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TAZREACH – Improving access to health services across Tasmania

BSIA Expression of Interest Form (Diabetes Service)

Planning, Purchasing and PerformanceDepartment of Health and Human Services

TAZREACH Bass Strait Islands Agreement (BSIA)

The Bass Strait Islands Agreement supports health professionals working on the remote Bass Strait Islands. Subject to Commonwealth approval, it is anticipated that funding will be available through the BSIA from 1 July 2017 – 30 June 2018. Expressions of Interest are being called to support a Diabetes service to Flinders Island.

Liaising closely with health professionals and members of the local community, the successful applicant will need to demonstrate the value and effectiveness of their particular service. A maximum of $16,000 is available for funding.

Evaluation of Submission of Diabetes Service Proposal

Funding for outreach services is competitive. For this reason, service proposals for a diabetes service will be evaluated and ranked according to:

1. the degree of need for the particular type of diabetes service on Flinders Island2. the degree to which the service increases access to diabetes care3. the service’s professional standards of safety and quality4. the cost-effectiveness and sustainability of the proposed service

Please refer to the evaluation criteria listed at the end of this package when preparing this service proposal application. Please also refer to the information on the last page this package for details on how to submit your proposal.

Collection of Personal Information

Under the Personal Information Protection Act 2004 the Department of Health and Human Services is the custodian of personal information and the collection, use and disclosure of that information is governed by the Act. For more information please visit www.dhhs.tas.gov.au/about_the_department/your_rights/personal_information_protection

http://www.dhhs.tas.gov.au/about_the_department/your_rights/personal_information_protection

TAZREACH – Improving access to health services across TasmaniaService Proposal Application Package

Contact Details

Name:

Organisation Name (if applicable):

Phone No:

Email:

Fax:

Address:

ABN (if applicable):

Proposed Health Promotion Service Details

Type of diabetes service:

Service provider:

Is the Service Provider private or public salaried?If the provider is public salaried, will the position be backfilled during outreach visits?

Service Providers Base Location:

Service Location & Host Site:

Frequency of visits per year:

Please note that there is to be no client billing under this funding Agreement.

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Proposed Diabetes Service Structure (please use another page if needed)

Please describe what diabetes activities/programs will be provided and the proposed itinerary of the service:(Please include details such about what will be delivered using the funding, the service structure arrangement, travel and accommodation requirements, intended length of outreach visits, number of people delivering the service, anticipated number of clients per visit and other arrangements to deliver the outreach service)

Please provide details of how the administration and clinical co-ordination aspects of the service will be managed; who will be responsible for performing them; and how the activities will be marketed.(Activities may include but are not limited to clinical coordination, booking appointments, patient follow ups, managing wait lists and general administration. If support for some/all of the listed activities are required, please specify)

Please describe the clinical governance process for the proposed service:(Please include details on how the service will ensure professional standards for safety and quality)

Please describe how the service will use health literacy strategies to ensure client understanding:

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Community Need Evidence (please use another page if needed)

Please describe how this service fills a gap in service delivery to the targeted region/community. Please provide any available data:(Please specify any existing services in the area, closest services available, waiting list period to access closest services, client travel requirements to closest services, etc.)

Please list people who have been consulted as part of proposal, and include a letter or email of support from at least two of the persons listed:(Please consider all relevant persons, organisations, supporting services and community members as part of the consultation process)

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Proposed Budget

In order to determine the amount of funding that TAZREACH can provide, information is required about the costs of delivering the Diabetes Outreach Service.

TAZREACH cannot fund client transport, medical supplies, medications or the purchasing of equipment. TAZREACH does not enter into any employment arrangements with providers.

Below is a list of costs associated with delivering outreach services. Please tick the applicable items and estimate the dollar amounts per visit to Flinders Island. Please complete multiple proposed budgets if there are different proposed activities planned.

For the full funding guidelines please refer to the service delivery standards on our website: http://www.dhhs.tas.gov.au/healthprofessionals/tazreach/funding_information

Please note in accordance with our funding guidelines ATO rates are applied for all travel expenses.

Can the health professional claim against the Medicare Benefits Schedule (MBS) for this service? Y / N

Travel: Applicable? Estimated $ Amount

Return airfares per person

Accommodation nights

Car hire**

Airport Shuttle (available on Flinders Island)

Parking (at base location)

Taxi (applicable only if not hiring a vehicle)

Meals

Administration:

Administration support (set fee)

Room hire (paid directly to host site)

Workforce Support (No. of estimated hours):

Travel time to and from outreach location

Cost per hour to run activities ($)

Will Upskilling and/or Professional Development be provided to staff or community members on Flinders Island?Please Specify:Other (please provide detail)

Indicative Total Per Visit:

** If Car Hire is applicable - Please explain the car hire need and usage for the proposed service:

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http://www.dhhs.tas.gov.au/healthprofessionals/tazreach/funding_information


Evaluation Criteria

1. Demonstrated need for the Diabetes service

The focus of the Diabetes Service has been identified as an area of need by local clinical staff or other service providers

Prevalence of conditions to be treated (statistical data) Location of nearest health promotion provider/s Waiting list of nearest alternative health promotion provider/s Impact on client of delayed treatment

2. Increased access

Billing arrangements Location of outreach service host facility Impact on client travel time and costs Upskilling of local clinicians (if provided, this increases locally available clinical support) The service utilises strategies to enhance the capacity of local clinicians

3. The professional standards of safety and quality for the proposed service

The clinical governance structure Professional oversight and review of individual practice Complaints procedure for clients Suitability of venue

4. Cost effectiveness

Consultation or other fees for clients Costs avoided for clients, e.g. by not requiring travel to an alternative provider Costs avoided for DHHS e.g. Patient Travel Assistance Scheme, alternative recruitment Cost compared to relevantly similar services in a relevantly similar region The relevance of the costs proposed in the budget

5. The extent to which the service will support health literacy of its clients

That the service proposal demonstrates an understanding of the significance of health literacy for clients That health literacy strategies can be implemented at the activity location That the health literacy strategies can be personalised for each client

TAZREACH Details

Phone: (03) 6777 2981Email: [email protected] Address: Reply Paid 83471

Launceston TAS 7250

Service Delivery Standards and further information can be downloaded from:http://www.dhhs.tas.gov.au/healthprofessionals/tazreach

Submission Process

Please submit this completed service proposal application and supporting documentation to TAZREACH using the contact details above.

A member of the TAZREACH team will be in touch with you shortly to discuss the progress of this submission.

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http://www.dhhs.tas.gov.au/healthprofessionals/tazreach

mailto:[email protected]

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