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General Practice Victoria Palliative Care Forum Wednesday 12 November 2008

General Practice Victoria Palliative Care Forum Wednesday 12 November 2008 . Jackie Kearney Manager, Palliative Care Cancer and Palliative Care. Today’s Presentation. Drivers in palliative care Policy development and intent Some achievements Future directions in palliative care.

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General Practice Victoria Palliative Care Forum Wednesday 12 November 2008

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  1. General Practice VictoriaPalliative Care ForumWednesday 12 November 2008 Jackie Kearney Manager, Palliative Care Cancer and Palliative Care

  2. Today’s Presentation • Drivers in palliative care • Policy development and intent • Some achievements • Future directions in palliative care

  3. Drivers in palliative care • Demographics • Patterns of illness • Patient preference • Costs • Changes in the way health professionals respond to care and treatment goals

  4. Strengthening Palliative Care Policy (SPC) 2004-09 • Seeks to promote access to quality palliative care • Integrates care across sectors • Ensure individual services part of integrated whole • Strengthening specialist palliative care • Articulates principles and planning goals

  5. SPC - Principles • Information about options and involvement in decisions • Supported by health and community providers • All have access to the palliative approach • Access to specialist palliative care • Coordinated and integrated care • Quality services and skilled staff • Supported by communities

  6. Diagnosis of life threatening illness Goal is management and quality of life Offered in conjunction with active curative care Care responds to illness trajectory not seen as failure Disease is chronic & needs ongoing management Patients & families engaged in advanced care planning Patient care needs met by multidisciplinary team Timely palliative care Life prolonging therapy Palliative care

  7. Achievements in palliative medicine • Hospital training & development grants • Fund rural medical & palliative care scholarships • Fund palliative medicine coordination training program • Fund communication project in palliative medicine • Fund & support palliative care academic, research and training centres

  8. Access to specialist palliative care • Funding 12 Hospital based palliative care consultancy teams • Funding indigenous palliative care project • Paediatric palliative care policy development, funding packages & consultancy service • Rural palliative medicine purchasing fund • Funding Regional Palliative Care Consortium

  9. Community Palliative Care • Population based funding model for CPC • Increased funding for CPC • Funding after hours capacity in CPC • Refine minimum data set and reporting for CPC

  10. Progressing non-malignant projects • Motor Neurone Diseases Pathway Project • Improving access to palliative care for people who have had a stroke

  11. Future policy work • Evaluate impact of SPC to date • Setting up consultation processes • Refresh policy – some gaps: • Clinical quality (evidence based practice) & reducing variations in care • Standards – improving access and appropriateness of clinical care • Outcomes data • Access – Service Delivery Framework

  12. Evaluation and refresh – Strengthening Palliative Care Policy Refresh to consider: • What to keep & where the gaps are • Development of consistent clinical tools • Data to reduce variations in care (EBP) –patient & population • Implementation of standards • Continue regional and state planning based on SDF • Consultation process

  13. Service Delivery Framework and Funding Model Review (SDFFMR) Objectives • Activity that meets clinical & policy goals • Where activities should occur • A funding model that supports the service delivery framework • Incentives for desired provider behaviour

  14. Priority policy work - service delivery framework and funding model • Describe existing models & coordination • Review literature on models of care • Develop definitions and language to describe • Identify effective & efficient models & locations of care • Regional and state level descriptions and service delivery framework

  15. Priority policy work - service delivery framework and funding model cont… • Understand current funding models • Incorporating cost information • Model implications • Drive desired provider behaviour – align practice with policy & SDF

  16. Clinical Service Improvement Framework • Increase capacity of pc services to develop a program of clinical improvement • Aims to reduce variations in care • Extensive consultation with consortia and providers • Align with other projects and initiatives • Implement over 3 year period

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