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HARP: A Vehicle for Change

HARP: A Vehicle for Change. A view from the middle. Better Care Of Older people: A recap. The successful HARP project for Bayside Health and its Partners was a multifaceted integrated model Components of the model included;

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HARP: A Vehicle for Change

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  1. HARP: A Vehicle for Change A view from the middle P.Cornish Bayside Health

  2. Better Care Of Older people: A recap • The successful HARP project for Bayside Health and its Partners was a multifaceted integrated model • Components of the model included; • Identified register, shared electronic health care record, targeted strategies, extra resources P.Cornish Bayside Health

  3. Means to an End • Better Care of Older People ( also a Bayside Strategic Direction) saw the project as no end in of itself • It was a way of promoting alternate care models which emphasised community interventions • Resources to be shifted into the community provider sector P.Cornish Bayside Health

  4. Resultant Model • There is a Joint Steering Committee chaired by the Bayside Health CEO P.Cornish Bayside Health

  5. Membership • CEO’s of two community health services • 2 LGA representatives at a senior level • 2 other Bayside Health Representatives from The Alfred and CGMC • ISEPHIC • Jewish Care • RDNS • GP Division P.Cornish Bayside Health

  6. Leverage Existing Relationships • Would we had to invent the PCP’s? • Strong commitment to the PCP • Primary Care Sector had long history of engagement (Primary Care Alliance) P.Cornish Bayside Health

  7. Other Key Players • Strong Involvement from a range of key staff such as CHS CEO’s • Bayside Health involvement across a number of areas • Bayside Health Representative had cross sector interests both in Primary Care sector and other sectors. P.Cornish Bayside Health

  8. Proposed Model Components • Identified client group of over 70 years multiple admissions or presentations, now 65 • Shared Electronic Health Care Record • Specialist Team • Provider Resourcing Funds( not brokerage) • 5 sub-programs • 24 hour call centre P.Cornish Bayside Health

  9. Build on Complementary Initiatives • There was a strong desire to ensure that multiple initiatives added to the total changes desired rather than doing so independently • So, we envisaged structures which had common membership I.e. NDHP, Other Electronic Work, PCP Co-ordinated Care P.Cornish Bayside Health

  10. Components • 12 case managers • Pharmacy project • Psychologist • HARP central, project support staff • IM component going • Brokerage provision • Seeding grants P.Cornish Bayside Health

  11. Next Parts • Specialist team • Disease sub-programs, especially mental health • Consumer/community involvement P.Cornish Bayside Health

  12. What’s Going Well • Relationships of Senior established players • Got many of the components on the ground • Range of protocols established • Sandringham project P.Cornish Bayside Health

  13. Maybe not so well • Originally treated local government sector as one • HARP, but one program amongst many in agencies • Identified wrong client group? Too sick? • Insufficient attention to cultural divide at different levels of agencies • need to connect better with acute P.Cornish Bayside Health

  14. HACC/HARP/Other Interface • Do you cease to be HACC eligible if you get HARP services • Are we developing a new HACC constituency? • Is there continuity of service? • Does HARP pay for the lot? • Is HARP just a brokerage service? P.Cornish Bayside Health

  15. What would the retrospective Scope Say? • Perhaps reduce initial group of agencies? • Or work on different issues with different groups • Work out multiple level change management process. Do they really want to do Hospital Business! • De-emphasize “virtual” team. Work on KPI’s. • Work out how to divide the money! • Support process. Under expenditure in first year created wrong vision, for DHS and others P.Cornish Bayside Health

  16. Now? • Looking at the model • Increasing use of KPI information • Refining criteria • Working on multiple component specification P.Cornish Bayside Health

  17. Relevant Links • www.baysidehealth.org.au ( Bayside Health) • www.portphillip.vic.gov.au/primary_care_partnerships.html I (ISEPHIC lead PCP) • http://www.baysidehealth.org.au/uploads/general/Bayside%20Health%20Strategic%20Plan.pdf ( B’side Health trategic Plan) P.Cornish Bayside Health

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