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REPORT: HEALTH REFORM BRIEFING THU 01 SEP 2011

This report is in 4 sections

A	Key Dates
B	Management Summary
C	Details of 1hr Briefing with speakers 
D	Analysis Hand-outs for Information and Reference

A	KEY DATES
01 Oct 2010 - Healthcare Identifiers Act 2010 and Healthcare Identifiers Regulations 2010
01 Dec 2010 - MyHospitals Website established 
01 Aug 2011 - COAG National Health Reform Agreement signed by all Parties
01 Apr 2012 - National Health Funding Pool [NHFP] established for funding LHN
01 Jul 2012 - 137 Local Hospital Networks [LHN] established
01 Jul 2012 -  62 Medicare Locals established for planning & service co-ordination GPs
01 Jul 2012 -  31 GP Super Clinics established
01 Jul 2012 - "Personally Controlled Electronic Health Record-PCEHR" released
01 Jul 2013 - "Activity Based Pricing/Costing Classification Standards" completed by IPHA 

A	MANAGEMENT SUMMARY 

a	There are 14 Briefing meetings in Australia between 29 Aug 2011 - 13 Sep 2011 

b	The 1 hr event in Sydney was attended by abut 300 people

c	The handouts did not include any information about the speaker or the panel

d	The only speaker Graham HEAD spoke for about 40 minutes

e	The Speaker said started the briefing by stating "the need for reform is because of 
	the NEED TO IMPROVE EFFICIENCY DUE TO THE RISING COSTS OF HEALTH CARE PARTICULARLY
	WITH AN AGING POPUTLATION

f	The Commonwealth has guaranteed at least an additional $ 16.4 Billion over the 
	period 2014/15 - 2019/20  

g	A number of new bodies are being established to implement and report on the progress 
	of the Health Reform

h	These new bodies include
	1	National Health Performance Authority [NHPA]
	2	The Independent Hospital Pricing Authority [IPHA]
	3	National Health Funding Administrator [NHFA]
	4	National Health Funding Body [NHFB]
	5	National Health Funding Pool [NHFP] - 01 Apr 2012

i	The National Health Funding Pool [NHFP] is being established to provide funding to 
	Local Hospital Networks [LHN] along with an independent Administrator  to:
	1	Advise the Treasurer of the Commonwealth's contribution to NHFB
	2	Oversee payment of the Commonwealth funding
	3	Reconcile and report on estimated and actual volume of service delivery

j	There will be a 137 Local Hospital Networks [LHN] with Local Directors to report on the 
	performance of Local Hospitals by 01 Jul 2012

k	In addition a Network of 62 Medicare Locals would be established each with a Board of Local 
	Directors to monitor Medicare payments to local GP Networks 

l	There was only time for 3 questions on Pain, Medicare Locals and Addictions.

m	The third question about Addictions prompted the response from Dr Nigel LYONS 
	"There are issues about Data Capture at the moment"

n	The IPAH has been established to
	1	Determine efficiency Price value
	2	Determine efficient Cost value
	3	Formulate Standards - full classification by 01 Jul 2013 by 9 member Committee
        with the Chair selected by Commonwealth and the Dep Chair selected by States/Territories

o	All Aged Care funding still to remain with Commonwealth and is separate

C	DETAILS OF 1 HR BRIEFING WITH SPEAKERS

TIME:	Thu 01 Sep 2011				TIME:	09:00 - 10:15

VENUE:	Sebel Surry Hills				SPONSORS:	Dep Health & Aging
	28 Albion St  SURRY HILLS 2010			Nat Reform Transition Office
								
ATTENDEES:	Approx 300 people

SPEAKERS:						EVENT MANAGER:
A	Main Speaker					Eventbrite USA
	Graham HEAD
1	Deputy Secretary & CEO of the National Transition Office

B	Panel
These were 3 Panel members introduced by Graham HEAD at 09:55 after he had delivered a very 
comprehensive report over 40 mins on the National Health Reform.

