Hearing Australia Corporate Plan - FY 2021-25 Providing world leading research and hearing services for the wellbeing of all Australians
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Hearing Australia Corporate Plan FY 2021–25 Providing world leading research and hearing services for the wellbeing of all Australians w hearing.com.au %
Contents Foreword 3 Introduction 4 Overview 4 Our Purpose 5 Our vision 5 Our functions 5 Our Operating Environment 6 Key drivers 6 Hearing loss in Australia 6 Our clients 7 The COVID-19 pandemic 8 Making it faster, easier and better for our clients 8 Prevention of avoidable hearing loss 9 Using research to make a difference 9 Our Strategic Focus 10 Strategic Pillars 10 Our Governance Arrangements 11 Risk Management 13 Our approach to risk 13 Our strategic risks 13 Our Performance Measures 14 Attachments 15 ATTACHMENT A – Performance Metrics 16
COVID-19 pandemic (the pandemic) and faces has embraced during this unprecedented time. significant disruption significant andand disruption uncertainty. uncertainty. With the the With support of Government, support of Government, we have increased we have increased ThisThis is clearly a challenging is clearly timetime a challenging thatthat will will impact our our impact access to our access services to our to all services toAustralians andand all Australians worked worked clients, our partners, the communities we serve clients, our partners, the communities we serve and and rapidly to implement a suite of new tele-audiology rapidly to implement a suite of new tele-audiology the the economy wellwell intointo the the future. services thatthat both meet clinical standards andand have Foreword economy future. services both meet clinical standards have been embraced by our clients. been embraced by our clients. OurOurresponse response hashas been beengrounded grounded in three key key in three principles: principles: We Wewill will continue continue to make to makeour ourservices services easier andand easier This Corporate Plan (the Plan) has been prepared at Over faster to the accessnext 12 acrossmonths, Australiawe will in faster to access across Australia in line with grow line withour workforce the the • to• doto everything dowheneverything we canweand to protect can to protectour ourpeople people a time Australia the rest of world is starting flexibility needs needsof our and clients of our capability andand clients to the the meet broader broader current and expectations expectations of of andand our our clients in clients line in with line our with organisational our organisational to recover from the COVID-19 global pandemic. emerging the the Government. priorities. We We will will also enhance continue Government. We will also continue to support the our to ability support the responsibilities responsibilities andand Government Government expectations expectations to respondobjectives Government’s Government’s to change objectives and of ofoptimise improving improving our business accessibility accessibility Over and the past directions; and directions; year Hearing Australia has remained systems of hearing of hearing and services processes. servicesfor the Wemost most for the will make vulnerable it people vulnerable faster and people open for business, with over 95 per cent of our people • to• remain to remain ‘open ‘openfor business’ given the the importance easier for clients to access our services, in line with presenting for workfor everybusiness’ given day, including importance during State in society. in society. of hearing of hearing services services for our for clients our andand clients stakeholders, stakeholders, community and government expectations. We will and Territory lockdowns. AndAndwe remain we remain committed committed to pursuing to pursuing an ambitious especially especially in times in timesof crisis; andand of crisis; continue to deliver high value researchan ambitious which has Every week we have helped, and continue to help, transformation transformation agendaagenda to prevent to prevent hearing hearingloss andand loss tangible benefits for people with hearing loss. And • to• pivot for the to 12,000 pivot for future the futureto ensure thatthat to ensure we emerge we emerge to improve to the the quality and efficiency of our our services over children, adults, pensioners and veterans weimprove will continue quality to holdand ourefficiency clients at of the heart services of fromfromthe the pandemic withwitha healthy workforce and across a national network of 171 hearing centresand pandemic a healthy workforce based basedon world on leading world everything we do. leadingresearch, research, innovation innovation and the the and reputation reputation andand are arewellwell positioned positionedto achieve to achieve use use of data. of data. and 330 visiting sites. This includes helping some our our commercial commercial andand community community (not-for-profit) (not-for-profit) We look forward to working with the Government and ten newborn children hear for the first time each ThisThis PlanPlan therefore, therefore,outlines howhow outlines we will dealdeal we will withwith objectives. objectives. our partners to provide world leading research and week and access early intervention services from the the the impact impactof the of pandemic, the pandemic, ensure ensure our