Transcript ACT Happenings - Department of Health, Victoria

ACT Happenings
National Health Service
Planners Forum
7 & 8 April 2011
What’s New & Innovative
Central meaning of Innovation relates to
renewal or improvement, with novelty being a
consequence of the improvement.
It can be
new stuff that is useful
or
old stuff made useful again
en.wikipedia.org/wiki/Innovation
CAPITAL ASSET DEVELOPMENT PROGRAM
• CADP is a blueprint for the redevelopment of
the entire ACT Health system.
• It is a comprehensive response to:
– Growing demand for health services being driven by an
ageing population, changing technology and consumer
and provider expectations;
– An ageing capital asset base in the Territory that is
difficult to maintain and is close to full capacity.
Projected Infrastructure Directions and
Priorities
2 years: Women’s and Children’s Hospital
Gungahlin, Belconnen and Tuggeranong Community Health Centres
Capital Region Cancer Centre
Adult Acute Inpatient Mental Health Unit
Bush Healing Farm
5 years: Secure Mental Health Unit
Adolescent and Young Persons Mental Health Unit
Phillip and Civic Community Health Centres
Skills Development Centre
Northside acute hospital
10 years: new acute buildings for the Canberra Hospital
accommodation facilities
Regional Implications
• ACT Health planning assumes no changes in the cross border
flow patterns into the ACT
• Current range of services NSW residents access in the ACT
will continue, and is projected to increase in line with
population growth and ageing.
• Inpatient services with the greatest
projected increase are those associated
with ageing – renal dialysis, sub and non
acute services, orthopaedics, diagnostic
endoscopies, interventional cardiology and
ophthalmology.
• Significant increases in activity are also
expected for mental health services and in
critical care units such as Coronary Care,
Intensive Care and Neonatal Intensive
Care.
Cooperation & Collaboration
High Cost/Complex
episodes by state of
residence
Raw episodes
2009/2010 by state of
normal residence
80,000
70,344
(76.8%)
60,000
50,000
40,000
20,664
(22.6%)
30,000
20,000
616
(0.7%)
10,000
NSW
NSW
ACT
Other
Total
80%
70%
77.8% or
67,754
episodes
60%
50%
40%
30%
42.6% or
1,957
episodes
20%
21.5% or
18,707
episodes
10%
0%
NSW
Other
State of
Residence
90%
56.4% or
2,590
episodes
0
ACT
0.7% or
573
episodes
100%
0.9% or
43
episodes
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
70,000
Other episodes by state of
residences
High Cost/ Complex
ACT
Other
NSW
Other episodes
ACT
Total
No
%
No
%
No
%
1,957
2,590
43
4,590
42.6%
56.4%
0.9%
100%
18,707
67,754
573
87,034
21.5%
77.8%
0.7%
100%
20,664
70,344
616
91,624
22.6%
76.8%
0.7%
100%
Other
Our Reality
• Health systems are under pressure due to:
– Ageing population (re-present later in life)
– Impact of new technologies
– Escalating workforce shortages
– Increasing consumer demands
• These pressures are represented by:
– Access block
– Increasing bed occupancy rates
– Extended waiting times for elective surgery
We need to concentrate
our efforts on where
we will achieve the
best gains:
• Aged care
• Mental Health
• Chronic Disease
Management
• Early Childhood and
Vulnerable Families
• Aboriginal and Torres
Strait Islanders
Considerations
Working in an environment of
• Ageing population
• New technologies
• Increasing community expectations
Ageing Population
It’s not the just our patients it’s also our workforce!
New Technologies
Technology Mapping
Clinical Technologies
&
Planning Health Services
Challenge Ahead
• How do we successfully integrate Clinical Technology with
Planning to:
- Ensure that clinical and facility planning
is future-focused and captures the evolution
of technology
Challenge
ahead
- Ensure that medical equipment
purchasing and replacement plans are
designed to adopt new and innovative
technologies
ACT-Wide Technology Roadmaps
•
Incorporate ACT Health current and future needs with global technology maps
•
High-level involvement of key clinical, engineering and managerial stakeholders
•
Outcomes include a customized technology maps and a technology vision tool
Where Are
We now?
Global Technology
Maps
Needs Analysis
Technology
Profiling
Role Delineation of
Clinical Services
Where Do We
Need to Be?
Technology
Planning &
Prioritizing
New Technologies -Technology Mapping
Challenge
Successful integration of Clinical Technology and Planning
Solution
Develop set of clinical technology roadmaps to:
• Ensure that clinical services and facility planning is future-focused and
captures the evolution of technology
• Inform the medical equipment purchasing
and replacement programmes
Project Goals-1
•
Identify and inform ACT Health about the
future trends of clinical technology over
the next 5 – 10 years
•
Ensure clinical technology planning at
ACT Health in alignment with
organisation-wide health service planning
& service delivery delineation
•
Provide input for periodic reviews and
updates of the ACT Health Clinical
Services Plan
•
Consolidate, analyse and disseminate
information and knowledge on new and
emerging technologies, equipment and
applications
Project Goals-2
•
Enhance key stakeholder
engagement in technology planning
and adoption
•
Provide guidance for more extensive
and detailed technology planning for
redevelopment programme at TCH
and other ACT Health facilities
•
Provide input for early identification
and development of workforce,
service design, new models of care
and infrastructure planning
INCREASING
COMMUNITY EXPECTATIONS
•Organisation of services
Politicians
•Choice of services and providers
Clinicians
•Quality and safe treatment
•Involved in treatment decisions
Technology advances
Responsibility of the
individual
•Good and timely information
•Trust
Value Managed planning
from the outset rather than
at the end