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Commissioning for Better Value is one of the statewide priority programs that is accelerating NSW Health's move to value based healthcare. It means considering the outcomes that need to be achieved and designing, implementing and managing a system to deliver them most effectively.
Dr Nigel Lyons, Ministry of Health Deputy Secretary: So value based care is a huge move that's occurring internationally now, to think about are we doing the right things to deliver the best outcomes for our patients.
Carmen Rechbauer, Chief Executive HealthShare: Commissioning for Better Value is about improving the patient experience, improving services that we offer within our hospital environment.
Dr Nigel Lyons, Ministry of Health Deputy Secretary: We want to see our patients receive the best experience from the care we deliver. We want our clinicians to feel like the experience they have in delivering care is as good as it can be for them. That they actually have systems that support them to the things that they do well. If we deliver those things, what will flow is that we'll get better use of the resources that are available to us and our most precious resource is our people.
Often, we've gone out to market and if I can use the example of wound products, gone out to market to look at what's the least expensive product and we need to think about things differently. Because if we think about outcomes and resource utilisation, we might be prepared to pay a little bit more for a product because it actually delivers better outcomes in the long run.
Carmen Rechbauer, Chief Executive HealthShare: A really good example of internal commissioning if you like, was our Ambulance Make Ready model. So, traditionally paramedics worked 12-hour shifts and at the end of those shifts they were expected to clean and restock their ambulances. That wasn't making the best use of paramedics' time.
Paramedics now come into their stations and they step out of their vehicle and our staff then clean the ambulances and restock them and we actually employ training paramedics to do those services.
Dr Nigel Lyons, Ministry of Health Deputy Secretary: This is a long-term strategy, so we're very conscious of the fact that to make these changes at scale in a system as large and as complex as the New South Wales health system, will take us many years.
Having people involved in the way these things happen, so that they feel a part of the change rather than feel like it's being done to them, is really important.
Carmen Rechbauer, Chief Executive HealthShare: It's not something to be afraid of. So I would recommend that health service managers understand the theory behind it. And the key to making it work, I think, is not waiting for the perfect time to start but actually starting and learning along the way. There's lots of resources around. The Ministry of Health, we've got the CBV pathway, that's a really good place to start.
Dr Nigel Lyons, Ministry of Health Deputy Secretary: The only things that really shift and make a sustainable change in our system is where you get both managers and clinicians working together with a common goal of achieving a certain outcome. We're here for the same purposes and bringing the conversation around value, enables people to come together and work together more effectively.
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