S3: Innovation in health


Tuesday 31 Oct | 10:40-12:10


Part 1: Health equity in Aotearoa New Zealand – an example of an approach to addressing the life expectancy gap


Session details coming soon.


Karen Bartholomew, Waitemata District, Service Improvement & Innovation; New Zealand



Part 2: Time for Change: Co-funding Commonwealth and State providers leads to improved outcomes

In acute care, Australian funders pay each sector for outputs rather than patient and system-wide outcomes. Funding across traditional funder boundaries, moving care appropriately out of hospitals, is a superior methodology to improve patient outcomes. Geraldton Hospital, looking to reduce hospital ED presentations, paid local community GPs to provide acute care to RACF residents in place rather than transfer to ED. The result was an immediate, sustained 50% reduction in ED attendance; reduced ambulance usage; greater GP and carer engagement. Residents had better access to GPs, avoiding confusing ED attendance. This concept potentially has many applications in Australian Healthcare systems


Objectives:



  • Outcomes for patients can be improved with shared Commonwealth- and State-funded care

  • Funding primary care to reduce hospital attendances is achievable, desirable and cost-effective

  • Run charts can be used to identify improvement clearly and simply.



Allan Pelkowitz, WA Country Health Service, Australia


Kirra Pallant, WV Country Health Service, Australia

 

Part 3: Patient Reported Measures (PRMs) – Measuring what matters

This presentation will cover the NSW Patient Reported Measures program, define patient reported measures (PRMs) and explain how PRMs are collected and utilised at an individual, service and system level by patients, carers, clinicians, service managers and policy makers. Access to real-time PRM information helps to understand what matters to patients and support shared decision making about care, treatment and health interventions It will also cover the development, implementation and use of the IT Platform “Health Outcome and Patient Experience” (HOPE) utilised to collect PRMs, as the first statewide patient facing platform co-designed with patients/carers, clinicians and managers across NSW in partnership with the Agency for Clinical Innovation (ACI), eHealth NSW and the NSW Ministry of Health.


Objectives:



  • Gain an understanding of Patient Reported Measures

  • Gain an understanding of how HOPE enables Patients/Carers to report on their health care experience and outcomes at the point of care

  • Develop an insight to the benefits of collecting self-reported information and how HOPE facilitates the capture and use of this data at the individual, service and system levels within NSW to foster improved patient care.

  • Gain an understanding of the staged implementation and scoping approach utilised by NSW Patient Reported Measures Program



Aaron Hall, Agency for Clinical Innovation, Australia