PAST

EVENTS

2021

Collaborative Commissioning is a whole-of-system approach designed to enable and support the delivery of value-based health care in the community. It aims to incentivise locally developed integration across the entire continuum of care and embed local accountability for delivering value-driven, outcome-focused and patient-centred health care.

Regionally led collaborative commissioning, with ongoing appropriate government support and flexibility to enable the relentless pursuit of outcomes for patients, enables local joint commissioning to be scaled system-wide. WentWest (WSPHN) and WSLHD have established a Patient-Centred Collaborative Commissioning (PCCG) governance structure – clinicians, GPs, consumers and administrators working together across primary, community and acute care sectors to reimagine what value-based healthcare could look like with patients at the centre and NGOs, public and private providers working together toward a common aim.

WSPHN and WSLHD are now leading a full system-wide implementation of two new innovative models – Value-Based Urgent Care and Cardiology in Community. These models build on past program successes and more recently a collaboratively commissioned COVID-19 response including co-funded and delivered COVID-19 assessment and testing clinics and commissioning general practice to manage low to moderate risk COVID-19 positive patients in the community. Integrated data sets enable transparency in co-delivery and reporting on outcomes in real-time to continually inform implementation. Care Monitor, a real-time remote monitoring and population health management system, connects dispersed teams of professionals, providers and patients to deliver true multidisciplinary care and digitally enable integration across the continuum.

This presentation provided an overview of the journey to establish the PCCG in Western Sydney and some examples of services that are being designed and delivered in Western Sydney. It demonstrated how shared care planning partner, Care Monitor, is so critical to the delivery of outcomes.

Speakers:

Ray Messom

Ray is the CEO of WentWest, which leads primary health care system integration in Western Sydney. As the Primary Health Network, WentWest continually reimagines how primary, community, acute and social care is delivered, commissioning services into targeted areas of need and supporting primary care transformation and integration. WentWest aims to remove organisational and professional barriers, alleviate the siloed fragmented nature of care and pursue ‘one Western Sydney health system’ in order to provide value-based and person-centred care.

Prior to joining WentWest, Ray led the System Information and Analytics (SIA) Branch for the NSW Ministry of Health which supports the data and analytical needs of the $22 billion NSW public health system. It leads data governance system-wide and research on and evaluation of incentives, key performance indicators and health care improvement initiatives. Ray has also worked with PwC Canada and PwC Australia where he advised government, private, NGOs and academic sectors across Australia and Canada on several transformational reform agendas. As a health economist and senior administrator for more than 20 years, Ray has dedicated his career to the translation of evidence into policy and policy into outcomes for citizens.

Deepak Biswal

Deepak is the Founder and CEO of CareMonitor. He is a passionate and visionary entrepreneur and executive with over 20 years’ experience in key leadership roles in complex corporate environments (e.g. Commonwealth Bank, Deloitte, IBM). He has a deep understanding of corporate strategy, M&A, corporate finance, commercialisation of new ventures, business transformation along with experience in new venture integration.

Prior to founding CareMonitor Deepak was Head of Strategy, Asia Pacific for Philips. He was responsible for leading corporate and group level strategy and business transformation projects, supporting individual business units in the development and execution of their strategic initiatives, and delivering the company’s multi-year strategic plans in the Asia Pacific region.

The Australian Centre for Value-Based Health Care and Associate Professor Louise Stone and Professor Christine Phillips from the Australian National University were proud to bring you this webinar on Searching for Value in Mental Health Care Delivery.

Service delivery for people with mental illness and distress currently accounts for 7.5% of the Australian healthcare budget. There is also evidence that there is profound inequity in mental health care delivery, with the most vulnerable members of the community receiving one fifth of the mental health services. Australia has a relatively diverse and distributed system for delivering mental health care, with Commonwealth-subsidised specialised services, primary care practitioners, and mental health practitioners, other services funded through states and territories and private practitioners direct-contracted by consumers. The challenges for any practitioner, and any person with an evolving mental illness, is establishing what constitutes value for that person, and how that may intersect with what constitutes value for the health system. In this talk, two clinicians discuss this intersection – the sweet spot for policymakers – and critically explore strategies to deliver person-centred value within a sustainable, responsive health system.

Speakers:

Louise Stone

Louise Stone is Associate Professor of Social Foundations of Medicine, Australian National University and a practising GP. She has clinical, research, teaching and policy expertise in mental health and sits on the General Practice Mental Health Standards Collaboration. She is currently completing a Masters of Science in Healthcare Transformation at the University of Texas.

Christine Phillips AM

Christine Phillips AM is Professor of Social Foundations of Medicine, Australian National University, and a practising GP. She is the Medical Director of Companion House Medical Service, the ACT’s refugee health care service, and has worked in complex mental health care in primary health settings for 25 years.

Watch the webinar here.

The Australian Centre for Value-Based Health Care was pleased to bring you the next webinar in our webinar series with Bernadette Aliprandi-Costa from the Australian Commission on Safety and Quality in Health Care: Revision of the Framework for Australian clinical quality registries and the development of a CQR Quality Standard.

