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Allied Health Workforce. Chief Allied Health Adviser Strategic Control Workforce and Regulation. Audiology Dental therapy Dental prosthetics Dental hygiene Dietetics/nutrition Environmental health Medical and health physics Medical imaging Nuclear medicine Radiation therapy
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Allied Health Workforce Chief Allied Health Adviser Strategic Control Workforce and Regulation
Audiology Dental therapy Dental prosthetics Dental hygiene Dietetics/nutrition Environmental health Medical and health physics Medical imaging Nuclear medicine Radiation therapy Medical librarian Medical science Occupational therapy Allied Health Professions in DHHS • Optometry • Orthoptics • Orthotics and prosthetics • Pharmacy • Physiotherapy • Podiatry • Psychology • Speech pathology • Sonography • Social work • Counsellor • (Chaplaincy)
Allied Health Services Allied health professionals work in all DHHS service programs • Acute and community health • Mental health • Oral health • Disability child, youth and family services • Aged care and rehabilitation • Forensic mental health • Alcohol and drugs • Cancer screening • Population health • Tas Ambulance
Allied Heath Service Sites Allied health professionals work across a range of service sites: • Acute hospitals • Regional hospitals • Community health centres • Integrated care centres • Multipurpose centres • Outreach services • Client homes • Education facilities • Local councils
Assistants Allied health Dental Laboratory Library Pharmacy Related support roles • Technicians • Laboratory • Pharmacy • Dental
Allied Health Training Programs • VEToffers: • Allied health assistant – generic, profession specific • Aged Care, rehabilitation and community assistant roles • Oral health – assistants, technicians • Pharmacy - assistants and technicians • Prosthetic technicians • UTAS offers: • Medical science • Social work • Psychology • Pharmacy • Environmental health • Medical imaging
Drivers for workforce data • National and state demographics • Tas health demographics • Need for patient centred care at all levels of health care • New and emerging roles • Efficiencies and costs • Max use of skills in available workforce
Context for workforce mapping • National: • National Health Workforce Strategic Framework 2004 • National Health Workforce Innovation and Reform Strategic Framework for Action 2011 – 2015 • The National Rural and Remote Health Workforce Innovation and Reform Strategy • AIHW Allied Health Workforce 2012 (National Health Workforce Series Number 5) • Mental and Primary Health Workforce Reform • HWA Workforce Reform Agenda • Grattan report
Context for workforce mapping • Tasmania • Commission on Delivery of Health Services in Tasmania • Tasmanian Health Workforce Strategy (CAPABLE)
Making the most of our health workforce • Full scope of practice – diffs with private and public eg x-ray requests • Advanced scope • Extended scope – catching up with other states and internationally • Evidence based practice • Support workforce – supervision and delegation frameworks; full scope of practice • Clinical redesign projects impact • Health practitioner prescribing pathway
Workforce mapping AHPsin public health system 2003 Last mapped with 2002 data • 19 professions, 969 staff over 763.91 FTE 2009 Tasmanian Allied Health & Oral Health Workforce Study • 22 professions, statewide, survey (45%) 2014 DHHS Workforce mapping • 28+ professions, around 1450 staff, ?FTE
Methodology • Establishment list • Verification of the establishment Nationalinformation: • ABS • Professional associations • HWA • AIHW • AHPRA
Challenges for mapping AHP workforce • Number of professions and size of this workforce group in DHHS and THOs • Registered and unregistered professions • Disaggregation of the workforce – multiple sites and services • Titles and identifying AHPs in generic roles eg AH professional • Lack of data nationally and state – how to obtain • Resourcing
Future challenges • Maintaining small but critical professions – training pathways, tertiary sector choices • Overcoming cultural and professional barriers • Increasing client access to services • Maintaining safety and quality • Credentialing for new scopes of practice