Tuesday 17 June

_{HALF-DAY WORKSHOP, FACILITATED BY NOUS GROUP}

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What’s actually rate limiting and not in our federated system of care and funding?

A discussion among some key health industry leaders about what the actual blockages are in getting better integration across state and federal lines, including some examples of initiatives that are already having impact and the potential and timeframe for technology led improvements.

Lunch is served for attendees during session.

Speakers:

• Bettina McMahon, CEO, Healthdirect
• Dr Michael Wright, President RACGP
• Dr Zoran Bolevich, CEO, Australian Institute of Health and Welfare
• Daniel McCabe, First Assistant Secretary Medicare Benefits and Digital Health at Australian Department of Health
• Sarah Barter, Consumer Advocate

Moderated by Jeremy Knibbs, Publisher of The Medical Republic and Health Services Daily.

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A Chatham House rules health leaders workshop examining the potential for better alignment of existing or soon to exist services, technology and policies with a view to creating new and significant health system synergies reflecting a philosophy of one integrated national health system.

Workshop participants will include leaders from state and federal government health departments, hospital networks, PHNs, major system technology vendors, primary and allied care organisations and the odd, but important, politician.

The workshop will be moderated by Paul Eleftheriou and Raj Verma from leading health consultancy Nous Group, assisted by input from significant state and federal health managers, in contemplating important evolving system initiatives such as “sharing by default”, the national HIE, new technology platform standards, scope of practice, the rapidly evolving potential of AI and of regional health service commissioning.

Already attending include representatives from WA, Qld, NSW, Tasmanian and Victorian state health, the Department of Health and Aged Care, PHNs, LHDs and equivalents across other states, and major platform based technology vendors.

Please Note: The event is ticketed with a much smaller capacity than the Summit on Day 2 because of the Workshop format, so we advise you to get your tickets early. You can buy a combined summit and workshop ticket or a workshop only ticket HERE.

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Full Workshop Program:

1:30pm-2:00pm: ‘Provocation’ session

A panel featuring past and present state and commonwealth health services planners and our moderators taking audience input on:

• Strengths and weaknesses of where we are today in the frame of ‘One Healthcare System’
• Perspective on Big Hairy Audacious Goals (BHAGs) vs eating ‘the elephant’ one bite at a time
• Examining what is realistically doable within current and near term policy and technology settings

Moderator: Dr Paul Eleftheriou, Principal and Co-Lead of Digital Health, Nous Group

Speakers: TBA

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2:00pm-3:00pm: Group Breakout

Three groups work on the key pillars of achievable change. 

The room will break into three working groups:

1. Governance and funding innovation: to look at local collaboration, local ‘one health system’ arrangements existing and possible, local pooling of funds, co-commissioning, bundled payments for priority conditions, realistic funding opportunity alignment, and more 
2. Workforce: can we enable clinicians to work more effectively across funding boundaries, realistic ways to implement working at top of scope for allied and nursing, including how to overcome existing provider organisation objections, escalating the short to mid term promise of AI in optimising workforce efficiency, reducing the admin burden and overheads that kill collaboration, and more.
3. One Digital system: system-level enablers such the MHR, the national HIE, sharing by default initiatives, technology standards for vendors and providers, local ‘one health system digital enablers, sharing of information across ‘the hospital to community canyon’, software platform vendor issues in any transition, and more

Each group will work through an opportunities/barriers exercise, collate any work already underway, and then agree on ‘doable’ solutions that can be implemented within 6-18 months.

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3:00pm:-3:30pm: Afternoon Tea

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3.30pm-4.30pm: Presentation of group results to room and group prioritisation 

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4:30pm-5:00pm: Room feedback and panel reflection, including key points for whitepaper

• Any common solutions?
• Refinement of the highest priority solutions between the streams focusing on impact, feasibility and speed to action.
• A framework and draft timetable that feels doable.
• Anything missed? Reflections?
• White paper process and contributors

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Wednesday 18 June

_{FULL DAY CONFERENCE}

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A panel of healthcare providers, policy makers and technology leaders discuss the significant role that cloud platforms and standards will play to deliver on a vision of one healthcare system.

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What Australia can learn from the experience of significantly enabling healthcare interoperability via policy in the US?

