Nat Hlth & Hosps Reform Comm

National Health Reform Progress and Delivery – 7 September 2011

Posted on September 9, 2011. Filed under: Nat Hlth & Hosps Reform Comm | Tags: |

National Health Reform Progress and Delivery – 7 September 2011

ISBN: 978-1-74241-546-8
Online ISBN: 978-1-74241-547-5

“This publication provides stakeholders in the reform process with an outline of the measures to be implemented under the National Health Reform Agreement and a set of Council of Australian Governments reform initiatives. It outlines implementation progress and stakeholder engagement undertaken on health reform measures since April 2010 and details the next steps in the process. High-level implementation plans with major milestones and  timelines are included for each of the major areas of work across the eight streams.”

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Expert Panel Review of Elective Surgery and Emergency Access Targets under the National Partnership Agreement on Improving Public Hospital Services

Posted on August 4, 2011. Filed under: Nat Hlth & Hosps Reform Comm, Surgery |

Expert Panel Review of Elective Surgery and Emergency Access Targets under the National Partnership Agreement on Improving Public Hospital Services
Professor Chris Baggoley
Chair, Expert Panel

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National health reform finalised – 2 August 2011

Posted on August 2, 2011. Filed under: Health Economics, Health Mgmt Policy Planning, Nat Hlth & Hosps Reform Comm |

National health reform finalised – 2 August 2011

“Prime Minister, Minister for Health and Ageing

The Gillard Government today signed off on the final details of national health reforms with all States and Territories to secure the future of health in Australia.

This historic agreement will deliver the funding public hospitals need, with unprecedented levels of transparency and accountability, less waste and significantly less waiting for patients.

The reforms, agreed to by COAG in February and finalised today, will see the Australian Government invest an extra $19.8 billion in public hospitals through to 2019-20, rising to a total extra $175 billion to 2029-30.”  …continues on the site

Details of the Agreement on the YourHealth site

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COAG Communiqué on National Health Reform – 13 February 2011

Posted on February 14, 2011. Filed under: Health Economics, Health Systems Improvement, Nat Hlth & Hosps Reform Comm | Tags: , , , , |

COAG Communiqué

COAG Communiqué: 13 February 2011 – Doc 765KB | PDF 125KB

Communiqué: 13 February 2011 Attachment – PDF 3.4MB

My Hospitals website

Medicare Locals and Local Hospital Networks – Boundaries

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Discussion Paper on Local Health Networks released – NSW Health – 4 August 2010

Posted on August 6, 2010. Filed under: Health Mgmt Policy Planning, Nat Hlth & Hosps Reform Comm | Tags: |

Discussion Paper on Local Health Networks released – NSW Health – 4 August 2010  (pdf 253 kb)
Feedback is now encouraged on the proposed LHNs configuration.

ISBN 978 1 74187 473 0

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A National Health and Hospitals Network for Australia’s Future Delivering the Reforms – 7 July 2010

Posted on July 8, 2010. Filed under: Health Mgmt Policy Planning, Health Policy, Health Systems Improvement, Nat Hlth & Hosps Reform Comm |

A National Health and Hospitals Network for Australia’s Future Delivering the Reforms – 7 July 2010

ISBN: 978-1-74241-272-6 Online ISBN: 978-1-74241-273-3 Publications Number: 6803
A National Health and Hospitals Network for Australia’s Future – Delivering the Reforms (PDF 3.7 MB) 

This document outlines Government activities over coming months and years, including timelines and major milestones to implement the major health reform agreed by COAG in April 2010.

The Government will closely monitor progress against the milestones for these reforms and will provide regular updates on progress through [the Your Health website].

