The health system, and all of the organisations within it, requires good governance in order to be effective. From the Commonwealth government to the smallest Aboriginal Community Controlled Health Organisation, better governance can improve care and support the work of health care staff.
- What organisations/services or individuals external to our service do we currently work with (group for corporate functions and for health service functions)?
- What organisations/services would you like to build working relationships with (group for corporate functions and health service functions)?
- Are there high quality support providers you would like to work with?
- Would you consider approaching any of the above organisations to discuss sharing corporate support services?
This tool is based on information contributed by participants and research undertaken for the Support Systems for Indigenous Primary Health Care Services Project.
Factors influencing corporate support
There are a range of influencing factors for Indigenous Primary Health Care Services to consider when planning to implement a new corporate support system or build upon and strengthen current systems.
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How to identify corporate support needs
Some organisations identify support needs through structured and regular meetings with the different stakeholders in their service (e.g. a senior leadership group, senior clinicians and public health doctors, Aboriginal Health Workers, community meetings, Board meetings).
Organisations should develop guiding principles for the decision-making process to get support. Principles should reflect the needs relating to your organisation, context and community.
What are the principles that guide how our organisation works? What is our mission statement?
What will our model for corporate support look like?
There is no one-size-fits-all model for accessing appropriate corporate support. The models we have identified have varying levels of sharing between organisations, and the organisations participating in them also have different levels of control over how resources are shared.
The CRCAH is currently exploring options for a future entity to carry on the work of the CRCAH beyond June 2010. As part of this process, the CRCAH is exploring ways of developing a research agenda for any such new entity. A growing body of evidence is available to help inform the strategic priorities upon which a new entity such as a National Institute of Aboriginal Health Research could focus.
Aboriginal Community Controlled Health Organisations and government funders: Accountability to whom and for what?
The first part of this paper gives background information about the CRC for Aboriginal and Tropical Health and its achievements. A key to the success of CRCATH has been its Board of Management, its organisational structure and its support for Indigenous leadership across the activities of the Centre. The second part of the paper comments on issues raised in the Issues Paper and makes a number of recommendations.
Administering the Aboriginal community controlled health sector for public value and robust accountability
Many public health delivery services for Aboriginal people are in the hands of community controlled organisations, particularly in remote areas. These are largely funded by government grants, and the main Commonwealth health agency, the Office for Aboriginal and Torres Strait Islander Health (OATSIH), keeps tight surveillance on its expenditure. This is in the public interest, but it also leads to heavy burdens of administration both for the Department and for the organisations themselves.
An 'Experiment' in Indigenous Social Policy: The rise and fall of Australia's Aboriginal and Torres Strait Islander Commission (ATSIC)
The Aboriginal and Torres Strait Islander Commission (ATSIC) was established in 1990 as part of the Australian government's attempts to address the extensive disadvantages faced by Indigenous Australians. ATSIC was described as a "path-breaking experiment" in indigenous affairs, combining administrative and representative functions in one statutory body. By 2004, however, ATSIC was all but dead. This article describes the short life history of ATSIC and examines the major con?icts, tensions and criticisms that have led to its demise.
Evaluation has the potential to benefit Aboriginal and Torres Strait Islander people through improved policy and programs. Evaluation also provides opportunities to harness and develop community expertise. However, communities, evaluators and government are concerned that evaluations of programs addressing Aboriginal and Torres Strait Islander health and wellbeing do not always deliver these benefits.
The programmatic approach was developed in 2004 and informed change in the operations of the CRCAH in 2005. It involves a shift from the CRCAH's previous approach, with much more emphasis on large programs of work rather than individual projects. This new approach is designed to ensure that the research agenda focuses on the achievement of significant health gains, builds on and maximises the impact of existing research, and addresses issues of how improved health outcomes can be achieved through either new research or improvements in the uptake of existing evidence.
Analysing contractual environments: Lessons from Indigenous health in Canada, Australia and New Zealand
Contracting in health care is a mechanism used by the governments of Canada, Australia and New Zealand to improve the participation of marginalized populations in primary health care and improve responsiveness to local needs. As a result, complex contractual environments have emerged. The literature on contracting in health has tended to focus on the pros and cons of classical versus relational contracts from the funder's perspective.
This report presents the results from a National Health and Medical Research Council Health Research Grant (ACE–Prevention). the project evaluated 123 preventive interventions and 27 interventions. It also adapted general population models to estimate the costeffectiveness 21 interventions for the Indigenous population.
In this paper we explore the changing relationship between Aboriginal peoples and the Australian state within the context of Australian federalism. Our particular focus is on the relationship between the institutional organisation of Australian health systems and the equitable provision of health services to Aboriginal Australians. We examine the historical development of this relationship over three key periods. The period from Australian federation in 1901 to the 1967 referendum resulted in the deletion of race clauses from the Australian constitution.
Beyond Bandaids: Exploring the Underlying Social Determinants of Aboriginal Health. Papers from the Social Determinants of Aboriginal Health Workshop, Adelaide, July 2004
Beyond Bandaids is a collection of sixteen papers from the CRCAH Social Determinants of Aboriginal Health Workshop held in Adelaide in July 2004.
Bridging the Health Equity Gap - A Submission from the Cooperative Research Centre for Aboriginal Health to the National Health and Hospitals Reform Commission
On 13 February 2008, the Federal Government delivered an Apology to Australia’s Indigenous Peoples. The Prime Minister’s address to the House of Representatives, witnessed live on television by hundreds of thousands of people, was a dramatic and moving event.