2018-22 Strategic Plan - Shaping the future through exceptional care, discovery and learning - Austin Health
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Foreword We are proud to introduce Austin Health’s Strategic Plan 2018-22. Our plan provides a clear direction for Austin Health for the next five years and describes the six strategic priorities and initiatives that we will pursue to achieve our vision of shaping the future through exceptional care, discovery and learning. The plan also identifies a number of core organisational capabilities that will be strengthened to support the delivery of our strategy. There are many significant forces shaping Austin Health and transforming our delivery of care. Meeting the needs of the patients and community we serve in an environment of increasing demand and complexity, rising community expectation and advances in technology, requires us to think differently about the way we deliver care. Over the next five years we will deliver a bold new approach to care that we are confident will result in improved patient outcomes and experiences. Strong collaboration with our consumers, neighbouring, rural and regional health services, community providers and government will be integral as we strive to pursue person-centred, seamless and integrated care. These partnerships will result in better outcomes for our consumers by supporting people to keep healthy and out of hospital. They will also allow us to focus our specialist resources to strengthen our role as a provider of tertiary and quaternary care. The dedication of our staff and their pursuit of excellence is critical to the success of this Strategic Plan. To support our people to achieve our bold ambition, we will strengthen our capabilities, our organisational engagement, our culture of inclusiveness and leadership. On behalf of the Austin Health Board and Executive team, we would like to thank our staff, consumers, and our healthcare partners for their contribution to our plan and the development of our strategic priorities. We know that ongoing engagement with all of these stakeholders will be fundamental to delivering the plan, and we are committed to working together to realise our strategic objectives by 2022. The Hon. Judith Troeth AM Sue Shilbury Board Chair Chief Executive Officer 2 Austin Health 2018–22 Strategic Plan
Executive summary 4 Our ambition 6 Our vision and values 7 Our identity 8 Our future 11 Designing our Strategic Plan 14 Our strategic priorities 16 How we will achieve success 25 Implementing our Strategic Plan 26 Shaping the future through exceptional care, discovery and learning. Austin Health 2018–22 Strategic Plan 3
Executive summary Austin Health has been very successful in delivering high quality healthcare, introducing workforce redesign and building an exceptional learning environment coupled with world-class research. The challenges in healthcare are however, Over the next five years, Austin Health will We aim to reinforce our role as an increasingly complex and will require Austin aim to strengthen its role as a leader in internationally recognised centre of Health to be more agile, innovative and the delivery of highly-specialised tertiary excellence in research and a health service function differently over the life of this care in the north-east region of Victoria. that delivers exceptional, consistent Strategic Plan. The growth of personalised We will support other health services patient care. We will mature our digital medicine, digital technologies, demand from within our region to ensure their patients capability and review our models of care, consumers for person-centred care and the have improved access to specialist tertiary linking them to infrastructure and other increasing health needs of our community, clinical services and expertise. Austin investment priorities. require us to develop smarter ways to Health is committed to partnering with Our Strategic Plan 2018-22 sets the deliver better treatment and care. Having community and other service providers to roadmap to achieve these goals. Central a clear view of our future is imperative to ensure more of our patients are cared for in themes are innovation, specialisation, digital delivering sustainable healthcare. the community. transformation and greater connectivity and collaboration with patients, current and future partners. The talent and dedication of our people underpin our successes to date and remain our most important asset. 4 Austin Health 2018–22 Strategic Plan
To achieve the ambitions set out in this Austin Health is ready to meet the In this document we set out the initiatives strategy, we must support our workforce to challenges ahead. Throughout the that we will pursue in each priority area. thrive. Building the capability of our leaders strategic planning process, our staff have Collectively they will reposition Austin will be central to this, as will leveraging emphasised a need to be bolder in our Health over the next five years. our existing positive culture across our aspirations for the future and to raise our Austin Health will concurrently strengthen workforce of more than 8,500 staff and profile as a leading healthcare organisation. the key organisational capabilities needed 500 volunteers. Ensuring we have the As part of our Strategic Plan, we articulate a to deliver the strategy. We also know right skills and knowledge to adapt to a new vision which reflects our ambition and that boldness and ambition require rapidly changing environment is critical. We a statement of organisational values that an organisation to be sustainable, and will achieve this by providing our people captures our identity and beliefs. underpinned by effective governance and with strong development support while Our Strategic Plan for 2018-22 will involve sound commercial management. We will also enhancing our recruitment practices, concerted action across six interdependent continue to be a health service that listens planning for critical role succession and the priority areas. Over the next five years to its people and utilises data to ‘get the development of talent pipelines. we will: basics right’. Austin Health cares for the health needs 1. Partner with consumers to create a Developing the Strategic Plan has involved of an increasingly diverse community, at distinct approach to care that is reliable, extensive consultation and contribution almost every life stage. Like all communities safe and puts patients at the centre from across our organisation, community we are diverse, incorporating relatively 2. Collaborate with local partners to and our health system partners. Strong advantaged residents and some of improve the lives of people in our engagement with these stakeholders Victoria’s most disadvantaged residents. community will be fundamental to deliver the plan 3. Transform Austin Health’s digital effectively. Ultimately our success will be environment measured by the outcomes and experience 4. Advance the research and learning we achieve for each person who entrusts precinct in Melbourne’s north-east us with their care. 5. Grow our delivery of specialised care in A summary of our Strategic Plan is set out regional and state-wide services on the next page. Each element of the plan 6. Take our team to the next level with is discussed in more detail on pages 16-24. the right support and culture. Our staff have emphasised a need to be bolder in our aspirations for the future and to raise our profile as a leading healthcare organisation. Austin Health 2018–22 Strategic Plan 5