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Health reform – Council of Australian Governments Meeting – 19 and 20 April 2010, Canberra

Posted on April 21, 2010. Filed under: Nat Hlth & Hosps Reform Comm | Tags: , |

Council of Australian Governments Meeting – 19 and 20 April 2010, Canberra

“COAG Communiqué – Preamble

The Council of Australian Governments (COAG) concluded its 29th meeting in Canberra today. …

COAG, with the exception of Western Australia, reached an historic agreement on health and hospitals reform – the establishment of a National Health and Hospitals Network. This represents the most significant reform to Australia’s health and hospitals system since the introduction of Medicare, and one of the largest reforms to service delivery in the history of the Federation. These reforms will deliver better health and hospitals by:”

…continues

Full COAG Communiqué -19 & 20 April – PDF 215KB

Related Documents

National Health and Hospitals Network Agreement

On 20 April 2010, COAG agreed, with the exception of Western Australia, to sign the following National Health and Hospitals Network Agreement.

National Health and Hospitals Network Agreement  PDF 406KB “

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A National Health and Hospitals Network: Further Investments in Australia’s Health – April 2010

Posted on April 13, 2010. Filed under: Health Systems Improvement, Nat Hlth & Hosps Reform Comm |

A National Health and Hospitals Network: Further Investments in Australia’s Health – April 2010

Stage two of the Government’s National Health Reform Plan

“This document outlines the next stage of our health reforms, to deliver substantial improvements in the quality and availability of health care for Australians.

This document outlines the next stage of our health reforms, to deliver substantial improvements in the quality and availability of health care for Australians.

For the first time, Australians will have a guarantee that they won’t have to wait too long for elective surgery.

For the first time, a four hour National Access Target will be established for hospital emergency departments.

For the first time, the Government will pay for better health outcomes rather than just one-off visits to doctors and specialists – through our plan for personalised care for patients with one of Australia’s most common chronic diseases, diabetes.

For the first time, the Government will assume full responsibility for aged care in Australia, allowing us to deliver immediate improvements to help older Australians and their families better navigate the aged care system.

The Government will deliver record investments in training more doctors and allied health workers – so that in the future, patients can get better access to health services when they need them.”

 ISBN: 978-1-74241-196-5
Online ISBN: 978-1-74241-197-2
Publications Number: P3-6523

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National Health and Hospitals Network report – 3 March 2010

Posted on March 3, 2010. Filed under: Health Economics, Health Mgmt Policy Planning, Health Systems Improvement, Nat Hlth & Hosps Reform Comm | Tags: |

National Health and Hospitals Network report
ISBN: 978-1-74241-147-7
Online ISBN: 978-1-74241-148-4
Publications Number: P3-6430

“The National Health and Hospitals Network will deliver better hospitals by establishing a national hospital network, funded nationally and run locally.

This is the most significant reform to our nation’s health system since the introduction of Medicare.

The National Health and Hospitals Network will:

  • Create a single national network of hospitals, instead of eight separate systems
  • Be funded nationally, with the Australian Government shouldering the majority of the funding burden, which will mean more money is available to meet rising health costs
  • Make sure local doctors and nurses with local expertise are making the important decisions for our local hospitals.

You can read the full policy document here (PDF 2.3 MB)

Today’s announcement follows detailed consideration of the report of the National Health & Hospitals Reform Commission including extensive consultations, right across Australia.”

…continues on the website

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What is Medicare Select? – Parliamentary Library Background Note – 13 August 2009

Posted on August 13, 2009. Filed under: Nat Hlth & Hosps Reform Comm | Tags: , |

Parliamentary Library Background Note
What is Medicare Select?
Online only 13 August 2009
Dr Anne-marie Boxall, Social Policy Section

“Contents

Introduction
How would Medicare Select differ from Medicare?
Are there schemes similar to Medicare Select operating in other countries?
Is Medicare Select a form of managed care?
Would Medicare Select mean privatising the Australian health system?
What would be the potential benefits of implementing Medicare Select in Australia?
What would be the potential risks of implementing Medicare Select?

