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  • This presentation will provide an outline of the key features of the South Australian Health Reform process. It will provide information on: The drivers for change The Health Care Act The SA Health Care Plan
  • Transcript

    1. The CMO and rural health issues Professor Paddy Phillips SA Chief Medical Officer “ Celebrating rural practice” RDWA Conference, October 2008
    2. Who am I? <ul><li>Born 1956 in Johannesburg, South Africa to English academic nomad parents </li></ul><ul><li>Moved to SA when 1yo </li></ul><ul><li>1969-73 Adelaide Boys High School </li></ul><ul><li>1974-79 University of Adelaide Medical School </li></ul><ul><li>1980 Internship at RAH </li></ul><ul><li>1981-83 University of Oxford, PhD </li></ul><ul><li>1984-87 PHH and Austin Hospital, Melbourne, FRACP (General Medicine) </li></ul><ul><li>1987-96 Department of Medicine, University of Melbourne, Austin Hospital </li></ul><ul><li>1996-97 University of Oxford, May Reader in Medicine </li></ul><ul><li>1997-2008 Flinders University Chair of Medicine Division of Medicine Director, FMC and RGH </li></ul><ul><li>2002-03 Member, Generational Health Review </li></ul><ul><li>2007 Chair, Cardiology Clinical Network </li></ul><ul><ul><ul><ul><ul><li>Chair, Clinical Senate </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Acting CMO </li></ul></ul></ul></ul></ul><ul><li>2008 CMO </li></ul>
    3. What do I do? <ul><li>The Chief Medical Officer: </li></ul><ul><li>is the primary source of medical advice to </li></ul><ul><ul><li>the SA Health Portfolio Executive </li></ul></ul><ul><ul><li>the Chief Executive </li></ul></ul><ul><ul><li>and </li></ul></ul><ul><ul><li>the Minister for Health. </li></ul></ul><ul><li>will oversee the </li></ul><ul><ul><li>public presentation of medical advice, </li></ul></ul><ul><ul><li>resolution of technical medical issues, and </li></ul></ul><ul><ul><li>the development of the medical profession within South Australia. </li></ul></ul>
    4. What do I do? <ul><li>Also </li></ul><ul><li>General Medicine ward service at FMC and RGH </li></ul><ul><li>General Medicine Clinic at RAH </li></ul><ul><li>Chair, Cardiology Clinical Network </li></ul><ul><li>Chair, Clinical Senate </li></ul><ul><li>Health services research into: </li></ul><ul><ul><li>Improving evidence into practice </li></ul></ul><ul><ul><li>Improving chronic disease management </li></ul></ul><ul><ul><li>Care of older people </li></ul></ul>
    5. My key issues <ul><li>All in this together – one system </li></ul><ul><li>Improving system integration </li></ul><ul><li>Clarifying roles and responsibilities </li></ul><ul><li>Increasing investment in prevention, early intervention and effective chronic disease management </li></ul><ul><li>Medical workforce development </li></ul><ul><li>Clinician engagement </li></ul>
    6. How can we work together? <ul><li>My thoughts: </li></ul><ul><li>Recognise status quo not an option </li></ul><ul><li>Dialogue with jurisdiction is fundamental </li></ul><ul><li>Engagement on key issues </li></ul><ul><li>No better time for clinicians to be involved </li></ul>
    7. Clinical Senate? A forum where clinical leaders within the SA health system share their collective knowledge, provide advice, leadership and guidance on clinical issues and participate in the decision-making process in relation to clinical service planning. Operates outside of the formal departmental structure of SA Health and is a major source of clinical advice to the Minister for Health and the Chief Executive of SA Health.
