Lewis Kaplan, General Practice NSW - Integrating Primary Care


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Lewis Kaplan, CEO, General Practice NSW delivered this presentation at the 15th Annual Health Congress 2014. This event brings together thought leaders and leading practitioners from across the Australian health system to consider the challenges, implications and future directions for health reform.

For more information, please visit http://www.informa.com.au/annualhealthcongress14

Published in: Health & Medicine
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Lewis Kaplan, General Practice NSW - Integrating Primary Care

  1. 1. Integrating Primary Care Lewis Kaplan 24 March 2014 ISO 9001 Lic QEC22546 SAI Global 1
  2. 2. 1. Improving the patient journey through developing integrated and coordinated services – not an overnight job 2. Create financial models/incentives for clinicians and service providers to improve patient care 3. Need to measure outcomes rather than occasions of service Objectives & Benefits of Integrated Primary Care Models 2
  3. 3. Opportunities for Prevention, Intervention & Outside Hospital Care Long term cost benefit vs. short-term budget pressure Prevention “not proven” – stuck in evidence based paradigm? E.g. NSW Chronic Disease Management Program Political / media / societal pressures to increase hospital beds rather than invest in major, long-term prevention 3
  4. 4. Reduce Hospital Admissions & Associated Costs Rhetoric: Keeping People Healthy & Out of Hospital Reality: Cost shifting; poor culture of responsibility; Discharge vs. transfer of care; who “owns” the patient? 4
  5. 5. Other Key Policies National Primary Health Care Strategic Framework – based on:  Equity  Person-centred  Keeping people healthy and out of hospital Will this be a priority for the new Government? If not, why not? 5
  6. 6. Other Key Policies Federal Government Review of Medicare Locals now complete: Front-line services …..or Primary health care coordination / commissioning ….. Or both? 6
  7. 7. Other Key Policies Secure data messaging is a key requirement from hospital to GP and allied health. Good working relationships between health professionals and between service providers is critical. 7
  8. 8. Opportunities  Health Pathways  LHD/N relationships with Medicare Locals  Commitment to integrated care (but how long to really implement?)  Patient-centred health neighbourhood (medical home) 8
  9. 9. Other Key Policies - NSW Integrated Care Strategy – NSW Health: Being drafted $30M p.a. x 4 years innovation in integrated care funding from Ministry (likely to be 3 x $10M) Draft Strategic Framework for Integrated Care of the Older Person with Complex Health Needs – ACI 9
  10. 10. General Practice NSW => Primary Care NSW Developing a new sector body where all stakeholders can come together to debate / agree strategy and policy – makes it much easier for government if consumers, providers, professional & industry bodies, unions, academics can all agree on a particular approach. 10
  11. 11. Contact: lewiskaplan@gpnsw.com.au www.gpnsw.com.au Tel: 02 9239 2900 Lewis Kaplan 11