Introduction

In its final report to Government, the National Health and Hospitals Reform Commission (the Commission) outlined three options for reforming the structure of the Australian health system. Two preserved the structure of the health system established with Medicare in 1984, but they proposed changes to financing arrangements and the roles of the Commonwealth and state and territory governments. The third option proposed more significant reforms that, if implemented, would result in a fundamental restructure of the Australian health system. The proposal, called Medicare Select, was foreshadowed in the Commission’s interim report (where it was labelled as Option C). It was described as a compulsory social health insurance system along the lines of those operating in many European countries.[1] In the Commission’s final report, the proposal was branded as ‘a uniquely Australian governance model for health care that builds on and expands Medicare’.[2]

Perhaps because the description of the proposal has changed, there is much confusion about what, precisely, Medicare Select is. Therefore, this paper addresses key questions about the Medicare Select proposal in order to help explain what is and how it would change the Australian health system if it were implemented. In particular this paper:

* examines the differences between Medicare and the Medicare Select proposal
* explains how Medicare Select differs from managed care and ‘privatising’ the health system
* identifies other countries with similar systems, and
* outlines the potential benefits and risks of implementing Medicare Select in Australia.”

…continues on the website

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Estimating the impact of selected National Health and Hospitals Reform Commission (NHHRC) reforms on health care expenditure, 2003 to 2033 – AIHW – 5 August 2009

Posted on August 6, 2009. Filed under: Health Economics, Nat Hlth & Hosps Reform Comm | Tags: |

Estimating the impact of selected National Health and Hospitals Reform Commission (NHHRC) reforms on health care expenditure, 2003 to 2033 Authored by AIHW   Published 5 August 2009   ISBN-13 978 1 74024 944 7; AIHW cat. no. HWE 45; 16pp.

“To give an indication of the medium- to long-term effects of certain proposed National Health and Hospitals Reform Commission (NHHRC) reforms on growth in health expenditures, the Australian Institute of Health and Welfare developed estimates of the expenditure effects of selected reform proposals.”

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yourHealth website – an engagement and consultation tool to enable Australians to provide their views to the Australian Government about options to improve the health system – 31 July 2009

Posted on July 31, 2009. Filed under: Health Systems Improvement, Nat Hlth & Hosps Reform Comm |

yourHealth

About yourHealth website

“This web site is an engagement and consultation tool to enable Australians to provide their views to the Australian Government about options to improve the health system (which exists for your health).

Please use this site to find out about reform suggestions and to provide comment and feedback to the Government about your own health experiences and your ideas. Your contribution will then help the Government to make decisions in the future about how to improve the system.

This website is operated by the Australian Government Department of Health and Ageing.”

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A Healthier Future For All Australians – Final Report of the National Health and Hospitals Reform Commission – June 2009 – released 27 July 2009

Posted on July 27, 2009. Filed under: Nat Hlth & Hosps Reform Comm |

A Healthier Future For All Australians – Final Report of the National Health and Hospitals Reform Commission – June 2009

ISBN: 1-74186-940-4
Publications Number: P3 -5499

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Performance of Public and Private Hospital Systems: Issues paper – Australia – Productivity Commission 22 June 2009

Posted on June 23, 2009. Filed under: Health Systems Improvement, Nat Hlth & Hosps Reform Comm | Tags: |

Performance of Public and Private Hospital Systems: Issues paper – Australia – Productivity Commission 22 June 2009

Full text of the paper:

Performance of Public and Private Hospital Systems issues paper (PDF – 322 Kb)   An issues paper for the study on the Performance of Public and Private Hospital Systems was released on 22 June 2009.

“The issues paper is intended to assist you in preparing a submission to the Commission. It covers a range of issues that the Commission is seeking information and feedback on. To ensure due consideration of your input prior to release of the study’s preliminary results, your submission should reach the Commission by 27 July 2009.”

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The Australian Health Care System: The Potential for Efficiency Gains – A Review of the Literature – National Health and Hospitals Reform Commission – 4 June 2009

Posted on June 16, 2009. Filed under: Health Economics, Nat Hlth & Hosps Reform Comm |

The Australian Health Care System: The Potential for Efficiency Gains – A Review of the Literature – National Health and Hospitals Reform Commission – 4 June 2009 – 66p.

