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Primary Health Branch policy and funding guidelines

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<strong>Primary</strong> <strong>Health</strong> <strong>Branch</strong> <strong>policy</strong> <strong>and</strong> <strong>funding</strong> <strong>guidelines</strong>––2006–07 to 2008–09 (2008–09 update) 19<br />

Cooperative arrangements between the education sector,<br />

agencies <strong>and</strong> DHSV mean that undergraduate students can<br />

undertake clinical placements in community health services.<br />

3.10 Funding directions<br />

Dental <strong>Health</strong> Program Funding Review<br />

This initiative aimed to review <strong>and</strong> refine the <strong>funding</strong><br />

arrangements for the Dental <strong>Health</strong> Program with a view to<br />

achieving better alignment between <strong>funding</strong>, service delivery,<br />

<strong>policy</strong> objectives <strong>and</strong> value for money.<br />

The review <strong>and</strong> evaluation aimed to provide<br />

recommendations on:<br />

• ways the current <strong>funding</strong> arrangements could be<br />

streamlined to support service integration, workforce<br />

strategies, dem<strong>and</strong> management <strong>and</strong> oral health<br />

promotion<br />

• options for how three-year <strong>funding</strong> could be provided to<br />

agencies consistent with department <strong>policy</strong><br />

• improving the effectiveness <strong>and</strong> efficiency of budget<br />

allocation <strong>and</strong> payment processes <strong>and</strong> performance<br />

measures<br />

• aligning re-imbursement processes for services delivered<br />

by agencies <strong>and</strong> private sector providers with department<br />

<strong>and</strong> industry best practice<br />

• whether overhead/operational costs are reasonable<br />

relative to industry st<strong>and</strong>ards.<br />

The review is now complete. The department is considering<br />

the findings <strong>and</strong> will consult with the sector regarding the<br />

development of a new model in 2008–09, for implementation<br />

in 2009–10.<br />

Dental <strong>Health</strong> Program service integration<br />

The department lead a staged project to integrate the School<br />

Dental Service <strong>and</strong> Community Dental Program into one<br />

public dental service. A pilot of service integration at three<br />

sites was undertaken. An action evaluation of the pilot<br />

revealed that service integration was experienced positively.<br />

A publication based on the evaluation findings, Integration<br />

oral health services: a step in the right direction, has been<br />

disseminated to all community health services <strong>and</strong> hospitals<br />

that operate dental clinics to inform integration across all<br />

public dental services.<br />

Service integration will provide a more streamlined public<br />

dental service <strong>and</strong> will allow families to access dental <strong>and</strong><br />

other primary health services together.<br />

Dental <strong>Health</strong> Program Common Data<br />

Set Project<br />

In 2005–06, <strong>Primary</strong> <strong>Health</strong> <strong>Branch</strong> conducted a review of<br />

data reporting requirements of DHSV for the Dental <strong>Health</strong><br />

Program. The review found that the reporting approach was<br />

ad-hoc <strong>and</strong> provided a mix of high level <strong>and</strong> aggregated data<br />

that did not always meet the needs of program<br />

accountability <strong>and</strong> service planning.<br />

Subsequently, a dental data set has been developed to meet<br />

the requirements of the department <strong>and</strong> the sector. The<br />

proposed data set has been reviewed by national<br />

representatives <strong>and</strong> stakeholders <strong>and</strong> will be implemented in<br />

July 2009.<br />

New department funded activities<br />

The department funded new activities from 2006, including<br />

the Aboriginal <strong>Health</strong> Promotion <strong>and</strong> Chronic Care<br />

Partnership, the Early Intervention in Chronic Disease,<br />

<strong>Primary</strong> Care Partnerships Integrated Chronic Disease<br />

Management <strong>and</strong> Diabetes Self-Management initiatives.<br />

Refer to specific program <strong>guidelines</strong> in chapter 4.<br />

Additional <strong>funding</strong> announced in the State Budget 2008–09<br />

included:<br />

• Expansion of the Early Intervention in Chronic Disease<br />

program by $4.3 million per annum to allow 3,000 more<br />

Victorians with chronic disease access to the program<br />

across 18 municipalities.<br />

• Expansion of the Aboriginal <strong>Health</strong> Promotion <strong>and</strong> Chronic<br />

Care Partnership program by $0.5 million.<br />

• Introduction of the <strong>Health</strong>y Mothers, <strong>Health</strong>y Babies<br />

initiative with $8 million over four years to improve<br />

antenatal <strong>and</strong> perinatal care for vulnerable mothers in<br />

growth areas of Melbourne. Details of this program will be<br />

made available early in 2008–09.<br />

• Expansion of the Refugee <strong>Health</strong> Nurse program by<br />

$0.6 million.

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