Statewide Rural and Remote Clinical Network

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Statewide Rural and Remote Clinical Network Assoc Prof Alan Bruce Chater Chair Second Atlas of healthcare variation Cellulitis COPD “UTI” – incl Glomerulonephritis Diabetes Heart failure AMI complication s ABORIGINAL AND TORRES STRAIT ISLANDER SIEFA FACILITIES Hospital and Health Services rural and remote facilities The Torres and Cape HHS Community Clinics* Inner Cluster Thursday Island Horn Island (Ngurupai) Near Western Cluster Badu Island Kubin(Moa Island) St Pauls (Moa Island) Mabuiag Island Central Cluster Yam Island (Iama) Yorke Island (Masig) Coconut Island (Poruma) Warraber Island (Sue) Eastern Cluster Darnley Island (Erub) Murray Island (Mer) Stephen Island (Ugar) Top Western Cluster Boigu Island Saibai Island Dauan Island Northern Peninsula Cluster Bamaga Injinoo New Mapoon Seisia Umagico * Community clinics that operate on weekdays may not operate five days per week Map does not include regional and metropolitan hospitals and health facilities Current as at 26 April 2017 HOUSE PRICES QH DATA • QH Data – Where treated – Can link to other data – Can isolate to treating facility Cf • Atlas – Where from Analytics Team, Patient Safety and Quality Improvement Service, Department of Health, Queensland ISSUES • Disadvantage – Socioeconomic – Sanitation and disease – Life style – Smoking – Obesity – Scurvy (barcoo – Geographical access – Medicare access – Indigenous – Skin conditions – scabies, tinea, strep – Secondary conditions » PSGN – renal » Rheumatic fever – cardiac • Quality – Distance – Danger of discharge – Diagnosis – Time e.g. overnight stay vs technology e.g. CT – Double counting – Transfers • Clinical variation DISTANCE TO SERVICE INDIGENOUS SMOKING AND DISTANCE BMI? DIET OR EXERCISE? SOCIO-ECONOMIC INDEXES FOR AREAS (SEIFA) MEDICARE SPEND OVERCOMES SEIFA? “UTI” AMI Counted (appropriately) at the country hospital e.g. lysis and stabilisation and city hospital e.g. stent QUINOLONES (FIRST ATLAS) DILEMMA • Causality • Context – service, distance, diagnostic • Continuity – across and within services • Conscience – patient centred care • Connection – local or where lives • Clinical context • Counting – double • Clinical variation • Consultation with rural • Clinician feedback • Clinical change • Comparison with peers .

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Your Labor Member in the Queensland Parliament
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TORRES STRAIT REGIONAL AUTHORITY 1997~1998 ANNUAL REPORT 60011 Cover 16/11/98 2:43 PM Page 2 ©Commonwealth of Australia 1998 ISSN 1324–163X This work is copyright. Apart from any use as permitted under the Copyright Act 1968, no part may be reproduced by any process without prior written permission from the Torres Strait Regional Authority (TSRA). Requests and inquiries concerning reproduction rights should be directed to the Public Affairs Officer, TSRA, PO Box 261, Thursday Island, Queensland 4875. The artwork on the front cover was designed by Torres Strait Islander artist, Alick Tipoti. Annual Report 1997~98 PUPUA NEW GUINEA SAIBAI ISLAND (Kaumag Is) BOIGU ISLAND UGAR (STEPHEN) ISLAND DAUAN ISLAND TORRES STRAIT DARNLEY ISLAND YAM ISLAND MASIG (YORKE) ISLAND MABUIAG ISLAND MER (MURRAY) ISLAND BADU ISLAND PORUMA (COCONUT) ISLAND ST PAULS WARRABER (SUE) ISLAND KUBIN MOA ISLAND HAMMOND ISLAND THURSDAY ISLAND (Port Kennedy, Tamwoy) HORN ISLAND PRINCE OF WALES ISLAND SEISIA BAMAGA CAPE YORK TORRES STRAIT REGIONAL AUTHORITY © Commonwealth of Australia 1998 This work is copyright. Apart from any use as permitted under the Copyright Act 1968, no part may be reproduced by any process without prior written permission from the Torres Strait Regional Authority (TSRA). Requests and inquiries concerning reproduction rights should be directed to the Public Affairs Officer, TSRA, PO Box 261, Thursday Island, Queensland 4875. The artwork on the front cover was designed by Torres Strait Islander artist, Alick Tipoti. TORRES STRAIT REGIONAL AUTHORITY Senator the Hon. John Herron Minister for Aboriginal and Torres Strait Islander Affairs Suite MF44 Parliament House CANBERRA ACT 2600 Dear Minister In accordance with section 144ZB of the Aboriginal and Torres Strait Islander Commission Act 1989, I am delighted to present you with the fourth Annual Report of the Torres Strait Regional Authority (TSRA).
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