

Federal Budget Submission 2015 16: Funding priorities Federal Budget Submission 2015 16: Funding priorities About Australian College of Nursing Australian College of Nursing (ACN) is the national professional organisation for all nurse leaders and its aim

More information

Standard 5. Patient Identification and Procedure Matching. Safety and Quality Improvement Guide

Standard 5. Patient Identification and Procedure Matching. Safety and Quality Improvement Guide Standard 5 Patient Identification and Procedure Matching Safety and Quality Improvement Guide 5 5 5October 5 2012 ISBN: Print: 978-1-921983-35-1 Electronic: 978-1-921983-36-8 Suggested citation: Australian

More information

Paediatric Intensive Care Medicine at The Royal Children's Hospital, Melbourne

Paediatric Intensive Care Medicine at The Royal Children's Hospital, Melbourne Paediatric Intensive Care Medicine at The Royal Children's Hospital, Melbourne Background The RCH PICU is an 18 bed tertiary intensive care unit that serves the state of Victoria, as well as southern New

More information

Minimum entrance requirements and further information

Minimum entrance requirements and further information work degrees Graduate Diploma in Clinical Research Methods This course equips clinicians and public health professionals with skills in clinical research methodology associated with epidemiology. Students

More information

RE: Australian Safety and Quality Goals for Health Care: Consultation paper

RE: Australian Safety and Quality Goals for Health Care: Consultation paper 10 February 2012 Mr Bill Lawrence AM Acting CEO Australian Commission on Safety and Quality in Health Care GPO Box 5480 Sydney NSW 2001 Email: goals@safetyandquality.gov.au Dear Mr Lawrence RE: Australian

More information

List of Australian Recognised Medical Specialties

List of Australian Recognised Medical Specialties List of Australian Recognised Medical Specialties The List of Australian Recognised Medical Specialties includes those organisations, specialties and qualifications that are recognised as medical specialties

More information

Primary Health Networks Life After Medicare Locals

Primary Health Networks Life After Medicare Locals Health Industry Group Primary Health Networks Life After Medicare Locals BULLETIN 2 25 MARCH 2015 HEALTH INDUSTRY GROUP BULLETIN a Federal health policy is changing with 30 Primary Health Networks (PHNs)

More information

AS 5017 2006 AS 5017 2006. Australian Standard. Health Care Client Identification. This is a free 8 page sample. Access the full version online.

AS 5017 2006 AS 5017 2006. Australian Standard. Health Care Client Identification. This is a free 8 page sample. Access the full version online. AS 5017 2006 AS 5017 2006 Australian Standard Health Care Client Identification This Australian Standard was prepared by Committee IT-014, Health Informatics. It was approved on behalf of the Council of

More information

KEEPING ABREAST OF FUTURE NEED:

KEEPING ABREAST OF FUTURE NEED: KEEPING ABREAST OF FUTURE NEED: A REPORT INTO THE GROWING DEMAND FOR BREAST CARE NURSES australian healthcare & hospitals association FOREWORD The demand for breast cancer nursing care in Australia is

More information

Foreword. Closing the Gap in Indigenous Health Outcomes. Indigenous Early Childhood Development. Indigenous Economic Participation.

Foreword. Closing the Gap in Indigenous Health Outcomes. Indigenous Early Childhood Development. Indigenous Economic Participation. National Aboriginal and Torres Strait Islander Health Workforce Strategic Framework 2011 2015 Prepared for The Australian Health Ministers Advisory Council by the Aboriginal and Torres Strait Islander

More information

BUILDING A STRONGER SOCIETY SOCIAL IMPACT INVESTMENT February 2014 Submission in response to the Discussion Paper

BUILDING A STRONGER SOCIETY SOCIAL IMPACT INVESTMENT February 2014 Submission in response to the Discussion Paper BUILDING A STRONGER SOCIETY SOCIAL IMPACT INVESTMENT February 2014 Submission in response to the Discussion Paper ABOUT RESEARCH AUSTRALIA is an alliance of 160 members and supporters advocating for health

More information

ISSUES IN NURSE PRACTITIONER DEVELOPMENTS IN AUSTRALIA

ISSUES IN NURSE PRACTITIONER DEVELOPMENTS IN AUSTRALIA ISSUES IN NURSE PRACTITIONER DEVELOPMENTS IN AUSTRALIA Glenn Gardner Queensland University of Technology & Royal Brisbane and Women s Hospital Email: Ge.gardner@qut.edu.au Gardner, Glenn E. (2004) Issues