long-term our long-term hearing services for the wellbeing of all Australians National TheTheorganisation Disability organisation hashas Insurance responded responded Scheme wellwell to the (NDIS). to the financial sustainability financial sustainability andand staystay focused on our focused on our over the coming 12 months and beyond. challenge. challenge. At theAt timetime the of preparing of preparing thisthis Plan, 97 per Plan, 97inper strategic priorities that will deliver strategic priorities that will deliver maximum maximum value to to value Each year our people visit thousands of clients centcent of our workforce of our workforce of 1,354 people of 1,354 were people at work, were at work, our our clients, partners clients, partners andand Government. Government. their homes, support some 46,000 residential aged withwith 120 120 of them of themoffering offeringto beto seconded be seconded to Services to Services care clients, travel to over 220 regional and remote Australia. We We Australia. are arefully operational across Australia communities, andfullyprovideoperational servicesacross through Australia a fleet withwith all of allour of 166 166 our hearing hearing centres open centres openfor business for business of 12 mobile screening centres which travel many andand we are we arehelping helpingsome some 2,000 children, 2,000 young children, young thousands of kilometres every year. adults, adults, adults, pensioners adults, pensioners andand veterans veteranseach eachdayday This (similar Plan to lays pre-pandemicthe foundation (similar to pre-pandemic levels). levels). to build on this success and outlines how we will: Dr Peta Seaton Dr Peta AM AM Seaton Kim Terrell KimKim Terrell Terrell Chair Chair Managing Managing Managing Director Director Director • deliver excellent client outcomes • provide great value to government and our partners, and • continue our journey to being a high performing organisation. 3 3 3
Introduction Overview The AHS Act requires the delivery of the Plan to the Minister for Government Services and the Minister for The Board of Hearing Australia (the Board), as the Finance at least 60 days before the start of the first accountable authority, advises that: reporting period to which the Plan relates. • this Plan has been prepared in accordance This Plan outlines how Hearing Australia will achieve with section 35(1)(b) of the Public Governance, its goals, with a strong focus on: Performance and Accountability Act (2013) (the PGPA Act) and sections 36-40 of the Australian • making it faster and easier for anyone to get Hearing Services Act (1991) (the AHS Act) and our help in accordance with section 16E of the Public • delivering impactful community outcomes Governance, Performance and Accountability Rule • maintaining our financial stability 2014 (PGPA Rule) • delivering research which has tangible impacts on • the reporting period for the Plan is the year people with hearing loss beginning on 1 July 2021 and ending on 30 June 2022 (Financial Year 2021-22), and • building operational capability, efficiency and productivity, and • the Plan covers the period from 2021-22 to 2024-25. • protecting the hearing health of all Australians. 4
Our Purpose Our vision Our functions Our vision is to provide world leading research and Hearing Australia is a corporate Commonwealth hearing services for the wellbeing of all Australians. entity and accountable to the Minister for Government Services. Our vision explains our purpose, why we are here and what we aspire to achieve. We have a clear Hearing Australia’s functions are defined under responsibility to deliver the best possible hearing Section 8 of the AHS Act. These functions include: health care for our clients and the communities we • the provision of hearing services to voucher serve, and to provide value to Government and our holders under the Government’s Hearing Services stakeholders. Program and to designated persons eligible under We seek to create a positive impact in our day- the Community Service Obligations (CSO) Program to-day work and contact with our clients and their (including children, young adults, adults with families and communities, the Government, our complex needs and Aboriginal and Torres Strait partners and our people. Islanders) What we do changes lives and we do this with • the provision of hearing services to Comcare the greatest levels of care, compassion and clients and Commonwealth employees professionalism. • entering into arrangements for the supply, Our services are essential for those we serve, research, design and development of hearing particularly given the importance of good hearing services, including providing services to anyone in families, workplaces and communities. Our world- with a hearing loss leading research leads to improvements in hearing • carrying out research health care and delivers insights into how to better prevent hearing loss and how best to treat those • providing advice, education, training and with hearing health needs. Delivering on our purpose consultancy services in relation to hearing services. contributes to national health outcomes. The AHS Act also sets out a range of governance obligations and operational requirements for the organisation. This means we work closely with government departments, agencies and partners to ensure our research and hearing services are of the highest standard and deliver improved hearing health outcomes for the community. We support initiatives to prevent hearing loss and advocate for improved access to, and quality of, hearing health services across Australia. We also run campaigns and events to raise public awareness of the importance of good hearing health and, through our research arm the National Acoustic Laboratories, regularly publish internationally recognised research into hearing loss. 5