The Australian Commission on Safety and Quality in Health Care (the Commission) acknowledges the value of clinical quality registries (CQRs) informing health system improvement, and has undertaken significant work to assist CQR establishment and ongoing standards of practice. In 2014, all Health Ministers endorsed the Framework for Australian clinical quality registries (the Framework) and, in November 2019 the Commission convened the Clinical Quality Registry Advisory Groupp to advise on the project to revise the Framework.

The purpose of the revised Framework is to minimise duplication and maximise the use of health data for the community. Upon completion, the Framework will provide a contemporary quality Standard for CQR governance, reporting, and technical infrastructure arrangements. These principles will be applicable to traditional and future-focused multi-dimensional CQRs and the various ownership models.

About Bernadette Aliprandi-Costa

Bernadette is the Manager, Safety and Quality Improvement Systems and Intergovernmental Relations at the Australian Commission on Safety and Quality in Health Care (the Commission). The Commission is an Australian government agency that leads and coordinates national improvements in safety & quality of health care based on best available evidence. The Commission works in partnership with the Australian Government, state and territory governments, private sector, patients, clinicians, managers and health care organisations.

Bernadette holds a PhD in health outcomes research from the University of Sydney Medical School, and has lead programs of work in the health care sector including developing and managing clinical trial services; developing quality reporting frameworks; designing and implementing clinical quality registries and mechanisms for reporting health system performance.

Currently, Bernadette is leading the development and implementation of the National Clinical Trials Governance Framework and the review of the Australian Framework for Clinical Quality Registries.

Watch this webinar here.

2020

Many drivers are working to reduce length of stay for patients following knee and hip replacement including COVID-19 and rising costs. Studies have shown that outpatient surgery is possible for around 15% of patients in unselected cohorts in “socialised health systems”.

In this webinar, panellists discussed the merits of the goal of day 0 discharge, how to optimise both early discharge and long term outcomes and the potential future role for digital health in “rapid recovery” pathways.

Panellists included:

  • Professor Henrik Kehlet, Professor of Perioperative Therapy, Copenhagen University
  • Dr Andrew Ellis, Consultant Orthopaedic Surgeon, Royal North Shore Hospital
  • Dr Sam Martin, Consultant Orthopaedic Surgeon, Grafton Base Hospital
  • Amanda Tutty, Physiotherapy Manager, Grafton Base Hospital
  • Dr Allan Tyson, Anaesthetist and Pain Specialist, Grafton Base Hospital

Moderator:
A/ Professor Allan Molloy, Specialist in Anaesthesia and Pain Medicine, Royal North Shore Hospital 

Watch the webinar here.

Date: 01 December 2020 1:00pm to 01 December 2020 02:00pm

Health is created and sustained when a complex web of biological, lifestyle, economic and environmental factors work positively for the person concerned.  In Inala, Queensland’s poorest suburb, the social determinants of health mean that patients have more than twice the national average rates of diabetes and significantly higher rates of cancer, COPD, CVD and mental health diagnoses.  The patient population at Inala Primary Care has 93% more people using 5 or more medications than the regional average.  Keeping patients with such multi-morbidity well and doing it sustainably, is a team effort.  This webinar will chart this practice’s decade long journey from being a tiny provider with just three full-time equivalent GPs to a multi-disciplinary, award winning team utilising the skills of 48 people each month. 

Speakers:

Tracey Johnson, CEO of Inala Primary Care

Dr Sue Williams, Director of Clinical Services, IPC

Chris Bowering, Nurse Manager, IPC

Watch the webinar here.

Cohealth CEO Nicole Bartholomeusz leads us through the perspectives of clinicians and senior leaders from community health, primary care and hospital sectors on what COVID-19 has taught us about health and health care.

Cohealth, a large community health organisation operating across the north and west of Melbourne, was central to the response to COVID-19 in Victoria. Cohealth provided primary care to the residents of the high rise flats under hard lockdown and continues to provide infection control supports and primary care services to residents of 28 high rise public housing towers. Lessons from that work informed the development of an innovative model of care for people who are COVID+. More than 90% of patients were able to be managed in the community with only a small proportion being admitted to ‘virtual wards’ of Melbourne’s hospitals. Insights on at risk populations and how transmission of the virus was prevented through supporting people to isolate at home is shared along with the potential for expanding the shared care model’s success to support people who have complex comorbidities into the future will be discussed.

Watch the webinar here.

Cambridge Health Alliance (CHA), a Boston area-based safety net hospital system with a large ambulatory primary care and psychiatry network, has long pursued a value-based funding strategy and consequently implemented a value-based strategy in response to the COVID-19 crisis.

Watch the webinar here.

This webinar features the launch of the Deeble Institute for Health Policy Research issue brief ‘Measuring value in new health technology assessments: a focus on robotic surgery in public hospitals’. The paper considers a proposed national health technology assessment framework and draws on a case study on robotics from Metro North Health and Hospital Service in Brisbane. The panellists discuss the processes for assessing the merits of implementing new health technology in public hospital.

