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