More information

Kevin B. Weiss, MD, MPH Senior Vice President for Institutional Accreditation

Kevin B. Weiss, MD, MPH Senior Vice President for Institutional Accreditation Kevin B. Weiss, MD, MPH Senior Vice President for Institutional Accreditation Kevin B. Weiss, MD, MPH has devoted his medical career to issues of health care quality, equity and access to care, and training

More information

Royal Australian College of General Practitioners

Royal Australian College of General Practitioners Royal Australian College of General Practitioners Response to CoAG s National Registration and Accreditation Scheme: proposed arrangements 19 December 2008 1. INTRODUCTION The Royal Australian College

More information

2016 Postgraduate Courses in Public Health & Preventive Medicine

2016 Postgraduate Courses in Public Health & Preventive Medicine Medicine, Nursing & Health Sciences 2016 Postgraduate Courses in Public Health & Preventive Medicine Department of Epidemiology & Preventive Medicine, Alfred Hospital Australia Malaysia South Africa Italy

More information

MABEL. Medicine in Australia: Balancing Employment and Life. Doctor Enrolled in a Specialty Training Program (Specialist Registrar)

MABEL. Medicine in Australia: Balancing Employment and Life. Doctor Enrolled in a Specialty Training Program (Specialist Registrar) W5C Mabel username id: Please write id shown on letter if different from id above MABEL Medicine in Australia: Balancing Employment and Life 0 Doctor Enrolled in a Specialty Training Program (Specialist

More information

To the Members of the Senate Standing Committee on Health Inquiry,

To the Members of the Senate Standing Committee on Health Inquiry, 8 Herbert Street, St Leonards NSW 2065 PO Box 970, Artarmon NSW 1570, Australia Ph: 61 2 9467 1000 Fax: 61 2 9467 1010 South Pacific 1 October 2014 Senate Standing Committee on Health Inquiry Parliament

More information

The Way Forward: Strategic clinical networks

The Way Forward: Strategic clinical networks The Way Forward: Strategic clinical networks The Way Forward Strategic clinical networks First published: 26 July 2012 Prepared by NHS Commissioning Board, a special health authority Contents Foreword...

More information

PRACTICE FRAMEWORK AND COMPETENCY STANDARDS FOR THE PROSTATE CANCER SPECIALIST NURSE

PRACTICE FRAMEWORK AND COMPETENCY STANDARDS FOR THE PROSTATE CANCER SPECIALIST NURSE PRACTICE FRAMEWORK AND COMPETENCY STANDARDS FOR THE PROSTATE CANCER SPECIALIST NURSE MARCH 2013 MONOGRAPHS IN PROSTATE CANCER OUR VISION, MISSION AND VALUES Prostate Cancer Foundation of Australia (PCFA)

More information

The new Stroke Nurse Practitioner candidate position at Austin Health

The new Stroke Nurse Practitioner candidate position at Austin Health The new Stroke Nurse Practitioner candidate position at Austin Health The new Stroke Nurse Practitioner (NP) candidate position offered by Austin Health provides an exciting opportunity for a senior nurse

More information

Measures for the Australian health system. Belinda Emms Health Care Safety and Quality Unit Australian Institute of Health and Welfare

Measures for the Australian health system. Belinda Emms Health Care Safety and Quality Unit Australian Institute of Health and Welfare Measures for the Australian health system Belinda Emms Health Care Safety and Quality Unit Australian Institute of Health and Welfare Two sets of indicators The National Safety and Quality Indicators Performance

More information

Bachelor of Health Sciences

Bachelor of Health Sciences Bachelor of Health Sciences Detailed Course Requirements The 2016 Monash University Handbook will be available from October 2015. This document contains interim 2016 course requirements information. Description

More information

McKeon Review 2012 NHMRC CLINICAL TRIALS CENTRE SUBMISSION

McKeon Review 2012 NHMRC CLINICAL TRIALS CENTRE SUBMISSION The University of Sydney McKeon Review 2012 NHMRC CLINICAL TRIALS CENTRE SUBMISSION 30 March 2012 Level 6, Medical Foundation Building 92 94 Parramatta Road Camperdown, NSW 2050 Tel (02) 9562 5000 Prof

More information

Best research for best practice: policy and practice in clinical research nursing. RCN Research Society Supported by Nurse Researcher

