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<strong>Health</strong> Workforce Australia<br />
Activities<br />
Ian Brownwood, Program Manager, Research and Reporting<br />
HIMSS AsiaPac11 Conference and Leadership Summit<br />
22 September 2011.<br />
Melbourne
National health workforce reform agenda<br />
• COAG health reform and NPA (2008)<br />
− Acknowledgment that large scale<br />
workforce reform is necessary with a<br />
particular focus on linking efforts of<br />
health and higher education<br />
sectors.<br />
• $1.1bn new funding over 4 years to:<br />
– Develop a sound evidence base to<br />
inform national reform<br />
– Devise policy and programs that<br />
facilitate workforce reform<br />
– Work across jurisdictions, sectors,<br />
organisations and professions.<br />
• <strong>Health</strong> Workforce Australia established in<br />
July 2009 to lead implementation of NPA<br />
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<strong>Health</strong> Workforce Australia<br />
‣ Established as a Commonwealth Statutory Authority<br />
• Board comprises independent Chair (The Hon Jim McGinty),<br />
nominees from jurisdictions (9) and other directors (3).<br />
• Reports to Australian <strong>Health</strong> Ministers Conference (AHMC).<br />
• CEO (Mark Cormack)<br />
• Head office located in Adelaide.<br />
• 2009-10 establishment phase.<br />
• Currently about 120 staff.<br />
‣ Prior to HWA<br />
• AMWAC and AHWAC<br />
• National <strong>Health</strong> Workforce Taskforce - work program transition to<br />
HWA in mid 2010<br />
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HWA Work Groups<br />
Chief Executive<br />
Officer<br />
Mark Cormack<br />
<strong>Information</strong>,<br />
Analysis, and<br />
Planning<br />
Clinical<br />
Training Reform<br />
Workforce<br />
Innovation and<br />
Reform<br />
Ian Crettenden Ben Wallace Etienne<br />
Scheepers<br />
International<br />
<strong>Health</strong><br />
Professionals<br />
Corporate and<br />
Finance<br />
Communication<br />
and Marketing<br />
Claire Austin Roberto Bria Mary Freer<br />
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HWA key result areas<br />
‣ Progress the NPA national agenda focussed on four key areas:<br />
• Research and workforce planning ($24m)<br />
• Clinical education and training ($547m)<br />
− $424m - Clinical training subsidies<br />
− $28m - Clinical supervision<br />
− $94m - Simulated Learning<br />
• Workforce innovation and reform ($70m)<br />
• International recruitment($60m)<br />
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HWA work program<br />
‣ <strong>Information</strong> Analysis and Planning<br />
• National Statistical Resource<br />
• National Training Plan<br />
• Specific Workforce Studies<br />
• Research Collaboration<br />
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HWA work program<br />
‣ Workforce Innovation and Reform<br />
• Framework for National <strong>Health</strong> Workforce Reform<br />
• Rural & Remote <strong>Health</strong> Workforce Strategy<br />
• Cancer Workforce Strategy<br />
• Caring for Older People Program<br />
• Aboriginal & Torres Strait Islander <strong>Health</strong> Workers<br />
• Dental Professions Scope of Practice<br />
• National Competency Framework<br />
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HWA work program<br />
‣ Clinical Training Reform<br />
• Clinical Training Funding<br />
• Clinical Supervision Program<br />
• Simulated Learning Environments<br />
• Integrated Regional Clinical Training Networks<br />
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HWA work program<br />
‣ International <strong>Health</strong> Professionals<br />
• National strategy for recruitment and retention.<br />
• Cross jurisdictional approaches to recruitment.<br />
• International health professionals support.<br />
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<strong>Health</strong> information workforce<br />
‣ Clinical Training Reform<br />
Where appropriate programs build in an expectation that<br />
e-health exposure and practice capability is:<br />
•part of a modernised curriculum for health profession<br />
degrees (e.g. Dr Kathleen Gray, University of Melbourne)<br />
•developed in skills and delivery of clinical supervision.<br />
•offered in clinical training placements.<br />
