Transcript Health Networks

Health Networks in
Western Australia
Dr James Flexman
Clinical Co-Lead Infections and
Immunology Health Network
Why Health Networks?
• The major weakness evident in the Western
Australian health system is a lack of integration
across its component agencies
• Planning has been isolated from clinical
expertise and consequently implementation of
plans and recommendations has been difficult
Metropolitan Health Services Review, Final report to the
Government of Western Australia, Deloitte Ross Tohmatsu (1991)
Health Networks are…
• A group of interested people and organisations
including health professionals, patients,
careers, consumers and others, coming together
to help plan and develop health policy and
services across the state.
• A means of providing a new collaborative focus
across all clinical disciplines toward prevention
of illness and injury and maintenance of health
for all Western Australians.
Health Network Outcomes
PRIORITIES
POLICY
Aligning Health Network
activities with the WA
Health Strategic Intent,
focusing on the
promotion of health and
wellbeing.
Leading and facilitating
the development of
evidence based policy.
PEOPLE
Providing opportunities
for leadership.
Identifying and advising
on opportunities to
improve clinical
workforce support,
teaching and training
PERFORMANCE
Driving performance
indicators across the system
adding value by providing
opportunities for informed
collaborative action
PLANNING
Strategic and operational
planning for health and health
service delivery is informed by
Health Network advice.
PROTOCOL
Providing opportunities to
develop systems and work
practices that improve
clinical expertise and
encourage best use of
both physical and
intellectual resources
WA Health Operational Plan
2006-08 – Health Networks
• Participate in the development of resource allocation
priorities
• Participate in the deployment of approved
Commonwealth health initiatives
• Develop & inform the health and medical research
agenda
• Provide leadership on key issues regarding the
implementation of the WA Health strategies related to
the Australian Better Health Initiative
• Incorporate National Service Improvement Frameworks
into Network terms of references & plans
Health Networks in other
jurisdictions
NSW Health - Greater Metropolitan Clinical Taskforce
• Established interventional cardiological procedures at
several hospitals, improving standard of care
• Set up acute stroke units in outer Sydney
• Reduced waiting times for living related donor renal
transplantation
• Provided uniform clinical protocols
• Implemented data management programs they designed
Health Networks in other
jurisdictions
SA Health - Statewide Cardiac Network
• Improved outcomes for patients with acute coronary
syndrome
• More efficient systems for maintaining stocks of high
cost drugs
• Point of care blood tests and wireless broadband for
ECGs enabling almost instant cardiologist review
regardless of where the patient presents
• Better support for rural GPs and practice nurses
Health Networks in WA
The challenges ahead..
• Building partnerships that enable a system wide
view over institutional view
• Delivering horizontal networks as opposed to
vertical hierarchies
• Becoming comfortable with fuzzy boundaries
Benefits of being involved
•
•
•
•
Influence the future shape of WA Health
Receive recognition as a leader
Make a real contribution
• Embed a focus on prevention and maintenance of
health
• Build effective integration across service providers
• Strengthen links and information exchange across
WA Health
Provide input to health plans which are based on needs
of patients and services rather than buildings and
organisations
Current Health Networks
www.healthnetworks.health.wa.gov.au
 Acute Care
 Aged Care
 Cancer and Palliative Care
 Cardiovascular Health
 Child and Youth Health
 Digestive
 Endocrine
 Falls Prevention
 Genetics
Current Health Networks
 Infections and Immunology
 Injury and trauma
 Mental Health
 Musculoskeletal Health
