CHA Matters Member Update September 2020 - Catholic Health Australia

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CHA Matters Member Update September 2020 - Catholic Health Australia
CHA Matters
Member Update September 2020

                                               Health Matters
Welcome to this update on CHA activities
in 2020. This year has tested the health and
aged care sectors more than any other in       New models for Private
recent memory. Your systems and staff are      Health Insurance
under great strain, and are called upon
time and again to focus on the task ahead.
At CHA we have a job to do which is to
advocate for better health and aged care
policy and to ensure you are listened to
when we speak as one sector. Your Catholic
ministry of healing has never been more
important and we continue to place that at
the heart of everything that we do.
                                               As more Australians move away from private health funds
Here is a snapshot of the work we have         CHA is leading the way in developing policy that will stem
undertaken this year. We hope to publish       the tide and protect our system of universal healthcare in
                                               Australia.
similar updates regularly.
                                               We have commissioned a major report to examine options
                                               to improve the financial sustainability of the sector while
                                               ensuring the poor, vulnerable and marginalised in our
                                               community are able to continue to access healthcare,
                                               such as mental health services.
                                               The report will examine the current value proposition
                                               for private health insurance, consider the best incentives
                                               to attract and retain Australians in private health funds
                                               and look at opportunities to improve the efficiency of
                                               contracting between private hospitals and health funds
                                               to ensure more of the health dollar is spent on patients.
                                               The report is expected to be out in October 2020.

CHA Matters | Member Update September 2020
CHA Matters Member Update September 2020 - Catholic Health Australia
Health Matters

Working as one hospital
sector during the pandemic
CHA has been playing an important role in the Australian
health sector’s response to COVID. As the pandemic struck
and all but the most urgent elective surgery ceased in late
March CHA sat down with government to talk about ways
in which our sector could assist amid some dire predictions
about a lack of capacity for intensive care beds and
unprecedented demand for ventilators.
In conjunction with the private for profit hospital sector
CHA negotiated with Commonwealth, State and Territory
Governments an historic viability guarantee that saw the
full integration of the Catholic sector’s hospitals with the
public system. Working under the direction of state and
territory government health departments our facilities
and staff were put at their disposal to fight COVID. That
partnership has served well over the second phase of the
pandemic in Victoria and will continue to be in place and
ready to be re-activated at a moment’s notice so long as the
threat of COVID remains.

Better services for patients
                                                               In keeping with our mission for affordable and accessible
                                                               healthcare CHA is pushing for reforms to the health sector
                                                               that delivers on this. CHA has authored a report into the
                                                               missing opportunity of out of hospital (OOH) care.
                                                               The report, entitled Advancing Health’s Missing Sector,
                                                               focuses on the barriers and solutions to enable OOH
                                                               care to grow across the private system. It also identifies
                                                               the funding mechanisms required to expand OOH care
                                                               and how to ensure non-hospital providers meet similar
                                                               standards as hospitals. Our team has already held talks
                                                               with government, private hospital groups and the health
                                                               funds.
                                                               CHA has also been advocating for an extension of the
                                                               temporary Medicare items for telehealth services. We have
                                                               been focusing our efforts on communicating the benefits
                                                               of telehealth for the poor, vulnerable and marginalised,
                                                               such as those in regional and rural areas who have limited
                                                               access to specialist health care, and those accessing mental
                                                               health services. CHA will continue to use the media to
                                                               put pressure on government and the private health funds
                                                               to make telehealth a permanent fixture of our health
                                                               landscape.

CHA Matters | Member Update September 2020                                                                                  2
CHA Matters Member Update September 2020 - Catholic Health Australia
Aged Care Matters

The Aged Care                                                   End of life directions
Royal Commission                                                funding partnership
                                                                CHA signed a three-year collaboration contract with the
                                                                Queensland University of Technology, Flinders University
                                                                and the University of Technology to improve the quality
                                                                of end of life care for older people, including improving
                                                                linkages between aged care services and palliative care
                                                                services, improving skills and advance care planning
                                                                expertise and developing and applying assistive tools
                                                                and technology. End of Life Directions and Care is now an
                                                                integral part of CHA’s advocacy and policy formation.
CHA has used the Royal Commission process as an
opportunity to push for the reforms that are so desperately
needed to deliver a better aged care system. We have
actively engaged with the Commission in the past 12
months, providing a witness statement regarding funding
                                                                Fighting for Better Aged Care
and financing issues, a submission on the redesign of
                                                                campaign
the aged care program and participating in invited
teleconferences with Commission staff. Throughout the
year we have kept members informed by circulating
summaries of hearings and giving regular updates in our
newsletter.