• How we move providers and software vendors onto to standardised cloud based technologies to shift interoperability and system connectedness significantly
• Occam’s razor – by passing wicked and complex fixes for simple existing technologies and networks (e.g., a national Virtual Front Door) 
• Connecting the dots on existing initiatives between state and federal departments of health and their agencies – e.g., PHN enabled access from primary care providers to aged care, mental health services and even hospitals
• A national HIE and the My Health Record

Speakers:

• Simon Cleverley, Assistant Secretary at Australian Government Department of Health and Aged Care 
• Rob Grenfell, Chief Strategy and Regions Officer Grampians Health
• Stella Ward, CEO Streamliners
• Andrew Aho, Regional Director of Data Platforms, InterSystems

Moderated by Associate Professor David Rowlands, Chair, HL7 Australia

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• Existing regional integrated models in the UK, Canada, and yes, even Australia
• The case for combining tertiary, primary and community care in a region vertically
• Overcoming state and federal roadblocks and fitting a model within our federated system
• Indigenous health as a forward leaning and existing one system model that is working

Speakers:

• Bettina McMahon, CEO, Healthdirect
• Dr Sue Velovski, Specialist General Surgeon at St Vincent’s, Lismore
• Associate Professor Alam Yoosuff, Vice President, RDA NSW
• Dr Michael Bonning, GP and Immediate Past President, AMA (NSW)

Moderated by Jeremy Knibbs, Publisher of The Medical Republic and Health Services Daily.

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• A practical short term national framework for optimising workforce issues via technology platforms including emerging generative AI software
• Getting practical – non territorial –  about scope of practice
• The big potential short term gains from AI – e.g., AI scribes in general practice
• Practical near term training and education initiatives
• 80/20 on workforce focus

Speakers:

• Anja Nikolic, CEO, Australasian Institute of Digital Health
• Bronwyn Morris-Donovan, CEO,Allied Health Professions Australia 
• Ken Griffin, CEO, APNA

Moderated by Dr Emily Kirkpatrick, Managing Director, EKology Health.

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• PHIs and private hospitals work in a more integrated model
• The place of disruptive emerging non medicare based private digital platforms
• Governance of non medicare providers
• Delivering continuity of care with the Medicare provider ecosystem
• Private providers and corporates delivering for the public system
• Are vertical models good or bad for healthcare?

Speakers:

• Andrew Cohen, CEO, ForHealth
• Olivia Pantelidis, Executive General Manager Care Partnering, Australian Unity
• Dr Andrew Wilson, Group Chief Medical Officer, Medibank

Moderated by Jeremy Knibbs, Publisher of The Medical Republic and Health Services Daily.

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• A path to a sensible balance between fee for service and outcomes based funding
• Rationalising / simplifying the MBS
• Dealing with non sensical and out of whack MBS items
• The place of private health providers and payers in an evolving paradigm
• Does Primary Care funding need to be completely redesigned?
• The role of block funding

Speakers:

• Professor Mary Chiarella AM, Professor Emerita, University of Sydney
• Daniel McCabe, First Assistant Secretary Medicare Benefits and Digital Health at Australian Department of Health
• Andrew Cohen, CEO, ForHealth
• Ray Messom, Immediate Past CEO, WentWest, Principal and Health Lead Canada, Nous Group

Moderated by Jeremy Knibbs, Publisher of The Medical Republic and Health Services Daily.

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• Leaving no one behind? Or bringing everyone with you.
• Flipping the current dynamics of Scope of Practice on its head
• What happens when you break long standing commercial models of system suppliers?
• Federal vs state control balance

Speakers:

• Anja Nikolic, CEO, Australasian Institute of Digital Health
• Bettina McMahon, CEO, Healthdirect
• Dr Danielle McMullen, President, AMA
• Adjunct Professor Karen Price, National Chair Council of General Practice, AMA
• Dr Michael Millard, Director, Clinical Research Unit for Anxiety and Depression

Moderated by Raj Verma, Principal, Nous Group.

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This is your chance to ask your burning questions that have arisen during the day.

Moderated by Jeremy Knibbs, Publisher of The Medical Republic and Health Services Daily.

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