Best research for best practice: policy and practice in clinical research nursing. RCN Research Society Supported by Nurse Researcher Best research for best practice: policy and practice in clinical research nursing RCN Research Society Supported by Nurse Researcher Understand new research infrastructures and opportunities within the

More information

Australian Health Services Research and Policy Fellowship. 2013-14 Fellows

Australian Health Services Research and Policy Fellowship. 2013-14 Fellows Australian Health Services Research and Policy Fellowship 2013-14 Fellows Program Director Jane Hall Professor of Health Economics, University of Technology, Sydney Email: jane.hall@chere.uts.edu.au Phone

More information

Board Members. Dr Martin Altmann GP Rural Obstetrics. MB, BS (Adelaide) DIP RANZCOG (Advanced) MRCGP (UK) FACRRM

Board Members. Dr Martin Altmann GP Rural Obstetrics. MB, BS (Adelaide) DIP RANZCOG (Advanced) MRCGP (UK) FACRRM MIGA s Boards reflect significant diversity of in all key areas relevant to leading a medical indemnity insurer in Australia. Dr Martin Altmann GP Rural Obstetrics Chairman: MDASA Ltd and Medical Insurance

More information

Policy Paper: Accessible allied health primary care services for all Australians

Policy Paper: Accessible allied health primary care services for all Australians Policy Paper: Accessible allied health primary care services for all Australians March 2013 Contents Contents... 2 AHPA s call to action... 3 Position Statement... 4 Background... 6 Healthier Australians

More information

Ophthalmology Registrar (Accredited) Monash Health

Ophthalmology Registrar (Accredited) Monash Health Monash Doctors Workforce Monash Medical Centre 246 Clayton Road Clayton Victoria 3168 Australia Postal address: Locked Bag 29 Clayton South Vic 3169 Australia Tel (03) 9594 2750 Fax (03) 9594 6031 Ophthalmology

More information

National Clinical Effectiveness Committee. Prioritisation and Quality Assurance Processes for National Clinical Audit. June 2015

National Clinical Effectiveness Committee. Prioritisation and Quality Assurance Processes for National Clinical Audit. June 2015 National Clinical Effectiveness Committee Prioritisation and Quality Assurance Processes for National Clinical Audit June 2015 0 P age Table of Contents Glossary of Terms... 2 Purpose of this prioritisation

More information

Connecting clinicians to improve care. Clinician education and training performance measures

Connecting clinicians to improve care. Clinician education and training performance measures Clinician education and training performance measures Executive summary Healthcare is now delivered in an environment of performance measurement. Clinician education and training (CET) are critical elements

More information

Key Priority Area 1: Key Direction for Change

Key Priority Area 1: Key Direction for Change Key Priority Areas Key Priority Area 1: Improving access and reducing inequity Key Direction for Change Primary health care is delivered through an integrated service system which provides more uniform

More information

Progressive Care Insurance for life A NEW TYPE OF INSURANCE

Progressive Care Insurance for life A NEW TYPE OF INSURANCE Progressive Care Insurance for life A NEW TYPE OF INSURANCE New Progressive Care from Sovereign Progressive Care is a type of insurance that is new to New Zealand. It s not a traditional all-or-nothing

More information

University College Dublin Mail Fwd: ICC CTG Clinical Research Workshops Dublin

University College Dublin Mail Fwd: ICC CTG Clinical Research Workshops Dublin University College Dublin Mail Fwd: ICC CTG Clinical Research Workshops Dublin Xuefang Alterman 12 April 2016 at 09:23 Draft The Irish Critical Care Clinical Trials Group announce

More information

healthcare associated infection 1.2

healthcare associated infection 1.2 healthcare associated infection A C T I O N G U I D E 1.2 AUSTRALIAN SAFETY AND QUALITY GOALS FOR HEALTH CARE What are the goals? The Australian Safety and Quality Goals for Health Care set out some important

More information

Clinical Resources for the Development of Nurse Practitioner Clinical Protocols

Clinical Resources for the Development of Nurse Practitioner Clinical Protocols Clinical Resources for the Development of Nurse Practitioner Clinical Protocols Disclaimer The clinical resource document list is presented by the Office of the Chief Nursing Officer to demonstrate the

More information

Board Members. Dr John O Loughlin AO Obstetrician and Gynaecologist

Board Members. Dr John O Loughlin AO Obstetrician and Gynaecologist MIGA s Boards reflect significant diversity of in all key areas relevant to leading a medical indemnity insurer in Australia. Dr John O Loughlin AO Obstetrician and Gynaecologist Chairman: Chairman: MDASA

