Priority Setting Assessment

This report collects statistical data from the social health atlas on demographic data, health status, and health determinants for the Stormlands zone. The aim is to carry out a priority evaluation for the area and identify key health issues such as women's health related to breast and cervical cancer, respiratory disease, blood cholesterol, musculoskeletal disorders, smoking issues, and poor access to healthcare service and medicine supply.

Running head: PRIORITY SETTING ASSESSMENT
Priority Setting Assessment
Name of the Student
Name of the University
Author note

1PRIORITY SETTING ASSESSMENT
Executive Summary
In this report statistical data are collected from the social health atlas on demographic data,
health status, health determinants for the area of the Stormlands zone. The aim of this report
is to carry out a priority evaluation for the Stormlands area. It has been found that Women
health related to breast and cervical cancer, Respiratory disease, asthma, Blood cholesterol,
Musculoskeletal disorders, Smoking issue and Poor Access to healthcare service and
medicine supply should be the chief priority for the healthcare improvement.

2PRIORITY SETTING ASSESSMENT
Table of Content
Introduction................................................................................................................................4
Data comparison.........................................................................................................................4
Determinants of health...............................................................................................................5
Scale of the problem...................................................................................................................6
Priorities, Government priorities and targets.............................................................................7
Financial assessment..................................................................................................................9
Potential to produce improvement...........................................................................................10
Strength of evidence base.........................................................................................................10
Conclusion................................................................................................................................11
References:...............................................................................................................................12
Appendices:..............................................................................................................................13
Appendix1: Female screening outcomes ASR per 1,000 females.......................................13
Appendix2: Estimated population, aged 18 years and over chronic diseases ASR per 100
people...................................................................................................................................13
Appendix 3: Emergency department presentations..............................................................13
Appendix 4: Infant death rate (IDR)....................................................................................14
Appendix 5: Premature death rate........................................................................................14
Appendix 6: SEIFA Index of Relative Socio-economic Disadvantage...............................14
Appendix 7: Indigenous population.....................................................................................15
Appendix 8: Basic Education...............................................................................................15

3PRIORITY SETTING ASSESSMENT
Appendix 9: Delayed service access ASR per 100..............................................................15
Appendix 10: Healthcare workforce....................................................................................16
Appendix 11: Risky Lifestyle ASR per 100........................................................................16

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Introduction
Prioritizations in the health evaluation plan are extremely important, so that the health
governance system can enhance the quality of your health in a more holistic direction (Hick,
Hanfling & Cantrill, 2012). This report collects statistics from the Social Health Atlas on
demographic details, health status and the health determinants in the area of the Stormlands
Zone. The report includes a comparison of data, including the health report, the rate of
morality, chronic disease and others. The report will also assess factors such as demographics
and others as determinants of health or preexisting factors. In addition, this report also
highlights the scale of problems and the process of prioritization and harmonizes them with
government priorities. In addition, the financial analysis will be carried out with the
improvement potential assessment. The aim of this report is to carry out priority assessment
for the Stormlands Zone area, based on data from the Social Health Atlas collected.
Data comparison
In the following section the data collected from the Social Health Atlas for the region
Stormlands Zone in Victoria will be examined considering the ASR or Age standard rate for
either 100 or 1000 or 100,000 populations.
ASR screening result per 1000 women is shown to be higher than state level and
below the non-metropolitan area as a result of cervical examination. Likewise, Brest cancer is
slightly higher than the state level and the non-metropolitan area for women between the ages
of 50 to 69 years. It is therefore obvious that women's health problems are important
particularly for cervical and breast cancer in this region. It is possible to conclude that in
some instances the blood cholesterol, mental problems, respiratory conditions, asthma,
musculoskeletal diseases and arteries are higher than and even higher than the State level,
according to an analysis of estimated population ages 18 years and older, with serious and

5PRIORITY SETTING ASSESSMENT
minor chronic diseases, considering ASR per 100 people. The analysis reveals that the
emergency admission of Stormlands is not considerably high from the emergency department
admission record. It's lower than the country. There are therefore no clear indications as to
whether this is due to the lack of transport by health care or the lack of emergency healthcare.
In analyzing child and infant health and death rates above analysis of infant health and
death rates, it was found not to be significantly high in the child mortality rate of Stormlands.
It is lower than both the national and other Victoria levels. Premature death rates analyzed in
the Stormlands are significantly higher than the national and major capital cities. In addition,
the premature death rate is significantly higher. But there is a lower death rate than the
national level due to endocrine or circulatory system diseases.
Determinants of health
The health determinants are the background elements or details of the target
population, which are unchangeable in a specified time, like cultural background, social
status, economic status, demographic variance. These are the factors affecting the health of a
particular population in an area chosen, Stormlands, Victoria in this case.
From the SEIFA index analysis the score of socio-economic disadvantage of
Stormlands is lower than the national level however higher than the rest of the states.
Therefore, socio economic disadvantage is not significant in Stormlands. From Indigenous
Population analysis it can be clearly seen that in Stormlands the indigenous population count
is very low. The analysis of educational level shows that approximately 32 persons out of per
100 people in Stormlands have at least basic education, which is significantly lower than the
national level as well as extremely lower than rest of the Victoria and other states. Hence, it is
clear that the educational level of this community is very low. According to Delayed service
access ASR per 100, in both cases of delayed medical guidance and delayed medicinal access

