Health Care Home Pilot implementation

What is the $21 million Australian Health Care Home Pilot?

New models of primary care, such as the Health Care Home Pilot, are being rolled out in Australia. These new models will incentivise GPs based on their actual performance.

A GP’s performance will be based on their adherence to evidence based clinical pathways and the actual clinical outcomes the GP delivers for the patient.

These more accountable models of care will begin to be rolled out in 2016/17 based on a review by the  Australian Primary Health Care Advisory Group.

In the Primary Health Care Advisory Group’s Report released in December 2015, they recommended a two-year trial for the Health Care Home Pilot implementation.

Additional Federal funding for the pilot will be paid to support extra care for 65,000 complex chronic disease patients and to incentivise GP’s across 200 primary care practices (approx. 500 GPs) totalling $21 million Health Care Home Pilot in Australia.

However, the associated change in work practices and payment models required as part of the Australian Health Care Home model will significantly impact GPs.

Understandably, the many concerns and questions of GPs and Patients’ need to be addressed for successful change management and sustained transformational change. The key issues being what is a Health Care Home and what is the detailed plan for the $21 million Health Care Home Pilot implementation? For example:

 

1. What impact will the Australian Health Care Home Pilot have on GPs and Allied Health Professionals?
2. What extra payments will be made to GPs for managing highly complex patients?
3. How will the risk stratification tool be applied to children and people with mental illness in the Health Care Home Pilot?
4. Will the Healthier Medicare package for Health Care Home involve capitated payments to GPs?
5. What role will Private Health Insurers play in the Health Care Home Pilot?
6. Is the Australian Health Care Home model the same as American Managed Care, similar to HMOs?
7. What difference will the Australian Health Care Home Pilot make to patients with complex and costly conditions?

 

What we do

We help Primary Health Networks to answer the key issues listed above to better support GPs and allied health professionals, to implement the Health Care Home model.

Health Care Home Pilot Implementation

Health Care Home Pilot

 

We work with Primary Health Network clients to implement the Health Care Home Pilot model, based on the Patient Centered Medical Home (PCMH) model.

This evidence based model transforms GP practices to deliver better patient‑centric coordinated care—and at the same time increases GP job satisfaction.

There are seven (7) elements to Health Care Home Pilot implementation that we focus on when working with PHN’s to ensure GP engagement, patient satisfaction and cost effectiveness:

    1. Physician-led practice where GPs, nursing and allied health professionals are organised around the needs of the Patient
    2. Patient centric approach that strives to put the patient first, including their family and carers
    3. Best practice Coordinated care involving new interfaces with Hospital and Specialist services
    4. Health care service Quality improvement
    5. Improved Equity and Access for at risk communities
    6. Optimised General Practice financial sustainability
    7. eHealth technology enablement.