Our ambition Over the next five years, Austin Health will deliver a bold, new approach to care that delivers better outcomes and the best experiences for every person through the priority areas and initiatives set out below. Strategic Strategic priorities priorities Austin Health strategic priorities and initiatives PARTNERSHIPS PARTNERSHIPS TRANSFORMATION TRANSFORMATION Reliable, Reliable, safe, safe, person- person- Community Community integration integration Digital Digital centred centred care care and and collaboration collaboration transformation transformation Partner Partner withwith consumers consumers to create to createa a Collaborate Collaborate withwith local local partners partners to to Transform Transform Austin Austin Health’s Health’s digital digital distinct distinct approach approach to care to care thatthat is reliable, is reliable, improve improve thethe lives lives of people of people in our in our environment environment safesafe andand putsputs patients patients at the at the centre centre community community • Ensure • Ensurewe we havehave a single a single electronic electronic • Design • Designa person-centred a person-centredmodelmodel of of • Develop • Develop an integrated an integrated service service planplan viewview of the of the patient patient record record carecare withwith consumers consumersandand staff staff withwith primary primary andand community communityhealth health • Establish • Establish a centre a centre for health for health • Become • Become the the safest safest health health service service services services andand general general practice practice datadata analytics analytics in Australia in Australia • Improve • Improve access access to local to local hospital hospital carecare • Selectively • Selectively invest invest in new in new andand • Facilities • Facilities andand environment environment thatthat for people for people in Banyule, in Banyule, Darebin Darebin andand emerging emerging technologies technologies support support our our model model of care of care Nillumbik Nillumbik • Strengthen • Strengthen our our IT infrastructure, IT infrastructure, • Redesign • Redesign andand optimise optimise our our • Partner • Partner to deliver to deliver integrated integrated carecare for for services services andand functions functions service service models models all patients all patients withwith complex complex chronic chronic disease disease GROWTH GROWTH National National leader leader in in research research Innovation Innovationin in Talented, Talented, capable, capable, and and teaching teaching specialist specialist care care engaged engaged people people Advance Advancethethe research research andand learning learning GrowGrow ourour delivery delivery of specialised of specialised TakeTake ourour teamteam to the to the nextnext level level precinct precinct in Melbourne’s in Melbourne’s north-east north-east carecare in regional in regional andand state-wide state-wide withwith thethe right right support support andand culture culture services services • Develop • Developour our research research andand learning learning • Leverage • Leverage our our positive positive culture culture precinct precinct withwith our our university university andand • Strengthen • Strengthen our our world-leading, world-leading, through through workforce workforce engagement engagement research research partners partners flagship flagship clinical clinical services services • Build • Build leadership leadership excellence excellence • Grow • Growthe the scalescale andand impact impact of Austin of Austin • Focus • Focuson clinical on clinical services services where where andand capability capability Health’s Health’s translational translational andand health health we we cancan be most be mosteffective effective andand • Support • Supportpersonal personal growth growth andand service service research research efficient efficient development development of our of our people people • Embed • Embed a consistent, a consistent, inter-disciplinary inter-disciplinary • Improve • Improve access access andandcarecare for rural for rural • Value • Value diversity diversity andandinclusion inclusion approach approachto research to research andand teaching teaching andand regional regional patients patients to bring to bring richness richness to our to our workwork • Become • Become the the health health service service of choice of choice • Lead • Leadthe the delivery delivery of specialist of specialist carecare environment environment for students for students for the for the north-east north-eastregion region 6 Austin Health 2018–22 Strategic Plan
Our vision and values Our vision Our vision is “shaping the future through exceptional care, discovery and learning”. Our Strategic Plan is aligned with our vision. Together this Our aValues brings clear, strong direction and priorities to boldly differentiate Austin Health. Our values Our valuesdefine who we are, and shape our culture and the behaviours, practices and mindsets of our people. They guide how we work with each other, and with consumers, the community Our values reflect what is most important to us, what we care about and support us to deliver this Strategic Plan, by driving the qualities andbehaviours and our partners. that we will need individually and collectively to be successful. Our values define who we are, and shape our culture and the behaviours, practices Our values reflect what isand mindsets most of our important to people. us, whatThey guideabout we care how we andwork withus support each other, and to deliver thiswith consumers, Strategic Plan, the community and our partners. by driving the qualities and behaviours that we will need individually and collectively to be successful. Our four organisational Our values are four organisational set out values are:below: Our actions show we care We bring our best We are inclusive and considerate. We are guided by the needs of our We appreciate one another, patients, bringing commitment, always listening and interacting integrity and energy to everything with compassion. we do. We are passionate about delivering excellence. Together we achieve We shape the future Our culture of collaboration means Through research, education and we work openly with our people, learning we innovate, exploring our community and beyond to new opportunities that will achieve great outcomes. change healthcare for the better. Our values reflect what is most important to us, what we care about and support us to deliver this Strategic Plan, b y driving the qualities and behaviours that we will need individually and collectively to be successful. Austin Health 2018–22 Strategic Plan 7
