PCD Strategy Evaluation 2007.pdf - NT Health Digital Library ...

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Year * Action Outcome1997 R The Chronic Disease Networkcommenced with initial funding for 3-years (18) .Network includes non-government andgovernment bodies that come together toshare information about chronic diseasesinitiatives.1997 F The Coordinated Care Trialscommenced in the Tiwi Islands andKatherine West (17) .Under the arrangements of the Trials both NTand Australian Governments contributed fundsto a „pool‟ that was put under the control ofan elected Board of Aboriginal communityrepresentatives from throughout the region.1997 W Development of the CoordinatedCare Trials Information System(CCTIS) commences.CCTIS were developed and used to supportCCT in the Tiwi Islands and Katherine West.1998 F Public Health Outcome FundingAgreements (PHOFA) funds weresecured to progress chronic diseasemanagement outside theCoordinated Care Trial areas as well.The specific projects funded were:• An administration manual for remote areastaff• A paper-based recall system andinstruction manual• Community Health Practice Standardsthat complemented the (CARPA) manualand• Other Standard Treatment Protocols, anddevelopment of a Remote Area Guide andReference (19) .1998 W Community Physician position wasestablished.Purpose of the position is to focus on chronicdisease and to develop a Preventable ChronicDisease Strategy.1999 S Guidelines, Standards and AuditTeam (GSAT) develops standardizedguidelines for management ofcommonly occurring chronic diseaseswithin the trial areas.Guidelines incorporated into CCTIS to producecomputer-generated care plans (16) .1999 F EPC items included in Medicarerebate schedule.Provides a funding strategy for chronicdisease activity in general practice settingsand remote clinics.1999 R Review of the NT hospital data foryears 1979-1997 was undertaken.The top 7 causes of death forAboriginal people were identified (20) .Circulatory disease was the majorcause of death and the other chronicdiseases – respiratory, endocrine,genitourinary diseases – ranked inthe top 7 causes of death,particularly for Aboriginal People.Estimated percentage of hospital budgetconsumed in treating Chronic disease (1)- 25 per cent in 1997- 40 per cent, and 56 per cent predicted for2004If uncontrolled, it was predicted to consume56 per cent of the budget by 2004 (1) .Chapter 1: Introduction – Evaluation of the NT Preventable Chronic Disease Strategy 2007 8
Year * Action Outcome1999 S NT Preventable Chronic Disease It provides a strong evidence base to supportStrategy was launched by Minister its goals, objectives and key result areas1999 F Australian Government PrimaryHealth Care Access Program (PHCAP)announced with the aim of reformingPHC services, increasing access toservices for Aboriginal people andmaking services more responsive toAboriginal health needs (21) .Bartlett health planning studies undertaken inCentral Australia and the Top End. 21 zoneswere defined and priority zones werenominated to improve access to services.Priority zones were: Barkly and CentralAustralia – Anmatjere, Eastern Arrernte-Alyawarra, Luritja-Pintubi, Northern Barklyand Warlpiri, and two health zones in the TopEnd – South East Top End and Darwin, as wellas the former Aboriginal Coordinated CareTrial sites at Katherine West and in the TiwiIslands.1999 P Corporate Plan – Strategy 21 1999-2003 was developed.Strategy 21 aims to strengthen communitycapacity, increase Aboriginal involvement inthe health workforce, enhance inter-sectorialcollaboration and shift service delivery toothers where appropriate.It leads an organizational restructure.NTPCDS moved from Public Health to PrimaryHealth Care to facilitate stronger engagementwith primary care providers.2000 F Australian Government funds theKidney Disease Research Program(KDRP) to implement a chronicdisease early detection andmanagement program in selectedIndigenous communities.2001 R Preventable Chronic Disease StrategyStatistical Report 2000 is produced(8) .2001 P Northern Territory Food and NutritionPolicy Action Plan (2001-2006)developed.Activity commences in 2001 in the 3 NTparticipating sites – Borroloola, Wadeye andDaly River. KDRP information system put inplace along side other systems in Borroloolaand Wadeye and replaces recall system inDaly River.Program ceases in 2004 and is evaluated.Evaluation findings inform OATSIH ContinuousImprovement Program (CIP).The report provides baseline data forpurchasers and funders to make appropriatepolicy and purchasing decisions. The HealthInformation Framework ensures that data isanalysed in a consistent manner to allowtrend comparison over the coming years andassess whether the PCDS aims and objectivesare being met (8) .This policy supports best buys from the PCDS.2001 R Paper „Orienting health services andpublic health programs towardsgreater chronic disease control: aproposal for a network of zonal andregional public health services‟prepared by AMSANT, is tabled fordiscussion at NTAHF.Agreement is achieved on the roles of PublicHealth Nurses across the NT.Chapter 1: Introduction – Evaluation of the NT Preventable Chronic Disease Strategy 2007 9
Page 1 and 2: Pty LtdABN 82 147 637 101AN EVALUAT
Page 3 and 4: TABLE OF CONTENTSList of figuresLis
Page 5 and 6: 6.6 Indigenous workforce 996.7 Prev
