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Managing out or Managing in: the Relationship between Primary Health & Acute Care

Managing out or Managing in: the Relationship between Primary Health & Acute Care. Leanne Wallace, Director, Primary Health & Community Partnerships Branch. Acute care 2.2 million occasions of service Focus on emergency departments as a key interface. Primary health

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Managing out or Managing in: the Relationship between Primary Health & Acute Care

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  1. Managing out or Managing in: the Relationship between Primary Health & Acute Care Leanne Wallace, Director, Primary Health & Community Partnerships Branch

  2. Acute care 2.2 million occasions of service Focus on emergency departments as a key interface Primary health 60 million occasions of service Focus on general practice as a key interface The Patient’s Perspective Managing in Managing out

  3. Drivers for change - population AIHW Study of Health Expenditure by Age - 2001 • $8,944 expenditure per person for ages 75-84 • $5,567 expenditure per person for ages 65-74 • $1,746 expenditure per person for ages 25-34

  4. Drivers for change - population

  5. Drivers for change - disease

  6. Drivers for change - workforce • 92 GPs/100,000 people in capital cities; less than 60 in remote centres • Generalist medical practitioners declined by 1% from 2000 to 2005 • Specialist medical practitioners increased by 47.4%

  7. Drivers for change – Government Direction • State Plan • S2 Improved survival rates and quality of life • F5 Reduced avoidable hospital admissions • F4 Prevention and early intervention • State Health Plan • SD2 Create better experiences for people using health services • SD3 Strengthen primary health and continuing care in the community

  8. Managing out and managing in Key elements: • Improved coordination of care for consumers in the community • Reduced demand for inpatient care • Enhanced early intervention and prevention • Greater capacity to deliver high quality health services in the community • Increased consumer participation in decision-making • Easier consumer access to information and services • Stronger partnerships between General Practice and Area Health Services

  9. How to make it happenIntegrated service planning • Indicators that drive change – waiting times for services • Better community health service structures Integrated service delivery • After-hours and 7 days a week services • Coordinated referral and intake centres Improved models of care • HealthOne • Health at Home

  10. Improved workforce capability Stronger partnerships • Discharge and referral planning networks • General Practice Collaboration Units • Use of expanded MBS item availability to other workforce groups • Filling of GP workforce gaps in key areas & improved GP training programs Enhanced information mgmt & research • Electronic Discharge Referral • Electronic Health Record • Community Health Information Systems that link with General Practice and with acute service information systems

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