Our identity Austin Health has a reputation as a leading specialist tertiary and quaternary health service. It is known for its delivery of high-quality, safe care, a strong record in research and a place where staff are proud to work. We are the state-wide provider for a range The embedding of scientific research within Our workforce provides safe, of specialist services. These include: a clinical environment as recommended high-quality care, and there is evidence of • Victorian Spinal Cord Service by the 2013 McKeon Strategic Review of our commitment to a continual cycle of • Victorian Respiratory Support Services Health and Medical Research is exemplified improvement across Austin Health. This is • Victorian Liver Transplant Unit by the Olivia Newton-John Cancer Research reflected in the outstanding accreditation Institute, the Florey Institute and the multi- results we achieved in the 2016 National • Acquired Brain Injury Unit disciplinary research team in the Intensive Safety and Quality Health Service Standards • Child Mental Health Inpatient Unit Care Unit (ICU) at Austin Health. where we ranked among the top health • State-wide Toxicology Services services in Australia. In addition, the survey (including the Victorian Poisons The Olivia Newton-John Cancer Research team highlighted the priority put on great Information Centre). Institute provides our patients with patient experience across the organisation. access to the best possible emerging care Austin Health is renowned for its specialist though clinical trials, new treatments Austin Health’s success is underpinned by work in cancer, infectious diseases, obesity, and personalised medicine, including the talent of our staff and also by virtue sleep medicine, intensive care medicine, immunotherapies and targeted therapies. of the fact that our workforce is highly- neurology, endocrinology, mental health Specifically, it has led to the development engaged. In the latest state-wide public and rehabilitation. of the licensing of a brain cancer drug sector employment survey conducted, Austin Health is an internationally now in global clinical trials, an integrated 95 per cent of staff who responded to the recognised centre of excellence in translational bowel cancer research survey agreed with the statement ‘My hospital-based research. We work program and antibody-directed therapy organisation provides high-quality services with our affiliated research centres and for cancers including colon, breast, brain to the Victorian community’. partnerships to deliver ground-breaking and melanoma. In the same survey, 87 per cent of discoveries that benefit patients worldwide. The relationship with the Florey Institute respondents agreed that Austin Health is Austin Health has an extensive range of has demonstrated how the intimate link a safe place to work. We care deeply about research auspiced by Austin LifeSciences between scientists and clinicians providing the health and safety of our staff and it is (ALS). ALS brings together almost 1,000 care can lead to dramatic improvements an area where we invest significant effort. researchers and a number of research in the diagnosis and management of institutes in partnership with University Austin Health has been committed people experiencing strokes, epilepsy and of Melbourne, La Trobe University and to improving the lives of patients and Alzheimer’s disease. the Mercy Hospital for Women to achieve their families since it was founded by ongoing excellence in research and better Our ICU research team is dedicated to philanthropist Elizabeth Austin, as a health outcomes for our local, national and providing and promoting evidence to ‘hospital for the incurables’ in 1882. To international communities. support and improve patient care and has achieve the best outcomes for patients an extraordinary record of achievement. in 2018 and beyond we are cognisant These include: The team is led by Professor Rinaldo of the need for consumers to be active • The Florey Institute of Neuroscience and Bellomo, who in 2017-18 was recognised partners in the planning and delivery of Mental Health (The Florey) for the fourth year running as one of the care. We ensure that consumers are given • Olivia Newton-John Cancer Research Thomson Reuters Highly Cited Researchers. meaningful opportunities to actively engage Institute The award places him in the top 1 per cent and that their perspectives are valued in the • Institute for Breathing and Sleep of researchers in the world. planning, service delivery and evaluation of • Parent-Infant Research Institute our health service. • Spinal Research Institute • Austin Medical Research Foundation. 8 Austin Health 2018–22 Strategic Plan
95 per cent of staff who responded to the survey agreed with the statement ‘My organisation provides high-quality services to the Victorian community.’ Austin Health 2018–22 Strategic Plan 9
We are proud of our expertise and In 2017 we became the first health service All these strengths – our people, clinical experience in the development and rollout in Australia to introduce an oncology care, research, innovation, education and of health technology, albeit we recognise information system into adult cancer our consumer relationships – are the we still have work to do. healthcare. foundations of this Strategic Plan. We recently introduced Australia’s first We are world-renowned in clinical teaching research clinical data warehouse and are and training for doctors, nurses and allied establishing a Database Analytics Research health professionals. In medicine, we are and Evaluation Centre in partnership with the largest Victorian provider of training for the University of Melbourne. The Centre will specialist surgeons and physicians. enable researchers and clinicians to work in one system and explore a vast amount of health data to support research and improve health outcomes. The partnership will also provide enhanced training in clinical We are world-renowned in clinical teaching and population health informatics across the healthcare system. and training for doctors, nurses and allied health professionals. 10 Austin Health 2018–22 Strategic Plan
Our future The needs of our community are growing and becoming more complex. The community we care for is increasingly diverse and has growing and more complex healthcare needs. Our primary catchment of more than In particular: • Technological advancements will change 343,000 people covers three Local • There will be an increasing shift toward the way we deliver care and interact Government Areas and includes relatively community-based care. with patients. affluent residents and some of Victoria’s • Personalised medicine will see dramatic • Our service delivery model must change most disadvantaged residents. Cultural improvements in diagnosis and and new partnerships outside the acute diversity ranges significantly from only treatment. healthcare system will be fundamental 8.3 per cent of people speaking a language • A whole-of-patient approach will to achieving this. other than English at home and 0.4 per cent increasingly replace the traditional of people identifying as Aboriginal or Torres approach of focusing on clinical specialities Strait Islander in Nillumbik, compared with and single diseases. 