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Defence Health Leadership Institute (DHLI) Panel Discussions
 

Defence Health Leadership Institute (DHLI) Panel Discussions

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    Defence Health Leadership Institute (DHLI) Panel Discussions Defence Health Leadership Institute (DHLI) Panel Discussions Presentation Transcript

    • DEFENCE HEALTH LEADERSHIP INSTITUTE (DHLI) Panel Discussions HMAS PENGUIN - 24 November 2010 Professor Jim Bishop AO Chief Medical Officer Australian Government Department of Health and Ageing
    • OECD HEALTH DATA 2010 How Does AUSTRALIA Compare Health Expenditure per capita, public and private expenditure, OECD countries, 2008 ($US PPP)8,000 75387,0006,000 50045,000 4627 4210 4079 4063 39704,000 3793 3737 3696 3677 3540 3470 3359 3353 3129 3060 3008 2902 28703,000 2729 2687 2683 21512,000 1801 1781 1737 1437 1213 999 8521,000 767 0 1 Refers to insured po pulatio n rather than resident po pulatio n. 2. Current expenditure. 3. 2006. 4. 2007. So urce: OECD, OECD Health Data, June 201 . 0 Public expenditure on health Private expenditure on health
    • AUSTRALIA’S RANKING AMONG OECD COUNTRIES 1987-2006 Source: AIHW Australia’s Health 2010
    • Projected Burden of Major Disease Groups, 2010Source: AIHW Australia’s Health 2010
    • BROAD CAUSE MORTALITY TRENDS IN AUSTRALIASource: AIHW
    • CANCERS WITH REDUCING DEATH RATES 1997 to 2006 – ALL AGES 0 -5-10-15cancers, -13.8 All Breast, -13.8 -7.9-20 Lung, -18.5 Bladder, -18.5 Colon, -19.6Rectum Prostate, -19.7 Bowel -19.0 , -19.9 , -19.7-25 -19.0 Leukaemia, -23.7Head and Neck, -23.7 , -18.9 Unknown, -24.8 , -15.2 , -24.3 Kidney , -21.1 , -24.1-30 Stomach, -29.4 -18.5 NHL, -25.1-35 -31.9-40 Cervix, -38.3 Testicular, -42.2-45 Male Female Source: Tracey et al, Cancer Institute NSW
    • AGED ADJUSTED DEATH RATES From CVD, 1907 - 2006 Source: AIHW Australia’s Health 2010
    • CHRONIC PULMONARY DISEASE MORTALITY 1980 to 2007Source: AIHW Australia’s Health 2010
    • PREVALENCE OF CURRENT ASTHMA 2007-08Source: AIHW Australia’s Health 2010
    • DEATH RATES FROM INFECTIOUS DISEASES, 1922-2007Source: AIHW Australia’s Health 2010
    • NSW POPULATION AGE DISTRIBUTIONS, MALE (1977 – 2036)Source: Cancer Institute NSW
    • TOTAL CANCER CASES & DEATHS per year (1972 to 2036)Source: Cancer Institute NSW
    • TRENDS IN LEADING CAUSES OF DISEASE BURDEN 2003-2023Source: AIHW Australia’s Health 2010
    • Commonwealth Government Health& Hospital expenditure under the NHHN Source: Commonwealth Budget Papers, DOHA and PMC Analysis
    • HEALTH REFORM Increasing expenditure to $15 billion 2010/11 Additional $7.3 billion over 4 years Local Hospital Networks (LHN) 60% Federal Funds (60% of research and teaching) Medicare locals (100% Federal funds) GP Super-clinics – multi disciplinary teams (100% Federal Funds)
    • MEDICARE LOCALS OBJECTIVES Identification and response to local health needs Integrated and coordinated care for the patient Support clinicians to improve care Implement new primary care initiatives Accountable for efficiency and quality
    • BUDGET 2010-11e-Health – connecting patients, providers and informationsystemsThe Government will establish a personally controlled electronic healthrecord system ($466.7m)The system will:  Enable people – and their chosen health provider - to access online their key health information when and where it is needed, for their care across the health system.  Allow people to register online to establish a personally controlled electronic health record from 2012-13  Rigorous governance  Privacy maintained
    • HEALTH REFORM KEY NEW STRUCTURES National Performance Authority Independent Hospital Pricing Authority Expanded Australian Commission of Safety and Quality in Health Care (ACSQHC)
    • CLINICAL GUIDELINES SUPPORTS FOR CLINICAL DECISION MAKING Evidence Base Highest Impact Range of best practice tools Successful implementation methods Monitor and report
    • CLINICAL GUIDELINES Highest Impact Greatest Burden of disease Greatest harm from poor practice Greatest demonstrated need: - New Standard of Care - Proven variation in practice Greatest time spent/cost to health system
    • HEALTH WORKFORCE Established Health Workforce Australia $1.2 billion in training more GPs and specialists, nurses and allied health 1375 more GPs by 2013, 5500 by 2020 680 more specialists by 2020 4600 practice nurses by 2013, 7500 rural nurses by 2020
    • CONCLUSIONS Increasing burden of chronic diseases especially cancer, dementia and diabetes New reform structures offer opportunities to set new clinical guidelines and standards Opportunities for more coordinated care through medicare locals, local hospital networks and lead clinician groups Increased health workforce provides opportunities for greater depth in general practice and in specialist training Increased need for greater evidence base as a framework for improved guidelines and decision tools