Wild Health Canberra Australian health leaders’ summit

Tackling our biggest barriers to starting long-term healthcare reform

In a pre-budget check-up of the Australian health system, Wild Health is going to Canberra on 4 May 2023 to examine how we might navigate the most intractable barriers to our starting meaningful, long-term healthcare reform.

The past three years have challenged our healthcare system. But they have also delivered us opportunities, with examples of how it is possible to change the way we do things, at scale and rapidly, showing us how we could potentially reform and strengthen healthcare.

Part summit, part workshop, Wild Health Canberra will bring together key health leaders and influencers from across the country to take part in an interactive series of short talks, panels, interviews, and mini workshops in an attempt to build consensus on how we can overcome the significant barriers to beginning reform

Key themes of the one and a half day program will include:

· Working with a federated system of governments to build effective, integrated regional care organisations

· Building a national 10-year set of objectives with all stakeholders

· Strategic assessments on a regional basis

· A roadmap for aligning funding and technology settings to meet the objectives

· Whether the development of clinical and ethical standards for healthcare, along with standards for technology and data sharing, can help

· Understanding the nature of an outcomes-based system before moving towards it

· Interoperability as a catalyst for delivering equity

Wednesday 3 May and Thursday 4 May 2023, Canberra

Agenda

Wednesday 3 May: 12.15pm
Pre-Workshop Panel Lunch, featuring Hans Erik Henriksen, Reform planning workshop with Jay Rebbeck, and networking drinks

12:15pm – 1:45pm
Lunchtime Panel

Hans Erik Henriksen ( Past Healthcare Denmark CEO), Toby Hall (Past St Vincents Hospital CEO) and TBD in conversation with Jeremy Knibbs about modern and efficient healthcare systems.

Lunch is sit down fully catered three course meal.

Limited Tickets (40)

2:00pm – 5:00pm
Pre-Summit Health Reform Workshop moderated by Jay Rebbeck (Rebbeck) and Kylie Woolcock (AHHA)

Strawman: The desired 10 year position of the five key elements of our healthcare system

  • International co-commissioning expert Jay Rebbeck will engage a room of key leaders in the the now, and feasible near term and desired 10 year state of the key elements to our healthcare system.
  • The workshop will look at lateral ideas such as a possible mechanism for state and federal oversight and cooperation in funding and policy execution, a significantly expanded co-commissioning ecosystem, aligning technology and standards for data sharing within and between the regions and bringing patients on the journey.

The workshop will bring together healthcare leaders from PHNs, hospitals, aged care, allied health and technology innovation.

Findings of the workshop group will be presented in the summit on May 4.

Limited ticketing (40)


5:30pm – 7:30pm

Pre-Summit Networking Drinks

A two-hour cocktail reception for workshop participants.


Thursday 4 May: Main Summit, 8:50am – 4:20pm

8:50am – 9:05am
Looking across the valley of health reform despair

Everyone either talks or writes about health reform. Everyone has a view on what we need to do. Sometimes, some well meaning insiders even start the odd pilot. But nothing much happens. There are currently huge barriers to shifting a system that has been so successful for so long, that is tied to a federated model of government funding, and which involves so many component parts that don’t talk to each other. So we stand on one side of the valley of health reform despair, pining for change but not knowing how to begin to cross the valley. This summit is about strategies and tactics to get started on the journey. It will look at:

  • A sick care system not a health care system built more than 50 years ago
  • Funding models that don’t take into account the future of outcomes-focused care
  • A workforce under severe stress
  • Inefficient ways of working and perverse funding models that duplicate services and management
  • The lack of policy directives on interoperability
  • Siloed, disconnected technology across the sectors
  • Planning for 10 years and working backwards
  • Aligning component parts of the system without centralised or co-ordinated leadership
  • Identifying and aligning the component parts of the system that are moving towards reform but still need help
  • Co-ordinating a coalition of the parties that are willing to traverse the valley

9:05am – 9:20am
Jeremy Knibbs in conversation with Dr Stephen Duckett

What would Gough Whitlam make of our universal healthcare system now? Can we reinvigorate the fading dream of universal healthcare?