6PRIORITY SETTING ASSESSMENT
the Stormlands scored higher than the national level as well as higher than the Victoria. It
clearly indicates that people of Stormlands have comparatively poor access to healthcare
service as well as medicinal supply.
According to the national healthcare human resource analysis, the number of medical
practitioner 100,000 people in Stormlands is lower than Australia, however higher than the
rest of the Victoria. On the other hand the number of nurses in Stormlands is higher than the
national as well as the state level. It clearly indicates that healthcare workforce is
comparatively adequate in this area. From the statistical analysis of population with Risky
Lifestyle ASR per 100, it has been found that the number of smoker in Stormlands is
significantly higher than national as well as State level. However, the number of risky alcohol
drinkers and the obese population is not significantly high.
Scale of the problem
The scale of a specific health problem refers to the number of persons directly and
indirectly affected in a given catchment. In this case, the scaling of the problem is based on
three different health determinants or division. The divisions of the health determinants
chosen as the scale of the problem include the number of population affected by the problem,
the probability of occurrence, or the likelihood of health problems, mobility and mortality,
caused by a health problem and death (McDonald & Ollerenshaw 2011). To measure the
health problems with this three scales a 0 to 5 subscale is also used, where 0 implies the
lower level and the 5 implies the higher level of any scale. For prioritising the issue the
severity of the health problem will be measured by multiplying number of population
affected by the problem, probability of occurrence and mobility and mortality impacts. On
the basis of this numbers the priority of the health problems will be identified, where the
higher number in severity will harness higher priority. From the comparative data analyzed

7PRIORITY SETTING ASSESSMENT
above, the most important health problems were: women's health related to breast and
cervical cancer, respiratory disease and asthma, blood cholesterol, muscles, smoking issues,
and poor access to medical care and supplies. Based on the above data from chronic health
issues, access to health care, mobility rates and other determinants. Based on this scaling, the
scale 1=low to 5=high from each component presents the following problems.
Health Issues in
Stormlands
Likeliness of
occurrence (L)
Effected
population (P)
Morality and
mortality (M)
Severity of
risk
(L x P x M)
Priority
Women health related to
breast and cervical cancer
3 4 5 60 1st
Respiratory disease,
asthma
4 3 3 36 2nd
Blood cholesterol 4 4 2 32 3rd
Musculoskeletal disorders 3 3 2 18 5th
Smoking issue 3 3 3 27 4th
Poor Access to healthcare
service and medicine
supply
1 3 3 9 6th
Priorities, Government priorities and targets
From the above-mentioned priority analyzes based on the scaling problems, it was
found to be a key health issue in Stormlands for women's breast and cervical health.
Therefore, both the national government and the state government should concentrate more
on healthy women, in Stormlands especially for cervical and breast cancer. Secondly, the
second crucial health problem, among other things, was several respiratory diseases and
asthma. Therefore, the medical quality for respiratory diseases must also be improved while
various promotional campaigns relating to hygiene are being carried out. The third priority in
accordance with the current health condition is blood cholesterol. The health campaign for
food practice is thus mitigated and is also essential if the blood cholesterol level is to be
controlled. The fourth key concern was the problem of smoking. Therefore, the Government

8PRIORITY SETTING ASSESSMENT
should also launch a number of health-related campaigns in order to reduce smoking in the
Stormlands region. The fifth major health problem in this region was found in
musculoskeletal disorders and arthritis. Many physiotherapy clinics are therefore required to
reduce the severity of this problem.
The last and not the least priority will be to increase the accessibility of healthcare
service and medicinal supply. Victorian health services aim to meet or exceed quality and
safety standards and seek continual service improvement to ensure our health sector provides
world-class care. This endeavour is supported by rigorous systems and standards. Currently
state government has prioritised the public hospital accreditation and service improvement.
The infection prevention is another major priority of Victoria state government. Apart from
that, government also has initiated several clinical risk management strategies through
establishing new facilitation plan and workforce enhancement. The quality and the network
are the two major concern of the national and Victoria state government as well. The purpose
of this strategic planning is to increase the Medicinal quality, logistic network and resultant
accessibility of the healthcare consumers (health.vic.gov.au., 2018).
Financial assessment
The following table presents the cost assessment of new health improvement program
considering the facilitation, operational cost, human resource related cost, cost for health
promotion and other miscellaneous expenses.
Unit Cost per
unit
Expense
Facilitation
Building hospitals and clinics 1 $150,000 $150,000
Improving physical components of existing
facilities
5 $35,000 $175,000
Investing in partnership healthcare
development
3 $75,000 $225,000
Improving healthcare transportation and 3 $50,000 $150,000

