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9th Health Services and Policy Research Conference

Invited Speakers

Details of invited speakers will be posted as they are confirmed.

G SherryProf Sherry Glied

Dean, New York University’s Robert F. Wagner Graduate School of Public Service, USA

From Research to Policy: Health Reform in the United States

In 2013, Sherry Glied was named Dean of New York University’s Robert F. Wagner Graduate School of Public Service. From 1989-2013, she was Professor of Health Policy and Management at Columbia University’s Mailman School of Public Health. She was Chair of the Department of Health Policy and Management from 1998-2009. On June 22, 2010, Glied was confirmed by the U.S. Senate as Assistant Secretary for Planning and Evaluation at the Department of Health and Human Services, and served in that capacity from July 2010 through August 2012. She had previously served as Senior Economist for health care and labor market policy on the President’s Council of Economic Advisers in 1992-1993, under Presidents Bush and Clinton, and participated in the Clinton Health Care Task Force. She has been elected to the Institute of Medicine of the National Academy of Sciences, the National Academy of Social Insurance, and the Board of Academy Health, and has been a member of the Congressional Budget Office’s Panel of Health Advisers. Glied’s principal areas of research are in health policy reform and mental health care policy. Her book on health care reform, Chronic Condition, was published by Harvard University Press in January 1998. Her book with Richard Frank, Better But Not Well: Mental Health Policy in the U.S. since 1950, was published by The Johns Hopkins University Press in 2006. She is co-editor, with Peter C. Smith, of The Oxford Handbook of Health Economics, which was published by the Oxford University Press in 2011.

The United States has -- finally -- enacted comprehensive health care reform. Of course, the enactment of health reform was a tremendous political achievement. But the success of the effort also owes a great deal to decades of health policy scholarship. In this talk, I will describe the US reform and analyze how policy affected its design, focusing, in part, on mental health policy design.

Tanya AllportTanya Allport

Director of Research, Te Pou Matakana

Commissioning for Outcomes

Tanya is a PhD graduate from the University of Auckland, who specialises in indigenous research in health, justice and psychology. With a background in trauma studies, Tanya has worked as a lecturer at the Department of Maori and Pacific Health at the University of Auckland, and has also coordinated a foundation level programme for Maori and Pacific students entering the Faculty of Medical and Health Sciences. More recently, Tanya was a senior researcher for Treaty of Waitangi claims, and has submitted several research reports to the Waitangi Tribunal on behalf of Treaty claimants. These reports range from research into impacts of the Emissions Trading Scheme on Maori claimants, to research in health and education issues, as well as specific land-block alienation histories. Since then Tanya has been a contract researcher and writer, working on a range of projects focusing on health and indigenous development. In her role as Director of Research Tanya oversees Te Pou Matakana research management, project development and the research strategy that underpins Te Pou Matakana Commissioning approach and products, with an emphasis on the design and management of the Te Pou Matakana outcomes approach.

G FreedGary L. Freed MD, MPH

Percy and Mary Murphy Professor of Pediatrics in the School of Medicine and Professor of Health Management and Policy, School of Public Health, University of Michigan; Professor of Population Health, University of Melbourne

Anecdotes Vs. Data: Can Health Services Research Lead to Evidence-Based ED Policies?

Gary L. Freed MD, MPH is the Percy and Mary Murphy Professor of Pediatrics in the School of Medicine and Professor of Health Management and Policy in the School of Public Health at the University of Michigan. On July 1, 2013 Dr. Freed accepted the position of Director of the Health Systems and Workforce Unit and Professor of Population Health at the University of Melbourne and as Visiting Scholar in Health Care Policy at the Royal Children’s Hospital. He currently divides his time between Melbourne Australia and Ann Arbor, MI. Dr. Freed has over 25 years of experience in children’s health services research and has been the principal investigator of numerous federal, state and foundation-funded grants, and the first NIH-funded pediatric health services research fellowship program. He has published over 200 peer-reviewed articles on child health policy and health economics, immunizations, physician behavior, the medical workforce and inter-specialty variation in the provision of preventive services to children.

Surprising to many in Australia, the age band with, by far, the greatest number of Emergency Department (ED) presentations is that of children 0-4 years of age. Other paediatric age bands are also among the highest in absolute numbers of ED presentations. Understanding the reasons why parents seek ED care for their child for lower urgency conditions, the actual availability of GP services and patterns of use of alternative emergency service can assist in the efficient organisation and delivery of health services for children in Australia.

