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Annual Report - Performance Information
Outcome Performance ReportAchievements & ChallengesStrategic DirectionsPerformance InformationResources

PART 2: PERFORMANCE INFORMATION


Performance Information for Administered Items


Administered Funding – Health System Capacity and Quality Programs, including:
  • Chronic Disease – Treatment;
  • E-Health Implementation;
  • Health Information;
  • International Policy Engagement;
  • Mental Health;
  • Palliative Care and Community Assistance;
  • Research Capacity;
  • Rural Workforce; and
  • Workforce.
Target: Quantity: Access to palliative care for people living in the community, including access to an increased range of medications for palliative care.
Result: Target met. 40 additional items were included in the palliative care section of the Pharmaceutical Benefits Scheme during 2005-06.

117 community projects were funded under the Local Palliative Care Grants Program.

291 health care workers were trained in Advanced Care Planning.

Target: Quality: Access to coordinated care for people receiving palliative care in rural areas.
Result: Target met. 241 (40%) of placements to the Program of Experience in the Palliative Approach were undertaken by participants from rural and remote access areas.

143 workshops for the Guidelines for a Palliative Approach in Residential Aged Care were held in regional and rural areas.

Target: Quality: National and local level National Suicide Prevention Strategy Initiatives are implemented across population settings and targeting at-risk groups, under the direction of the National Advisory Council on Suicide Prevention.
Result: Target met. During 2005-06, 19 national projects and 72 community based projects implemented national and local solutions to suicide prevention. These projects have enhanced the capacity of individuals and service systems to access information, support and training on suicide prevention. In addition, these projects increased the number of individuals seeking help regarding their emotional and social well being and increased identification, referral and treatment of at risk individuals by service systems and professionals.

The National Advisory Council on Suicide Prevention advised on the requirements and scope of new projects and guided the activities associated with these projects.

Target: Quality: Access and treatment for young people with mental health and drug and alcohol problems.
Result: Target met. The National Youth Mental Health Foundation was established in 2005-06 to facilitate access to best practice and well coordinated treatment for young people with mental health problems, including those with associated drug and alcohol problems.

The MindMatters mental health promotion, prevention and early intervention secondary school initiative is now in 86% of secondary schools across Australia, with over 60,000 school staff receiving professional development training. The initiative aims to provide a positive school environment that promotes young peoples’ mental health and wellbeing and assists schools to identify youth with mental health problems early and refer them appropriately.

Target: Quantity: Access to Allied Health Services projects will be operated by 95% of Divisions of General Practice and 4,000 general practitioners will be participating in the Better Outcomes in Mental Health Care initiatives.
Result: Target met. 97% of Divisions of General Practice are participating in the Better Outcomes in Mental Health Care Program. The number of general practitioners participating in the Better Outcomes in Mental Health Care initiatives as at 30 June 2006 was 4,870.
Target: Quantity: Over 300 additional doctors working as a result of Government programs.
Result: Target met. As a result of the Australian Government’s programs, there has been an increase of 416 overseas trained doctors since 2004-05 entering the Australian medical workforce and accessing the extended four year temporary visa.

16 recruitment agencies were contracted by the Department to recruit suitable overseas trained doctors in 2005-06 and 2006-07. These recruitment agencies placed 154 overseas trained doctors in rural, remote and other areas of workforce shortage in 2005-06. 125 overseas trained doctors were granted a permanent residency visa under the General Skilled Migration program.


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Target: Quality: Improved distribution of the medical workforce as a result of Government programs this year.
Result: Target met. 154 overseas trained doctors were placed in rural, remote and other areas of workforce shortage by recruitment agencies in 2005-06.

There were 41 recipients of grants under the Outer Metropolitan Relocation Incentive Grant Program (which provides a financial incentive to medical practitioners who agree to relocate to an outer metropolitan practice from inner metropolitan areas).

There were 3 recipients of grants under the Relocation Component of the Outer Metropolitan Other Medical Practitioners Program (this program allows non-vocationally recognised doctors access to the higher A1 Medicare rebates if they agree to relocate to an outer metropolitan area and undertake a pathway leading to vocational recognition).

There were 8 recipients of grants under the Retention Component of the Outer Metropolitan Other Medical Practitioners Program (this program allows non-vocationally recognised medical practitioners already working in an outer metropolitan area access to the higher A1 Medicare rebates if they agree to remain in an outer metropolitan area and undertake a pathway leading to vocational recognition).

Target: Quality: Agreement by health ministers to annual plans of the Australian Council for Safety and Quality in Health Care.
Result: Not applicable. In July 2005, the Australian Health Ministers Conference decided that the term of the Australian Council for Safety and Quality in Health Care should cease on 31 December 2005, and be replaced by the Australian Commission of Safety and Quality in Health Care.

As a result, annual plans of the Australian Council for Safety and Quality in Health Care were not developed.