 Neurosciences and Senses
 Renal
 Respiratory health
 Women and newborns’
Models of Care that have been developed
www.healthnetworks.health.wa.gov.au/modelsofcare/
• Chronic kidney disease
• Coeliac disease
• Diabetes
• Cystic fibrosis
• Sexually transmitted infections
• HIV
• Palliative care
• Stroke
• Falls
Infections and Immunology
Health Network
Current Structure
• CO-LEADS
• Dr Jim Flexman
Clinical Microbiologist, RPH and
Pathwest Laboratory Medicine WA
• Dr Lewis Marshall
Sexual Health Physician,
Fremantle Hospital
• Julia Fallon-Ferguson
Senior development officer
Network Executive 2007
Dr Wendy Cheng
Hepatology (Digestive Network)
Ms Crystal Connelly
Nursing
Dr Charles Douglas
WACHS
Mr Michael Doyle
Aboriginal Health
Prof Martyn French
Immunology
Ms Michele Kosky
Consumers
Ms Trish Langdon
NGOs
Dr Richard Loh
Paediatrics
Ms Gae Sawyer
GP Divisions
Dr David Speers
ID Physicians
Dr Paul Van Buynder
CDC DOH
Dr Rhyon Johnson
General Practice
Network Executive 2008
Dr Wendy Cheng
Hepatology (Digestive Network)
Ms Crystal Connelly
Nursing
Dr Charles Douglas
WACHS
Dr Sandra Thompson
Aboriginal Health
Prof Martyn French
Immunology
Ms Michele Kosky
Consumers
Ms Trish Langdon
NGOs
Dr Tony Keil
Paediatrics
Ms Gae Sawyer
GP Divisions
Dr John Dyer
ID Physicians
Dr Paul Van Buynder
CDC DOH
Subgroups
• WA Infectious Diseases Physicians Group
14 ID physicians
• NGOs
FPWA, Hepatitis Council, SECCA, Silver Chain, WAAC and WASUA
• Nurses
40 nurses from a wide range of disciplines
• Clinical Immunology Interhospital Liaison Group ( 2008 )
Protocols and guidelines
To be patient centred:
• Staphylococcus aureus bacteraemia
• Post splenectomy immunisation
• Post exposure Prophylaxis for HIV
• Statewide anaphylaxis Service
• Working with Health Networks branch on guideline distribution
strategy
Advocacy Education and
prevention
• Prevention and education included in Models of Care
• WA Health Promotion Strategic Framework
• Partnership with Office of Safety and Quality in Health Care
• Hand Hygiene
• Public Health Act
• Influenza strategy
• Immunisation policy
• Anaphylaxis service
Service delivery inc Policy
To be Patient centred and including:
• Sexual health services
• Aboriginal sexual health
• Migrant health
• Hepatitis and HIV
• Allergic Disease
Service delivery inc Policy
• Model of Care STI
• Model of Care Hep C
• Model of Care HIV
• Staff Immunisation register
• Telehealth
• TB control-advocacy role
Workforce
• Training for HCW’s e.g. e-learning in infection control
• On call support for GPs
• Training and education included in Models of Care
• Advanced practice roles for nurses included in MOC
• Research and education forum March 2008
Research and Education
• Support Research centres
• Data management and collection e.g. State-wide clinical database
for HCV
• Encouraged applications to SHRAC for research grants
• Chlamydia research proposal developed with wide network support
for SHRAC process
• Letters of support for Raine Foundation applications
• Support for the development of e-Learning projects
• Questionnaire on how to promote research agenda
• Research Forum held 18th March 2008 included social research and
the community perspective
Partnerships
• Partnerships established through EAG members e.g. NGO’s
• Collaboration with Digestive Network re Hep C MOC
• Immunologists review of Coeliac disease MOC for the Gastroenterology
Network
• SHRAC application for research
• HICWA
• Other Health Networks
• Communication links between CDCD and Microbiologists and Infectious
Diseases Physicians
• General Practice e.g. WAGP Network and GP’s
• PathWest Laboratory Medicine WA
Priorities for 2008
• Implementation strategies for models of care and guidelines that have
been developed
• Continue ongoing projects
• Model of care for allergic disease
• Statewide support for infection control
• Guideline on the management of central nervous system infections
• Antibiotic stewardship
• Consumer information on models of care
• Review of refugee health in collaboration with other networks