41 per cent speaking a language other than English at home and 1 per cent of residents Austin being Aboriginal or Torres Strait Islander AustinHealth Healthcatchment catchment in Darebin. Austin Health’s primary catchment varies significantly Variability in socio-economic status brings variability in terms of socio-economic disadvantage in population health This diversity brings differing needs, expectations and beliefs about health and healthcare. Our community is also ageing, and its healthcare needs are becoming 39 th 67 th 79 th 21% 17% 9% more complex. Darebin Banyule Nillumbik Darebin Banyule Nillumbik Our strategic approach for the next five years reflects this diversity and is Ranking on the Index of Relative Socio-Economic Disadvantage Percentage of people reporting fair or poor health. (IRSD) out of Victoria’s 79 Local Government Areas. particularly cognisant of the needs of our most vulnerable populations. It considers Austin Health’s catchment is ageing Population over the age of 70 the changes we need to make to continue to provide high-quality care. 43% 2.2% 10% 13% 70+ age group 0-12 age group 2018 2023 Predicted percentage of all hospital admissions by age group Current and predicted population statistics for the (by 2026). 70+ age group. An ageing population brings with it increasingly complex and chronic illness 66% 80% 50% 66% 80% 2003 2014 45-65 60-75 75+ Estimated percentage of patients with complex illness. Percentage of patients with complex illness by age group. Austin Health 2018–22 Strategic Plan 11
Our consumers expect and We need to think differently to Safety and quality remains need more from us provide better care fundamental to all that we do At the same time as our community More complex health needs, increasing Despite the rapid change that is taking is growing and their healthcare needs expectations and advances in technology place, our fundamental commitment to are becoming more complex, our are challenging the status quo at Austin consistently provide safe, effective care to relationship with consumers is changing. Health. These changes require us to think every person remains unchanged. Austin Our consumers are better informed and differently about the future of care. Health is highly regarded for its clinical increasingly expect greater control over expertise and the safety of its services. To fulfil our commitment to person-centred what, how and where they receive care. We also recognise a need to pursue care, we must develop better ways to They want to participate in decision making further improvements and to be more coordinate care and support each patient. and expect choice and value for money. transparent with the community about This goes beyond hospital services to our performance, particularly when things In response to this, we are continuing include primary health, aged care and go wrong. to increasingly focus on person-centred community support services. An integrated care. Person-centred care is healthcare approach to care will require Austin Health Fulfilling the recommendations and that is respectful of and responsive to the to re-think its role in many areas of service ambitions of the Targeting Zero Review of preferences, needs and values of patients delivery and develop new partnerships Safety and Quality Assurance in Victorian and the community. outside the acute healthcare system. Hospitals will remain a central focus of our work over the next five years. Equally we Our approach to person-centred care is Enhancing ambulatory and community- recognise the potential for Austin Health to underpinned by effective communication based care will become an increasing focus share the expertise of our clinical leaders – to develop a deep understanding of the of our service delivery model. We know that with other health services to support needs and expectations of each person. most people would prefer to have access to system-wide improvements. We are equally committed to working care that includes service provision within in partnership with consumers and the the ambulatory setting or in their home The safety, health and wellbeing of our community to improve our services. Our rather than stay in hospital. staff will also continue to be paramount. Patient Expectations was developed in Community-based care is already part of Austin Health recently implemented a consultation and written together with our current service provision but technological Workforce Mental Health Strategy to consumers. It clearly sets out what patients advancements in telehealth, remote support and promote the psychological want in their health care and informs what monitoring, and the establishment of wellbeing of our staff. This included success looks like in the design and delivery greater partnerships with regional, rural the implementation of a Doctor Health of care at Austin Health. and community-based healthcare providers Program, Peer Support Program and will extend Austin Health’s role beyond cultural change programs for our medical the hospital. The roll-out of the National workforce as well as an onsite counselling Disability Insurance Scheme (NDIS) and service for all staff and training programs the strength of other community providers for managers on mental illness. Over challenges us to reconsider our role as a the next five years we will extend these provider of some community services. important initiatives across Austin Health and build leadership capability to support the health, safety and wellbeing of our people. This will be a key focus of our People Strategy. 12 Austin Health 2018–22 Strategic Plan
Our research is integral to Advances in technology are New digital technologies spanning improving clinical practice transforming healthcare connectivity, mobility and big data are The 2013 McKeon Review has resulted Advances in medical and digital creating innovative ways to plan and deliver in changes in funding, philosophy technology are transforming healthcare. services and interact more closely with and structure of Australia’s research At Austin Health, these advances will patients. Digital technology will enable environment. The aim of these shifts is to shape the way we provide care, conduct better information sharing and multi- enable the rapid translation of research into research and teach our students. Game- disciplinary collaboration, both inside Austin clinical practice that will lead to improved changing breakthroughs in genomics, Health and across the health system. With health outcomes nationally and reduce cost. nanotechnology and big data are established expertise and experience in unfolding alongside rapid advances in the development and rollout of health This has led to significant changes to the technology, Austin Health understands pharmaceuticals, surgical techniques, structure of the National Health and Medical the potential opportunities created by diagnostic testing, and nursing and allied Research Council, the establishment of the technologies, big data and a strong health interventions. Medical Research Futures Fund and the data analytics capability. Our Strategic introduction of the National Health and Plan ensures that those opportunities