Plenary sessions

Plenary 1: Clinical variation and good integration of care

This session is about enhancing care, exploring what our current systems are doing well, and the approaches to addressing known problems.

Professor Claire Jackson, Professor in General Practice and Primary Care Research & Director, Centre for Health System Reform and Integration, University of Queensland: Clinical variation - what do we know about it and is it good or bad or both?

This session will explore clinical variation, and ask what do we know about it and is it good or bad or both?  The current priorities of health service integration, some success stories and reasons why it is so hard to achieve and sustain, and some current barriers and opportunities to sustainable service integration will also be presented. 

Professor Harry Rea, Department of Medicine, South Auckland Clinical Campus, University of Auckland & Respiratory Physician, Counties Manukau Health: The need to enhance primary, GP and community care to help deal with the epidemic of “long-term conditions”.

Counties Manukau Health (CM Health) provides health and disability services to an estimated 512,000 people who reside in the local authorities of Auckland, Waikato and Hauraki District.  CM Health has implemented a variety of initiatives over the last five to six years, and found that evaluating these initiatives raised new issues, e.g. the potential need for “realist evaluation”.

The range of Initiatives trialed included clusters of general practices supported by IT and stronger relationships between hospital specialists, community services, social care and social welfare.  In an effort to reduce clinical variation across the district, some of these initiatives have been chosen for standardisation and scale-up and will be used as a discussion subject for on-going Quality Improvement sessions.

Professor Don Matheson, General Manager, Brisbane North PHN and Metro-North HHS Health Alliance: Planning, Funding and Purchasing Integrated and Disintegrated Care.

Describing our health systems and what we expect from them, this presentation looks at what the current planning, funding and purchasing environment looks like, as it relates to integrated primary health care in Australia. The fragmentation of planning, funding and purchasing will be described: the disintegrated care that results, that not all care needs to be integrated, but that more of it does and the line where integrated primary health care starts and stops.  

This will be followed by a description of an integrated model of planning and purchasing being developed in North Brisbane by Metro-North Hospital Health Service and Brisbane North Primary Health Network, covering commissioning, collective impact approach, and move from rhetoric to reality via patient centred care and research and evaluation to support decentralised models of commissioning.

Plenary 2: Using digital information TO improve health services

Some success stories from using digital information in health services will be presented, and the potential for future innovations? And whether innovations are likely to come easily in the future? 

Dr Clair Sullivan, Consultant Endocrinologist and Medical Informatician, Princess Alexandra Hospital: Data driven decision making is the only way to change and innovate.

The demand for healthcare is rapidly outstripping our existing resources, and data driven decision making is the only way to change and innovate. Data from traditional research studies or paper based audits will not provide adequate information to transform care, and simply digitising existing paper based workflows is unlikely to deliver new and innovate models of care.   
A thoughtful, data driven approach to digital transformation of care is needed to improve the quality, efficiency and value of the care we provide to our patients. This presentation outlines a strategy and roadmap for successful digital transformation using data and analytics to improve patient care.

Dr Enrico Coiera, Professor in Medical Informatics, Macquarie University: The benefits and risks of digital health: why it often seems so hard to realise real benefits

Plenary 3: Increasing Indigenous voices and cultural values in health research

Associate Professor Roxanne Bainbridge, Director, Centre of Indigenous Health Equity Research (CIHER): Discussing the elephant in the room: research impact in Aboriginal and Torres Strait Islander Australian health research

A perennial question in Indigenous research discourse is whether the abundance of research conducted, purportedly to improve health, is justified and benefits Indigenous people in ways that are meaningful and valued by them. Different research stakeholders have different conceptions of the value and nature of research, its conduct, what it should achieve and the kinds of impact expected. The purpose of this presentation is to open a frank conversation about the value of health research to Indigenous Australian populations and to stimulate ways of thinking about potential resolutions to the lack of progress made in the Indigenous research impact debate. The research impact debate must take account of the various standards of accountability (to whom), impact priorities (for whom), positive and negative impacts, and biases that operate in describing and measuring impact. As a point of departure to improving impact and reaching mutually beneficial outcomes for researchers and partners in Indigenous health research, we need to routinise the assessment of impact from outset of research as one of the standards toward which we work.

Dr Rawiri (David) Jansen, Clinical Director, National Hauora CoalitionDecolonising interventions

My provocation will be that we must prepare for systematic improvement in health equity for Maori, that is to restore health equity for Maori. Health inequities are avoidable inequalities in health between groups of people. Health inequities are unnecessary and avoidable, unjust and unfair. We have better evidence now than ever before to inform us and we have a remarkable opportunity. In 23 years Aotearoa will reflect on the two hundred years since the signing of the Treaty, and health equity will be a key indicator of our nation’s journey. Health interventions that are informed by the research on decolonising approaches are required and will be discussed referencing current programmes of action led by the National Hauora Coalition. 

Plenary 4: Government regulation and reform for health services

How useful is government intervention to improve the value of the health spend?  What does the private sector think of current reform? 

Professor Adam Elshaug, HCF Research Foundation Professorial Research Fellow and Co-Director, Menzies Centre for Health Policy (MCHP), The University of Sydney: MBS Review

Dr Bennie Ng, General Manager – Partnerships and Strategy, Healthscope: A private sector perspective

Plenary 5: Building system capacity for health services improvements

Federal policies and a national strategy for building health services research will be presented; and how might this fit with the ‘nuts and bolts’ of running a health services research group from within a health service.

Professor Doug Hilton, Director, Walter and Eliza Hall Institute, Head of the Department of Medical Biology, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne: MRFF – strategy, priorities, challenges.

Professor Len Gray, Director UQ Centre for Health Services Research: Building capacity for HSR; a clinician’s perspective.

Professor Tim Stokes, Elaine Gurr Professor of General Practice in the Department of General Practice and Rural Health (DSM) and Co-Director of the Centre for Health Systems and Technology, University of Otago, part-time GP: Health Services Research and New Zealand’s first Health Research Strategy: new opportunities? 

June 2017 saw the publication of NZ’s first ever health research strategy. This short plenary presentation will outline its key strategic priorities and consider the opportunities it provides for growing HSR in NZ.

Shark Tank plenary:

Have you ever wondered how senior health services decision-makers, make their decisions? Come along to HSRAANZ 2017’s closing session: Shark Tank and all will be revealed!  This session is intended as a fun yet informative closing plenary.  

Four groups will pitch for a possible 'investment' in their health services innovation or intervention, with our Sharks jumping in with financial support or opting out at any time. The groups will state their case for how much money they need, what they’ll do with it, and why the Sharks should invest. Following each pitch, the Sharks will have plenty of time to ask challenging questions as they decide to opt out, or pursue the investment opportunity.

Do you have a health services innovation or intervention to pitch? 
We are seeking submissions from groups of health services professionals/researchers to pitch for 'funding', in front of a live audience. Please note you must be registered to attend the conference, to apply: email contact@aushsi.org.au for more information.  

Meet the Sharks:

Terry Barnes, Principal, Cormorant Policy Advice
Dr Amanda Dines, Executive Director, The Royal Brisbane Women’s Hospital
Fionnagh Dougan, Chief Executive, Children's Health Queensland
Mark Tucker-Evans, Chief Executive, Council on the Ageing (COTA) Queensland 

This session will be chaired by Dr David Rosengren, Deputy Executive Director Operations, Metro North Hospital and Health Service, Emergency Physician, Royal Brisbane and Women’s Hospital, Chair Queensland Clinical Senate.