Primary Health Networks Core Funding

Primary Health Networks Core Funding

Primary Health Networks After-Hours Funding

ActivityWorkPlan 2016-2018

·  Annual Plan 2016-2018

·  Annual Operational and Flexible Funding Streams Budget 2016-2017

·  After Hours Budget 2016-2017

Gippsland

When submitting this Activity Work Plan 2016-2018 to the Department of Health, the PHN must ensure that all internal clearances have been obtained and has been endorsed by the CEO.

The Activity Work Plan must be lodged to your Grant Officer via email to on or before6May2016.

Introduction

Overview

The key objectives of Primary Health Networks (PHN) are:

·  Increasing the efficiency and effectiveness of medical services for patients, particularly those at risk of poor health outcomes; and

·  Improving coordination of care to ensure patients receive the right care in the right place at the right time.

Each PHN must make informed choices about how best to use its resources to achieve these objectives.

Together with the PHN Needs Assessment and the PHN Performance Framework, PHNs will outline activities and describe measurable performance indicators to provide the Australian Government and the Australian public with visibility as to the activities of each PHN.

This document, the Activity Work Plan template, captures those activities.

This Activity Work Plan covers the period from 1 July 2016 to 30 June 2018. To assist with PHN planning, each activity nominated in this work plan can be proposed for a period of 12 months or 24 months. Regardless of the proposed duration for each activity, the Department of Health will still require the submission of a new or updated Activity Work Plan for 2017-18.

The Activity Work Plan template has the following parts:

·  The Core Funding Annual Plan 2016-2018 which will provide:

o  The strategic vision of each PHN.

o  A description of planned activities funded by the flexible funding stream under the Schedule – Primary Health Networks Core Funding.

o  A description of planned general practice support activities funded by the operational funding stream under the Schedule – Primary Health Networks Core Funding.

·  The indicative Core Operational and Flexible Funding Streams Budget for 2016-2017.

·  The After Hours Primary Care Funding Annual Plan 2016-2017 which will provide:

o  The strategic vision of each PHN for achieving the After Hours key objectives.

o  A description of planned activities funded under the Schedule – Primary Health Networks After Hours Primary Care Funding.

·  The indicative Budget for After Hours Primary Care funding stream for 2016-2017.

Annual Plan 2016-2018

Annual plans for 2016-2018 must:

·  provide a coherent guide for PHNs to demonstrate to their communities, general practices, health service organisations, state and territory health services and the Commonwealth Government, what the PHN is going to achieve (through performance indicator targets) and how the PHN plans to achieve these targets;

·  be developed in consultation with local communities, Clinical Councils, Community Advisory Committees, state/territory governments and Local Hospital Networks as appropriate; and

·  articulate a set of activities that each PHN will undertake, using the PHN Needs Assessment as evidence, as well as identifying clear and measurable performance indicators and targets to demonstrate improvements.

Activity Planning

The PHN Needs Assessment will identify local priorities which in turn will inform and guide the activities nominated for action in the 2016-2018 Annual Plan. PHNs need to ensure the activities identified in the annual plan also correspond with the PHN Objectives; the actions identified in Section 1.2 of the PHN Programme Guidelines (p. 7); the PHN key priorities; and/or the national headline performance indicators.

PHNs are encouraged to consider opportunities for new models of care within the primary care system, such as the patient-centred care models and acute care collaborations. Consideration should be given to how the PHN plans to work together and potentially combine resources, with other private and public organisations to implement innovative service delivery and models of care. Development of care pathways will be paramount to streamlining patient care and improving the quality of care and health outcomes.

Primary Health Networks After Hours Funding

From 2016-17, PHNs will have greater flexibility to commission programme specific services, having completed needs assessments for their regions and associated population health planning. PHNs are funded to address gaps in After Hours service provision, and improve service integration within their PHN region. Item B.3 of the After Hours Funding Schedule may assist in the preparation of the After Hours components of your Activity Work Plan (pages 12-15 of this document).

Measuring Improvements to the Health System

National headline performance indicators, as outlined in the PHN Performance Framework, represent the Australian Government’s national health priorities.

