AB-1 - Achieving Better Outcomes through Integrated Care: Learnings from Australia

1. Expanding access to team-based care

  • Date: 2024-10-24
  • Concurrent Session: Concurrent Session AB
  • Time: 2:45– 4:30 pm
  • Room:
  • Style: Workshop (session is structure for interaction and/or hands-on learning opportunities)
  • Focus: Balance between both (e.g. Presentation of a best-practice guideline that combines research evidence, policy issues and practical steps for implementation)
  • Target Audience: Leadership (ED, clinical lead, board chair, board member, etc.)    Clinical providers        Representatives of stakeholder/partner organizations
     

Learning Objectives:

Participants will learn: 

  • Learn about how a whole system approach to preventative, proactive and digitally enabled care was designed and implemented in Western Sydney (Australia). The presentation will cover everything from co-designing the transformation with government, Ministry, and local partners as well as the outcomes achieved, highlighting key learnings for OHTs, PCNs, FHTs and interprofessional primary care teams.    Participants will take away international insights which are directly relevant to their work. They will learn from lived experience in integrated care, including what ingredients are critical, important and of lower priority to get started with a meaningful transformation to an integrated team-based care model.  

Summary/Abstract:
The Western Sydney Care Collective (WSCC) is a partnership between the Western Sydney Primary Health Network (WSPHN) and the Western Sydney Local Health District (WSLHD), equivalent to an OHT in Ontario. It was established as part of the NSW Collaborative Commissioning Program. Through integrated governance, delegations, shared culture, information sharing, community engagement and communications, the WSCC overcomes organizational barriers to partnership and allows key players to work together.     In 2020, building on 20 years of partnership, the WSCC implemented its two largest ever integrated care models: Value-Based Urgent Care which provides sustainable, alternative local patient-centred urgent care services, at the right time and in the right place; and Cardiology in Community (CiC) which strengthens participation and screening to improve identification of people at risk of cardiovascular disease to improve management of atrial fibrillation (AF); enhance ongoing management and treatment of patients with AF.    Both models are built on a network of Patient-Centred Medical Homes (PCMHs), a program led by WSPHN for more than ten years where WSPHN extracts data from 285 family practices and through its team of practice support officers, supports continuous improvement, integration and health pathways in partnership with 700+ community providers, 4 hospitals and 7 community health centres.     This presentation will provide an overview of the establishment of the WSCC, the co-design and implementation of the models of care and the outcomes achieved. It will then facilitate a session with the audience to relate this experience to the Ontario context and their day-to-day challenges.  
 

Presenter:

  • Ray Messom    Principal and National Health & Ageing Leader for Nous Group (Past CEO Western Sydney Primary Health Network, WSPHN) Nous Group
  • Nadia Feerasta    Director and Ontario Health & Ageing Leader, Nous Group    Nous Group