2018 HFMA National Congress

Queensland State Address

Nick Steele

Deputy Director-General

Healthcare Purchasing and System Performance

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Welcome!Welcome

Value in Australian Healthcare

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Future… Or fad?

Value-Based Healthcare

Australian healthcare system

What is value in healthcare?

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Value =

What is value in healthcare?

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Value is in the eye of the user

What outcomes?

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Clinical outcomes Service outcomesPatient-important

outcomes

What outcomes?

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Volume vs. value

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Queensland approach – “Delivering what matters”

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How can health departments support the move to

value?

01 – REBALANCE SYSTEM KPIS

Broadening the definition of successful performance to include delivery of the

health outcomes that matter to patients

02 – REDUCED FOCUS ON VOLUME

Transition to accountability for agreed outcomes rather than units of activity

03 – INCREASED TRANSPARENCY

Greater sharing of information to support learning and improvement

04 – ACCELERATE HIGH VALUE CARE

Conversations on the occurrence of low value care and, more importantly,

accelerating examples of high value care

05 – REBALANCE INVESTMENT

To support people to stay well in the community for as long as possible

07 – MAINTAIN ACCESS

Continue to ensure timely access to outpatient, elective and emergency

care for Queenslanders

06 – PURCHASE OUTCOMES

Purchase specified outcomes for target groups rather than specified volumes of

certain activity types to increase funding flexibility

08 – SYSTEM APPROACH

Encourage a whole system approach to designing and delivering optimal

patient pathways

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What does it mean for the finance profession?

Where do we add value?

Understandthe System

Partner with the Business

Accurately Cost

Bring Joy & Curiosity

Brave

Work across Boundaries

Flexible Funding Models

Measure Value

Provide Real Time

Data

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What does it mean for the finance profession?

Where do we add value?

Person centric

Long-term focus

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Flexibility

To achieve the outcomes

that really matter to

consumers

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Engagement

To work with shared

purpose towards better

health outcomes

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Stability

To enable providers to

confidently pursue

innovation and embed

change

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Conclusion

Person centric

Long-term focus

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Questions

Person centric

Long-term focus