PHNs will identify local performance indicators to demonstrate improvements resulting from the activities they undertake. These will be reported through the six and twelve month reports and published as outlined in the PHN Performance Framework.

Activity Work Plan Reporting Period and Public Accessibility

The Activity Work Plan will cover the period 1July2016 to 30June2018. A review of the Activity Work Plan will be undertaken in 2017, and resubmitted as required under Item F.22 of the PHN Core Funding Agreement between the Commonwealth and all Primary Health Networks.

Once approved, the Annual Plan component must be made available by the PHN on their website as soon as practicable. The Annual Plan component will also be made available on the Department of Health’s website (under the PHN webpage). Sensitive content identified by the PHN will be excluded, subject to the agreement of the Department.

It is important to note that while planning may continue following submission of the Activity Work Plan, PHNs can plan but must not execute contracts for any part of the funding related to this Activity Work Plan until it is approved by the Department.

Further information

The following may assist in the preparation of your Activity Work Plan:

·  Clause 3, Financial Provisions of the Standard Funding Agreement;

·  Item B.3 of Schedule: Primary Health Networks After Hours Funding;

·  Item B.4 of Schedule: Primary Health Networks Core Funding;

·  PHN Needs Assessment Guide;

·  PHN Performance Framework; and

·  Primary Health Networks Grant Programme Guidelines.

Please contact your Grants Officer if you are having any difficulties completing this document.

1.  (a) Strategic Vision

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1(b) Planned activities funded by the flexible funding stream under the Schedule – Primary Health Networks Core Funding

PHNs must use the table below to outline the activities proposed to be undertaken within the period 2016-18. These activities will be funded under the Flexible Funding stream under the Schedule – Primary Health Networks Core Funding.

Note 1: Please copy and complete the table as many times as necessary to report on each activity.

Note 2: Indicate within the duration section of the table if the activity relates to a two year period (2016-2018) or a one year period (2016-2017).

