HEALTHCARE. Dr Diana Horvath AO Chief Executive. 15 November 2006 SAFETYAND QUALITYIN AUSTRALIANCOMMISSIONON AUSTRALIANCOMMISSION COMMISSIONON

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1 AUSTRALIANCOMMISSIONON ON SAFETYAND ANDQUALITYINHEALTHCARE Dr Diana Horvath AO Chief Executive AUSTRALIANCOMMISSION COMMISSIONON ONSAFETY SAFETYAND ANDQUALITY QUALITYIN INHEALTH HEALTHCARE 15 November

2 The System The surprising thing is that Australian healthcare, operating under such compromised arrangements, manages to be as good as it is. Good people can beat bad systems, at least for a time, but at enormous cost to themselves. Many are burned in the process. Institutionalised production systems destroy leadership talent and break the hearts of professionals of skill and integrity. John Patterson, ex-victorian Health Commissioner (deceased) 2

3 The Commission Role The Commission undertakes the following functions: leads and coordinates improvements in safety and quality in health care in Australia by identifying issues and policy directions, recommending priorities for action, disseminating knowledge, and advocating for safety and quality; reports publicly on the state of safety and quality including performance against national standards; recommends national data sets for safety and quality, working within current multilateral governmental arrangements for data development, standards, collection and reporting; provides strategic advice to Health Ministers on best practice thinking to drive quality improvement, including implementation strategies; and recommends nationally agreed standards nationally agreed standards for safety and quality improvement. 3

4 Governance AUSTRALIAN HEALTH MINISTERS CONFERENCE AUSTRALIAN COMMISSION ON SAFETY AND QUALITY IN HEALTH CARE AHMAC INTER-JURISDICTIONAL COMMITTEE OFFICE OF THE COMMISSION (CE) STAKEHOLDER FORUM EXPERT WORKING GROUPS STAKEHOLDER COMMITTEES 4

5 The Commission Members Independent Chair (TBA) ACTING CHAIR Ms Jane Halton (C wealth) CE of Dept of Health & Ageing Mr Richard Bowden (Vic) GM of BUPA Health Care (HBA & Mutual Com) Ms Rosemary Bryant (ACT) CE of Royal Aust College of Nursing Ms Christine Gee (Q l d) CE of Toowong Private (psychiatric) Hospital Prof Katherine McGrath (NSW) Deputy D-G of NSW Dept of Health Dr Christopher Newell (Tas) Consumer Rep & Assoc/Prof Medical Ethics Ms Uschi Schreiber (Q l d) CE Q l d Health Dr Shiong Tan (WA) General Practitioner Prof Michael Ward (Q l d) Academic Gastroenterologist Dr Tarun Weeramanthri (NT) Physician & Researcher Ms Jennifer Williams (Vic) CE of Bayside Health 5

6 The Commission Staff Chief Executive ---- Dr Diana Horvath AO Deputy Chief Executive ---- Mr Bill Lawrence Personal Assistant ---- Ms Roben Hapgood Communication Manager ---- Ms Sue Kerr Senior Medical Adviser ---- Dr Christine Jorm Information Strategies ---- Dr Paul Tridgell Policy Team Managers ---- Ms Margaret Banks & Mr Michael O Rourke Data Manager ---- Ms Ros Madden Manager Secretariat ---- Mr Graham Bedford Business Manager ---- Mr Erwin Winkler Records & Information ---- Mr Geoff Hitchcock Project officer ---- Ms Sara Twohill 6

7 A National Focus ACSQHC Consumers Private & Primary care Communities C wealth govt State & Territory govts Patients 7

8 Stakeholder Management There is a large range of stakeholders, which might broadly be clustered into these groupings: Consumers and their organisations Health Care Professionals and their organisations both educational & industrial Owners of health care facilities corporate, charitable & government 3 rd party payers health insurance funds; indemnity insurers; Medicare Aust. Information management professionals & organisations Managers of all types 8

9 Consumer Focus 9

10 Priorities An agreed National Framework Encompass the whole of health care Accreditation of hospitals & practice settings National Professional Registration (now COAG) Credentialing for high risk procedures Monitoring & public reporting Consumer Pathways Relationships with other bodies 10

11 Customisation 11

12 Method of Operating National focus Partnerships & collaboration Provider & consumer to share responsibility for outcomes Open & honest communication Simplify not complicate use evidence Use levers for safety & quality Engage technology e-health Foster a thinking workforce & community 12

13 The Phenomenal power of the Human Mind 13

14 Questions 14