Primary Health Branch policy and funding guidelines
Primary Health Branch policy and funding guidelines
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.