H DickinsonA/Prof. Helen Dickinson

Associate Professor Public Governance, Melbourne School of Government and School of Social and Political Sciences, University of Melbourne

Commissioning for consumer outcomes: how to make sure the Emperor isn’t naked

Helen Dickinson was educated at the Universities of Manchester and Birmingham in the UK. Helen was employed by the University of Birmingham from 2006-2013 where she taught and researched issues relating to inter-agency collaboration, priority setting and decision making and leadership. In late 2011 Helen established the University of Birmingham’s Public Service Academy which (PSA) which involved coordinating academic activities around the theme of public management and public policy and played an important role in the engagement agenda with local and national partners. Helen joined the University of Melbourne in 2013 as Associate Professor in Public Governance. She has published widely on topics such as governance, leadership, organisational behaviour and rationing in journals such as Public Administration, Public Management Review, Social Science and Medicine and Evidence and Policy. Helen has also authored, co-authored or edited twelve books on topics such as governance, leadership and the reform of health care. In 2010 she was the winner of the Social Policy Association’s “Best Newcomer” award which is awarded to an individual within five years of PhD completion who has made a significant contribution to the field of social policy. Since 2010 Helen has co-edited the Journal of Health Organization and Management and since 2012 has co-edited the Journal of Integrated Care. She is also an Associate Editor of BMC Health Services Research and the International Journal of Integrated Care.

In recent years commissioning has come to adopt an important place within the lexicon of Australian public services. Encouraged by the UK’s experience, commissioning is increasingly been used to describe core activities of public service organisations around the country. Health at is the forefront of this wave, with the recently formed Primary Health Networks (PHNs) being charged with a key role in commissioning services. This role is focused on increasing the efficiency and effectiveness of medical services for patients (particularly those at risk of poor health outcomes) and improving the coordination of care to ensure that patients receive the right care in the right place at the right time. As the role for PHNs suggests, advocates of commissioning promise that adopting this approach will lead to significant impacts, particularly in relation to consumer outcomes. Yet the evidence base indicates the opposite with commissioning often having little impact on consumer outcomes in practice. Despite this lack of evidence, the call for commissioning continues. This gap between evidence and action, has led some to question whether this latest wave of reform will deliver real change or is this just a case of the Emperor’s new clothes. That is, whether the Australian experience of commissioning will amount to lots of talk about something new and different but nothing new in reality. This presentation explores the concept of commissioning and sets out the evidence base, particularly in relation to consumer outcomes. It finds that commissioning is a difficult task, but there are a number of lessons concerning how these processes can be supported to keep concern for consumers central and ultimately ensure that the Emperor isn’t naked.

 j  gallagherJill Gallagher AO

CEO, Victorian Aboriginal Community Controlled Health Organisation

Jill Gallagher AO has many burning ambitions – to continue to assist our communities to thrive, to be part of the movement to reduce racism and to improve the health of Aboriginal people. Jill is a Gunditjmara woman from Western Victoria who has worked within, led and advocated for the Victorian Aboriginal community all her life. Since 1998 this has been through the Victorian Aboriginal Community Controlled Health Organisation (VACCHO), now one of Australia’s largest and most effective state Aboriginal peak advocacy organisations. As CEO since 2001, Jill has led a major growth in the organisation’s status by working to raise its profile and to position it as the key body in addressing Aboriginal health issues. Jill’s work was instrumental in achieving bipartisan support for the vital ‘Statement of Intent’ signed by the Premier in August 2008 on behalf of the State Government to ‘Close the Gap’ in Aboriginal life expectancy.