Our Operating Environment Key drivers Hearing loss in Australia Hearing Australia operates in a rapidly changing Over 3.6 million Australians have hearing loss and and highly competitive environment. While the this number will double by 2060. This is a major hearing health of the nation is becoming increasingly economic and social challenge. Access Economics important, there are other factors at work. Key drivers estimated in 2017 that hearing loss cost the economy of change include: some $33 billion1. These costs will grow with an ageing population. • broader economic and consumer spending trends Despite the large number of Australians impacted • the rapid advancement of hearing device by hearing loss, capabilities in the primary health technologies, coupled with the increasing system to identify and support people with hearing differentiation of devices and the rise of loss are declining, especially in relation to very young alternatives to ‘traditional’ hearing aids children. That is why we invest in building capabilities • the changing needs and expectations of clients, across sectors, including in primary health and along with advances in digital health solutions education. • the operation of the Government’s Hearing Hearing loss can have a profound impact on Services Program and its impact on the an individual, leading to reduced workforce hearing sector participation, loss of productivity and social isolation. • an increasingly dynamic and competitive If not addressed early, hearing loss can change the marketplace dominated by large, multinational way children speak, learn and interact with others. hearing device manufacturers Aboriginal and Torres Strait Islander children suffer • ongoing changes associated with an ageing middle ear infection (otitis media) earlier, more population and growth in metropolitan areas. frequently and with more serious complications than non-Indigenous children. Among children aged 0–14, Aboriginal and Torres Strait Islander children are twice as likely to have a long-term ear or hearing problem and three times as likely to have otitis media2,3. If left untreated, chronic ear infections can result in hearing loss. This can have lifelong impacts, leading to poor educational outcomes, limited employment opportunities and increased contact with the criminal justice system4. 1. Deloitte Access Economics (2017). The social and economic cost of hearing loss in Australia, p3 http://www.hcia.com.au/hcia-wp/wp- content/uploads/2015/05/Social-and-Economic-Cost-of-Hearing-Health-in-Australia_June-2017.pdf 2. Australian Institute of Health and Welfare (2020) Indigenous Hearing Health Indigenous hearing health - Australian Institute of Health and Welfare (aihw.gov.au) 3. Australian Bureau of Statistics 2018-19 National Aboriginal and Torres Strait Islander Health Survey. ABS cat. no. 4715.0. Canberra: ABS. 4. Australian Institute of Health and Welfare (2020) Indigenous Hearing Health Indigenous hearing health - Australian Institute of Health and Welfare (aihw.gov.au) 6
Our work in Aboriginal and Torres Strait Islander Our clients communities has shown that some 30 per cent of children under the age of six have undiagnosed Our clients are at the heart of everything we do. middle ear infections and 25 per cent have some We help anyone who needs us, regardless of their form of undiagnosed hearing loss. This must change. financial circumstances, age or location and this became particularly important during 2020. We offer Further, there are unacceptably long wait times a wide range of information, education, research in publicly funded clinical referral pathways for and clinical services, including the fitting of hearing Aboriginal and Torres Strait Islander children, devices and follow-up services. sometimes by up to 42 months in urban areas and 51 months in regional areas5, compounding the We provide Government-funded hearing services to: impacts of chronic ear infections. By comparison, • pension concession card holders where private services are available, the total • recipients of Centrelink sickness allowance pathway is up to nine months in remote and urban areas, and up to 12 months in regional areas. • holders of a Department of Veterans’ Affairs Gold and White card We also know the incidence of hearing loss increases sharply with age, with around 70 per cent of • National Disability Insurance Scheme (NDIS) Australians over the age of 70 experiencing some participants degree of hearing loss. Research also indicates that • children and young adults under the age of 26 hearing loss is the largest potentially modifiable risk years factor for dementia and the prevention or treatment of hearing loss in midlife could reduce the incidence • adults with complex hearing needs of dementia by as much as nine per cent6. • Aboriginal and Torres Strait Islander adults The management of sensory