There was only time for 3 questions to the Panel after Graham HEAD finished speaking

2	David BUTT
	Deputy Secretary Regulatory Policy & Governance Division (RPGD)

3	Jillian SHAW
	Consultant to the Commonwealth Department of Health and Aging  

4 	Dr Nigel LYONS
	Chief Executive of Hunter New England Area Health Service [HNEAHS].
	Member Governance Panel HealthWorkforce Australia [HWA]


D	ANALYSIS HAND-OUTS FOR INFORMATION AND REFERENCE
HAND-OUTS
A	Delivering National Health Reform
B	Frequently Asked Questions for the Health Sector

A	Delivering National Health Reform
	a	What do we need National Health Reform
	b	What's changed under the National Health Reform Agreement since 2010
		1	A National Agreement
		2	Hospital Funding
		3	Hospital Funding
		4	Nat Health Funding Administrator & Nat Health Funding Pool
		5	Improved Patient Services 
		6	Emergency department and elective surgery targets
		7	More sub-acute care beds
		8	GP and primary health care
		9	Goods and Services Tax [GST]
		10	Aged Care

B	Frequently Asked Questions for the Health Sector
	a	What is the National Health Reform Agreement and what will it do?
		1	invest additional $ 19.8 Billion in public hospital services in 10 yrs
		2	reduce waiting times for emergency departments
		3	ensure all patients receive elective surgery on time
		4	all Australian to see how Hospitals & Medicare Locals perform
		5	give local communities and clinicians a greater say in local services
		6	strengthen primary health care through Medicare Locals
	b	Why do we need another Health Agreement ? Didn't we have one in 2010?
	c	Why do we need health reform
	d	What financial benefits will State & Territory governments receive
	e	Why is the Aus Gov restructuring way health system funded ?

	f	HOSPITALS
		1	What specific services will improve ?
		2	Who will be responsible for Hospital Services ?
		3	What will Local Hospital Networks [LHN] do ?

	g	HOSPITAL FINANCING
		1	How do the new payment arrangements for public hospitals work? 	
		2	Why is activity based funding being introduced nationally?
		3	How will activity based funding contribute to more efficiency?
		4	What will continue to be blocked funded?
		5	How will the efficient price for Hospital Services be determined?
		6	If a LHN cost-per-weighted separation is greater that the efficient price, 
			will they lose funding?
		7	How will LHN be funded?
		8	How is activity based funding different from casemix?
		9	What does the efficient growth in public hospital services mean?

	h	NATIONAL STANDARDS & PERFORMANCE
		1	How do these reforms bring increased transparency to health system
 		2	How will the Performance & Accountability Framework lead to 
			improved service provision ?
		3	What will the National Health Performance Authority [NHPA] do?
		4	How will the performance of Hospital Services provided by the private or 
			non-government sector be monitored?
		5	What will happen to under-performing hospitals and health services?
		6	Will the new reporting requirements under the National Health Performance 
			Authority [NHPA] increase the data burden for service providers?
		7	Why do we need the IHPA, NHPA and a national Health Funding Administer? 
			Won't they all do the same thing?

	i	GP & PRIMARY HEALTH CARE
		1	How will General Practitioners [GP] benefit from Medicare Locals?
		2	How can Medicare Locals tell GPs to provide after hours services or to see 
			patients in Residential Aged Care Facilities?
		3	Will Medicare Locals be fund holders?
		4	What will Medicare Locals do?
		5	What do Medicare Locals mean for patients?
		6	Will Medicare Locals provide services?
		7	How do GP Super Clinics complement existing Health Services

	j	AGED CARE
		1	Why is the current aged care system changing?
		2	How will National Health Reform improve the Aged Care System?
		3	What changes will there be to the delivery of Aged Care Services?
		4	Western Australia and Victoria have not agreed to changes in responsibility 
			for Home and Community Care [HACC]. What does this mean ?

	k	MENTAL HEALTH 
		1	How does the Aus Gov $2.2Billion Investment in Mental Health reform link with 
			broader health reform?

Accenture perspective on the National Health Reform

E	NEXT STEPS

This is a draft record received on of key points of the Briefing meeting in Sydney

Please advise comments by 12:00 Wed 2011/09/14.  Thank you 

Regards				

Stephen GOULD			
Information Co-ordinator
E-HEALTH TRAINING SERVICES CONSORTIUM [EHTSC]

15:23 F 2011/09/04   612067    

Att	
There are no web links to the Handouts or the questions at the Briefing yet 

These are the previous links to the Aged Care Financial Instrument [ACFI] 
"ACFI" Papers
A	ACFI Fact Sheet
B	5 steps to Entry into Residential Aged Care Booklet (PDF 1005 KB)
C	Aged Care Education and Training Incentive Program


















































Revised: S: 16:46 Wed 20/02/2002 Lon TW12 1QB
F: 17:22 Wed 20/02/2002 Lon TW12 1QB
Who: pd
Authorised: rs
Created: 16:46 Wed 20/02/2002 Lon TW12 1QB
By: rs
Revision: 2JFRKDS1.002
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