Our Unique WA
Or how the Wild West is finally winning!
Jodie South, Director, Health Infrastructure
Elizabeth Rohwedder, Senior Project Manager, HSIU
Nancy Bineham, Manager Planning, WACHS
The WA Health Clinical Services
Framework 2010 – 2020 (CSF 2010)
More than a service role delineation
framework….
CSF - Timeframe
2005 – First CSF released (2005-2015)
Metropolitan hospitals
State Cabinet endorsed
2007-2009 – Area Health Service Clinical Service Plans
developed
2009 – Second CSF released (2010-2020)
Metropolitan & Country hospitals and non-hospital services
State Cabinet endorsed
CSF 2010
• High level health service planning framework for
the next 10 years
• Basis for content and direction of enablers of
health service delivery
Delivering a Healthy WA
WA Health Strategic Intent
WA Health Policy
Models of Care
Clinical Service Framework
2005 – 2015/2010-2020
WA Health Activity Modelling
Planning
Inpatient modelling
Non-Inpatient modelling
Emergency Dept modelling
Resource
Allocation
Model
Enablers
ABF/ABM
Workforce
Infrastructure
Recurrent Cost
ICT
RAM/Efficient Price
Operational Deployment
AHS/Divisional Operational Plans
Feedback and Accountability Mechanisms
RAM / ABF/ABM
Budget Allocation
BUSINESS INTEGRATION MODEL
CSF 2010 Impact
•
Influences content and direction of:
1. Workforce strategy and planning
2. Infrastructure – State Health Infrastructure Plan (SHIP)
3. Recurrent Cost - Budget setting, funds allocation (ABF/ABM)
4. Information, communication & medical technology strategy and
planning
•
Aligns with:
– Reform initiatives
– Strategic intent
•
Expects consistency from:
– AHS planning
– Annual operational plan
Enabler 3: Recurrent Cost, Budget setting, funds
allocation (ABF/ABM)
• Whole of Health Cost Model – annual budget bid and
forward estimates
• Funds allocation – Activity Based Funding/
Management (ABF/ABM)
What’s Happening in
the Country?
Major Investment in Country
Health Infrastructure and
Services aligned to the CSF.
Our country health services
and infrastructure includes:
70 hospitals
• 6 Regional Health Campuses
• 15 District Health Campuses
• 49 small hospitals including
30 multi-purpose services
26 community mental health services
38 remote nursing posts
2 state government nursing homes and 1 aged care hostel
50 Community health services
206 Child health services
Our aims in WA
Country Health
Service
are aspirational but were hard to
achieve…..
1. A fair share for country
health
2. Service delivery according to
need
3.
Closing the gap to improve
Aboriginal health
4. Workforce stability and
excellence
In 2008/09
- 22% of population of WA
lived in country areas
- 10% Aboriginal
WA Country Health
Service provided:
- 45% of all WA’s ED activity
(lack of GPs)
- 22% of all WA’s public
inpatient activity (declining)
- 22% of all WA’s births in public
hospitals (declining)
- 80% self sufficient
Why is
government
& industry
focusing
more now
on Country
WA?
•To close the gap in country health and
Aboriginal health outcomes
•To meet health needs of increasing
population incl. FIFO
•To bring high quality care closer to
home
•To provide equitable access to services
& investment
•To attract, retain and skill the country
workforce
•To improve patient safety & satisfaction
Finally - A Fair
Share For
Country…
1. Royalties for Regions funding
program
•
Regional Investment ($873m 2010/11)
•
Twin Cities in the Pilbara region – plan
to almost double population
•
East Kimberley Development Project
2. COAG NPA and Commonwealth
funding
-
Royalties for
Regions Capital
initiatives
R4R funding to date $363.8m & includes
Karratha Hospital- planning/staff accommodation
Pilbara health equipment
Pilbara Health Initiative
Kalgoorlie hospital (total $55.8m)
New Albany Health Campus (total $166m)
Karratha Health Campus
Exmouth Clinic
Carnarvon Hospital
Esperance Hospital
Remote Indigenous Health Clinics
$8m
$2.5m
$32m
$15.5m
$60.9m
$160m
$8m
$20.8m
$18.8m
$22.2m
Royalties for
Regions Service
Initiatives
TOTAL to date: $152.43 m over 6
years 08/09 – 13/14
• RFDS – 37 m
• ST JOHN AMBULANCE - $26.1 m
• PATS – $49.8 m
• RURAL GENERALISTS - $8.5 m
• PILBARA CARDIO POINT OF
TESTING PROGRAM - $1.2 m
• PILBARA SPECIALIST SERVICES
- $29.8 m
COAG INDIGENOUS AGENDA
•Close the Gap NPA $117M
•Indigenous Early Childhood NPA $28M
COMMONWEALTH PARTNERSHIPS
• HHF
•Kimberley renal dialysis $8.6m
•5 rural cancer units 22.29m
•Broome paediatric ward $7.9m
•Bunbury radiotherapy $15.21m
•Bunbury ED & ICU $14.1 m
• East Kimberley Development Package $50m
• Clever Networks – Telehealth $6m
• National Health Reform
Commonwealth &
COAG
partnerships
Thank you
Nancy.Bineham@health.wa.gov.au 08 9223 8565
Jodie.South@health.wa.gov.au 08 9222 6471
Elizabeth.Rohwedder@health.wa.gov.au 08 9222 4195