loss, particularly aged over 50 years or who are participating in hearing, has also been recognised as a key issue Community Development Programs. in the provision of aged care services7 and in the We also provide hearing services to people not recent Royal Commission into Aged Care Quality eligible for government-funded services. and Safety. As a result, Hearing Australia will do more to engage with the aged care sector over the next 12 months to support the Government’s broader response to the Royal Commission’s findings and recommendations. There is also limited focus on the prevention of noise- induced hearing loss through occupational and recreational noise exposure. Further work is required to raise awareness of the threat and impact of noise related hearing loss and to better understand how to encourage individuals and organisations to take action to protect the hearing health of Australians. 5. National Acoustic Laboratories (2020) Developing a Timeframe for Action on Hearing Healthcare for Aboriginal and Torres Strait Islander children below 6 years of age. Unpublished. 6. Livingston, G; Sommerlad, A.; Orgeta, V.; et al. (2017) Dementia prevention, intervention and care Lancet 390: 2673-2734 7. Australian Government response to the Standing Committee on Health, Aged Care and Sport (2018) Still waiting to be heard… Report on the Inquiry into the Hearing Health and Wellbeing of Australia https://www.health.gov.au/sites/default/files/response-still-waiting-to- be-heard.pdf 7
The COVID-19 pandemic Making it faster, easier and better for our clients Our response to the pandemic was grounded in the need to protect our people and clients, to be open Hearing Australia has made significant investments to anyone who needed our help, and to continue to in understanding our clients’ needs and building our transform our services so that we could achieve our capabilities to deliver better value for government current and future objectives. We were mindful of the and the community. We have also accelerated our Australian Government’s employment and service progress in fostering innovation and leveraging digital continuity priorities and also our capacity to support technologies to improve access to our services. This those priorities. has laid the groundwork to deliver the quality of Over the coming 12 months we will build on this care and outcomes which set the benchmark for the success by maintaining client and staff wellbeing, industry. encouraging our people to access COVID-19 Over the next 12 months we will further enhance our vaccines, and continuing to operate in line with ability to operate flexibly, to simplify the process relevant Commonwealth, State and Territory of accessing care, to capitalise on emerging guidelines. opportunities, and continue to modernise our We are now focused on locking in the benefits of the systems. business transformation efforts we accelerated in We will make it easier for everyone to access, response to the pandemic. This includes increasing understand and benefit from our services by our adoption of digital and tele-health services to supporting informed decision making; expanding our provide seamless end-to-end journeys for our clients. use of technology, research and innovation to deliver better hearing solutions across all service streams; and building on our collaborative efforts to deliver impactful outcomes for the hearing health of all Australians. Our Systems Modernisation Program will also enable us to better predict, manage and optimise how and when we deliver our services and increase the efficiency of our entire organisation. 8
Prevention of avoidable hearing loss Using research to make a difference With the support of Government, we are significantly Hearing Australia is committed to providing world increasing our collaborative efforts to prevent leading research into hearing loss through our avoidable hearing loss in high risk communities and research arm, the National Acoustic Laboratories have an ambitious target of reducing the rate of (NAL). NAL’s mission is to lead the world in research hearing loss in Aboriginal and Torres Strait Islander and evidence-based innovation to improve the children by at least half by 2029. lives of people with hearing loss. Over the coming 12 months NAL will deliver a range of projects A key element of this work is the delivery of Hearing funded by the Government, NAL’s commercial Australia’s Hearing Assessment Program – Early partners and Hearing Australia to support ongoing Ears (HAPEE). This program is funded by the policy reform and improvements to service delivery, Government and targeted at the early identification clinical outcomes and the prevention of avoidable and treatment of ear disease and hearing loss in hearing loss. Aboriginal and Torres Strait Islander children aged 0 to 6 years. The program operates nationally and involves Hearing Australia staff working collaboratively with communities to conduct hearing assessments of children, to raise awareness of the importance of hearing health; and to upskill primary health care services to better detect and manage ear disease. A key focus for Hearing Australia over the coming 12 months will be to secure Government support for the continuation of the program beyond 30 June 2022, given its proven value and that some 25 per cent of the over 7,000 children assessed to date have undiagnosed hearing loss and have required placement into referral pathways. Another high priority for the coming 12 months will be the development of a national strategy to prevent avoidable hearing loss and to improve hearing health outcomes in high risk communities and industries. Hearing Australia is working closely with a broad range of partners to co-design and develop the national strategy, which will be supported by our new Prevention Unit and existing programs, research and collaborative projects. 9