Advocating for a
Better Aged Care
                                                                CHA used the by-election campaign in Eden Monaro,
CHA has contributed to the work of the Minister’s
                                                                NSW to trial an aged care awareness campaign. We want
Aged Care sector Committee and that of the Aged Care
                                                                to make aged care a priority for the community and for
Financing Authority. We prepared a pre-Budget submission
                                                                our citizens to put pressure on our politicians to take
for the 2020-21 Budget which prioritised the need to
                                                                the issue seriously. In a three-week campaign period we
address residential aged care funding pressures pending
                                                                advertised in newspapers, radio and Facebook and handed
the introduction of a new funding system by addressing the
                                                                out hundreds of leaflets at polling booths. Among those
inadequate indexation arrangements that currently apply.
                                                                who saw the Fight for Better Aged Care campaign, there
We also prioritised the continued expansion of home care
                                                                was strong support for change. For example, the percentage
packages in order to reduce the current waiting list. In all,
                                                                of people who agreed with the statement that fixing the
our team made six major submissions to government and
                                                                aged care system should be a key government priority rose
the Department of Health on a wide variety of important
                                                                from 40% before the campaign to 60%. CHA’s initiative
issues. Our quarterly Canberra Aged Care Round-up
                                                                has spurred the wider industry into action and a similar
newsletters kept members up to date on developments
                                                                nationwide push by all aged care industry bodies is now
concerning the funding and regulation of aged care.
                                                                underway.

CHA Matters | Member Update September 2020                                                                                  3
CHA Matters Member Update September 2020 - Catholic Health Australia
Aged Care Matters                                               Mission Matters

Shaping sector response                                         Leadership program
to Covid-19                                                     Mission Services successfully concluded Cohort 2 of the
                                                                Ministry Leadership Program. Thirty-six senior executives
                                                                from health, aged care and community services completed
                                                                the program. Evaluations were highly positive. Members
                                                                of this cohort continue to network and collaborate on a
                                                                number of projects including staff exchanges between
                                                                CHA member hospitals. Cohort 3 commenced July 2019
                                                                and completed four sessions with CHA. Thirty-nine senior
                                                                executives from health, aged care and social services
                                                                are enrolled in the program. This cohort benefited from
                                                                improvements to the design and delivery of MLP.
                                                                After four years of running the MLP and seeing 120 people
                                                                successfully pass through the program, it transferred to
CHA has played a key role in influencing the sector’s           the Australian Catholic University (ACU) in July 2020.
response to the COVID pandemic. Daily updates with the          COVID 19 delayed the next session which was to occur in
Department of Health and with Minister Colbeck, as well         February: Cohort 3 recommenced in July 2020 and Cohort
as the aged care and consumer peak bodies, has ensured          4 will commence February 2021. We maintain strong links
we are both informed of government’s position and inform        with the ACU and have every confidence that the program
it. Initiatives to flow from such conversations included        will continue to go from strength to strength.
additional funding to meet provider costs in managing the
spread of COVID and to manage outbreaks; negotiating
the administrative arrangements for the claiming of
                                                                Vad tier 2 training
additional funding; developing a visitor access code; access
to PPE; greater flexibility in the use of CHSP funding; surge   Mission Services coordinates and presents training
workforce and testing capability; and protocols for the         for staff who are designated as tier 2 in the governance
transfer of COVID positive residents to COVID wards in          protocols which apply in our services for responding
public hospitals. At the time of writing CHA has circulated     to requests for Voluntary Assisted Dying (Suicide) in
some 40 updates on COVID-19 developments to members.            Victorian hospitals and residential facilities. Thirty-five
                                                                staff participated in the February session. The next Tier 2
                                                                training will occur in September 2020. Modules are being
                                                                developed for WA as the regulations for VAD legislation
                                                                become available.

CHA Matters | Member Update September 2020                                                                                    4
CHA Matters Member Update September 2020 - Catholic Health Australia
Ethics Matters
As part of the thought leadership in ethics CHA Secretariat
is developing a new series called Ethics Matters. We have
invited ethicists from among our member organisations
and academics from universities in Australia, the UK
and the United States to contribute articles on current
and emerging issues in ethics within the health and aged
care context. We are reaching out to a new Asian Catholic
Ethics Network for possible contributors. The first of these
papers outlined the positive contribution Catholic ethical
principles have to contribute to responses to a pandemic.
Two other contributions dealing with aspects of ethics of
vaccine development and vaccination are in the process of
being prepared for publication.

Decoding The Code
                                                                Decoding the Code continues to play an important role
                                                                in informing those working in the Catholic health and
                                                                aged care sectors of the need to understand the ethics that
                                                                underpin what we do. Demand for the course is growing
                                                                and we now offer two cohorts each year; the average
                                                                enrolment in each cohort is 40. The online training
                                                                program is conducted in ten sessions over a four month
                                                                period which introduces staff in CHA organisations to
                                                                the Code of Ethical Standards for Catholic Health and
                                                                Aged Care (Australia). A wide cross section of roles are
                                                                represented among the participants including; group
                                                                and facility level CEOs, Directors of Nursing, medical
                                                                staff, managers, senior executives and pastoral care
                                                                practitioners. The course is a collaboration between BBI –
                                                                The Australian Institute of Theological Education and
                                                                CHA Mission Services.