Watch the webinar here. 

Building on the success of our most recent webinar on Patient-Reported Outcome Measures (PROMs), this webinar expands on the topic of PROMs, delving deeper into the realities of implementation. Featuring Dr Femida Gwadry-Sridhar, a pharmacist, epidemiologist, methodologist and founder of medical technology company Pulse InfoFrame, Julien Wiggins, CEO of Bowel Cancer Australia, and Peter MacIsaac, a GP working in community health and as a digital healthcare research solutions consultant, this webinar will examine how PROMs are used in clinical practice, exploring case studies to demonstrate barriers and enablers to implementation.

Watch the webinar here. 

Professor Rachael Morton, Director of Health Economics and Robinson Fellow at the NHMRC Clinical Trials Centre University of Sydney and President, Health Services Research Association of Australia and New Zealand (HSRAANZ), discusses recommendations developed by HSRAANZ to guide the implementation of PROMs to guide clinical care.

Watch the webinar here. 

Associate Professor Michael Greco of Griffith University and CEO of Patient Opinion Australia discusses practical case study examples of health care services that have successfully implemented Patient Activation Measures (PAMs).

Watch the webinar here.

This webinar features The Deeble Institute for Health Policy Research paper ‘Addressing racism to improve healthcare outcomes for Aboriginal and Torres Strait Islander people: a case study in kidney care’. Regulatory and quasi-regulatory approaches to improving healthcare outcomes for Aboriginal and Torres Strait Islander people will be discussed by the authors and regulators.

Watch the webinar here. 

Tanya Sewards, Principle Project Officer at Department of Health and Human Services Victoria and Jo Stevens Manager Chronic and Complex Care at Barwon Health join us to discuss this innovative value-based approach being explored by the Victorian Department of Health and Human Services.

Watch the webinar here.

Kalin Scott Chief Innovation Officer at Helgerson Solutions Group (HSG) discusses the Delivery System Reform Incentive Program (DSRIP): Innovation and Value in New York Medicaid and beyond: Lessons Learned and Practical Advice.

Watch the webinar here.

Dr Singithi (Sidney) Chandrasiri, Group Director Academic and Medical Services at Epworth Healthcare, and Harvard Business School, Value Based Health Care Intensive Seminar Program graduate explores how to incorporate healthcare innovations as part of an overarching outcome based value generation approach in the management of health services.

Watch the webinar here.

Hospitals allocate considerable resources to quality management, but we do not know to what degree quality assurance and quality improvement activities are related to each other or to the maturity of hospital quality management structures. The Deepening our Understanding of Quality in Australia (DUQuA) study examined the relationship between how quality is enacted and patient outcomes across 32 of the largest public hospitals in Australia.

Watch the webinar here. 

AHHA Chief Executive Alison Verhoeven interviews Jay Rebbeck, commissioning thought-leader and managing director of Rebbeck consulting, about outcomes based commissioning using a practical case study.

Watch the webinar here.

Carlos Francisco Silva, MD, is a Portuguese board-certified radiologist with a special interest in value-based radiology and healthcare management.With his colleagues Dr Oyunbileg von Stackelberg and Professor Hans-Ulrich Kauczor he recently released a book examining a practical approach to value-based radiology.

Watch the webinar here.

2019

AHHA Chief Executive Alison Verhoeven interviews Jay Rebbeck, commissioning thought-leader and managing director of Rebbeck consulting, about outcomes based commissioning using a practical case study.

Watch the webinar here.

Carlos Francisco Silva, MD, is a Portuguese board-certified radiologist with a special interest in value-based radiology and healthcare management.With his colleagues Dr Oyunbileg von Stackelberg and Professor Hans-Ulrich Kauczor he recently released a book examining a practical approach to value-based radiology.

Watch the webinar here.

Dr Sally Lewis, National Clinical Lead for Value-Based and Prudent Healthcare, NHS Wales, discussES the opportunities for value-based health care to meet the evolving needs of the population.

Watch the webinar here.

Launch of Australian Centre for Value-Based Healthcare

Watch the recording here.

Case Study: VBHC – How Dental Health Services is transforming oral healthcare

presented by Dr Deborah Cole, CEO Dental Health Services Victoria and Susan McKee, Executive Director Value Based Health Care Implementation Dental Health Services Victoria.

Watch the recording here.

Panel Discussion: The Future of Value-Based Healthcare in Australia

Led by AHHA Chief Executive Alison Verhoeven, the panel discussion took place at the launch of the Australian Centre for Value-Based Health Care, featuring Professor Christobel Saunders, Head of Division, Faculty of Health and Medical Sciences, Surgery, University of Western Australia; Professor Anne Duggan, Clinical Director at the Australian Commission on Safety and Quality in Health Care; Terry Symonds, Deputy Secretary of the Health and Wellbeing division in the Victorian Department of Health and Human Services; and Michael Pervan, Secretary of the Department of Health in Tasmania.

Watch the recording here.

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