This paper reviews the available literature on the efficiency of the Australian health care system and the potential areas where gains might be made. This is a paper prepared as background for the National Health and Hospitals Reform Commission.

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Performance of Public and Private Hospital Systems – Commissioned study by the Productivity Commission 15 May 2009

Posted on May 15, 2009. Filed under: Health Systems Improvement, Nat Hlth & Hosps Reform Comm | Tags: |

Performance of Public and Private Hospital Systems – Commissioned study

Issues paper released 22 June 2009

Performance of Public and Private Hospital Systems issues paper (PDF – 322 Kb)

“The Australian Government has asked the Productivity Commission to examine and report on the relative performance of the public and private hospital systems, and related data issues. As part of the study, the Commission has been requested to consider:

* comparative hospital and medical costs for clinically similar procedures performed by public and private hospitals
* the rate of hospital-acquired infections by type, reported by public and private hospitals
* rates of fully-informed financial consent for privately insured patients treated as private patients in both public and private hospitals
* out-of-pocket expenses for patients who do not receive enough financial information to give fully-informed financial consent
* best-practice examples of where fully-informed financial consent is provided for every procedure
* other relevant performance indicators, including the ability of such indicators to inform comparisons of hospital performance and efficiency.

If any of the above tasks prove not fully possible because of conceptual problems or data limitations, the Commission is to propose developments to improve the feasibility of future comparisons.

The Commission has also been asked to advise the Government on the most appropriate indexation factor for the Medicare Levy Surcharge thresholds.”

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Reform nears final frontier – article from The Australian 9 May 2009

Posted on May 12, 2009. Filed under: Health Systems Improvement, Nat Hlth & Hosps Reform Comm |

Reform nears final frontier: The Government’s health reform body shows every sign of bold action, writes health editor Adam Cresswell

Article from:  The Australian May 09, 2009

“THE clock is ticking for health reform supremo Christine Bennett. “There are 57 days to go, that’s what I remind them in emails,” the National Health and Hospitals Reform Commission chairwoman says of her communications with colleagues: a reference to the fast-approaching deadline for the NHHRC’s final report.

Bennett and nine fellow commissioners have embarked on the writing phase of the final report. It is likely to mould Australia’s health system for decades to come.”… continues on the website

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Nations that share a crisis of care – article in The Australian 25 April 2009

Posted on May 12, 2009. Filed under: Health Systems Improvement, Nat Hlth & Hosps Reform Comm |

Nations that share a crisis of care

“So far and yet so near: that’s how health reform efforts in Australia and Canada look to this Canadian health policy practitioner.

Our ambitions are virtually identical and their realisation equally elusive. The challenges confronting your National Health and Hospitals Review Commission are those Canada has wrestled with for a decade and more: how do we fix primary care and make hospitals more efficient? What’s the key to reducing the health status gap between indigenous and non-indigenous populations? When will health care catch up with the banks and coffee shops in information technology?” …continues on the website

Steven Lewis is a health research and policy consultant based in Saskatoon, Canada, and adjunct professor of health policy at the University of Calgary and Simon Fraser University. During March, he was a visiting fellow at the Menzies Centre for Health Policy, a joint venture of the Australian National University and the University of Sydney.

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NSW Health – Patient care and safety enters the digital age 2 May 2009

Posted on May 4, 2009. Filed under: Health Informatics, Medical Records, Nat Hlth & Hosps Reform Comm |

02 May 2009

Patient care and safety enters the digital age Information from this NSW Health site:

“NSW Minister for Health, John Della Bosca, announced today that the State Government had started rolling out new electronic medical records (eMR)s technology into public hospitals across the State to help improve patient care and safety.” …. continues on the website

See also the National Health and Hospitals Reform Commission (NHHRC)  supplementary paper to its Interim Report, which outlines the Commission’s support for person-controlled electronic health records for every Australian. 30 April 2009

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NHHRC Backs Person-controlled Electronic Health Records – 30 April 2009

Posted on May 1, 2009. Filed under: Health Informatics, Nat Hlth & Hosps Reform Comm | Tags: |

NHHRC Backs Person-controlled Electronic Health Records  –  information taken from an NHHRC Media Release – 30 April 2009

The National Health and Hospitals Reform Commission (NHHRC) today released a supplementary paper to its Interim Report, which outlines the Commission’s support for person-controlled electronic health records for every Australian.