More information

Setting Standards in Public Health Training. The Australian Experience Asia-Pacific Academic consortium for PH Accreditation in PH Education

Setting Standards in Public Health Training. The Australian Experience Asia-Pacific Academic consortium for PH Accreditation in PH Education Setting Standards in Public Health Training The Australian Experience Asia-Pacific Academic consortium for PH Accreditation in PH Education Drivers Kerr White 1986 Review of research and educational requirements

More information

Guidance for Service Managers and Directors of Mental Health Nursing

Guidance for Service Managers and Directors of Mental Health Nursing Implementation of Advanced Practice Roles (Specialist Nurse and Nurse Practitioner) In Addiction Treatment Guidance for Service Managers and Directors of Mental Health Nursing May 2012 Contents Rationale...

More information

Surprisingly Australia is a civilized and developed country! We have universal health care (more or less)!

Surprisingly Australia is a civilized and developed country! We have universal health care (more or less)! Surprisingly Australia is a civilized and developed country! We have universal health care (more or less)! s About 21 million people live in a country of 7,692,024 square kilometers So we seem to have

More information

Framework for Australian clinical quality registries

Framework for Australian clinical quality registries Framework for Australian clinical quality registries ISBN: 978-1-921983-71-9 Suggested citation: Australian Commission on Safety and Quality in Health Care, Framework for Australian clinical quality registries.

More information

SURE: Helping to get the most out of routinely collected data

SURE: Helping to get the most out of routinely collected data SURE: Helping to get the most out of routinely collected data Registry Special Interest Group Meeting 9 October 2015 Outline 1. The role of the Sax Institute 2. Why SURE was developed 3. How SURE is being

More information

National Clinical Programmes

National Clinical Programmes National Clinical Programmes Section 3 Background information on the National Clinical Programmes Mission, Vision and Objectives July 2011 V0. 6_ 4 th July, 2011 1 National Clinical Programmes: Mission

More information

Project 1: The health of refugees and asylum seekers in Australia

Project 1: The health of refugees and asylum seekers in Australia Project 1: The health of refugees and asylum seekers in Australia Supervisors: Professor Grant Russell, Dr Hao Cheng, Dr Jenny Advocat, Dr Sayed Wahidi Each year Australia permanently resettles approximately

More information

Alcohol consumption and harms in the Australian Capital Territory

Alcohol consumption and harms in the Australian Capital Territory Alcohol consumption and harms in the Australian Capital Territory Alcohol consumption The 2010 National Drug Strategy Household Survey found that 86.5 per cent of Australian Capital Territory (ACT) residents

More information

Best Buys & Trained Monkeys

Best Buys & Trained Monkeys & Trained Monkeys Associate Professor Ian Anderson Director Research Cooperative Research Centre Aboriginal Health Director: Centre for the Study of Health and Society & VicHealth Koori Health Research

More information

DEVELOPMENT OF A QUALITY FRAMEWORK FOR THE MEDICARE BENEFITS SCHEDULE DISCUSSION PAPER

DEVELOPMENT OF A QUALITY FRAMEWORK FOR THE MEDICARE BENEFITS SCHEDULE DISCUSSION PAPER DEVELOPMENT OF A QUALITY FRAMEWORK FOR THE MEDICARE BENEFITS SCHEDULE DISCUSSION PAPER This paper has been prepared by the Department of Health and Ageing (the Department) as a basis for further consultation

More information

Policy Document Physicians Assistants Policy

Policy Document Physicians Assistants Policy Policy Document Physicians Assistants Policy Background The Australian Medical Students Association (AMSA) is the peak representative body for medical students in Australia. AMSA is focused on ensuring

More information

ACN Federal Budget Submission 2014-2015. Funding priorities. 1. A National Transition Framework for nurses

ACN Federal Budget Submission 2014-2015. Funding priorities. 1. A National Transition Framework for nurses ACN Federal Budget Submission 2014-2015 Funding priorities 1. A National Transition Framework for nurses Recommendation: That resources be provided for a National Transition Framework designed to support

More information

Development of Advanced Healthcare Systems in Australia. Professor Stephen Smith Dean

Development of Advanced Healthcare Systems in Australia. Professor Stephen Smith Dean Development of Advanced Healthcare Systems in Australia Professor Stephen Smith Dean 7 April 2014 Global Comparison (2012 Data) Australia Population (millions) 22.3 GDP (US$ billions) 1541.8 GDP per capita