9PRIORITY SETTING ASSESSMENT
logistics
Total $700,000
Human
Resource
Recruiting general physicians 75 $4,500 $337,500
Recruiting specialist 25 $6,500 $162,500
Recruiting new register nurses 350 $3,500 $1,225,000
Recruiting midwives and caregivers 500 $1,500 $750,000
Total $1,975,000
Health
Promotion
Print and mass media promotion 12 $7,500 $90,000
Social media and digital 5 $1,500 $7,500
Health promotion campaigns 10 $15,000 $150,000
Total $247,500
Miscellaneous
Transportation cost 1 $5,000 $5,000
Project initiation 3 $3,500 $10,500
Monitoring and control 1 $75,000 $75,000
others 1 $50,000 $50,000
Total $140,500
TOTAL $3,063,000
From the above budget plan and cost estimation it has been found that, to improve the
health condition of the chosen area Stormlands, approximately 3,063,000 Australian Dollar
will be required.
Potential to produce improvement
Achieving improvements in population health outcomes requires a firm commitment
to long-term change, often significant improvements will not be seen for 10-15 years. At
present, national and state governments concentrate on improving healthcare through the
development of joint financial policies and partnerships with different private health
organisations. In Victoria, a number of cooperation projects with private healthcare sectors as

10PRIORITY SETTING ASSESSMENT
well as a number of national and international non-profit associations were already
undertaken by the Government (Persa, Wertheimer & Emanuel, 2009). Hence, considering
this new partnership approach, the healthcare service quality of Victoria, has the potentiality
to be uplifted significantly in near future. Australian health policies and educational
interventions have already amended significantly to increase the labour market of the
healthcare workforce and the subsequent healthcare service quality and accessibility. At the
same time, many private organisations are willingly contributing in the healthcare system of
Victoria and other part of the Australia. It will enhance the opportunity to uplift the
healthcare workforce and facilitation as well.
Strength of evidence base
Evidential practice allowing the accurate health support, evaluation, medical supply,
facilitation, treatment, etc. needs of the target population to be determined. The evidence in
this paper comes with an authentic national publication's numerical comparison collection
(Viergever et al., 2010). This analysis is therefore fully valid and reliable for further research
and better planning.
Conclusion
The above analysis, debate and prioritization showed that the primary priority for
improvement should be women's breast and cervical cancer health, respiratory conditions,
asthma, Blood Cholesterol, Musculoskeletal disorders, smoking issues and poor access to
healthcare and medicine. Victorian health services seek to meet or exceed quality and safety
standards and constantly enhance services to ensure that we offer world-class care to our
healthcare sector. The cost estimate shows that approximately 3,063,000 Australian dollars
will be necessary to improve the health of the selected area of the Stormlands. In order to
improve the quality and accessibility and reduce the risk factors, both state and national

11PRIORITY SETTING ASSESSMENT
governments in Victoria should use a partnership approach with various private healthcare
organisations.

12PRIORITY SETTING ASSESSMENT
References:
health.vic.gov.au. (2018). Quality, safety and service improvement. Retrieved from
https://www2.health.vic.gov.au/hospitals-and-health-services/quality-safety-service
Hick, J. L., Hanfling, D., & Cantrill, S. V. (2012). Allocating scarce resources in disasters:
emergency department principles. Annals of emergency medicine, 59(3), 177-187.
McDonald, J., & Ollerenshaw, A. (2011). Priority setting in primary health care: a framework
for local catchments. Rural & Remote Health, 11(2).
Persad, G., Wertheimer, A., & Emanuel, E. J. (2009). Principles for allocation of scarce
medical interventions. The Lancet, 373(9661), 423-431.
Viergever, R. F., Olifson, S., Ghaffar, A., & Terry, R. F. (2010). A checklist for health
research priority setting: nine common themes of good practice. Health research
policy and systems, 8(1), 36.

