NACCHO Health Care Homes Report : Time to match health care with the consumer needs of the 21st Century

Copyright Congress

” NACCHO welcomes the trial of Health Care Homes and is happy to participate in the trial as a co-design partner. NACCHO believes that ACCHO’s extensive experience in patient case management and commitment to the seamless patient journey will provide valuable experience as a co-designer for the trial

One in five Australians now have multiple chronic health conditions. This means they are living with any mix of heart disease, diabetes, cancer, mental health issues, eye disease, respiratory problems, arthritis and more.  Aboriginal and Torres Strait Islander Australians are significantly over represented in all of these categories and more.

The cost of managing chronic illness is significant for both commonwealth and state and territory governments and is estimated to cost $27 billion and account for more than one third of the Australian health budget.”

From Page 3 July NACCHO Aboriginal Health Newspaper ( full article published below) Download the 24 Page Newspaper HERE

Press Release 1 August 2016

Time to match health care with the consumer needs of the 21st Century

Health and consumer leaders have released a blueprint for 21st Century Medicare aimed at giving patients greater say in a team-based health care system.

The report resulting from an expert Roundtable earlier this month recommends stepping up Federal Government Health Care Home plans in order to drive a fundamental shift in Australia’s health services toward patient-focused, community based health care “hubs” coordinating care.

Download the Report from HERE

Report of a Roundtable on Patient Centred Health Care Homes_V8 FINAL 290…

The hubs, integrated with hospitals, specialists, allied health and community-based services would offer a one-stop shop, providing patients with more individualised attention including on-line access to their own health information, tests and appointment bookings.

The Roundtable was hosted by the Consumers Health Forum of Australia, the Royal Australian College of General Practitioners (RACGP), The George Institute for Global Health and the Menzies Centre for Health Policy.

In a joint statement released today, the Roundtable group has urged Federal, state and territory governments to expand and accelerate development of the existing Health Care Homes project, planned to trial coordinated care for chronically-ill patients in up to 200 sites.

“We live in a highly connected world yet too often health care, which relies so heavily on communication of patient information, remains disconnected.

“Instead of patients being passive recipients of care from general practitioners alone, we need to build on the Health Care Homes plan to develop a Patient-Centred Health Care Home system that would support patients being active partners in their care. It would aim to give individuals say in comprehensive services involving nurses and other health practitioners working with GPs to provide right care at the right time.

“The current fee for service system encourages high patient volumes but not high quality care or team work with other health professionals. We need to develop new ways of remunerating health practitioners on the basis of the quality and effectiveness of their care,” the Roundtable group said.

Among the 22 recommendations the Roundtable has made for reform are:

  • Implement changes to enable assessment and provision of care through a mix of face to face, phone and email consultations with GPs, practice nurses and other care team members.
  • Support patients to be active members of the health care team and to monitor their care experience
  • Design a payment system to support patient-centred health care homes, that is quality-focused, rewards effective care, accounts for rurality and socio-economic disadvantage and avoids adverse incentives like under-treatment, cost-shifting and cream skimming.

Leanne Wells, Chief Executive Officer of the Consumers Health Forum said:

“Better patient experience makes better patients. We can achieve this in Australia by rethinking health care so that the system is not structured around provider priorities but rather ensures the patient is at the centre of decision-making in a coordinated system.

“Roundtable participants agreed that positive patient experience, such as reduced waiting times and streamlined services would improve outcomes particularly for those who have experienced poorer access to care.

“Governments need to realise that not only will this change mean happier and healthier communities it also stands to deliver better outcomes for the economy, frequently replacing expensive hospital stays with more effective, less expensive care in the community.

“Contemporary realities demand vigorous and sustained national leadership and significant government investment to develop these health care hubs,” Ms Wells said.

The President of the RACGP, Dr Frank R Jones, said:

“The Australian health care system is being challenged by a new health demography. We can either struggle on with a 1980s health system that does little to confront realities such as consumer demand and the growing challenge of chronic disease, or take concrete steps towards driving changes that reflect 21st century knowledge in health care management and information technology.

