Implementing a new structure for Aged and Community Care

1. Implementing a new structure for Aged and Community Care Elizabeth Koff, South Eastern Sydney Illawarra AHS 20 September 2007

2. The organisational journey of clinical redesign • Create a position for change • Diagnose • Redesign of the organisation and performance of work • Alignment of management functions and responsibilities with core activities

4. Some considerations for structure • Management restructurring has limited success in achieving improvements • Plethora of previous aged care model documents • Defining scope: aged care is everyone’s business • Competing priorities: • Bedding down of Area clinical program structure • Older Persons and Chronic Care Redesign • The future vision for community health – “Extending Care Choices”

5. Northern Network GM Central Network GM Southern Network GM Director Mental Health / Drug and Alcohol Stream Director Rural Health Clinical Stream Director Cancer Services Clinical Stream Director Cardiac Care Clinical Stream Director Child and Adolescent Health Clinical Stream Director Medicine / Emergency Medicine Clinical Stream Director Critical Care Clinical Stream Director Surgery and Perioperative Clinical Stream Director Neurosciences / Spinal / Rehabilitation Clinical Stream Director Clinical Diagnostic Services Clinical Stream Director Women and Babies Health Clinical Stream Director Aged and Chronic Care / Community Health Clinical Stream Director Population Health and Primary Health Care Clinical Stream Clinical streams organisational chart

7. Observations • Complexity of the Older Persons and Chronic Care patient journey – not all journeys are the same • Variable baseline infrastructures across networks within the Area • Clinical redesign patient journey on this scale requires reengineering roles and responsibilities • Represents challenges and threats to the way business routinely conducted