More information

Curriculum Vitae Geoffrey Charles (Geoff) Sims

Curriculum Vitae Geoffrey Charles (Geoff) Sims Curriculum Vitae Geoffrey Charles (Geoff) Sims Personal Full Name Citizenship Ethnic origin Geoffrey Charles Sims Australian Not of Aboriginal or Torres Strait Islander origin. Business Position Director/Principal

More information

The University of Queensland School of Medicine Ochsner Clinical School

The University of Queensland School of Medicine Ochsner Clinical School The University of Queensland School of Medicine Ochsner Clinical School UQ School of Medicine, Brisbane A New Global Medical Education Paradigm The University of Queensland School of Medicine Ochsner Clinical

More information

Aboriginal Health in 21st century. work that really matters Professor Alan Cass Director, Menzies School of Health Research

Aboriginal Health in 21st century. work that really matters Professor Alan Cass Director, Menzies School of Health Research Aboriginal Health in 21st century Research Australia in remote Bridging Australia: the gap doing work that really matters Professor Alan Cass Director, Menzies School of Health Research alan.cass@menzies.edu.au

More information

INITIAL ANALYSIS OF NEWLY ADDED DATA ITEMS. DO THEY PROVIDE INSIGHTS OF VALUE?

INITIAL ANALYSIS OF NEWLY ADDED DATA ITEMS. DO THEY PROVIDE INSIGHTS OF VALUE? INITIAL ANALYSIS OF NEWLY ADDED DATA ITEMS. DO THEY PROVIDE INSIGHTS OF VALUE? Presentation to the AFRM Annual Scientific Meeting 20 September 2013 Frances Simmonds, Director AROC Tara Stevermuer, AROC

More information

Consent for Systemic Anti Cancer Therapy (SACT)

Consent for Systemic Anti Cancer Therapy (SACT) Consent for Systemic Anti Cancer Therapy (SACT) Guidance issued by the National Chemotherapy Board May 2016 Supported by: Contents National Chemotherapy Board 1. Introduction 1.1. Purpose of the guidance

More information

Organisational charts...2. NSW Ministry of Health...3. Health Administration Corporation...4. Local health districts...4

Organisational charts...2. NSW Ministry of Health...3. Health Administration Corporation...4. Local health districts...4 GOVERNANCE Organisational charts...2 NSW Ministry of Health...3 Health Administration Corporation...4 Local health districts...4 Statutory health corporations...4 Pillar organisations...4 Affiliated health

More information

Cancer services children s CSCF v3.2

Cancer services children s CSCF v3.2 Cancer services children s CSCF v3.2 Module overview Please note: This module should be read in conjunction with the Fundamentals of the Framework (including glossary and acronym list), Children s Services

More information

CLINICAL RESEARCH NETWORK

CLINICAL RESEARCH NETWORK CLINICAL RESEARCH NETWORK Introduction The vision of the National Institute for Health Research (NIHR) is to improve the health and wealth of the nation through research. This document sets out how the

More information

Are you interested in health service delivery problems? Are you interested in modelling public health interventions?

Are you interested in health service delivery problems? Are you interested in modelling public health interventions? Health Care Modelling, Systems Thinking & Design Thinking Workshop: What, Why & How? Are you interested in health service delivery problems? Are you interested in modelling public health interventions?

More information

The Practice Nurse is accountable to the Managing Medical Principal for clinical issues and Practice Manager for non-clinical issues.

The Practice Nurse is accountable to the Managing Medical Principal for clinical issues and Practice Manager for non-clinical issues. Job Description Nurse Overview The Practice Nurse is a multi-skilled practitioner who, as part of a team, contributes to the provision of high-quality health care in the general practice setting. Her/his

More information

75 YEARS OF WORKING TO BUILD A HEALTHY AUSTRALIA NHMRC

75 YEARS OF WORKING TO BUILD A HEALTHY AUSTRALIA NHMRC 75 YEARS OF WORKING TO BUILD A HEALTHY AUSTRALIA NHMRC Research Funding Facts Book 2011 75 YEARS OF WORKING TO BUILD A HEALTHY AUSTRALIA NHMRC Research Funding Facts Book 2011 Australian Government 2011

