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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 />

3


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 />

4


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 />

5


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 />

6


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 />

7


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 />

8


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 />

9


<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 />

11


<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 />

12


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 />

13


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 />

14


Scope of health information workforce<br />

Level 1<br />

Level 2<br />

Level 3<br />

15


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 />

17


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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