World Day of the Sick
In February Catholic Health Australia CEO Pat Garcia
promoted World Day of the Sick in the Catholic media and
explained why it was so important to mark it. Catholic
hospitals strive to serve everyone but particularly those
that society has forgotten and excluded, he wrote in a series
of articles. Next year CHA hopes to make World Day of the
Sick a significant date in the calendar, coming as it does in
the wake of this global pandemic.

CHA Matters | Member Update September 2020                                                                                    5
CHA Matters Member Update September 2020 - Catholic Health Australia
Media, Marketing & Public Relations

Media Coverage

CHA has been raising public awareness of issues that are           reform of private health funds to attract and retain young
important to you in the media as part of our advocacy aims.        people in the system. In the year to date CHA has been
Since October we have issued more than 40 CHA press                mentioned more than 400 times, a significant increase
releases to the media on a wide variety of subjects for our        on the previous year. We managed to secure coverage on
members in health and aged care. These include but are             Channel Nine, in The Sydney Morning Herald and The Age,
not limited to the following: pushing for a fairer funding         The Australian Financial Review and in The Australian, as
deal for Catholic hospitals to put their staff and facilities at   well as in leading industry websites. CHA will continue to
the government’s disposal during the pandemic; pressing            speak out in the media on issues that are important to you
the Commonwealth for more funding to help our aged care            and promote our Catholic mission.
operators deal with COVID; calling on the government to
examine means testing to fund aged care; and, pressing for

CHA Matters | Member Update September 2020                                                                                  6
CHA Matters Member Update September 2020 - Catholic Health Australia
Events

Webinar Events
More events are planned after a successful webinar hosted
jointly by CHA and the Commonwealth Department                                                                              .
of Health in July. One hundred people listened to the
discussion - Deputy Chief Medical Officer Dr Nick
Coatsworth (pictured) - on how the hospital system is
coping with COVID. He was joined by a panel of three
representatives from the Catholic hospital sector: Rachel
Resuggan, Group Manager Allied Health, St John of God
Health Care; Tanya Brooks, General Manager Calvary
Adelaide Hospital; and Anthony Schembri, CEO St Vincent’s
Hospital Sydney. It showed us that our members appreciated
the opportunity to share experiences and learn from each
other following the events of the past few months.
CHA is now planning a similar webinar on the future of
telehealth which has seen a boom during the pandemic
and more events are in the planning stages.

Moves

Board and staff changes
There have been a number of changes to the CHA board          At the same time CHA’s Director of Mission Strategy Susan
with the departure of Paul Robertson AO as Chair and his      Sullivan left to join the Australian Catholic University to
replacement by John Watkins AM. Paul McClintock AO,           oversee the Ministry of Leadership Program which also
Francis Sullivan AO, Virginia Bourke and James Birch AM       transitioned from CHA to ACU. We thank Susan for her
all joined the board as directors. Jenny Parker was elected   years of service to the CHA community and wish her well
Deputy Chair. We would like to take this opportunity to       for the future.
thank Paul for his years of service and wise counsel to CHA
                                                              And lastly, CHA’s Secretariat has moved to new, smaller
and wish him well for the future.
                                                              premises in Canberra. The address of the office is Level 5,
This past year has also seen a number of staffing changes     60 Marcus Clarke Street, Canberra. The postal address
at CHA with the appointment of Pat Garcia as our new          remains the same - PO Box 245 Civic Square, ACT 2608,
Chief Executive who joined the organisation in October.       as does the telephone +61 2 6203 2777.
He was followed by the appointment of James Kemp as
Health Policy Director and Julian Lee as Communications
and Media Director in the New Year. The aged care team’s
capabilities were bolstered with the appointment in June
of Paul Linden as Senior Policy Advisor.

CHA Matters | Member Update September 2020                                                                                  7
CHA Matters Member Update September 2020 - Catholic Health Australia
CHA would like to thank our sponsors, HESTA and Bank
First, for their generous support of our activities in the
past year. We encourage you to visit their websites and
find out more.

Contacts
Catholic Health Australia                     Pat Garcia
ABN 30 351 500 103                            Chief Executive Officer
PO Box 245                                    [email protected]
Civic Square
                                              Nick Mersiades
ACT 2608
                                              Director of Aged Care
T +61 2 6203 2777                             [email protected]

www.cha.org.au                                James Kemp
                                              Director Health Policy
    catholichealthaustralia
                                              [email protected]
   @chaaustralia
                                              Julian Lee
                                              Director of Communications
                                              and Media
                                              [email protected]
CHA Matters Member Update September 2020 - Catholic Health Australia CHA Matters Member Update September 2020 - Catholic Health Australia
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