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Directions for Your Health System Metropolitan Health Strategy

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Directions for Your Health System Metropolitan Health Strategy Directions for your health system Metropolitan Health Strategy www.health.vic.gov.au/metrohealthstrategy A responsible approach to health care The Directions for your health system – Metropolitan Health Strategy recognises and responds to the changing trends in health services delivery and the key challenges facing the public health system. By building on the many strengths of the past, the strategy secures a future in which your health services will continue to respond to the advances in health care and deliv- er the best possible care. The aim is to ensure that quality health services are available to everyone — where and how they are needed. The strategy is a responsive and responsible approach to the complex issues impact- ing on our health system. It complements a number of existing documents including the Hospital Demand Management Strategy and its key initiatives and community health directions. We are confident that this framework will ensure that Victorians continue to receive world-class health care. Hon Bronwyn Pike MP Gavin Jennings MLC Minister for Health Minister for Aged Care Metropolitan Health Strategy 1 Challenges to the system The public health system continues Emerging technology Making the most of services to face some significant challenges in New and sophisticated technology, better Improved technology means more relation to the changing needs of the ways to deliver care and changing clinical treatment options and, as a community, emerging technology and practices impact on where and how consequence, increased costs to our getting the most out of the delivery of services are delivered. health system. services. To ensure that the system continues to In responding to these issues we are not Their impact on the way the system provide high quality services to those alone. Many of them are also being faced operates is demonstrated by: who need them, it is important that the by other health systems around •increasing specialisation of hospitals best possible value is derived from the the world. •a capacity to deliver many services system. without requiring hospital admission Increasing demands The strategy makes sure that we will •technological innovations such have a health care system that continues Increasing demands on the system as improved anaesthesia, to be both responsive and responsible. can be attributed to: pharmaceuticals and genetic •Melbourne’s overall population growth treatments • an increase in the percentage of older • new clinical practices providing new people treatment for people who, in the past, •the availability of more treatment options may not have been able to be treated at all •higher community expectations of, and interest in, health services. • new ways of treating chronically ill patients •increasing emphasis on prevention strategies. 2 Directions for your health system Population growth by LGA 2000-01 to 2011-12 42,000 to 58,000 20,000 to 42,000 5,000 to 20,000 0 to 5,000 -3,000 to 0 Data source: Department of Infrastructure Metropolitan Health Strategy 3 Addressing the issues Based on its practical planning guidelines, 3.Providing practical and beneficial 4.Developing new ways of the strategy details four ways in which alternatives to hospital admission. providing care. the public health system can deliver With advancing technology and The future demand for health services better services. changing clinical practice, many will also be met by continuing to services can now be provided without develop new approaches to the 1. Increasing the ability of the system the patient having to be admitted to delivery of health care services. The to meet growing patient needs. hospital for an overnight or longer stay. strategy identifies enhanced models Additional hospital capacity to meet This is beneficial to the patient as of care in the key areas of paediatric, growing demand has been planned treatment is quicker and there is less mental health and cancer services particularly in outer suburban areas. disruption to normal life. The system and services for older people. also benefits from the more efficient 2. Making the most of existing These models of care will mean that: facilities. delivery of services. •a strong person-centred approach to The strategy provides a sound The strategy builds on existing facilities the provision of care will be adopted by improving their design and function framework for the delivery of services and encouraging flexibility in service within the community and home •the complexity of older people’s care provision at each hospital to better environments. needs is better understood meet changing demands. •there will be better links between community-based programs and ongoing support services. 4 Directions for your health system What the system will look like The strategy is an important step in building a better public health system. It is a carefully planned approach, which presents a clear picture of what you can expect from your health system over the next five to ten years. State of the art hospital facilities are already being located where they are needed most; super clinics will build on existing community-based health care services; services will be tailored to better meet the needs of older people; and there will be a more integrated approach to the delivery of paediatric, mental health and cancer services. Metropolitan Health Strategy 5 Key facts More hospital improvements Recent achievements: Metropolitan Health Strategy To date, our public hospitals have been •A 56 per cent reduction in projects include: the lynchpin of the public health system. ambulance bypass. •upgrades of Northern, Maroondah The strategy identifies the system • An 84 per cent increase in and Dandenong Hospitals changes needed to achieve further emergency patient admissions • completion of the new Casey improvement in the delivery of health within 12 hours. Hospital in Berwick services by public hospitals. •4,000 more nurses employed. •a new elective surgery centre This will ensure that hospital services, •A reduction from 50 to 40 average at the Alfred Hospital including elective and emergency care, bed days per patient for patients •a new 60-bed Knox Hospital are available when and where they are waiting for residential care. focusing on the provision of needed. specialist aged care and The strategy also continues the ongoing rehabilitation services commitment to the recruitment of • upgrade of Monash Medical Centre trained professionals including nurses to (Moorabbin) including an elective ensure that services are delivered safely surgery service and efficiently. • upgrade of Werribee Mercy Hospital including the emergency department • upgrade of the emergency department at Monash Medical Centre (Clayton) •a new 20-bed facility for acute respite and long term accommodation for ventilator dependant people. 6 Directions for your health system Increases in same-day Health precincts Super clinics treatments Health precincts will bring together, Super clinics will be conveniently located The strategy recognises that the future of in the one area, a range of health and one stop shops capable of delivering our health system lies in creating the health related services to create a specialised treatment services, which right balance between services requiring community hub for service delivery. were previously only available on hospital hospital admission and those which do The range of services available will be sites. These clinics will form part of the not. This is the best outcome for patients flexible, reflecting the needs of local health precincts. and also for the health system. communities. Examples of services Super clinics will have flexible operating The move to providing patient care to be provided include: times and use the most modern outside of hospitals into the community •community health services equipment and procedures available. and home, when appropriate, is already •aged care and disability services well advanced. Ten years ago, only 34 per cent of patients were treated with same- •ambulance services day services; now the figure is around 55 •dental services per cent. •diagnostic services The strategy confirms that while some •GPservices same-day treatment services are best •rehabilitation services provided on hospital sites, others can be delivered away from hospitals in more •women’s health services convenient, patient-friendly facilities. • children’s health services • outpatient clinics •mental health. Metropolitan Health Strategy 7 Key facts Forecast growth in same-day and multi-day admissions Recent achievements: 700,000 •An increase over ten years of 600,000 patients treated with same-day services from 500,000 34 per cent to 55 per cent. 400,000 300,000 Metropolitan Health Strategy projects: Admissions 200,000 •Creation of health precincts across 100,000 Melbourne with the planning based 0 on existing Primary Care 1994 1996 1998 2000 2002 2004 2006 2008 2010 2012 Partnership arrangements. Year Same-day •Initial establishment of super clinics at Lilydale, Melton and Craigieburn. Multi-day The forecast rapid growth in same-day hospital admissions requires us to find new ways of delivering these services to the community. 8 Directions for your health system Metropolitan Health Strategy 9 Key facts Linking with community Recent achievements: health •Opening of new community health services including community dental clinics, Community health services are an in Sunbury, Preston, Werribee/Wyndham, Knox, Box Hill/Whitehorse essential element of the proposed
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