Page 7 and 8: List of AbbreviationsABCDACCHOsACIC
Page 9 and 10: ACKNOWLEDGEMENTSWe would like to ac
Page 11 and 12: However the extraordinary number of
Page 13 and 14: the establishment of the Sunrise He
Page 15 and 16: RECOMMENDATIONSGeneral recommendati
Page 17 and 18: Exploration of joint funding arrang
Page 19 and 20: CHAPTER 1. INTRODUCTION1.1 Backgrou
Page 21 and 22: Choosing the 5 chronic conditionsTh
Page 23 and 24: Table 1.1Key Result Areas + Best Bu
Page 25: prior to the launch of NTPCDS, such
Page 29 and 30: Year * Action Outcome2005 P Aborigi
Page 31 and 32: CHAPTER 2.EVALUATION METHODOLOGYThe
Page 33 and 34: 2.2 Evaluation StagesThe NTPCDS eva
Page 35 and 36: chronic disease activities funded t
Page 37 and 38: internal project team. It was very
Page 39 and 40: Situation at Baseline1. The Guideli
Page 41 and 42: 3.1.2 Patient information and recal
Page 43 and 44: Ferret Miwatj, Numbulwar, Marngarr,
Page 45 and 46: Medicare information is not for pub
Page 47 and 48: was in place in Central Australia i
Page 49 and 50: What orientation and ongoing traini
Page 51 and 52: programs focus on chronic disease p
Page 53 and 54: The information collected as part o
Page 55 and 56: Assessment against objectiveMost se
Page 57 and 58: career development, and retention i
Page 59 and 60: are. Indigenous employment is NTDH&
Page 61 and 62: NTDH&CS Programs that encourage Hea
Page 63 and 64: 2002 Aboriginal and Torres Strait I
Page 65 and 66: delivering any prevention and healt
Page 67 and 68: The Community Services Division - A
Page 69 and 70: 1 x AHW Central Australia 2001 S100
Page 71 and 72: One clinic stated it had no care pl
Page 73 and 74: Identifies priority practices to in
Page 75 and 76: There has been a significant growth
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about 25 per cent of the hospital b
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The level of funding provided by th
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Central Australia and two zones cur
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The diabetes education teams at HLN
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maintenance group for people with l
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Rebates for participating or arrang
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Use of Medicine Programmes. Althoug
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CHAPTER 4. CLINICAL OUTCOMES OF THE
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improvements have been made to serv
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A recent ten-year follow-up of a co
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The NTDH&CS also collect birthweigh
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Figure 5.3 Vaccination coverage for
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It is also important to note that k
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eported that 50 per cent of the Ind
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The current action plan identifies
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The availability and cost of health
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Hoy et al in 1995-2000 (100) , and
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5.6 Best practice management5.6.1 P
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disease care in urban areas regardi
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PCIS was developed by NTDH&CS as th
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emote staff can access training and
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In the Top End there appeared to be
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APPENDIX 1EVALUATION OF THE NT PREV
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2.10 Generally speaking, on a scale
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4.4 Briefly recount any anecdotes y
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5.9 Generally speaking, on a scale
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Section 8 • Summary questions8.1
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Preventable Chronic Disease Program
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Year Type Background What is it? /
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Year Type Background What is it? /
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An important background to this stu
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New beliefs do not replace the old,
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Other services are provided to the
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ecame the main priority in many peo
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to be healthy, how to get rid of di
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(Draft Version - © August 2006 Jan
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References1. Dunham, H., Ministeria
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35. Smith, J.D., Progress report fo
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Research Centre for Aboriginal Heal
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114. Senior, K., 'A Gudbala Laif? h
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