Target: Quality: Completion of the National Chronic Disease Strategy.
Result: Target met. The National Chronic Disease Strategy was endorsed by the Australian Health Ministers’ Conference in November 2005.
Target: Quality: Completion of the review of the National Health Priority Areas initiative.
Result: Target not met. The review could not be progressed until consideration at the Australian Health Ministers' Conference of the National Chronic Disease Strategy, which coincided with a review of the principal committee structure for the Australian Health Ministers’ Advisory Council (AHMAC). A decision has been taken by the Australian Health Development Principal Committee endorsed by AHMAC that the review is no longer required.
Target: Quality: Infrastructure and governance in place to support the implementation of the Centre of Excellence in Islet Cell Transplantation and the Lift for Life Program.
Result: Target met. In 2005-06, the Department reached an agreement with the Juvenile Diabetes Research Foundation (JDRF) to establish and run the Centre of Excellence in Islet Cell Transplantation Program. The JDRF has established the infrastructure and governance for the program with some of Australia's best and most respected scientists. International researchers participate on the executive board for the program, which is chaired by the internationally acclaimed scientist, Professor Ian Frazer.

The International Diabetes Institute has been contracted to further develop and disseminate the Lift for Life Program throughout Australia.

Target: Quality: Establish a new agency, Cancer Australia, to provide national leadership in cancer control.
Result: Target met. Cancer Australia was established in 2005-06, with Royal Assent provided to the Cancer Australia Act 2006 in May 2006.
Target: Quality: Develop a strategy for the implementation of evidence based guidelines for the management of diabetes.
Result: Target met. The Department has commenced work on implementing the suite of agreed diabetes guidelines and commissioned the National Institute of Clinical Studies to develop a National Diabetes Guidelines Implementation Plan.
Target: Quality: Achievement of work program outlined in the National Institute of Clinical Studies Business Plan 2005-06.
Result: Target met. Target met.NICS identified strategies and targets for 11 evidence implementation areas. NICS met all key targets including:
  • over 40 hospitals participated in implementation programs in venous thromboembolism (target 40) and in mental health care in emergency departments (target 40);
  • over 50 Divisions of General Practice participated in a joint heart failure program, and major implementation programs were started within 2 networks (target 40);
  • on-line evidence resources were offered to 14,000 general practitioners (target 10,000);
  • eight guides were produced to help health practitioners find and implement evidence (target 6);
  • a satellite Cochrane Review Group on Effective Practice and Organisation of Care was established;
  • 5 fellows in evidence implementation, co-sponsored by state government and health professional organisations were appointed (target 4); and
  • 2 PhD scholarships were awarded (target 1).

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Target: Quality: Effective management of international relations in health.
Result: Target met. The Department has continued to strengthen its engagement in the region through activities such as the Pacific Senior Health Officials Network and to ensure that decisions by governing bodies of the Organisation for Economic Cooperation and Development and the World Health Organization (WHO) are consistent with Australia's domestic priorities.
Target: Quality: Contributions to the World Health Organization, paid as per treaty and Memorandum of Understanding arrangements.
Result: Target met. All payments were made on time to the WHO and its subsidiary organisations, the International Agency for Research on Cancer and the International Program for Chemical Safety.
Target: Quatity: Improved quality of, and access to, online health information and Australian Government health policy by medical professionals and the Australian public.
Result: Target met. HealthInsite has proved to be a popular resource for consumers and health providers, as illustrated by the continual rise in the number of users, information resources, topics and information partners.

Consumers' ability to access health information via HealthInsite continues to improve the quality of their health. For example, consumers wanting to know in plain English the explanations for medicines they are taking, or their known side effects, have used HealthInsite as a source of reliable information. During the 2005-06 reporting period, 1.91 million people accessed HealthInsite.

Over 7,000 consumers in the Northern Territory are receiving improved quality of access to health information by participating in the Shared Electronic Health Record Service. All Tasmanians when admitted and discharged from hospital, now have their information sent to their general practitioners, improving their rehabilitation back into the community. Both services enable health providers to see a more complete picture of a consumer health profile and therefore improve the coordination and quality of care that the consumer receives.

Target: Quality: Access to broadband infrastructure to enable health care providers to better engage with state and national level activity in the implementation of e-Health initiatives (such as HIC Online and HealthConnect).
Result: Target met.

45% of eligible practices connected to broadband - 3,084 out of a total 6,915 number of eligible practices.

89% of Aboriginal Controlled Community Health Organisations (ACCHO) have signed up to the initiative - 145 out of a total 162 ACCHOs.

79% of community pharmacies have signed up - 3,967 out of a total 5,042 number of community pharmacies.

Target: Quality: Establishment of a new agency, the National E-Health Transition Authority, to develop standards and infrastructure needed to build interoperable health information systems.
Result: Target met. The Australian Government, along with State and Territory governments, established the National E-Health Transition Authority on 5 July 2005 as a company limited by guarantee to develop better ways of electronically collecting and securely exchanging health information.
Target: Quality: Achievement of work outlined in the 2005-06 National E-Health Transition Authority work program.
Result: Target met.

