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AUSTRALIAN AUSTRALIAN COMMISSION COMMISSIONON ONSAFETY SAFETYAND AND QUALITY QUALITYIN IN HEALTH HEALTH CARE CARE AUSTRALIAN COMMISSION COMMISSION ON ON SAFETY SAFETY AND AND QUALITY QUALITY IN IN HEALTH HEALTHCARE Dr Diana Horvath Dr Diana Horvath AO AO Chief Executive Chief Executive 2 November 2006

AUSTRALIANCOMMISSION ON SAFETY AND QUALITY IN HEALTHCARE 1 COMMISSION ON SAFETY AND QUALITY IN HEALTH AUSTRALIAN COMMISSION ON SAFETY AND QUALITY IN HEALTH

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11 AUSTRALIANAUSTRALIANCOMMISSIONCOMMISSIONONONSAFETYSAFETYANDANDQUALITYQUALITYININHEALTHHEALTHCARECAREAUSTRALIANAUSTRALIANCOMMISSIONCOMMISSIONONONSAFETYSAFETYANDANDQUALITYQUALITYININHEALTHHEALTHCARECARE

AUSTRALIANCOMMISSIONCOMMISSIONON ON

SAFETYSAFETYANDANDQUALITYQUALITYININHEALTHHEALTHCARE

Dr Diana Horvath Dr Diana Horvath AOAO Chief ExecutiveChief Executive

2 November 2006

22AUSTRALIANCOMMISSIONONSAFETYANDQUALITYYINHEALTHCAREAUSTRALIANCOMMISSIONONSAFETYANDQUALITYYINHEALTHCARE

The Commission – Role The Commission – Role The Commission undertakes the following functions:

leads and coordinatesleads and coordinates improvements in safety and quality in health care in Australia by identifying issues and policy directions, recommending priorities for action, disseminating knowledge, and advocating for safety and quality;

reports publiclyreports publicly on the state of safety and quality including performance against national standards;

recommends national data setsnational data sets for safety and quality, working within current multilateral governmental arrangements for data development, standards, collection and reporting;

provides strategic advicestrategic advice to Health Ministers on ‘best practice’ thinking to drive quality improvement, including implementation strategies; and

recommends nationally agreed standardsnationally agreed standards for safety and quality improvement.

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GovernanceGovernanceAUSTRALIAN HEALTH MINISTERS’ CONFERENCEAUSTRALIAN HEALTH MINISTERS’ CONFERENCE

AHMACAHMAC

EXPERT WORKING GROUPSEXPERT WORKING GROUPS

AUSTRALIAN COMMISSION AUSTRALIAN COMMISSION ONON SAFETY SAFETY ANDAND QUALITY QUALITY ININ

HEALTH CAREHEALTH CARE INTER-JURISDICTIONAL INTER-JURISDICTIONAL COMMITTEECOMMITTEE

STAKEHOLDER FORUMSTAKEHOLDER FORUMOFFICE OF THE COMMISSIONOFFICE OF THE COMMISSION

(CEO)(CEO)

STAKEHOLDER COMMITTEESSTAKEHOLDER COMMITTEES

44AUSTRALIANCOMMISSIONONSAFETYANDQUALITYYINHEALTHCAREAUSTRALIANCOMMISSIONONSAFETYANDQUALITYYINHEALTHCARE

Stakeholder ManagementStakeholder Management

There is a large range of stakeholders, which might broadly be clustered into these groupings:

Consumers and their organisations

Health Care Professionals and their organisations – both educational & industrial

Owners of health care facilities – corporate, charitable & government

3rd party payers – health insurance funds; indemnity insurers; Medicare Aust.

Information management professionals & organisations

Managers of all types

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The Commission – MembersThe Commission – MembersIndependent Chair ------ (TBA)

ACTING CHAIR ----- Ms Jane Halton (C’wealth) CE of Dept of Health & Ageing

Mr Richard Bowden (Vic) GM of BUPA Health Care (HBA & Mutual Com)

Ms Rosemary Bryant (ACT) CE of Royal Aust College of Nursing

Ms Christine Gee (Q’l’d) CE of Toowong Private (psychiatric) Hospital

Prof Katherine McGrath (NSW) Deputy D-G of NSW Dept of Health

Dr Christopher Newell (Tas) Consumer Rep & Assoc/Prof Medical Ethics

Ms Uschi Schreiber (Q’l’d) CE Q’l’d Health

Dr Shiong Tan (WA) General Practitioner

Prof Michael Ward (Q’l’d) Academic Gastroenterologist

Dr Tarun Weeramanthri (NT) Physician & Researcher

Ms Jennifer Williams (Vic) CE of Bayside Health

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Commission – Staff July 2006Commission – Staff July 2006 Chief Executive ---- Dr Diana Horvath AO

Deputy Chief Executive ---- Mr Bill Lawrence

Personal Assistant ---- Ms Roben Hapgood

Communication Manager ---- Ms Sue Kerr

Senior Medical Adviser ---- Dr Christine Jorm

Information Strategies ---- Dr Paul Tridgell

Policy Team Managers ---- Ms Margaret Banks & Mr Michael O’Rourke

Data Manager ---- Ms Ros Madden

Manager Secretariat ---- Mr Graham Bedford

Business Manager ---- Mr Erwin Winkler

Records & Information ---- Mr Geoff Hitchcock

Project officer ---- Sara Twohill

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Consumer Focus

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PrioritiesPriorities An agreed National Framework

Encompass the whole of health care

Accreditation – of hospitals & practice settings

National Professional Registration (now COAG)

Credentialing for high risk procedures

Monitoring & public reporting

Consumer Pathways

Relationships with other bodies

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Customisation

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Hospital Safety and Quality IndicatorsHospital Safety and Quality Indicators

Examine existing data sets for utility

Establish appropriate advisory committee structure

Outcome Registries

Device Registries

Work with data custodians

Effector organisations

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Appropriateness

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Method of OperatingMethod of Operating National focus

Partnerships & collaboration

Provider & consumer to share responsibility for outcomes

Open & honest communication

Simplify not complicate – use evidence

Use levers for safety & quality

Engage technology – e-health

Foster a thinking workforce & community

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QuestionsQuestions