Research Translational Centres (NHRTC). are pursued. Austin Health is an important partner in one of these NHRTCs — the Melbourne Academic Centre for Health (MACH). As a member of MACH, we are collaborating with other health services and the University of Melbourne to undertake research that will improve health service delivery. Our partnership with the Victorian Comprehensive Cancer Care Centre will also lead to research delivering better outcomes for cancer patients, specifically in its focus on more clinical trials and increased patient participation in these trials. Austin Health knows that research is integral to improving clinical practice and providing better care. To achieve this we An integrated approach to care will require need to attract talented people to work at Austin Health who are passionate about Austin Health to re-think its role in many discovery. This will enable us to continue to build knowledge that informs clinical areas of service delivery and develop practice, ensure what we do is evidence based and leads to improvements in new partnerships outside the acute healthcare, patient outcomes and patient healthcare system. experience. We also know that we need to work collaboratively to leverage our collective efforts. Austin Health 2018–22 Strategic Plan 13
Designing our Strategic Plan Our strategic planning process was led by our Board and Executive, and developed in close consultation with our consumers, staff, our research and teaching partners and our community. The plan reflects the valuable input, contributions and feedback received throughout the process. To ensure everyone had the opportunity to Consultation, particularly with our • We need new skills to keep pace and participate and have their say, consultation consumers and staff, was critical to achieve our ambitions. occurred via a range of methods. We carried ensuring that the plan reflects their needs, • Improving our IT infrastructure and out face-to-face forums and meetings expectations, collective ambition and vision responding to the opportunities provided and staff were encouraged to share their for Austin Health in the future. Staff and by new technologies will be critical to our thoughts by posting on ‘strategy walls’ at consumers told us that: future success. each of our three campuses, or through an • They have an ambition to be bold and • Research and teaching is important, and online tool. progressive. greater integration and support is needed We received direct input from • Having a strong culture where staff and to ensure Austin Health maintains and approximately 1,000 people including consumers feel valued and supported strengthens its existing reputation in 100 consumers, more than 700 staff, and is important. these areas into the future. other stakeholders, including neighbouring • Innovation, technology and an integrated The Strategic Plan reflects this important health services, universities, research approach to clinical care should be part of input. Our people were integral in the institutes, Better Health North East what defines Austin Health in the future. development of this plan and will be Melbourne and the Department of Health • Our partners across the community, fundamental to its delivery and successful and Human Services (DHHS). In particular, local and primary health providers, implementation. our Community Advisory Committee and research institutes, the private sector, Clinical Council consultations provided government and other health services, important insights on the consumer and are important. Effective and transparent clinical staff perspectives. communication is key to the success of those partnerships. Innovation, technology and an integrated approach to clinical care will define Austin Health in the future. 14 Austin Health 2018–22 Strategic Plan
Austin Health 2018–22 Strategic Plan 15
Our strategic priorities Change and innovation continue to be needed if we are to provide safe, outstanding care that fulfils the needs and expectations of each patient. We must also lift our contribution as a Twenty three specific initiatives Clear measures of success will system leader in tertiary and quaternary provide a clear plan of action be used to monitor our progress care, in research and in education. Austin In this section we describe each of our For our Strategic Plan to be successful it Health is ready to meet this challenge. priority areas and the initiatives that will must also be measurable. Austin Health Over the next five years, Austin Health will support their achievement. The initiatives measures, monitors and reports an become a more specialised, innovative provide an ambitious but achievable extensive range of clinical and operational and better connected health service. program of work. However, they are not performance measures. Alongside this This ambition applies equally to our role intended as a prescriptive roadmap and are reporting framework, a smaller number of as a local health service for Melbourne’s not an exhaustive list of everything we will measures have been identified to track our north-east and our role as a leader in highly do. We know that constant change is part progress in the priority areas. The measures specialised tertiary care. of our environment and we will be ready to will provide the high-level means by Our priority areas adapt and respond to new opportunities which to monitor overall progress against and challenges that emerge over the next the plan. A bold Strategic Plan requires a clear five years. focus. Our priority areas establish our focus for 2018-22. The priority areas are interdependent. Success will require concerted action across all these areas. Reliable, safe, person- centred care Partner with consumers to create a distinct approach to care that is reliable, safe and puts Talented, capable, patients at the centre. Community integration engaged people and collaboration Take our team to the next level Collaborate with local partners with the right support to improve the lives of people and culture. in our community. Shaping the future through exceptional care, discovery and learning. Innovation in Digital specialist care transformation Grow our delivery of specialised Transform Austin Health’s care in regional and state- digital environment. wide services. National leader in research and teaching Advance the research and learning precinct in Melbourne’s north-east. 16 Austin Health 2018–22 Strategic Plan
