Providing the know-how for Closing the Gap: The new research agenda

1. Providing the know-how for Closing the Gap: The new research agenda

2. New CRC for Aboriginal and Torres Strait Islander Health (CRCATSIH) sits within the Lowitja Institute CRC funded till June 2014 Lowitja Institute will establish an ongoing funding mechanism (such as an endowment fund) to sustain Indigenous health research in the long-term Lowitja Institute will continue on after the CRC has ended. The new CRC and the Lowitja Institute

3. The Company The Directors (The Board) The CEO (Staff) The CW Funding Agreement The Centre Agreement DIISR The CRC Partners The By Laws The Congress The CRCAH Advisory Board

4. Burden of disease, mortality trends End-user feedback, 2008 review of policy priorities Life course framework 2008 audit of research capacity in Indigenous health Synthesis of 5 program outcomes Ongoing input through FDA processes Research program priority setting

5. Healthy Start, Healthy Life Healthy Communities and Settings Enabling Policies and Systems Programs target 80% of the Indigenous health gap. They integrate a research focus on clinical processes, the determinants of health and upstream systems Three new research programs:

6. CRCAH legacy: successful interventions in chronic illness care (e.g. ABCD, AIMhi) (chronic conditions program, SEWB, primary care program) New research: Guide the implementation interventions Extend the breadth of CQI initiatives Maternal and child health interventions Support early intervention Risk factor interventions (tobacco) Program 1: Healthy Start Healthy Life

7. CRCAH legacy: targeted interventions in local communities (e.g. Healthy Skin), social determinants program, SEWB program New Research: Multi-faceted health promotion interventions Shepparton project: 8-year collaboration with community organisations in the Goulburn Valley Development of measurement systems for health and social development New intervention models that are community rather than organisation focussed Program 2: Healthy Communities and Settings

8. CRCAH legacy: Health services research (primary care program, chronic conditions), work on the social determinants of Indigenous health New research: Addressing up-stream barriers to health gain Oriented to systems reform in regulation, funding, performance measurement, workforce development, contract management. Program 3: Enabling Policy and Systems

9. Unintended Complexity

10. Program Framework – Connections and Innovation - adapted from WHO Innovative Care for Chronic Conditions Framework Enabling Policy and Systems Links Healthy Life, Healthy Start Healthy Communities and Settings • Health care organisation - Best practice care - Information systems Community Partners Health Care Team Patients and Families Outcomes

11. CRCAH legacy: Effective interventions Expertise in research transfer and communications New build: Diffusion strategy Workforce development Tools and resources Emphasis on implementation

12. Partnerships with existing web-based knowledge portals Knowledge brokerage positions in policy and service sector Strategic communication of evidence, inc. setting up media exchange Diffusion Strategy

13. Supporting the transition of research findings into formal and informal education and training National Centre for Quality Improvement in Indigenous Primary Health Care Formalised links with key workforce training providers Workforce development

14. Example: Healthy Community and Settings Program aims to resource people and organisations to implement multifaceted local interventions Supported by: audit tools, network development resources, evaluation frameworks, social and health indicator frameworks Tools and resources

15. Developing the connect between research projects and mechanisms for usage EVALUATED WORKFORCE INTERVENTIONS Research program management APPRAISAL INTEGRATED HEALTH INFO SYSTEMS Diffusion strategies LONGITUDINAL STUDY Implementation project management National Centre for Quality Improvement in Indigenous Primary Health Care

16. Access Economics prospective economic evaluation Used methods adapted from a study of impact of NHMRC research Only 25% of the economic benefit attributed to the proposed CRCAH program Estimates based on impact in single health condition per project – to avoid double counting Overall return of $526 million in economic benefit, return of $7 for each $1 spent Economic benefit

17. Australian Indigenous arm of International Tobacco Control project Anti-racism intervention in local government Stewardship for Indigenous health others Early start projects