Our Strategic Focus This Plan supports Hearing Australia’s achievement of its longer-term strategic objectives and builds on our progress and success to date. Strategic Pillars Hearing Australia’s three strategic pillars will continue Each pillar underpins our vision to provide world to guide our organisation over the next four years. leading research and hearing services for the They are: wellbeing of all Australians. • delivering excellent outcomes The priorities within the pillars have been updated to reflect changes in our operating environment and • providing great value to Government and our what we need to focus on over the coming 12 months partners, and and beyond. • continuing our journey to being a high performing The key priorities are outlined in the following diagram. organisation. Corporate Plan 2021–2025 Delivering Excellent Outcomes Providing Great Value to Being a High Performing Government & Partners Organisation A. Exceptional Client Experiences C. Productive Government E. Business Acumen and Growth Engagement A1. Leverage insights, data and E1. Improve financial feedback to make it effortless C1. Strengthen and deepen sustainability by growing for our clients engagement with commercial revenue and government on policy, advice profits through being more A2. Be innovative in the products and program implementation competitive, efficient and and services we deliver to deliver greater value for agile to respond to market B. Impactful Community Outcomes government funded services needs B1. Significantly improving the D. Productive Partner Engagement E2. Continually lift operational hearing health of high risk efficiency and productivity D1. Build collaboration with communities and industries across people, processes, strategic partners for through the prevention research and technology mutually beneficial outcomes of avoidable hearing in research, products, and E3. Use risk management loss, leveraging research services that deliver better and targeted compliance and efficient delivery of hearing health outcomes for activities to our advantage to community services all clients lift performance and protect the organisation F. Purpose Driven Organisation F1. Significantly lift the capabilities of our workforce while driving greater flexibility, engagement and well being 10
Our Governance Arrangements The Board of Hearing Australia is established under the AHS Act and currently consists of the Chair, the Managing Director, four Non-Executive Directors and a Special Purpose Director. The Board’s functions under the AHS Act are to This includes oversight of Hearing Australia’s: decide the objectives, strategies and policies to be • financial and operational performance followed by Hearing Australia and to ensure that the organisation performs its functions in a proper, • progress against strategic initiatives and key efficient and economical manner. performance measures The Board reports to the Minister for Government • regular reporting to the Minister for Government Services and is supported by three committees: Services • the Audit and Risk Management Committee • risk management and compliance programs • the Research and Innovation Committee, and • workforce and people strategies • the Remuneration Committee. • internal audit program and compliance with Australian National Audit Office (ANAO) The Board and its Committees meet on a regular requirements basis and provide a strong level of guidance and oversight of the organisation and its operations. • compliance with PGPA Act requirements • annual reporting to the Minister for Government Services, including financial performance reporting. The Board is committed to the ongoing development of its members to ensure that it has the right level of skills and capabilities to enable it to successfully perform its functions and is updated regularly on developments with regards to its responsibilities and changes to Government policy. The Board appoints additional members to its committees where required to ensure that they have access to the necessary skills and experience to fulfil their functions. 11
Organisational Governance Structure Organisational Governance Structure Minister for Government Services The Secretary of The Board of The Department of Hearing Australia Social Services Audit and Risk Management Committee The Managing Director of Hearing Australia Research and Innovation Committee Remuneration Hearing Australia Committee 12