Reliable, safe, person-centred care Partner with consumers to create a distinct approach to care that is reliable, safe and puts patients at the centre. The way we provide care needs to change. • Be linked to comprehensive teaching and • Review our existing models of care While we have always brought expertise, research programs. against leading practices to ensure commitment and compassion to the way • Explore innovative new ways of achieving they are evidence based and current we care, over the next five years we will better outcomes and experiences. best practice. develop a consistent model of delivering • Adopt an organisation-wide approach to • Be informed and supported by our digital care that is distinctive to Austin Health. designing new care models that involves capability. It will be innovative, evidence-based and consumers. • Be collaborative, involving a coordinated above all, person-centred. effort from every team member. 2. Become the safest health service Our new model of care will drive • Be connected to health professionals and in Australia improvements in patient safety, outcomes services in the broader health system. Austin Health has proven capability and and experiences. It will create development • Reduce variation in practice. a strong record in safety and quality. We opportunities for staff and drive efficiencies care about and strive for more than just Translating these principles into action in how we use our resources. compliance. However, our ambition is to will be central to our strategy and the focus The principles of our model of the key initiatives. go even further. It is to become the safest of care health service in Australia, leading safety for Initiatives both consumers and staff. A model of care defines how care is planned 1. Involve consumers and staff in the with, and delivered, for each patient. While We will: design of a genuine and consistent our services are diverse, our new model of • Develop and support clinical leaders to person-centred model of care across care will be guided by common principles. drive quality improvements and culture all our services The way we provide care at Austin change to achieve the highest levels of Health will: Austin Health’s new model of care will be consumer and staff safety. developed in partnership with consumers • Be developed in partnership with • Strengthen our safety and quality and staff to ensure that it meets the our consumers. governance across the organisation. distinct needs of our consumers and • Be consistently warm and welcoming to • Accelerate the implementation of community and is owned by our staff. our patients. evidence based and safe research • Improve the patient experience and We will: findings into clinical practice to improve patient-reported outcomes (PROMS). • Implement the principles of care the safety and quality of healthcare at • Be highly reliable. articulated in Our Patients’ Expectations Austin Health. across Austin Health. • Expand the transparent, public reporting • Implement the Partnering with Consumer of our performance. Plan to ensure consumers participate in • Undertake initiatives that drive a culture and support new initiatives, including the of respect and collaboration to enhance development of models of care. staff safety and wellbeing. • Develop a Safety Scorecard for Austin Health that defines our measures of success for patient and staff safety. Over the next five years we will develop a consistent model of delivering care that is distinctive to Austin Health. Austin Health 2018–22 Strategic Plan 17
3. Ensure our models of care are supported 4. Redesign and optimise our service Measures of success by our facilities and environment models to deliver care more efficiently • Leading patient experience results. To provide great patient outcomes, New models of care will substantially • Leading clinical outcome measures. experiences, and efficient service delivery, change our infrastructure requirements. • Adoption of Patient Reported Outcome we require the right facilities, technology In the longer term, this creates Measures. and environment. Our environment has opportunities for Austin Health to redesign • Lowest incidents of preventable harm the potential to create a better experience the way services are delivered. in Australia. for all consumers and staff, and it should We will: • Consistent achievement of system reflect our values. Work with DHHS and the Victorian Health performance targets. We will: and Human Services Building Authority to: • Pursue the infrastructure priorities as • Progress service master planning determined by the master planning following our model of care redesign. process. • Pursue feasibility and business case • Prioritise improvements to our existing development to support service redesign patient environment to positively impact and care delivery optimisation. patient experience. 18 Austin Health 2018–22 Strategic Plan
Community integration and collaboration Collaborate with local partners to improve the lives of people in our community. Focusing on our local catchment and • Work in partnership with members of We will: enabling more care to be delivered in the the BHNEM Collaborative to implement • Explore the potential for new ways of community will produce better health the population health based strategic providing support for evidence based outcomes. Equally, it will enable Austin priorities identified in the BHNEM integrated chronic disease management. Health’s specialist resources to be available Strategic Plan • Work with our primary and community to deliver better value care. • Develop innovative partnership initiatives care partners to trial new approaches Austin Health will work with primary and population health strategies to to community-based chronic disease healthcare providers, community and improve the health outcomes of our management, which integrates primary population health stakeholders — including community. care and secondary care expertise. Better Health North East Melbourne 2. Improve access to local hospital care for • Develop tools to predict which patients (BHNEM) — to create a system of people in Banyule, Darebin and Nillumbik are at risk so we can make the most integrated, community-based care. difference through service integration At the same time, clear delineation of and connecting care. Initiatives our secondary services will enable us to continue to care for our local community • Seek out new technologies that may 1. Develop integrated service plans with help patients better manage and monitor primary and community health services while providing specialist tertiary and quaternary services. their care outside the hospital and help and general practice that help keep them navigate their way through the people healthy and out of hospital We will: health system. Our approach to integrated care should • Develop and promote referral pathways Measures of success be in collaboration with our community for general practitioners, health services partners, including primary and community and community providers to standardise • Increase in the number of healthcare health services and general practice, as and simplify the referral process and pathways for secondary services. well as neighbouring public and private improve access to our services. • Increased proportion of services provided health services. • Work with our neighbouring health in the community. services and our primary and community • Reduced potentially preventable hospital We will: health partners to better coordinate admissions and unplanned re-admissions. • Work with local primary and community access to secondary care for people in • Improved outcomes for patients with healthcare stakeholders, general practice our local communities. multiple or chronic complex conditions. and our neighbouring secondary and tertiary health service partners to 3. Partner with primary care, community • Stronger, more sustainable and beneficial develop integrated service plans for health services and general practice to relationships with partners. north-east Melbourne. deliver integrated care for all patients • Work with local primary and community with complex chronic disease healthcare stakeholders, general practice By partnering with community care and our neighbouring secondary and providers there is potential to do more to tertiary health service partners to improve the population health of our promote an agreed regional approach local community. to prevention, early detection and early People with multiple or chronic complex intervention strategies that improve our conditions frequently seek care in population health outcomes. hospital that could be avoided or better managed in the community. Austin Health 2018–22 Strategic Plan 19