More information

YOUR TALENT SEARCH, SIMPLIFIED

YOUR TALENT SEARCH, SIMPLIFIED YOUR TALENT SEARCH, SIMPLIFIED ACADEMIA & RESEARCH American Association for the Study of Liver Diseases American Association of Colleges of Osteopathic Medicine American Association of Diabetes Educators

More information

www.nursingwa.com.au > graduate info...the Career of a Lifetime

www.nursingwa.com.au > graduate info...the Career of a Lifetime www.nursingwa.com.au > graduate info 1...the Career of a Lifetime > Graduate Nurse Programs > graduate info AT RPH, WE OFFER OUR NURSES EXCEPTIONAL CAREER OPPORTUNITIES ACROSS A COMPREHENSIVE RANGE OF

More information

Managing Medicines Access Programs. Guiding principles for the governance of Medicines Access Programs in Australian hospitals

Managing Medicines Access Programs. Guiding principles for the governance of Medicines Access Programs in Australian hospitals Managing Medicines Access Programs Guiding principles for the governance of Medicines Access Programs in Australian hospitals May 2015 Council of Australian Therapeutic Advisory Groups Address: c/ - NSW

More information

FIRST REVIEW OF THE COMPULSORY THIRD PARTY

FIRST REVIEW OF THE COMPULSORY THIRD PARTY Submission No 12 FIRST REVIEW OF THE COMPULSORY THIRD PARTY INSURANCE SCHEME Organisation: Date received: 20 May 2016 Royal Australasian College of Surgeons NSW REVIEW OF THE COMPULSORY THIRD PARTY INSURANCE

More information

HEALTH SYSTEM. Introduction. The. jurisdictions and we. Health Protection. Health Improvement. Health Services. Academic Public

HEALTH SYSTEM. Introduction. The. jurisdictions and we. Health Protection. Health Improvement. Health Services. Academic Public FUNCTIONS OF THE LOCAL PUBLIC HEALTH SYSTEM Introduction This document sets out the local PH function in England. It was originally drafted by a working group led by Maggie Rae, FPH Local Board Member

More information

The Australian Health Workforce Institute Addressing Workforce Challenges for Youth Mental Health Reform

The Australian Health Workforce Institute Addressing Workforce Challenges for Youth Mental Health Reform The Australian Health Workforce Institute Prepared by Louise Freijser and Prof Peter Brooks AM MD For Orygen Youth Health Research Centre March 2013 1 Acknowledgments The Authors: Louise Freijser and Prof

More information

Institutions with certified ethical review processes

Institutions with certified ethical review processes Harmonisation of Multi-Centre Ethical Review The objective of the Harmonisation of Multi-centre Ethical Review (HoMER) initiative is to enable the recognition of a single ethical and scientific review

More information

Policy Paper: Enhancing aged care services through allied health

Policy Paper: Enhancing aged care services through allied health Policy Paper: Enhancing aged care services through allied health March 2013 Contents Contents... 2 AHPA s call to action... 3 Position Statement... 4 Background... 6 Enhancing outcomes for older Australians...

More information

BEYOND CITIUS, ALTIUS, FORTIUS A LEADERSHIP ROLE FOR THE SPORTS MEDICINE PHYSICIAN TO IMPLEMENT EXERCISE AS MEDICINE FOR POPULATION HEALTH

BEYOND CITIUS, ALTIUS, FORTIUS A LEADERSHIP ROLE FOR THE SPORTS MEDICINE PHYSICIAN TO IMPLEMENT EXERCISE AS MEDICINE FOR POPULATION HEALTH BEYOND CITIUS, ALTIUS, FORTIUS A LEADERSHIP ROLE FOR THE SPORTS MEDICINE PHYSICIAN TO IMPLEMENT EXERCISE AS MEDICINE FOR POPULATION HEALTH Written by Felipe Lobelo, USA Physical inactivity is a fast-growing

More information

BOOSTING THE COMMERCIAL RETURNS FROM RESEARCH

BOOSTING THE COMMERCIAL RETURNS FROM RESEARCH BOOSTING THE COMMERCIAL RETURNS FROM RESEARCH Submission in response to the Discussion Paper November 2014 Page 1 ABOUT RESEARCH AUSTRALIA is an alliance of 160 members and supporters advocating for health

More information

The Department of Public Health Sciences

The Department of Public Health Sciences The Department of Public Health Sciences Who we are at the U.Va. School of Medicine Committed to improving population health and clinical care The Department of Public Health Sciences, established in 1995,

More information