Report on Current Health Management: PHNs, LHDs, and Accountability

This report provides an overview of current health management practices in Australia, focusing on the roles and responsibilities of Primary Health Networks (PHNs) and Local Health Districts (LHDs). It explores the structure of primary healthcare networks, detailing their objectives, functions, and intera...Read More

Running head: HEALTH MANAGEMENT
Report on Current Health Management
Name of the student:
Name of the university:
Author note:

1HEALTH MANAGEMENT
Table of Contents
Introduction......................................................................................................................................2
Primary healthcare networks.......................................................................................................2
Local health districts....................................................................................................................3
Roles................................................................................................................................................3
Roles of PHNs.............................................................................................................................3
Roles of LHDs.............................................................................................................................4
Accountability..................................................................................................................................6
Accountability of LHDs..............................................................................................................7
Budget..............................................................................................................................................8
Conclusion.......................................................................................................................................8
References........................................................................................................................................9

2HEALTH MANAGEMENT
Introduction
Primary healthcare networks
A primary health care system is one that enhances human services for all Australians,
particularly the individuals who as of now encounter discriminatory wellbeing results, by
keeping individuals sound, counteracting sickness, diminishing the requirement for clinic
benefits and enhancing administration of ceaseless conditions (Najjar et al. 2014). Its key targets
are:
1. To increase the productivity and adequacy of wellbeing administrations for patients,
especially those in danger of weakness results; and
2. To improve the coordination for care to guarantee patients get the correct care in the
perfect place at the opportune time
To accomplish their targets, PHNs will
1. Be adjusted to LHDs and will enhance bleeding edge benefit conveyance by attempting
to incorporate essential, group and auxiliary divisions for the advantage of patients.
2. Actively connect with general experts, wellbeing experts and the group through nearby
level structures to distinguish and react to neighborhood wellbeing needs, set up mind
pathways, and screen the quality and execution of administrations (Britt et al. 2013).
3. Work cooperatively with LHDs to decrease doctor's facility confirmations and re-
affirmations.
Thirty-one Primary Health Networks (PHNs) ended up plainly operational on 1 July 2015. They
are free associations with districts firmly lined up with those of state and region Local Hospital

3HEALTH MANAGEMENT
Networks (LHNs) or proportional. They have aptitudes based sheets, which are educated by
clinical chambers and group consultative councils (Britt et al. 2013).
PHNs have two overall goals: the main concentrates on the productivity and viability of
therapeutic administrations, especially for those in danger of weakness results; the second on
coordination of care. PHNs have a little measure of center subsidizing for their corporate
exercises, in addition to a more extensive measure of adaptable financing to set up exercises to
help meet these two goals (Ball, Grubnic and Birchall 2014).
Local health districts
Eight neighborhood wellbeing regions cover the Sydney metropolitan area, and local NSW. A
third system works over the general wellbeing administrations gave by St Vincent's Hospital, the
Sacred Heart Hospice at Darlinghurst and St Joseph's at Auburn.
Local Health Districts (LHDs) were set up by the NSW Government in 2011 with the target of
conveying social insurance crosswise over New South Wales in which choices are made locally,
with expanded contribution from clinicians and the group. In New South Wales there are eight
LHDs covering metropolitan districts and seven covering rustic and territorial areas (Duckett and
Willcox 2015).
Roles
Roles of PHNs
PHNs will concentrate on how an individual encounters social insurance – access to mind, its
productivity, viability and quality – and in addition the level of connectedness experienced by

4HEALTH MANAGEMENT
patients while exploring the wellbeing framework, regardless of whether it is divided or
consistent (Ball, Grubnic and Birchall 2014).
In this, PHNs will support general practice in various more customary regions of general
wellbeing, for example, orderly and entrepreneurial screening, wellbeing checks, smoking end,
work out, weight decrease and eating routine, and intercessions concentrated on particular
endless conditions, for example, diabetes and cardiovascular disease.6 PHNs will likewise work
with different parts of the essential medicinal services framework, including group attendants
and drug specialists, and with LHNs in connection to both optional and tertiary social insurance
administrations and their broad group and general wellbeing administrations (Adams, Muir and
Hoque 2014).
PHNs will likewise concentrate on the soundness of the populaces inside their locales, and
whether a few gatherings, when seen overall, are more in danger of weakness results than others,
and what should be possible at the local level to address this. Territorial needs appraisals and
charging parts of PHNs will be basic to this part (Adams, Muir and Hoque 2014).
This double concentration has the ability to guarantee that wellbeing administrations are more
open and custom-made to group require, deliver cost funds through decreasing possibly
preventable hospitalizations and enhance mind coordination, especially for those in danger of
weakness results (Adams, Muir and Hoque 2014).
Roles of LHDs
The particular administration roles of Local Health District Boards as characterized in s28 of the
Health Services Act 1997 are to:

5HEALTH MANAGEMENT
• Ensure compelling clinical and corporate administration structures are set up to help
principles of patient care and benefits and to endorse those systems.
• Approve frameworks to help the effective and financial operation of the District, to
guarantee it deals with its financial plan and meets execution targets, and to guarantee
locale assets are connected fairly to address the issues of the group (Powell Davies et
al. 2017).
• Ensure vital plans to direct the conveyance of administrations are produced for the
District and to affirm those plans
• Seek the perspectives of suppliers and the neighborhood group on the District's
arrangements and consult with the Chief Executive on the most proficient method to
support group and clinician contribution in arranging administrations (Powell Davies
et al. 2017).
• Approve the Local Health District yearly report.
• Provide vital oversight of and screen the District's money related and operational
execution under the broad execution system against the distinguished execution
measures in the Service Agreement (Powell Davies et al. 2017).
• Confer with the Chief Executive on operational targets and execution measures to be
consulted in the Service Agreement and endorse the Agreement.
• Liaise with the Boards of different Districts on both nearby and statewide activities for
the arrangement of wellbeing administrations.
• Enter the yearly execution concurrence with the Chief Executive required by Health
Executive Services arrangements of the Health Services Act 1997 (Powell Davies et
al. 2017).

6HEALTH MANAGEMENT
• Undertake the yearly execution survey of the Chief Executive required by the Health
Executive Services arrangements of the Health Services Act 1997
Accountability
Accountability of PHNs
1. Contracting Arrangements – Effective candidates were required to go into a subsidizing
concurrence with the Commonwealth (spoke to by the division) (Saurman et al. 2014).
PHNs must do every movement as per the understanding, which incorporate meeting
points of reference and different time allotments indicated in the timetable for that action.
Subsidizing understandings additionally layout the record continuing, revealing and
vindication necessities that will apply to effective candidates. Exercises must be done
tirelessly, proficiently, viably and in compliance with common decency to an exclusive
requirement to accomplish the points of the action and to meet the PHN Program targets
(Morris et al. 2014).
2. Payment Arrangements – Installments will be made as per the agreement of funding. The
default receipt process for the office is Recipient Created Tax Invoices (RCTI).
3. Reporting Requirements – PHNs must furnish the division with the reports for an action
containing the data, and at the circumstances and in the way indicated in the financing
assertion. Particular revealing necessities will shape some portion of the financed
association's concurrence with the office. In view of hazard, these may include: advance
reporting; inspected wage and consumption statements and last report (Saurman et al.
2014).

7HEALTH MANAGEMENT
4. Monitoring – PHNs will be required to effectively deal with the conveyance of the action
under the PHN Program. The division will screen advance as per the financing
understanding (Takian et al. 2013).
5. Assessment – An assessment by the office will decide how the subsidized movement
added to the goals of the PHN Program. Amid the financing time frame, subsidizing
beneficiaries will be required to give data to aid this assessment for a timeframe, as
stipulated in the subsidizing understanding, in the wake of subsidizing has been given.
6. Branding - Branding of a program is a prerequisite under the subsidizing understanding
and should be connected as coordinated by the Department (Saurman et al. 2014).
Accountability of LHDs
The NSW Health Corporate Governance and Accountability Compendium give a synopsis of the
key administration prerequisites applying to NSW Health offices that apply at both a framework
and entire of Government level (Osborn et al. 2015).
And in addition giving an expansive portrayal of the general wellbeing framework and data on
administration, the Compendium incorporates details of NSW Health and Whole of Government
prerequisites in a scope of key ranges including clinical administration, vital arranging and back
and execution (McMurray and Clendon 2015). Section 1 to 5 and 7 to 11 were discharged in
May 2013. In July 2014, Section 6 was discharged and updates to Sections 7, 8 and 9 were made.
As at December 2016, Sections 1, 2, 4 and 5 were refreshed. The Compendium is a living report,
and individual parts will be refreshed to suit arrangement and legitimate changes as they happen
(Bodenheimer et al. 2014).