20 Austin Health 2018–22 Strategic Plan
Digital transformation Transform Austin Health’s digital environment. Austin Health has been a leader in the 2. Establish a centre for health data 4. Strengthen our IT infrastructure, application of technology to healthcare. analytics to support clinical care, services and functions to support our We understand that technology has the innovation and research clinical care, operations and strategic potential to significantly advance the work Austin Health has led the use of data and priority areas we do, the way we interact with our patients analytics to improve the quality of patient Austin Health’s IT environment is the and enhance their experience at Austin care and research. We have collected large backbone of many operational and Health. However, the pace of technology volumes of data and established a research financial systems and processes. advancement and the rate of investment data warehouse. These are important A strong IT foundation will support us to and adoption by other health services assets that we must use to support clinical deliver more efficient, safe and high- demand a new level of strategic focus from care, innovation and research. quality care, and be a significant enabler Austin Health. for many of our strategic goals. We will: At the same time, we must ensure that • Establish a health data analytics centre We will: our information technology infrastructure, that delivers analytical outcomes. • Identify and invest in IT infrastructure, services and functions enable us to deliver our services and functions with the most • Support the establishment and operation core work and pursue our strategic priorities. potential to improve quality, safety and of the centre with the right infrastructure Austin Health has developed a Digital and clinical leadership. operational efficiency or reduce risk. Health Strategy 2018-22 that provides the • Strengthen our data collection and • Connect and integrate our IT Strategic Framework for information and analytics reporting systems, processes infrastructure and systems so that they communication technology (ICT) innovation and tools. make us more efficient. across the organisation. • Create an IT service delivery model, 3. Selectively invest in new and emerging Initiatives including structure and policies that technologies that improve outcomes supports our people, clinical care, 1. Ensure we have a single electronic view for consumers, support clinicians operational efficiency and strategic of the patient record and advance our flagship clinical and priority areas. A single electronic view of the patient research programs record is key to delivering more person- The pace of change in digital health Measures of success centred care and improving safety and means we need to be continuously • Increase the use of data and information quality. An integrated system increases learning, trying new things and scanning to improve care and research. efficiency, improves patient outcomes and the horizon for new and disruptive • Provide the information and technology experiences and reduces risk. We need to technologies. New technologies have for a single patient view. have a single electronic view of the patient the potential to substantially improve • Embrace and harness contemporary record across the whole organisation. both the experience and outcomes for technologies and new methods to more consumers, as well as support our clinical efficiently and effectively deliver our We will: care and advance our research. services. • Integrate our systems, processes and workflows to create a connected and We will: • Strengthen ICT’s value to the coordinated system. • Partner with patients, community and organisation through greater team industry to support the development and cohesion and collaborative approaches. • Design and deliver our systems in collaboration with users to ensure that testing of new technologies. they meet their needs and expectations. • Adopt contemporary technologies that • Provide our clinicians and other system will improve outcomes for consumers, users with the education, tools and support clinicians and advance our training required to maximise their use flagship clinical and research programs. of our systems. • Ensure our investments are evidence- informed, deliver value and balance risk. Austin Health 2018–22 Strategic Plan 21
National leader in research and teaching Advance the research and learning precinct in Melbourne’s north-east. Austin Health brings a distinguished history 2. Invest in translational and health service 4. Become the health service of choice of ground breaking research through its research to grow its scale and impact for undergraduate and postgraduate partnerships with the Florey Institute, With the right support, our research medical, nursing, allied health and the Olivia Newton-John Cancer Research expertise has the potential to deliver greater research students Institute and Austin LifeSciences. Equally, we impact and influence for our patients and Austin Health will build on its strong have a strong reputation as a teaching health the health system. Austin Health is well foundations in teaching to deliver great service. Our clinical education programs have positioned to focus on translational and learning outcomes and attract the best prepared generations of health professionals health services research which aligns with and brightest students. Excellence and to be leaders in clinical practice. our existing areas of research strength and leadership in education will benefit patients, However, we recognise there is an flagship clinical services. students, staff, the health system, and important opportunity to do much more. be a cornerstone of our research and We will: Our integrated and influential research and learning precinct. • Develop a comprehensive research learning precinct in Melbourne’s north- strategy with a focus on translational We will: east improves clinical care, research and and health services research that is • Work with students to understand their teaching outcomes. It is also critical to underpinned by high quality basic science. expectations and develop and implement continuing to attract the best students, initiatives to ensure their learning • Strengthen and diversify our research clinicians and