Through its sector development activities, the VHA seeks to build the capacity of health, community health and aged care services to deliver high-quality, safe, and innovative care for all Victorians as well as support to implement reforms and manage change.

 

Our Strategic Projects team supports the successful delivery of multiple state-wide projects relevant to the Victorian public health sector and VHA member services. These projects could, for instance, entail:

  • describing public health sector operational demand, needs, challenges, enablers and goals
  • building sector capability to meet these challenges
  • supporting the implementation of government reforms and legislation
  • co-designing high level operational models of care
  • piloting and scaling-up of innovations, (e.g. to optimise health workforce wellbeing).

 

Methodology

We utilise the VHA’s projects operational framework to manage projects through their lifecycle, using lean design principles. Our project management approach features the following five phases:

Outcomes and values focus

The VHA gains and maintains its valued membership by providing outstanding support when members need it most, and building trust that can be translated into strong engagement with activities and projects. We work with strategic partners that have shared interests in the health system and deliver works that are mutually beneficial to both clients and our membership.

Maintaining a focus on outcomes and values is central to the VHA sustainably meeting our obligations to both members and clients. We work with an understanding that all parties are pursuing the best possible outcomes for our communities.

The VHA utilises its engagement framework to guide work with members and sector partners; helping to deliver high-quality results for all projects and activities.

 

Current projects

Community Health – Health Promotion (CHHP) Guidelines – Evaluation and Monitoring

The VHA is supporting the Department of Health by developing a measures suite aligned to the department’s revised CHHP guidelines that will operate as transitional from October 2022 until September 2023.

The suite being developed for use of the community health sector includes:

  • impact/outcome measures for the three state-wide health promotion focus areas they will lead, i.e. healthy eating, active living and tobacco / e-cigarettes
  • a relational assessment resource, containing multiple tools that can be used to assess the strength or effectiveness of relationships with partnerships that support (and indeed are often critical) to the work.

The work is occurring in three phases:

  1. Phase one (March to June 2022) – design of measurement principles and healthy eating measures
  2. Phase two (August to October 2022) – design of the active living and tobacco / e-cigarette measures, as well as the relational assessment resource
  3. Phase three (estimated commencement December 2022) – implementation of the measures suite and embedding an equity lens within the ‘whole of population’ health promotion program

The VHA has engaged members and subject matter experts in the project via:

  • two expert roundtables (for active living and then tobacco / e-cigarettes)
  • a community health sector reference group
  • two community health all-of-sector forums
  • a call-out for case studies to be included in the relational resource.

For further information, please contact Ann Yeomanson (General Manager, Strategic Projects) via ann.yeomanson@vha.org.au or 0413 905 986.

 

MARAMIS gap analysis and implementation in community health

Since the 2015-16 Royal Commission into Family Violence, multiple Victorian government reforms have been implemented (including in the community health sector) to help prevent family violence. These reforms are outlined in part 5A of the Family Violence Protection Act 2008  and / or part 6A of the Child Wellbeing and Safety Act 2005.

The acronym ‘MARAMIS’ is often used in the healthcare sector, to encompass the 2018-implemented:

  • Multi-Agency Risk Assessment and Management (MARAM) Framework, a comprehensive framework that sets minimum standards and roles and responsibilities for screening, risk assessment, risk management, information sharing and referral throughout Victorian Agencies
  • Family Violence Information Sharing Scheme (FVISS)
  • Child Information Sharing Scheme (CISS)

After five of its member community health services indicated interest in support to increase the sector’s confidence in implementation of MARAMIS, the VHA successfully obtained a MARAMIS Sector Capacity Building Grant from Family Safety Victoria (FSV) in November 2021.

The grant is now supporting community health sector-specific work that will deliver a unified approach to MARAMIS implementation across the service system. Twenty-two delegates nominated by the sector are participating in working groups that are systematically identifying challenges to MARAMIS implementation, sharing knowledge, linking their staff to training, and co-designing solutions that include template tools for tailoring to individual service’s context.

This work is expected to continue until 30 June 2023.