Since its establishment, the National E-Health Transition Authority has made significant progress in the projects contained in its workplan, in particular:

  • the development of clinical data specifications and user implementation guidelines for field testing; and
  • the adoption of Systemised Nomenclature of Medicine as the preferred national solution for clinical terminology as the basis for developing the Australian national domain technologies.


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Performance Information for Departmental Outputs


Output Group 1. Policy Advice, including:
  • Chronic Disease – Treatment;
  • E-Health Implementation;
  • Health Information;
  • International Policy Engagement;
  • Mental Health;
  • Palliative Care and Community Assistance;
  • Research Capacity;
  • Rural Workforce;
  • Workforce; and
  • 2005-06 Budget measures.
Target: Quality: Ministers' satisfaction with the quality, relevance and timeliness of our advice for Australian Government decision making.
Result: Target met. Ministers were satisfied with the quality, relevance and timeliness of advice provided for Australian Government decision making.
Target: Quality: Production of timely evidence-based policy research.
Result: Target met.

The Department commissioned research to report on the palliative care needs of people living alone or without a primary carer. This research will inform new policy to address the needs of this group.

The Department also commissioned research to investigate the available evidence on bereavement interventions, focusing on the area of complicated grief. This research will inform a policy approach to ensure needs-based access to bereavement services across Australia.



Output Group 2. Program Management, including:
  • financial management and reporting;
  • development and management of grants and contracts; and
  • administration and revision of legislation as required.
Target: Quality: Administered budget predictions are met and actual expenses vary less than 0.5% from budgeted expenses.
Result: Target not met. Outcome 9 funds were underspent by 4.73% of budget due to actual expenditure being less than estimated for Program Group 9.1 - Chronic Disease Treated; Program Group 9.2 - E-Health Implementation; Program Group 9.5 - Mental Health; and Program Group 9.9 - Workforce.
Target: Quality: Opportunity for stakeholders to participate in program development.
Result: Target met.

In 2005-06, the Department developed a Funding Agreement for the Consumer Health Forum, Consumer Representatives Recruitment, Training and Support Project 2005-2007. This project provides the Consumer Health Forum with the capacity to train and give ongoing support to consumer representatives on over 200 departmental committees and working groups. Consumer representatives serve on Committees or Working Groups that provide national health and related advice, or policy support linkages, to ensure that there is a considered and credible consumer voice to inform the Australian Government's policy advisory mechanisms.

The 2005 Biennial Review of the Medicare Provider Legislation was undertaken by an independent consultant appointed by the Minister for Health and Ageing, with the assistance of a reference group which included representatives of 11 key organisations. The review wrote to key stakeholders seeking submissions and invited submissions from the public through press advertisements. There were also bilateral consultations with key stakeholders. The review received 24 submissions.

Consultations with relevant stakeholders were held prior to the WHO Executive Board and World Health Assembly Meetings to inform Australia's position on technical health issues.


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Performance Assessment: Evaluations and Reviews


Evaluation/Review:

Palliative Care

TimeFrame: Commencement date: 24 March 2005

End date: 30 September 2006

Evaluation/Review:

Quality and Safety Based Initiatives

TimeFrame: Commencement date: 1 July 2006

End date: 30 June 2007

Evaluation/Review:

Biennial Review of the Medicare Provider Number Legislation

TimeFrame: Commencement date: 1 August 2005

End date: 22 December 2005

Related Performance Target: Improved distribution of the medical workforce as a result of Government programs this year.
URL/Web Address for published results: Biennial Review of the Medicare Provider Number Legislation, December 2005

Evaluation/Review:

More Doctors for Outer Metropolitan Areas Program

TimeFrame: Commencement date: 14 July 2005

End date: 21 October 2005

Related Performance Target: Improved distribution of the medical workforce as a result of Government programs.

Evaluation/Review:

Evaluation of the National Suicide Prevention Strategy

TimeFrame: Commencement date: 29 May 2005

End date: 10 May 2006

Related Performance Target: National and local level National Suicide Prevention Strategy Initiatives are implemented across population settings and targeting at-risk groups, under the direction of the Natioinal Advisory Council on Suicide Prevention.

Evaluation/Review:

Review of the National Health Priority Initiative

TimeFrame: A decision has been taken by the Australian Health Development Principal Coimmittee endorsed by the Australian Health Ministers' Advisory Council that the review is no longer required.

Evaluation/Review:

Better Arthritis Care Program

TimeFrame:

Commencment date: 31 August 2005

End date: 31 October 2006



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Produced by the Portfolio Strategies Division, Australian Government Department of Health and Ageing.
URL: http://www.health.gov.au/internet/annrpt/publishing.nsf/Content/performance-information-0506-9
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