8HEALTH MANAGEMENT
Budget
Budget of PHNs
Particulars Amount
Hospital services 46,474 $
Medicinal benefits 23,017,529 $
Health policy research and analysis 985,349 $
Digital health 65,006 $
Health innovation and technology 1,336, 305 $
Health infrastructure 49,048 $
Mental health 800,212 $
Budget of LHDs
Particulars Amount
Mental health services 26, 366 $
Block funding allocation 20, 237 $
State only block funded services 1,847 $
Patient service 208 $
Depreciation 1,141 $
Conclusion
The system of healthcare in Australia helped in the initiation of the 31 Primary Health
Networks (PHNs) crosswise over Australia. PHNs are generally funded by the Commonwealth

9HEALTH MANAGEMENT
Government which supplants a system of 61 Medicare Locals and the boundaries of the PHNs
are aligned with Local Health Districts (LHDs), but are not the same. The Commonwealth must
guarantee that PHNs can share best practice, learning, research and data. Without a financed
national organization together for PHNs, non-government top bodies, for example, PHAA and
AHHA are set up to advance in and bolster PHNs and a national sorted out essential care
framework. There is a chance to build up formal organizations amongst industry and research
through a reestablished inquires about program that is centered on execution of proof based
changes in benefit conveyance. Be that as it may, successful help programs require financing and
the Commonwealth must store deliberately important projects to help data trade, for instance by
means of subsidizing for national workshops, and setting up a national clearinghouse for quality
surveyed data on best practice in essential care.

10HEALTH MANAGEMENT
References
Adams, C., Muir, S. and Hoque, Z., 2014. Measurement of sustainability performance in the
public sector. Sustainability Accounting, Management and Policy Journal, 5(1), pp.46-67.
Ball, A., Grubnic, S. and Birchall, J., 2014. 11 Sustainability accounting and accountability in
the public sector. Sustainability accounting and accountability, p.176.
Bodenheimer, T., Ghorob, A., Willard-Grace, R. and Grumbach, K., 2014. The 10 building
blocks of high-performing primary care. The Annals of Family Medicine, 12(2), pp.166-171.
Britt, H., Miller, G.C., Henderson, J., Bayram, C., Valenti, L., Harrison, C., Charles, J., Pan, Y.,
Zhang, C., Pollack, A.J. and O'Halloran, J., 2013. General Practice Activity in Australia 2012-
13: BEACH: Bettering the Evaluation and Care of Health (No. 33). Sydney University Press.
Duckett, S. and Willcox, S., 2015. The Australian health care system (No. Ed. 5). Oxford
University Press.
McMurray, A. and Clendon, J., 2015. Community Health and Wellness-E-book: Primary Health
Care in Practice. Elsevier Health Sciences.
Najjar, Z., Hope, K., Clark, P., Nguyen, O., Rosewell, A. and Conaty, S., 2014. Sustained
outbreak of measles in New South Wales, 2012: risks for measles elimination in Australia.
Western Pacific surveillance and response journal: WPSAR, 5(1), p.14.
Osborn, R., Moulds, D., Schneider, E.C., Doty, M.M., Squires, D. and Sarnak, D.O., 2015.
Primary care physicians in ten countries report challenges caring for patients with complex
health needs. Health Affairs, 34(12), pp.2104-2112.

11HEALTH MANAGEMENT
Powell Davies, G., Harris, M., Perkins, D., Roland, M., Williams, A., Larsen, K. and McDonald,
J., 2017. Coordination of care within primary health care and with other sectors: a systematic
review.
Saurman, E., Lyle, D., Perkins, D. and Roberts, R., 2014. Successful provision of emergency
mental health care to rural and remote New South Wales: an evaluation of the Mental Health
Emergency Care–Rural Access Program. Australian Health Review, 38(1), pp.58-64.
Takian, A., Doshmangir, L. and Rashidian, A., 2013. Implementing family physician programme
in rural Iran: exploring the role of an existing primary health care network. Family practice,
30(5), pp.551-559.
Morris, A., Waghorn, G., Robson, E., Moore, L. and Edwards, E., 2014. Implementation of
evidence-based supported employment in regional Australia. Psychiatric rehabilitation journal,
37(2), p.144.