Risk Management Risk management is an integral part of Hearing Our approach to risk Australia’s operations. We manage risk in accordance with section 16 of the PGPA Act, the Hearing Australia recognises that risk management Commonwealth Risk Management Policy and is an integral part of good business and governance the international standard ISO 31000:2018 Risk and is committed to building a culture where the Management—Guidelines. conscious and deliberate consideration of risk is an integral part of Hearing Australia’s ways of thinking The Board and the Audit and Risk Management and working. Committee oversee risk management within Hearing Australia, on advice from the Managing Director, the Hearing Australia manages risks as a routine part Chief Risk Officer. Members of the Executive Team are of our strategic and operational business planning responsible for implementing risk management within processes. Identified risks are planned for and their business and operational units, and report managed, taking account of Hearing Australia’s regularly to the Chief Risk Officer and Managing broader purpose, strategic objectives and priorities. Director. Our Risk Management Policy ensures that a clear and consistent approach to risk management is applied across our business. The Risk Management Framework provides a formal process and helps our people to understand and actively manage risk in their day to day work. Our strategic risks The Executive Team of Hearing Australia regularly reviews the organisation’s strategic risks and reports to the Audit and Risk Management Committee on a quarterly basis. All strategic risks are assigned a risk owner from the Executive Team. Risk owners must ensure risks are actively managed with emerging threats and opportunities identified and addressed. 13
Our Performance Measures This section of the Plan is prepared in accordance While some of the metrics have remained the with item 4(c) of the table in subsection 16E(2) of the same as in previous years, Hearing Australia has Public Governance, Performance and Accountability revised these measures to include more meaningful Rule 2014 and Section 38 of the AHS Act. performance indicators which provide line of sight throughout the organisation, including an increased The tables in Attachment A outline the performance emphasis on lead indicators and outcome-based activities and targets that Hearing Australia will measures. use during 2021-22. The indicators used this year have been updated to better align with the current The performance measurements are metrics that operating environment, our overall strategy and the are monitored monthly by the Executive Team and indicators that are used to measure our business by the Board. performance monthly. 14
Attachments ATTACHMENT A – Performance metrics 15
ATTACHMENT A – Performance metrics The following table outlines Hearing Australia’s key performance metrics for the next four years. The metrics are adjusted each year to ensure they remain aligned with, and support, the key priorities in the Corporate Plan. These measures have also been developed based on the assumption that Australia will continue to recover from the global pandemic over the next financial year and will not experience sustained health lockdowns or additional economic shocks. Corporate Activity Performance YTD Target Target Target Target Plan Pillars Measurement Numbers 2021-22 2022-23 2023-24 2024-25 (Feb 2021) B. Impactful Services 2. Total CSO 55,600 74,160 76,385 78,650 81,000 Community delivered to clients seen Outcomes community and clients 3. Total 146,000 200,000 210,000 220,000 230,000 commercial clients seen Reduce the 4. As On track On track On track On track On track current rate of determined by hearing loss in ABS data Aboriginal and Torres Strait Islander children by at least half by 20299 Implement 5. HAP 200 270 Subject to ongoing funding agreed hearing communities loss prevention target achieved initiatives 6. HAP program 5,500 20,000 Subject to ongoing funding children target achieved 7. Hearing On track Achieved Achieved Achieved Achieved Australia projects successfully managed and delivered 8. National On track Achieved Achieved Achieved Achieved Hearing Loss Prevention Strategy milestones achieved Help Aboriginal 9. Reduce the On track On track Achieved To be To be and Torres average age determined determined Strait Islander of first fitting to children with under 5 years hearing loss 9. In 2019 the ABS reported that 6.9 per cent of Indigenous children aged 0-14 reported hearing loss compared to 3.0 per cent for non-Indigenous children 16
Corporate Activity Performance YTD Target Target Target Target Plan Pillars Measurement Numbers 2021-22 2022-23 2023-24 2024-25 (Feb 2021) B. Impactful Services 10. 85% of On track On track On track On track On track Community provided children Outcomes to children and young and young adults with a Australians permanent hearing loss, are seen within 2 weeks of receipt of referral Services 11. 220 On track Achieved Achieved Achieved Achieved provided to Outreach Aboriginal communities and Torres visited annually Strait Islander peoples C. Productive Provision of 12. Quality On track Achieved Achieved Achieved Achieved Government high-quality of advice & Engagement advice and support support to Government and to Partners to improve D. Productive national Partner hearing health Engagement outcomes F. Purpose Lifting people 15. Capability On track Achieved Achieved Achieved Achieved Driven capability program Organisation milestones achieved Key Assumptions: • These figures are based on best estimates as at April 2021. • Financial estimates are based on scenario modelling. 17
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