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<strong>Health</strong> information workforce<br />
‣ Workforce Innovation and Reform<br />
Seeking to promote greater use of technology and optimise<br />
workforce capacity and capability to adopt and apply e-<br />
health solutions:<br />
• Develop partnerships with those undertaking e-health<br />
initiatives to consider workforce issues in the<br />
development, implementation and evaluation of<br />
programs.<br />
• Follow the implementation of e-health Initiatives in<br />
Australia to identify areas where there maybe<br />
opportunities for workforce reform.<br />
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<strong>Health</strong> information workforce<br />
‣ <strong>Information</strong> Analysis and Planning<br />
Requested by key stakeholders to undertake a study of the<br />
health information workforce:<br />
• e-health is generating the requirement for greater<br />
workforce capacity.<br />
• Moves to national activity based hospital funding will<br />
increase workforce demand.<br />
• Current demand for existing education and training is<br />
sub optimal.<br />
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Study of <strong>Health</strong> <strong>Information</strong> Workforce<br />
‣ Establishment phase – to June 2011.<br />
• Consultation with key stakeholders<br />
• Development of study scoping paper<br />
• Feedback on paper from key stakeholders<br />
• Endorsement for full study by HWA Board<br />
‣ Procurement phase – to August 2011<br />
‣ Implementation phase – to March 2012.<br />
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Study of <strong>Health</strong> <strong>Information</strong> Workforce<br />
‣ Objectives:<br />
• To better understand the supply and demand for the health<br />
information workforce in Australia, both now and into the future.<br />
• Inform future workforce planning and development decisionmaking.<br />
‣ Key issues:<br />
• Scoping of workforce for the study.<br />
• Accessing data and information on supply.<br />
• Understanding and estimating future demand.<br />
• Considering future reform and innovation scenarios.<br />
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Scope of health information workforce<br />
Level 1<br />
Level 2<br />
Level 3<br />
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Stock and flow model<br />
Flows In<br />
Graduates<br />
Re-entries<br />
Increased hours<br />
Immigration<br />
Late retirement<br />
Current<br />
Workforce<br />
Future<br />
Workforce<br />
Flows Out<br />
Retirement<br />
Illness/Death<br />
Career change<br />
Decreased hours<br />
Emigration
Study of <strong>Health</strong> <strong>Information</strong> Workforce<br />
‣ Scope and nature of the information workforce requires a<br />
hybrid workforce planning approach.<br />
‣ For example, use of case studies:<br />
• Relevant functions<br />
• Position titles, role descriptions.<br />
• Qualifications, education and training.<br />
• Emerging operational requirements.<br />
• Experience accessing skills and competencies.<br />
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Study of <strong>Health</strong> <strong>Information</strong> Workforce<br />
‣ Methodology:<br />
• Desktop review of data and literature.<br />
• Key informant interviews<br />
• Case study structured interviews and surveys<br />
• National search conference<br />
• Expert Reference Group<br />
• Final Reporting and Study Completion<br />
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Expert Reference Group<br />
‣ <strong>Health</strong> Informatics Society of Australia<br />
‣ Australian College of <strong>Health</strong> Informatics<br />
‣ Australian <strong>Health</strong> Informatics Education Council<br />
‣ <strong>Health</strong> <strong>Information</strong> <strong>Management</strong> Association of Australia<br />
‣ Australian Institute of <strong>Health</strong> and Welfare<br />
‣ Commonwealth Department of <strong>Health</strong> and Ageing<br />
‣ National E-<strong>Health</strong> Transition Authority<br />
‣ Jurisdiction - Queensland <strong>Health</strong><br />
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Key contact<br />
Sarah Tyson, <strong>Health</strong> <strong>Information</strong> Project Manager<br />
Ph: (08) 84094606<br />
Email: sarah.tyson@hwa.gov.au<br />
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