Proposed Activities
Priority Area (e.g. 1, 2, 3) / 1,3,4,5,7,9,10,11,12,14,15,16,18,19,22 (Refer to Appendix A)
Activity Title / Reference (e.g. NP 1.1) / NP 1: Place Based Flexible Funding
Description of Activity / The Place Based Flexible Funding Program delivers a range of supplementary allied health and primary care services that are based on identified health needs in each community, with a focus on coordinated, multi-disciplinary team based approaches to the provision of integrated primary health care services, access to relevant health promotion and preventative health programs to promote health and wellbeing, and assistance to help individuals in rural and remote Gippsland to adopt or modify behaviours to better manage their health and wellbeing.
Service types include: social work, nurses in specialist roles, indigenous health, family health, clinical/health coordination, health promotion/prevention, and other services such as drug and alcohol/sexual health, and foot care.
In 2016-17 a number of Indigenous Specific programs will be commissioned including
1.  Outreach Diabetic Clinic delivered by mainstream providers working in collaboration with a local ACCHO.
2.  Contribution to support an Outreach Worker in response to an identified gap at a local ACCHO, co-funded by the Integrated Team Care agreement. The Outreach Worker offers health linkages, transport and advocacy.
Commissioning of services is supported by Population Health Planning, which includes the following activities:
1.  Regional Analysis, Reporting and Planning
·  Gippsland PHN has commenced using POLAR Explorer as a platform for data analysis and reporting. The platform includes access to Victorian health service usage (admitted, emergency department and ambulance) as well as survey data from the Victorian Government and the Australian Bureau of Statistics (ABS). Regional data from GP practices will be included via POLAR GP (see under eHealth). Additional information and reporting capabilities will be added in cooperation with the developers and other users. Access to the information will be facilitated for Gippsland PHN stakeholders as appropriate.
·  Work towards the formation of a regional planning body including a range of local stakeholders such as local government, State Department of Health and Human Services, Primary Care Partnerships, universities and others in health planning roles. The purpose will be to ensure best use of limited planning resources, and a shared and integrated approach to health planning activities in the region.
2.  Development and implementation of a strategy to support consumer input into future needs assessment work
This will include input through the Community Advisory Committee and regional collaboration to collect consumer data that will align with local government needs.
3.  Working with Gippsland PHN staff and the service system to implement commissioning activities This will result in measurable improvements across a range of domains including service outputs, care coordination, model/design, location, service integration, improved clinical outcomes, and increased reach to the most disadvantaged in the catchment.
Collaboration / Collaboration occurs with each of the Local Health Networks or Provider Organisation who are commissioned to deliver the service in their region.
Indigenous Specific / Some of the provision includes services specifically targeted at ATSI populations.
Duration / 2016-17, with future allocation determined through review and consultation with providers.
Coverage / SA3s serviced by this program are Gippsland South West, Gippsland East, Wellington.
Commissioning approach / A competitive commissioning process was used in 2015 to determine procurement opportunities for all services. Currently no competitive market exists for these rural services resulting in all services being commissioned through a direct engagement approach.
All services will be monitored and evaluated through output measures included in provider contracts.
Data source / Provider performance reports (quantitative and qualitative) collected by Gippsland PHN.
Proposed Activities
Priority Area (e.g. 1, 2, 3) / 18,19,21,22 (Refer to Appendix A)
Activity Title / Reference (e.g. NP 1.1) / NP 2: Health Pathways
Description of Activity / Gippsland PHN will continue to implement the Gippsland HealthPathways web tool, of locally responsive evidence based clinical pathways supported by local referral processes and resources.
New pathways will constantly be developed with scheduled reviews to ensure pathways and current and accurately meet the local area requirements. HealthPathways is a collaborative approach to coordinating patient care across the acute and primary care settings. Bringing together GPs, specialists, nurses and allied health professionals to discuss optimal assessment and management of medical conditions, including when and where to refer patients.
The HealthPathways tool enables improved coordination of patients ensuring that patients receive the right care in the right place at the right time, this will be achieved through:
·  Working closely with the established steering committee representatives, to identify and work on establishment of pathway priorities as identified by the Gippsland PHN Needs Assessment;
·  Continued commitment of key stakeholders to participate in pathway development, through mechanisms such as workgroups, and subject matter experts engaged to further support pathway development;
·  Collaborate with hospitals who have signed participation agreements to support pathway development, and identify additional services as required to enhance pathway development;
·  Build on existing clinical guidelines, referral pathways and service directories that have been developed;
·  Continued focus on better health outcomes for patients through shared, comprehensive knowledge of the local service system; and
·  Attempt to reduce the proportion of patients referred to specialist care who could be managed in the primary care setting.
Collaboration / This project is being developed in collaboration with Victorian State Department of Health and Human Services, and a number of Local Health Networks.
Indigenous Specific / There will be Indigenous specific health pathways developed.
Duration / 2016-18
Coverage / Entire PHN region
Commissioning approach / N/A
Data source / Internal GPHN Project Milestone Monitoring Process
Proposed Activities
Priority Area (e.g. 1, 2, 3) / 18,20,21,24 (Refer to Appendix A)
Activity Title / Reference (e.g. NP 1.1) / NP 3: Digital Health
Description of Activity / POLAR GP and POLAR EXPLORER
Installation of the POLAR GP Data Extraction Tool across Gippsland will support improvements in efficiency and effectiveness of medical services. Data collected from General Practices in combination with Victorian State Datasets through POLAR EXPLORER will be used to support our Population Health Team through the ongoing Needs Assessment process by increasing understanding of our region’s health profile and service gaps.
SECURE MESSAGING
Through the eHealth initiatives of secure messaging and e-referrals, we are able to improve coordination of care to ensure patients receive the right care, in the right place, at the right time, in a timely, secure, and efficient manner. This work will be used in conjunction with our programs such as HealthPathways, linking in localised pathways for conditions and ensuring that the most efficient, secure method of message delivery is utilised. Through timely e-referrals and the use of secure messaging we aim to reduce the national headline indicator “Potentially Preventable Hospitalisations”. By enabling our primary care physicians, we hope to facilitate better communication and service coordination for our community, keeping at the heart the consumer centred care. Through efficient and timely referrals, and correct referral information, we envisage a decrease in rejected referrals, a reduction in repeated tests, and reduced wait lists.