Partners in Health

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• Partners in Health
• Strengthening the Partnership

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• Aims of visit are to
• Share with you Tasmanian experiences of
  strengthening the Government/University health
  partnerships
• Share with you our operational experiences
• Listen and Learn from your partnership
  experiences regarding successful partnership
  models, challenges and future directions
• Explore the potential for the development of
  sustainable partnerships between Tasmanian and SW
  Victoria.

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• What is Partners in Health?
• Partnership between the DHHS and the UTAS FHS
• First formed in 1998
• The fundamental Principle is to contribute to
• The health and well being of the people of
  Tasmania through workforce education and
  development, quality service delivery and health
  research
• Partnership reviewed 2008 - Strengthening
• Strategic and Operational Partnership

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• The Healthcare workforce is vital, it delivers
  health services to the people of Tasmania our
  customers.
• Tasmania is experiencing health workforce
  challenges
• Teaching, training and education are core
  elements of the health system
• Through Partners in Health DHHS and UTAS will
  work together to provide a more sustainable and
  flexible health workforce for Tasmania.

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• Policy Context State
• Tasmania Together
• Memorandum of Understanding between State
  Government and UTAS

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• Policy Context Agency
• UTAS Context
• - EDGE 2
• DHHS Context
• - Tasmanias Health Plan

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• Policy Context - Operational
• UTAS Context
• FHS Strategic Plan
• UDRH Plan
• DHHS Context
• Primary Health Plan and Clinical Health Plan

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• What have we done to strengthen the Partnership?
• The achievements so far

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• PiH Future Directions
• Sets out how the partnership between the DHHS and
  UTAS FHS will work.
• Identifies the long term strategic objectives of
  the partnership and sets out the main priority
  outputs of the partnership over the coming 3
  years 2008-2011.
• Shaped by the overall strategic priorities set
  within the policy context.
• Joint work through Partners in Health can assist
  both parties to make a significant contribution
  to their own strategic priorities directly and
  indirectly and in the long, medium and short
  term.

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1 We will work together to strengthen the Partnership and working relationship between the University of Tasmania, Department of Health and Human Services and external agencies when necessary
2 We will continue to work together to develop an educated, trained and skilled health workforce to meet the needs of the Tasmanian Health Sector
3 We will work together to actively support staff in the engagement and publication of health research
4 We will work together to assist in the development and evaluation of Tasmanians new health services and systems
5 We will work collaboratively to assist in the development of workforce planning and strategies that will help to address Tasmanias future health workforce needs
6 We will work together to actively communicate the work of Partners in Health to staff, key stakeholders and the wider community.
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• Governance Framework
• Details the Governance Framework for the
  strategic partnership of PiH.
• Focus on partnership principles, decision
  making, management of resources, record
  management, monitoring evaluation and review,
  dispute resolution and partnership exit.
• Details the Governance Structure for PiH and
  includes Terms of Reference for the PiH
  Management Committee.
• This Governance Framework governs the operation
  of the strategic partnership. Operational
  partnerships shall continue to be governed by
  other relevant agreements.

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• Management Committee
• The Partnership is managed by the Partners in
  Health Management Committee
• The Management committee consists of senior
  representatives from DHHS and UTAS
• The Chair position is rotated on a two yearly
  basis.
• The Role of the PiH Management Committee is two
  fold
• - Strategic Role
• - Program Management Role
• Recent Management Committee activities are
  described in the Annual Report.

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• Program Management Approach
• Based on Tasmanian Government Project Management
  Guidelines
• Project Management Approach
• Project Brief, Project Progress Report
  (Quarterly), Closure Reports
• Gantt Chart 14 projects currently being
  undertaken

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• PR and Communications
• Communication is vital to the ongoing success of
  the partnership
• This communication strategy has the following
  objectives

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• UTAS Health Services and Workforce Education
  Unit
• New UTAS Unit
• Strategic Role
• Drive and coordinate across UTAS
• Will link with key areas in DHHS, ie Care Reform,
  Statewide System Development, Chief Nurse and
  Allied Health and others

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• Work Program 2008-2011
• Focus on activities to achieve the Six Strategic
  Objectives.
• Work Programs are detailed in the Poster Paper
  and Annual Report, specific examples Clinical
  Psychology, Paramedic Education, Oral Health.
• Not all ongoing partnership work is detailed
  within the strategic work plan.
• Management Committee are focusing on areas where
  there is no activity. They initiate projects to
  achieve shared strategic objectives. For
  example, Allied Health.
• Operationally other activities take place, these
  may be governed by specific agreements for
  example at the UDRH many of these relationships
  are not governed directly by PiH Management
  Committee but the principles of partnership
  working are the same.

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• NEXT STEPS in Strengthening the Partnership
• Communication and Staff Engagement
• Monitoring and Evaluation
• Action Planning
• Networking and Learning

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• A good example of Partnership Work
• University Department of Rural Health, Tasmania

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Policy Context - Operational

• UTAS Context
• Faculty of Health Science Strategic Plan (FHS)
• University Department of Rural Health (UDRH)

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University Department of Rural Health, Tasmania

• Funded by the Department of Health and Ageing
• One of 11 UDRHs around Australia
• Part of the Academic Rural Health portfolio
  within the Faculty of Health Science, UTAS

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UDRH Mission

• Working collaboratively to achieve an adequate,
  appropriately trained and stable rural health
  care workforce
• Facilitating access to appropriate education and
  training opportunities, resources and on-going
  support across the learning continuum, and
• Promoting and supporting a primary health care
  approach to rural health research and
  preventative health strategies.

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UDRH Operating Environment

• UDRH-Tas collaborates with state and local
  governments and non-government organisations
  including Divisions of General Practice and
  community-sector organisations across Tasmania to
  develop and evaluate innovative models of care,
  and to foster health research.
• The main areas of research and interest are in
  Health Services Systems, Mental Health and
  Workforce Development (recruitment and
  retention). There is a strong sense of, and
  commitment to, community engagement which is a
  guiding principal of our modus operandi.

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Collaborative Environment UDRH - Primary Health
Service (DHHS)

• Guiding policy documents
• UDRH Strategic Plan
• Primary Health Plan
• Clinical Health Plan
• Shared Focus
• Workforce Sustainability
• Workforce Education and Training
• Promoting and supporting a primary health
  approach through partnerships and collaboration

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Features of UDRH Primary Health Service
collaboration

• Complementary not competitive
• Built around areas of mutual interest (Flexible)
• Multi-dimensional, includes research,
  professional development and project activity
• Culture of engagement
• Designated positions for managing collaborative
  arrangements (established communication process)
  
• Shared interests, commitment and associated risks
• Multidisciplinary and non-hierarchical
• Low level of formality (Under review)

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Case examples collaboration activities UDRH
Primary Health Service

• Research
• Spatial analysis of socioeconomics, accessibility
  and remoteness to primary health care services in
  rural Tasmania
• Community Health Development
• Sustainable Farm Families
• Workforce
• Rural Inter-Professional Program Emergency
  Retreat

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Considerations for enhancing UDRH Primary
Health Service Collaborations

• Formalising collaborative arrangements through
  MoU, expression of respective organisational
  needs, norms and expectations
• Closer linkages with existing State University
  partnership structures
• Closer scrutiny of areas of comparative advantage
  achieved through joint planning activities
• Opportunities for sharing of infrastructure and
  resources
• Marketing and promotion of collaborative
  activities
• Strategy to sustain collaboration, organisational
  buy in, shared benefits, governance structures,
  organisational restructure succession planning
• Monitoring and review

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• This is what Partners in Health can offer