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Tanya HoschTanya Hosch

Joint Campaign Director, Recognise

Tanya is the Joint Campaign Director for Recognise, a position she shares with Tim Gartrell. Recognise is the movement to raise community awareness and support for constitutional change to recognise Aboriginal and Torres Strait Islander people in the Australian Constitution. Prior to this, Tanya has been in advocacy and consulting roles with the aim of increasing philanthropic investment into Indigenous development. Tanya was an integral member of the team responsible for the model design and establishment of the National Congress of Australia’s First Peoples. More recently Tanya worked with a steering committee to establish the Australian Indigenous Governance Institute. For the past 15 years Tanya has sat on a number of boards and committees. Tanya currently sits on the boards of the Australian Indigenous Governance Institute, the National Board of the Australian Red Cross, and Tanya is the Independent Chair of the new company Price Waterhouse Coopers Indigenous Consulting. In 2013 Tanya was named in the South Australian Women’s Honour Roll and for the past two consecutive years has been recognised in the list of ‘100 Women of Influence’ Awards run by Westpac and the Australian Financial Review to recognise women who are achievers in Australian business and society. In 2014, Tanya was appointed to the Review Panel for the Act of Recognition (2013) to provide a report (delivered in September 2014) to the Minister for Aboriginal Affairs.

Jen MorrisJen Morris

Jen Morris is a patient perspectives consultant, patient advocate, and healthcare quality and safety researcher. She speaks and publishes extensively on issues relating to healthcare quality and safety, healthcare regulation, service improvement, and patient perspectives. Her work focuses on bringing patient voices to forums from which such voices have traditionally been absent - including research teams, and profession-focused conferences, committees and meetings. Jen is also a researcher within the Law and Public Health Unit, in the Centre for Health Policy, at the School of Population and Global Health at the University of Melbourne. Her research interests include clinical error, healthcare complaints, practitioner impairment, mandatory reporting, patient experience, consumer involvement in governance and healthcare leadership. Jen's journalistic writing about healthcare has been published by the ABC, CSIRO and The Canberra Times. She has also been a guest lecturer on patient complaints for the University of Melbourne Law School. As a patient advocate, she holds positions as a Community Advisory Committee member for Mercy Health, a Community Reference Group member for the Australian Health Practitioner Regulation Agency, and a Participation Advisory Committee member for the Victorian Department of Health and Human Services.

Kym PeakeKym Peake

Acting Secretary, Victorian Department of Health and Human Services

Kym Peake commenced as Acting Secretary of the Victorian Department of Health and Human Services in September 2015. Kym’s substantive position is that of Deputy Secretary, Governance Policy and Coordination in the Victorian Department of Premier and Cabinet. Kym has extensive experience in both state and Commonwealth Government, including as Deputy Secretary, Higher Education and kills Group at the Victorian Department of Education and Training and Executive Director, Productivity and Inclusion at the Department of Prime Minister and Cabinet.

L RougheadProfessor Libby Roughead

Research Professor, School,of Pharmacy and Medical Sciences, University of South Australia

Creating data analytic systems to drive change in health care

Libby Roughead's research focuses on quantifying the extent of problems with medicines use, identifying the extent of adverse reactions to medicines, testing solutions for solving problems with medicines use and evaluating improvements in health care. Libby is the leader of the Centre of Research Excellence in Post-Marketing Surveillance of Medicines and Medical Devices, where she directs research to detect problems associated with medicines or medical devices. Libby also leads the Veterans' Medicines Advice and Therapeutics Education Services (MATES) program. This ongoing program has targeted over 35 therapeutic topics and provides educational material to doctors, pharmacists and veterans. The program has led to improvements in medicine use and reductions in hospitalisations. Libby's research also supports pharmaceutical policy development.

Libby is Director of the Quality Use of Medicines and Pharmacy Research Centre. She currently supervises PhD students undertaking research in the area of medicine and medical device safety, as well as pharmacoepidemiology.

The advent of computerised health claims data and electronic medical records provides opportunities to use of data analytics underpinned by behavioural theories to improve health care. Libby will present examples of using this approach to improve medicine use within the Australian veteran community. She will discuss the opportunities and potential for health services research using data analytics and distributed network approaches to improving Australian health care.

Graham ScottDr Graham Scott

Director, Sapere Research Group, New Zealand

Integrating health and social services in New Zealand

Graham provides strategic, economic, financial and management advice. He was Secretary to the New Zealand Treasury from 1986 to 1993 and a key figure in advising on far-reaching economic and public management reforms. Graham has since worked in 40 countries, at all stages of development. Graham Chaired the New Zealand Health Funding Authority and the New Zealand Electricity Market. In 1994 he was a Visiting Scholar at the International Monetary Fund. He has a PhD (Economics) from Duke University and a MCom from University of Canterbury. He was awarded the Order of the Companion of the Bath by the Queen for contributions to government reform in New Zealand.