And if we can, where do we start?


9:20am – 9:25am
Case Study


9:25am – 10:05am
Panel: Is this the health system Australia wants in 10 years’ time?

With the vision of universal healthcare and health equity in ruins, everyone seems to have a quick band-aid solution to healthcare access. From pharmacists prescribing and state-run urgent care clinics to virtual emergency departments and hospitals employing GPs to run end-to-end integrated health hubs for those who can no longer afford to see their GP.

Even private health insurance wants a role in the delivery of primary care.

Ironically, patients are now more confused and frustrated than ever about where to go for care.

With bulk billing disappearing and a shortage in the health workforce now critical, the vision of cradle-to-grave healthcare, with continuity of care provided by a GP, is dimming fast.

Are we in danger of returning to pre-Medicare days, when healthcare was a luxury available to those who could afford it, while those who couldn’t just accepted second best?

Panellists:

  • Tracey Johnson, CEO and Company Secretary, Inala Primary Care 
  • Dr Danielle McMullen, Vice-President, AMA
  • Ray Messom, CEO, WentWest
  • Dr Nicole Higgins, President, RACGP
  • Dr Emily Kirkpatrick, Deputy CMO, South Australia Health
  • Clare Mullen, Deputy Director, Health Consumers’ Council WA

Topics:

  • How do we start better navigating the politics of state versus federal funding that often leads to the duplication of services and perverse funding models?
  • How do we flip the system to make it more consumer-focused?
  • Our hospitals are adopting virtual and value-based care models and extending their reach out into the community to capture patients who are ageing or have poorly managed chronic disease but who are still slipping through the cracks.
  • Our underfunded primary care practices are struggling to survive and can no longer offer bulk billing, pushing patients to look for more affordable alternatives.

Healthcare reform is urgently needed to save what was once a world-leading health system.

Moderator: Jeremy Knibbs, publisher at The Medical Republic and Wild Health


10:05am – 10:15am
Case Study


10:15am – 10:55am
Presenting the findings of the pre-summit workshop

The workshop’s objective was to provide a framework for building a 10-year plan on which all stakeholders can collaborate.

The panel will review the basics of process and change management in complex systems, and look at what is required to catalyse effective, long-term change, including identifying the basic components of a 10-year plan.

Panellists:

  • David Rowlands, Member of the Roster of Digital Health Experts at the WHO
  • Tracey Johnson, CEO and Company Secretary, Inala Primary Care 
  • Kylie Woolcock, CEO at AHHA
  • Dr Paresh Dawda, Director and Principal, Prestantia Health and Next Practice Canberra

Topics:

  • Do we really understand the problems?: A strategic assessment framework
  • Could we achieve state and federal collaboration in an integrated regional management model?
  • Modelling needs and requirements for iterative funding steps
  • Managing political conflict during the process
  • Governance
  • Starting at the end: What are the obvious objectives everyone can agree on?
  • Working backwards:

o What are the challenges if we introduce those objectives too quickly?

o Are there easily identifiable “stepping stones”?

  • Audience and panel strawmen for moving to a roadmap:

o The real potential of co-commissioning

Moderator: Jay Rebbeck, Managing Director, Rebbeck Consulting


10:55am – 11:15am
Morning Tea


11:15am – 12:05pm
Panel: Changing rural and remote management to a single management structure faster

Panellists:

  • Andrew Coe, CEO, Western NSW Primary Health Network
  • Ben Chiarella, Head of Innovation, Ramsay Connect
  • Dr Hamish Meldrum, Owner and Director, Ochre Health Group
  • Bronwyn Phillips, Murray PHN, Health Systems Manager
  • David Rowlands, Member of the Roster of Digital Health Experts at the WHO

Topics:

  • Rural and remote is vastly different from urban. Can, and should we draw a line?
  • Should we have different funding models to meet the needs of rural communities?
  • Rural and remote is already in crisis, with few GPs and massive challenges in doctor recruitment and retention. Doesn’t a single regional integrated group make more sense?
  • Western NSW has launched a partnership between the NSW Rural Doctors Network, Western NSW LHD, the Far West LHD, and Western NSW PHN to combat diabetes, with funding from the NSW Government.
  • What is the role of co-commissioning in this context?
  • How do we bring together the collective wisdom and lessons from every pilot to create a national resource?