NHHRC Chair, Dr Christine Bennett, said today that the supplementary paper spells out the Commission’s position that an electronic health record is arguably the single most important enabler of truly person-centred care.

“The timely and accurate communication of pertinent, up-to-date health details of an individual can enhance the quality, safety and continuity of health care,” Dr Bennett said.

“A person-controlled electronic health record would enable people to take a more active role in managing their health and making informed health care decisions.”

According to recent research commissioned by the National Electronic Health Transition Authority (NEHTA), 82 per cent of consumers in Australia support the establishment of an electronic health record.

The Commission has made seven recommendations to make person-controlled electronic health records a reality. These include:

o By 2012, every Australian should be able to have a personal electronic health record that will at all times be owned and controlled by that person;
o The Commonwealth Government must legislate to ensure the privacy of a person’s electronic health data, while enabling secure access to the data by the person’s authorised health providers;
o The Commonwealth Government must introduce unique personal identifiers for health care by 1 July 2010;
o The Commonwealth Government must develop and implement an appropriate national social marketing strategy to inform consumers and health professionals about the significant benefits and safeguards of the proposed e-health approach; and
o The Commonwealth Government must mandate that the payment of public and private benefits for all health and aged care services be dependent upon the provision of data to patients, their authorised carers, and their authorised health providers, in a format that can be integrated into a personal electronic health record.

The NHHRC supplementary paper, Person-controlled Electronic Health Records, is available on the NHHRC website at http://www.nhhrc.org.au under Interim Report of the NHHRC. Feedback can be sent to talkhealth@nhhrc.org.au but must be received by Friday 8 May.

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Parliamentary Paper analysing the interim report of the National Health and Hospitals Reform Commission – summary and analysis – published 19 March 2009

Posted on April 17, 2009. Filed under: Health Mgmt Policy Planning, Nat Hlth & Hosps Reform Comm |

Parliamentary Paper analysing the interim report of the National Health and Hospitals Reform Commission – summary and analysis – published 19 March 2009

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National Health and Hospitals Reform Commission. Interim report – A Healthier Future for all Australians Released 16 February 2009

Posted on April 8, 2009. Filed under: Health Systems Improvement, Nat Hlth & Hosps Reform Comm |

National Health and Hospitals Reform Commission.  Interim report – A Healthier Future for all Australians

National Health and Hospitals Reform Commission

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Projection of Australian health care expenditure by disease, 2003 to 2033

Posted on March 25, 2009. Filed under: Health Mgmt Policy Planning, Nat Hlth & Hosps Reform Comm | Tags: |

Projection of Australian health care expenditure by disease, 2003 to 2033

http://www.aihw.gov.au/publications/index.cfm/title/10692

Health and welfare expenditure series no. 36

The National Health and Hospitals Reform Commission commissioned the Australian Institute of Health and Welfare to undertake projections of Australian health care expenditure using the Institute’s disease expenditure projection model. The report projects health and residential aged care expenditure for the period 2003 to 2033. Total expenditure on health and residential aged care is projected to increase from 9.3% of GDP in 2002-03 to 12.4% of GDP in 2032-33. The report provides details of the five components of the projection model, presents projections for the 20 disease groups and estimates change in funding by the Australian Government, State and Territory governments and the private sector.

Authored by Goss J.

Published 1 December 2008; ISSN 1323-5850; ISBN-13 978 1 74024 862 4; AIHW cat. no. HWE 43; 65pp.

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