What are the Core Competencies for

Prevention in a Health Workforce?

Professor Glen F. Maberly, Director, CHIP

Community Health and Wellbeing

Through Multi-Sectoral Partnerships

2nd ILSI-CHIP Symposium Dec 7-8th 2011

Prevention is Everyone’s Business

Plenary 4: Building a Healthy Workforce

Committed to Prevention

Health Reform

Hippocrates

A physician is skilled in treating and certainly not harming their patients – a

master physician is skilled in treating whole populations – translated annotation

Patient becomes Population

Family & social history becomes Cultural, Socio-economic and Political environment

Medical History/Assessment becomes Epidemiology profile & activities of potential partners

Diagnosis/Problem List becomes Burden of Disease

Management becomes– Multi-sector interventions

Follow-up - Evaluation

Moving from Clinical Medicine to Public Health Practitioner

Components of Community Health and Wellbeing Programs

BEHAVIOURAL CHANGE Advocacy/ Politics Communication/ Media Education/Marketing

MULTI SECTOR INTERVENTION Councils/Planning/Design/ Services Food production & Supply Schools/Education Government Institutions Recreation/Sports Transport Social Services

ASSESSMENT Baseline and follow-up Survey Situation Assessment Inspection and Enforcement Program Monitoring Evaluation

MANAGEMENT Human Resources Training/Skills Information Networks Financial Resources Other Resources

Skills for Modern Health Worker

Basic skills set

Strong/ up-to-date medical knowledge and experience

Specialised procedural, diagnostic and other technical

Strong communication skills with patients, carers, staff, colleagues

eHealth savvy

Enhanced skill set

Innovation and entrepreneurial

Finance and business

Partnering

Advocacy, education & marketing

Epidemiology, monitoring & evaluation

if you don’t have it rent it

COAG has agreed to work in partnership on National Health Reform with the following

initiatives that have opportunity to strengthen investments in prevention.

National Partnership Agreement on Preventive Health The Australian National Preventive Health Agency is committed to conducting a national audit of our current

workforce and developing a new strategy to strengthen it.

The NSW Government committed to strengthening preventative health initiatives Minister’s Presentation

Local Hospital Network To have a prevention role

Medicare Local To have a population focus and a prevention role

National Aged Care System, including Home and Community Care (HACC) New initiatives for District Programs for Aged Care and Healthcare to support healthy aging (Dec 23)

Personally Controlled Electronic Health Record (PCEHR) Information systems to support coordinated care and health coaching

Workforce Development Training more GPs and medical specialists, and better supporting nurses and allied health professionals

For more Info: http://www.yourhealth.gov.au

Commonwealth / State Health Reform

Let’s harness these reforms to also build the prevention workforce

Public-Private-Civic Partnership Prevention is everyone‘s business

Sharing Culture – bring your partnership

skills to the table

Share the Vision - everyone can see and

share the big picture

Satisfy Needs – “what’s in it for me”

recognised for each partner

Specialise Contribution – each party brings

recognised unique value

Streamline – change what you do a little to

benefit the whole

Shared Risk and Reward - there is enough

sunshine for everyone

Stay optimistic – many reasons to say no,

stay focused on the “why not”