researchers. experience is maximised. partnerships, including industry partnerships. Initiatives • Increase our investment in research • Explore opportunities for new, 1. Strengthen our university and research programs and facilities utilising a range of complementary partnerships with our partnerships to support the development funding sources. university partners that can expand of our research and learning precinct • Engage and mobilise our research the scale and breadth of our education capacity into our areas of need. programs across all disciplines. Austin Health’s university partnerships are vital to the achievement of both our • Strengthen our communications 3. Embed a consistent, inter-disciplinary research and teaching ambitions. We need a about teaching at Austin Health to approach to research and teaching more consistent, strategic approach to our help patients, future students and the across all Austin Health services university partnerships that ensures they community understand the role and Research and learning can take a more significance of teaching. are strong, mutually beneficial and aligned prominent and consistent role in the way with our strategic goals and priorities. Measures of success we provide all our services at Austin Health. We will: We will draw on the principles of the • Increased impact and volume of Austin • Work with our research and university Academic Health Sciences Centre model to Health published research. partners to develop and maintain more closely link our clinical care, education • Measure and increase research the infrastructure needed to support programs and research efforts. grant funding. excellence in clinical, laboratory and We will: • More senior clinical staff formally health services research. involved in research and teaching. • Develop a consistent structure and • Develop a recruitment strategy to attract operating model to embed research and • Increased undergraduate and the most capable and accomplished teaching within clinical care. postgraduate placements and researchers to the Austin Health appointments. • Support more of our senior clinical staff research precinct. • An increase in the amount of to take a formal role in research and • Establish an ongoing scheme to track teaching at Austin Health. translational research that results in research performance and benchmark it changed clinical practice. • Increase alignment between our against other top institutions. flagship clinical services and our areas of research strength. 22 Austin Health 2018–22 Strategic Plan
Innovation in specialist care Grow our delivery of specialised care in regional and state-wide services. We will further define our role as a We will: We will: specialist provider of key tertiary and • Review the scale, current capability and • Identify priorities for the development quaternary health services. Our future future potential for each of our tertiary of a tertiary and quaternary regional role in the Victorian health system will and quaternary services. service framework with our metropolitan, be strengthened by leading the delivery • Prioritise the further development of a regional and rural partners, including of these specialist services. We will use select number of flagship clinical services Eastern Health, Northern Health, Ballarat our expertise to ensure patients from and ensure that there is a strong link Health Services and Bendigo Health. metropolitan, regional and rural patients between research, teaching and clinical • Work with regional partners and have access to specialist care. practice within each service. the DHHS to pilot a regional service We will formalise links with our framework in a key area of tertiary or 2. Focus on the clinical services where neighbouring health services and rural quaternary clinical need. we can be most effective and efficient health services in our region. This will • Explore the potential to expand regional To allow us to focus our resources in establish a coordinated system where service frameworks across all our those clinical areas where the evidence patients have access to higher levels flagship services. shows we can be most effective, we will of specialist and complex care that is 4. Work with our neighbouring health review our role across our practices and not available locally, within a clinically services to strengthen our partnerships services. Transitioning our role in areas appropriate timeframe. Our role as a to deliver specialist tertiary care for the that can be more effectively or efficiently specialist provider and a clinical leader north-east region delivered by others will mean our work will also include the provision of specialist will complement rather than duplicate our A coordinated and collaborative approach to expertise and clinical advice to strengthen health service partners. the delivery of specialist tertiary care in our clinical decision making, and to ensure We will: region will ensure patients requiring access patients are receiving the right care in the to a higher level of care will receive it within right place. • Identify activity and services with clinically appropriate timeframes. potential for change or transition in line While we already have several leading with our new models of care and flagship We will: clinical services, we will continue to improve services. • Develop default referral pathways to and our outcomes and patient experience by further linking research and teaching to • Review our role in areas of clinical care from Austin Health for patients requiring clinical practice. By 2022, Austin Health no longer supported by new research access to a higher level of specialist care. will have a select number of world- and evidence, or where the activity can • Develop agreed time based metrics leading flagship areas of specialist care be provided more effectively and/or for patient access to Austin Health for and a more defined approach to health efficiently elsewhere. specialist inpatient care and ambulatory service partnerships. 3. Expand and formalise strategic services. partnerships in north-east Victoria to • Establish arrangements for providing Initiatives provide improved access and care for specialist clinical advice to supporting the 1. Strengthen our world-leading flagship collaborative management of patients rural and regional patients clinical services, including cancer, liver referred for specialist care. and spinal services A regional service framework offers the potential to improve access to tertiary Measures of success A proactive approach to the development and quaternary services, creating better • Increased scale and depth of tertiary of flagship services will allow greater experiences and outcomes for regional activity. expertise, delivering better outcomes for patients. Greater collaboration between • Increased proportion of regional patients, greater efficiency and value for the services will enable shared expertise and tertiary activity. health system. foster new areas of collaboration across • Meeting agreed access KPIs. research programs and teaching. Austin Health 2018–22 Strategic Plan 23
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