    8. Membership <ul><li>Includes: </li></ul><ul><li>Chairs of the Statewide Clinical Networks </li></ul><ul><li>GPs (rural and metro) </li></ul><ul><li>Allied Health Practitioners (rural and metro) </li></ul><ul><li>Nursing/Midwifery (rural and metro) </li></ul><ul><li>Medical Specialists (rural and metro) </li></ul><ul><li>Public Health Practitioners </li></ul><ul><li>Mental Health Practitioners </li></ul>Ex-Officio members: SA Health CEO Regional CEs Chief Medical Officer ED, PH&CC ED, SSS ED, Operations Chief Nurse Principal AH Advisor
    9. Senators <ul><li>Elaine Ashworth </li></ul><ul><li>Dr Phil Aylward </li></ul><ul><li>Prof Peter Bardy </li></ul><ul><li>Heather Baron </li></ul><ul><li>Prof Justin Beilby </li></ul><ul><li>Dr Taryn Bessen </li></ul><ul><li>Elizabeth Birchmore </li></ul><ul><li>Dr John Bonifant </li></ul><ul><li>Dr Phil Brock </li></ul><ul><li>Dr Chris Cain </li></ul><ul><li>A/Prof Simon Carney </li></ul><ul><li>Cate Curry </li></ul><ul><li>A/Prof Chris Doecke </li></ul><ul><li>A/Prof Karen Grimmer-Somers </li></ul><ul><li>Christine Holliday </li></ul><ul><li>A/Prof Geoff Hughes </li></ul><ul><li>Prof Norman James </li></ul><ul><li>Dr Sue Johanson </li></ul><ul><li>Dr Sharon Liberali </li></ul><ul><li>Dr Lesley Long </li></ul><ul><li>Prof Guy Ludbrook </li></ul><ul><li>Prof Guy Maddern </li></ul><ul><li>Dr Ruth Marshall </li></ul><ul><li>Michele McKinnon </li></ul><ul><li>David Morris </li></ul><ul><li>Di Norris </li></ul><ul><li>Dr Rob Padbury </li></ul><ul><li>Prof Paddy Phillips </li></ul><ul><li>A/Prof John Pierides </li></ul><ul><li>Dr Michael Rice </li></ul><ul><li>Dianne Rogowski </li></ul><ul><li>Prof Jeffrey Robinson </li></ul><ul><li>A/Prof Graeme Russ </li></ul><ul><li>Dr Cathy Sanders </li></ul><ul><li>Judy Smith </li></ul><ul><li>Dr Michael Taylor </li></ul><ul><li>Dr Jo Thomas </li></ul><ul><li>Deborah Walker </li></ul><ul><li>Dr Lucie Walters </li></ul><ul><li>Dr David Watson </li></ul><ul><li>A/Prof Craig Whitehead </li></ul><ul><li>A/Prof Brenda Wilson </li></ul><ul><li>Dr John Yamba </li></ul>
    10. New Modus Operandi 2008 <ul><li>Based on a Charrette Model </li></ul><ul><li>Key features: </li></ul><ul><ul><li>Executive Sponsor </li></ul></ul><ul><ul><li>Specific questions put to Senate </li></ul></ul><ul><ul><li>SA Health provides a response to Senate recommendations </li></ul></ul>
    11. 2008 Program January What it means to be a Senator February Elective surgery March 24/7/365 Cover April Clinical simulation facilities May Health and Medical Research June Clinical Network Service Plans July Model of Care October Hospital/health reform November Review of 2008
    12. For more information <ul><li>Please visit our website </li></ul><ul><li>www.health.sa.gov.au/clinicalsenate </li></ul><ul><li>Or email </li></ul><ul><li>[email_address] </li></ul>
    13. How can we work together? <ul><li>Your thoughts…..? </li></ul>
    14.  
    15. Clinical Networks <ul><li>Responsibilities: </li></ul><ul><li>Planning & Priority Setting </li></ul><ul><li>Clinical Practice Improvements </li></ul><ul><li>Considering Workforce Development Needs </li></ul><ul><li>Advising on Teaching & Research </li></ul><ul><li>Creating Partnerships </li></ul><ul><li>Monitoring and Reviewing Performance </li></ul>
    16. Cardiology Network <ul><li>Cardiology Network Steering Committee </li></ul><ul><li>Chair: Professor Paddy Phillips </li></ul><ul><li>Deputy Chair: Dr Peter Joyner, GP </li></ul><ul><ul><li>Dr Margaret Arstall, LMHS </li></ul></ul><ul><ul><li>Professor Phil Aylward, FMC </li></ul></ul><ul><ul><li>Dr Leo Mahar, RAH </li></ul></ul><ul><ul><li>Professor John Horowitz, TQEH </li></ul></ul><ul><ul><li>Ms Rachel Bishop, Consumer </li></ul></ul><ul><ul><li>Mr Colin Purvis, Consumer </li></ul></ul><ul><ul><li>Mr Alwin Chong, Aboriginal Health Council </li></ul></ul><ul><ul><li>Dr Marion Eckert, nurse </li></ul></ul><ul><ul><li>Professor Janet Hiller, Public Health Ms Deb Rowett, Pharmacist </li></ul></ul>
    17. Cardiology network work groups
    18. Cardiology network achievements <ul><li>Cardiology service delineation and plan across all health services in SA. </li></ul><ul><li>Ambulance diagnosis of STEMI and opening of nearest emergency PCI lab (if within 60 minutes drive time) </li></ul><ul><li>Geographical boundary for transfer of STEMI patients for emergency PCI or transfer to local hospital for stabilisation and thrombolysis. </li></ul><ul><li>Agreed protocols for low risk chest pain, unstable angina, NSTEMI, and STEMI. </li></ul>
    19. Achievements cont’d <ul><li>Formal statewide rotational training program for advanced trainees. </li></ul><ul><li>Collaboration with South Australian universities to develop a statewide cardiac nursing training curriculum. </li></ul><ul><li>Consistency of cardiology technician classification across the state. </li></ul><ul><li>Report on the current cardiovascular research in SA. </li></ul><ul><li>Stock-take of existing cardiac databases in SA. </li></ul><ul><li>Engagement of >120 clinicians. </li></ul>
    20. Key Messages <ul><li>One system; </li></ul><ul><li>Improving system integration; </li></ul><ul><li>Clarifying roles and responsibilities; </li></ul><ul><li>Increasing investment in prevention, early intervention and effective chronic disease management; </li></ul><ul><li>Workforce development; </li></ul><ul><li>Clinician engagement. </li></ul>

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