Moderator: Jay Rebbeck, Managing Director, Rebbeck Consulting


12:05pm – 12:10pm
Sponsor Spot


12:10pm – 12:25pm
15 minutes with Dr Nicole Higgins, president of the RACGP

The crisis from the GP’s perspective.


12:30pm – 1:10pm
Panel: Tackling the biggest untalked about obstacle of all: How the public perceives healthcare delivery and spending

Panellists:

  • Kylie Woolcock, CEO at AHHA
  • Clare Mullen, Deputy Director, Health Consumers’ Council WA
  • Dr Emily Kirkpatrick, Deputy CMO, South Australia Health
  • Clinical Associate Professor Serena Ayers, Charles Darwin University
  • Ray Messom, CEO, WentWest

Topics:

  • The big, shiny hospital dilemma: How do you educate the public about priorities in an outcomes-based system?
  • How does our healthcare system work for the consumer?
  • The political dimension: Pharmacy prescribing and big hospitals win votes. Or do they?
  • The practical question of public perception and how we change it.
  • From patient and consumer voice to public perception and voting power.

Moderator: Jeremy Knibbs, publisher at The Medical Republic and Wild Health


1:10pm – 1:50pm: Lunch

Afternoon Sessions 1:50pm – 2:10pm


1:50pm – 2:10pm

In 1999, Denmark had 98 hospitals, in 2019 it had 32.

This was part of a Health Reform journey that started in the early 2000’s.

What can Australia take from Denmark’s Health Reform journey and what are the barriers to moving forward.

Jeremy Knibbs in conversation with Hans Erik Henriksen, who oversaw much of the change as CEO of Healthcare Denmark and Toby Hall who was the Group CEO of St Vincent’s Health for 8 years.


2:10pm – 2:15pm
Case Study


2:15pm – 2:55pm
Panel: How effective will healthcare reform be without an interoperability strategy to underpin it?

Reforms that move the healthcare system towards value-based care will need real-time data that flows with the patient between providers.

Models of multidisciplinary team care can only deliver outcomes if they are able to access the data to support informed decisions.

Technology has an important role to play in driving innovation that will help deliver value-based care, protect program sustainability and support the health workforce.

Panellists:

  • Dr Steve Hambleton, Chief Clinical Adviser, ADHA (TBC)
  • Daniel McCabe, First Assistant Secretary, Benefits Integrity and Digital Health, Department of Health (TBC) 
  • Ian Galvin, CEO, Ramsay Care (TBC)
  • Andrew Aho – Regional Director, Data Platforms – InterSystems

Topics:

  • How is the lack of interoperability impacting health equity in Australia and how do we change things?
  • How can data sharing enabled by interoperability support a move towards value-based care?
  • Why we need a policy directive for standards, like the US 21st Century Cures Act, to remove silos and attract investment in innovations.
  • Are Australians missing out on life-changing innovations because we are falling behind?
  • Who is responsible for building the framework to support innovative technologies here?

Moderator: Tim Blake, Managing Director, Semantic Consulting


2:55pm – 3:05pm

Tim Blake

Managing Director : Semantic Consulting


What does the data say about Australia’s readiness for Digital Transformation?

Tim Blake shares some fascinating and surprising insights into how Primary Care is adopting and using Digital technology across Australia.


3:00pm – 3:15pm
15 minutes with Daniel McCabe, First Assistant Secretary, Benefits Integrity and Digital Health, Department of Health (TBC)


3:15pm – 3:25pm
Afternoon Tea


3:25pm – 3:40pm
15 minutes with David Dahm, CEO and founder, Health and Life, and Dr Mukesh Haikerwal AC, GP and former president of the AMA

What would a set of peer-reviewed clinical and ethical standards in medicine do for reform and the medical profession?


