1. A model of oral health services in remote Aboriginal communities. October 2014
Presented by Graham White on behalf of
Gwynne K, Irving M, McCowen D, Rambaldini B, Skinner J, Naoum S, Blinkhorn A
Poche Centre for Indigenous Health
2. Poche Centre for Indigenous Health Disclosure Slide 1
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Faculty: Kylie Gwynne
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Relationships with commercial interests:
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I have no conflicts of interest to declare
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Colgate has provided <50 tooth brushes to the Poche Centre for Indigenous Health as part of this project and have agreed to provide another product as part of another project.
3. A thirty year problem
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Highly disadvantaged communities
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Had an oral health service but
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it was inadequate and high cost
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cross border issues were a serious barrier
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service design was poor
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community need was enormous
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communities were motivated to improve services
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4. Objectives
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The Poche Centre for Indigenous Health in conjunction with local Aboriginal Community Controlled Health Services, Local Health Districts and Centre for Oral Health Strategy aimed to develop a new sustainable model of oral health care for remote indigenous communities in the Central and Northern Tablelands of NSW. 4
5. The outcome now
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And just over a year down the track…
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Two Aboriginal Health Services, two Local Health Districts, five community health clinics, 13 schools, six pre-schools all collaborating to deliver comprehensive oral health services across eight communities using philanthropic, state and commonwealth funds
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6. What makes it work?
Financial model
Partners
Collective impact
Embracing technology
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9. Partners
› A long term, collaborative,
integrated regional model
› It is easier to resource a
team if you think regionally
› Build on existing capacity,
services and infrastructure
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10. Elements of collective impact
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Financial model
Partners
Collective impact
Embracing technology
Common agenda
Shared measurement
Mutually reinforcing activities
Continuous communication
Backbone support
11. Collective impact
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Common agenda
Shared measurement
Mutually reinforcing activities
Continuous communication
Backbone support
Improved oral health; services embedded; capacity and skill building
Collaborative research project; shared data gathering and analysis
Genuine partnership;
shared resources
Formal and informal; mutual accountability
Coordination, not control; secretariat
12. Collective impact in action
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Common agenda
Shared measurement
Mutually reinforcing activities
Continuous communication
Backbone support
Questioning
Learning & adapting
Getting started
Preparation
Fit
14. What does this means in practice?
AMSs host medical records, manage billing processes through Medicare, lead patient management/coordination, transport, employ staff including some dentists and dental assistants, host students
Schools manage consent processes, provide workspaces and storage, on-site support for specialist staff
LHDs provide clinical spaces, loan and second hand equipment, funding for service delivery, support region-wide oral health promotion projects
NSW Centre for Oral Health Strategy provide funding for services and supplies, strategy support, NSW government liaison
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Commonwealth health fund graduate year positions and infrastructure via AITEC
Donors and sponsors provide funding, time and resources
Poche leads community liaison, development of MOUs, provision of specialist staff, funding for evaluation/research, logistics, trouble shooting, policy/strategy advice and support, clinical training and supervision, scholarships, equipment supply Everyone participates in research/evaluation, sharing knowledge and resources, reviewing data, training
24. Conclusion
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A collective impact model between two Aboriginal Community Controlled Health Services, State and Commonwealth Governments, and the University of Sydney has been effective in delivering a new model of oral health services to Aboriginal people in remote NSW. 24
25. Next steps
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Analysis of qualitative and quantitative data over time
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Economic evaluation
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School attendance
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Tele dentistry
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Scholars
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26. About the Poche Centre for Indigenous Health
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Established in 2008 following a generous donation from Mr Greg Poche and Mrs Kay Van Norton Poche
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The Poche Centre at the University of Sydney has three key areas of work
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healthy kids and families
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healthy teeth
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healthy hearts
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27. Thank you
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Darling Downs Hospital and Health Service
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Mungindi Multipurpose Health Service
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Pius X Aboriginal Health Service
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Faculty of Dentistry, University of Sydney
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Rotary Club of Sydney
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Colgate
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Souths Cares
