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The WA Health Clinical Services Framework 2010 – 2020 (CSF 2010) More than a service role delineation framework….

Our Unique WA Or how the Wild West is finally winning! Jodie South, Director, Health Infrastructure Elizabeth Rohwedder, Senior Project Manager , HSIU Nancy Bineham, Manager Planning, WACHS. The WA Health Clinical Services Framework 2010 – 2020 (CSF 2010)

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The WA Health Clinical Services Framework 2010 – 2020 (CSF 2010) More than a service role delineation framework….

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  1. Our Unique WAOr how the Wild West is finally winning!Jodie South, Director, Health InfrastructureElizabeth Rohwedder, Senior Project Manager, HSIUNancy Bineham, Manager Planning, WACHS

  2. The WA Health Clinical Services Framework 2010 – 2020 (CSF 2010) More than a service role delineation framework….

  3. CSF - Timeframe 2005 – First CSF released (2005-2015) Metropolitan hospitals State Cabinet endorsed 2007-2009 – Area Health Service Clinical Service Plans developed 2009 – Second CSF released (2010-2020) Metropolitan & Country hospitals and non-hospital services State Cabinet endorsed

  4. CSF 2010 • High level health service planning framework for the next 10 years • Basis for content and direction of enablers of health service delivery

  5. Delivering a Healthy WA WA Health Strategic Intent WA Health Policy Models of Care Clinical Service Framework 2005 – 2015/2010-2020 WA Health Activity Modelling Planning Inpatient modelling Non-Inpatient modelling Emergency Dept modelling Resource Allocation Model ABF/ABM Enablers Workforce Infrastructure Recurrent Cost ICT RAM/Efficient Price BUSINESS INTEGRATION MODEL Operational Deployment AHS/Divisional Operational Plans RAM / ABF/ABM Budget Allocation Feedback and Accountability Mechanisms

  6. CSF 2010 Impact • Influences content and direction of: • Workforce strategy and planning • Infrastructure – State Health Infrastructure Plan (SHIP) • Recurrent Cost - Budget setting, funds allocation (ABF/ABM) • Information, communication & medical technology strategy and planning • Aligns with: • Reform initiatives • Strategic intent • Expects consistency from: • AHS planning • Annual operational plan

  7. Enabler 3: Recurrent Cost, Budget setting, funds allocation (ABF/ABM) • Whole of Health Cost Model – annual budget bid and forward estimates • Funds allocation – Activity Based Funding/ Management (ABF/ABM)

  8. What’s Happening in the Country? Major Investment in Country Health Infrastructure and Services aligned to the CSF.

  9. Our country health services and infrastructure includes: • 70 hospitals • 6 Regional Health Campuses • 15 District Health Campuses • 49 small hospitals including • 30 multi-purpose services 26 community mental health services 38 remote nursing posts 2 state government nursing homes and 1 aged care hostel 50 Community health services 206 Child health services

  10. Our aims in WA Country Health Service are aspirational but were hard to achieve….. 1. A fair share for country health 2. Service delivery according to need 3. Closing the gap to improve Aboriginalhealth 4. Workforce stability and excellence

  11. In 2008/09 • 22% of population of WA lived in country areas • 10% Aboriginal • WA Country Health Service provided: • 45% of all WA’s ED activity (lack of GPs) • 22% of all WA’s public inpatient activity (declining) • 22% of all WA’s births in public hospitals (declining) • 80% self sufficient

  12. To close the gap in country health and Aboriginal health outcomes • To meet health needs of increasing population incl. FIFO • To bring high quality care closer to home • To provide equitable access to services & investment • To attract, retain and skill the country workforce • To improve patient safety & satisfaction Why is government & industry focusing more now on Country WA?

  13. Royalties for Regions funding program • Regional Investment ($873m 2010/11) • Twin Cities in the Pilbara region – plan to almost double population • East Kimberley Development Project • COAG NPA and Commonwealth funding • - Finally - A Fair Share For Country…

  14. Royalties for Regions - Capital initiatives R4R funding to date $363.8m & includes Karratha Hospital- planning/staff accommodation $8m Pilbara health equipment $2.5m Pilbara Health Initiative $32m Kalgoorlie hospital (total $55.8m) $15.5m New Albany Health Campus (total $166m) $60.9m Karratha Health Campus $160m Exmouth Clinic $8m Carnarvon Hospital$20.8m Esperance Hospital$18.8m Remote Indigenous Health Clinics $22.2m

  15. Royalties for Regions - Service Initiatives • TOTAL to date: $152.43m over 6 years 08/09 – 13/14 • RFDS – 37 m • ST JOHN AMBULANCE - $26.1 m • PATS – $49.8 m • RURAL GENERALISTS - $8.5 m • PILBARA CARDIO POINT OF • TESTING PROGRAM - $1.2 m • PILBARA SPECIALIST SERVICES • - $29.8 m

  16. COAG INDIGENOUS AGENDA • Close the Gap NPA $117M • Indigenous Early Childhood NPA $28M • COMMONWEALTH PARTNERSHIPS • HHF • Kimberley renal dialysis $8.6m • 5 rural cancer units 22.29m • Broome paediatric ward $7.9m • Bunbury radiotherapy $15.21m • Bunbury ED & ICU $14.1 m • East Kimberley Development Package$50m • Clever Networks – Telehealth $6m • National Health Reform Commonwealth & COAG partnerships

  17. Thank youNancy.Bineham@health.wa.gov.au 08 9223 8565Jodie.South@health.wa.gov.au 08 9222 6471Elizabeth.Rohwedder@health.wa.gov.au 08 9222 4195

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