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Appendices:
Appendix1: Female screening outcomes ASR per 1,000 females
Cervival Screening high
abnormality aged 20 to 69 years
Breast screening outcomes: cancer,
females aged 50 to 69 years
Stormlands 14.3 65.9
Victoria 13.6 60.7
Melbourne 12.9 60.4
Non-metropolitan Vic 16.2 61.4
Appendix2: Estimated population, aged 18 years and over chronic diseases ASR
per 100 people
A=aged 18 years and over, with diabetes mellitus
B=aged 18 years and over, with high blood cholesterol
C=with mental and behavioural problems
D= aged 2 years and over, with circulatory system diseases
E=with hypertensive disease
F= with respiratory system diseases
G=population with asthma
H= with chronic obstructive pulmonary disease
I=with musculoskeletal system diseases
J=population with arthritis
A B C D E F G H I J
AUSTRALIA+ 5.4 32.8 13.6 17.3 10.2 28.7 10.2 2.4 27.7 14.8
Greater Capital
City Statistical
Areas
5.7
32.8 13.1 16.8 10.2 28.1 9.4 2.2 27.0 14.2
Rest of States/ NT 4.9 32.8 14.4 18.1 10.3 29.8 11.8 2.7 29.0 15.8
Victoria 4.7 33.4 12.7 16.6 10.0 29.7 10.9 1.9 26.6 14.0
Greater Melbourne 5.0 33.1 12.3 16.4 10.0 29.1 10.0 1.8 26.0 13.5
Rest of Victoria 3.9 34.1 14.0 17.1 9.8 31.8 13.5 2.1 28.2 15.4
Stormlands 4.1 34.2 14 17 10 31 12 2 28 15
Appendix 3: Emergency department presentations
ASR per 100,000
AUSTRALIA+ 28,880.8
Greater Capital City Statistical Areas 26,048.9
Rest of States/ NT 33,056.4
Victoria 26,004.3
Greater Melbourne 24,039.2

14PRIORITY SETTING ASSESSMENT
Rest of Victoria 31,702.2
Stormlands 28,324
Appendix 4: Infant death rate (IDR)
ASR per 1,000
AUSTRALIA+ 3.6
Greater Capital City Statistical Areas 3.2
Rest of States/ NT 4.2
Victoria 3.1
Greater Melbourne 2.9
Rest of Victoria 3.5
Stormlands 3
Appendix 5: Premature death rate
ASR per 100,000 for 0 to 74 years
cancer endocrine, nutritional
and metabolic diseases
circulatory
system diseases
respiratory
system diseases
AUSTRALIA+ 100.7 5.9 45.6 14.8
Greater Capital City
Statistical Areas
94.8 5.0 41.2 13.0
Rest of States/ NT 109.3 7.1 51.3 17.4
Victoria 96.3 5.1 42.1 12.7
Greater Melbourne 91.2 4.6 38.9 11.3
Rest of Victoria 108.2 6.2 48.9 16.0
Stormlands 105 6 45 15
Appendix 6: SEIFA Index of Relative Socio-economic Disadvantage
Index score (based on Australian
score of 1000)
AUSTRALIA+ 1000
Greater Capital City Statistical Areas 1017

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Rest of States/ NT 972
Victoria 1010
Greater Melbourne 1020
Rest of Victoria 978
Stormlands 995
Appendix 7: Indigenous population
Proportion of total population (%)
AUSTRALIA+ 3.1
Greater Capital City Statistical Areas 1.5
Rest of States/ NT 6.1
Victoria 0.9
Greater Melbourne 0.6
Rest of Victoria 1.9
Stormlands 1
Appendix 8: Basic Education
ASR per 100
AUSTRALIA+ 34.3
Greater Capital City Statistical Areas 30.1
Rest of States/ NT 41.8
Victoria 29.4
Greater Melbourne 26.8
Rest of Victoria 36.3
Stormlands 31.9
Appendix 9: Delayed service access ASR per 100
Delayed medical
consultant
Delayed prescribed
medicine
AUSTRALIA+ 14.2 11.0
Greater Capital City Statistical Areas 13.1 10.2
Rest of States/ NT 16.3 12.6
Victoria 14.4 11.1
Greater Melbourne 13.8 10.5
Rest of Victoria 16.2 12.9
Stormlands 15.5 12.1

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Appendix 10: Healthcare workforce
Total medical Practitioners
per 100,000 people
Total Nurses per
100,000 people
AUSTRALIA+ 353.7 1,284.3
Greater Capital City Statistical Areas 403.6 1,275.8
Rest of States/ NT 260.1 1,286.6
Victoria 351.2 1,429.1
Greater Melbourne 386.1 1,334.1
Rest of Victoria 248.9 1,693.3
Stormlands 337.8 1,693.0
Appendix 11: Risky Lifestyle ASR per 100
Smoker Risk level alcohol
consumer
Obese population
AUSTRALIA+ 18.0 4.7 27.5
Greater Capital City Statistical Areas 16.4 4.4 25.8
Rest of States/ NT 21.2 5.1 30.8
Victoria 18.3 3.0 25.8
Greater Melbourne 17.0 2.9 24.5
Rest of Victoria 22.6 3.2 29.7
Stormlands 20.7 3.2 26.7