3:50pm – 3:55pm
Case Study


3:55 pm – 4:30 pm
Panel: How do we shift from a ‘sick care’ system to a ‘well care’ system?

Panellists:

  • Jane Bollen, Primary Healthcare Nurse Consultant
  • Paul Davies, Director for Government Affairs (Australia and New Zealand), Abbott (TBC)
  • Dr Emily Kirkpatrick, Deputy CMO, South Australia Health

Topics:

  • How do we address inequity in health and social care?
  • How do we put the spotlight on funding prevention and early intervention to stop people getting sick?
  • How do we include social determinants such as poverty or digital inequity as part of a holistic approach that allows us to identify those most at risk of chronic illness or mental health problems?
  • How do we create the framework and funding to use digital tools and GP social prescribing strategies to prevent the progression of chronic conditions and to lessen the impacts of ageing diseases and polypharmacy?

Moderator: Tracey Johnson, CEO and Company Secretary, Inala Primary Care


4:30 – 4.40

That’s a wrap .


Networking Drinks


Registration

Please select the ticket type that describes you. Note that you have the option to attend the workshop on the 3rd and the summit on the 4th, or just the summit.


Program, Content and Panelist Enquiries:

Michelle O’Brien

Michelle@wildhealth.net.au

Partnership Opportunity Enquiries:

John Todd

john@wildhealth.net.au

Speakers
Bronwyn Phillips

Bronwyn Phillips

Health Systems Manager, Murray PHN

Dr Hamish Meldrum

Dr Hamish Meldrum

Owner & Director, Ochre Health Group

Jane Bollen

Jane Bollen

Primary Healthcare Nurse Consultant at BMP Healthcare Consulting

Andrew Aho

Andrew Aho

Regional Director, Data Platforms for InterSystems

Ian Galvin

Ian Galvin

CEO of Ramsey Care

Dr Steve Hambleton

Dr Steve Hambleton

Chief Clinical Advisor for ADHA

Serena Ayers

Serena Ayers

Clinical Associate Professor at Charles Darwin University

Andrew Coe

Andrew Coe

CEO of Western NSW Primary Health Network

Clare Mullen

Clare Mullen

Deputy Director for Health Consumer's Council WA

Dr Nicole Higgins

Dr Nicole Higgins

President of RACGP

Ray Messom

Ray Messom

CEO of WentWest

Dr Danielle McMullen

Dr Danielle McMullen

Vice President of AMA

Toby Hall

Toby Hall

Past St Vincent Hospital CEO

Hans Erik Henriksen

Hans Erik Henriksen

CEO of Epital Health

Dr Emily Kirkpatrick

Dr Emily Kirkpatrick

Deputy Chief Public Health Officer and Deputy Chief Medical Officer, SA Health

Tracey Johnson

Tracey Johnson

CEO & Company Secretary at Inala Primary Care

Kylie Woolcock

Kylie Woolcock

CEO at AHHA

Ben Chiarella

Ben Chiarella

Director of Clinical Innovation at Ramsey Connect

Dr Paresh Dawda

Dr Paresh Dawda

Principal and Director at Prestantia Health and Next Practice Canberra

Dr Stephen Duckett

Dr Stephen Duckett

Health and Aged Care Program Director at Grattan Institute.

David Rowlands

David Rowlands

A/Professor at RMIT University, Board Member of WentWest Pty Ltd, Attunga International and Digital Health Workforce Australasia

Tim Blake

Tim Blake

Managing Director, Semantic Consulting

Dr Mukesh Haikerwal

Dr Mukesh Haikerwal

AO and former President of the AMA

More speakers will be added shortly.

Sponsors
Venue

QT Hotel, Canberra

Address

1 London Cct, Canberra ACT 2601

Getting Here