“Rather than the doctor taking sole responsibility for the care of the patient, the patient and the health care hub team would work in a partnership supported by a centre and service co-designed with consumers and patients.

“The GP will continue to lead primary medical care, but in addition the patient would have access to better integrated care, coordinated and tailored to their needs. Common chronic illnesses like diabetes require a range of different practitioners but at present these are either not available and/or poorly integrated,” Dr Jones said.

Professor Stephen Jan, from The George Institute for Global Health, said:

“The Government’s Health Care Homes trials plan is an encouraging start. The focus on chronic care and GP-based services is clearly a priority but reforms need to go community-wide.

“No doubt, these will involve significantly more government funding. Developing payment and performance measures and a comprehensive evidence-based approach would generate a more cost effective system,” Professor Jan said.

Associate Professor James Gillespie of the Menzies Centre for Health Policy at the University of Sydney said:

“These reforms require a major cultural shift and large-scale transformational change that build on Medicare’s principles of universal coverage and simplicity to capture the potential of health care available in the 21st century.

“We should adopt an evolutionary, staged approach as success will depend on good will and collaboration as well as significant investment and change management.

“If we are to transform primary health care this century, the right time is now to begin implementing approaches we already know work well from experience here and overseas,” Professor Gillespie said.

Health Care Homes

From Page 3 July NACCHO Aboriginal Health Newspaper ( full article published below) Download the 24 Page Newspaper HERE

One in five Australians now have multiple chronic health conditions. This means they are living with any mix of heart disease, diabetes, cancer, mental health issues, eye disease, respiratory problems, arthritis and more.  Aboriginal and Torres Strait Islander Australians are significantly over represented in all of these categories and more.

The cost of managing chronic illness is significant for both commonwealth and state and territory governments and is estimated to cost $27 billion and account for more than one third of the Australian health budget.

On 31 March 2016 the Minister for Health, The Hon. Susan Ley announced the establishment of ‘Health Care Home’. This new model to treat chronically ill patients was born from the recommendations of the Primary Health Care Advisory Group (PHCAG) in their report, Better Outcomes for People with Chronic and Complex Health Conditions.

“Central to the reform is the establishment of Health Care Homes, which provide continuity of care, coordinated services and a team based approach according to the needs and wishes of the patient. Our new approach offers an opportunity to improve and modernise primary health care and maximise the role of patients as partners in their care.  It represents innovative, evidence-based best practice that harnesses the opportunity of digital health care.  Importantly, it has strong support from consumers and healthcare professionals.” Dr Steve Hambleton, Chair PHCAG.

The key features of the model as recommended in the PHCAG report and also described in the Minister’s press release of 31 March are;

  • Voluntary patient enrolment with a practice or health care provider to provide a clinical “home-base” for the coordination, management and ongoing support of patient care. This includes the development of an individualised care plan for patients tailored to their specific conditions and health care needs.
  • Patients, families and their carers as partners in their care where patients are motivated to maximise their knowledge, skills and confidence to manage their health, aided by technology and with the support of a health care team.
  • Patients have enhanced access to care provided by their Health Care Home in-hours, which may include support by telephone, email or videoconferencing, and effective access to after-hours advice and care.
  • Patients nominate a preferred clinician who is aware of their problems, priorities and wishes, and is responsible for their care coordination.
  • Flexible service delivery and team based care that supports integrated patient care across the continuum of the health system through shared information and care planning.
  • A commitment to care which is of high quality and is safe. Care planning and clinical decisions are guided by evidence-based patient health care pathways, appropriate to the patient’s needs.
  • Data collection and sharing by patients and their health care teams to measure patient health outcomes and improve performance.

Similar models to HCH have been introduced overseas in both the UK and the Americas with positive results.

NACCHO welcomes the trial of Health Care Homes and is happy to participate in the trial as a co-design partner. NACCHO believes that ACCHO’s extensive experience in patient case management and commitment to the seamless patient journey will provide valuable experience as a co-designer for the trial.

 

 

 

 

 

 

 

 

NACCHO welcomes feedback/comment:Leave a Reply

Please log in using one of these methods to post your comment:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s