In 2014, the Laynhapuy Homelands Aboriginal Corporation (LHAC) commissioned KBC Australia to undertake a review of the Laynhapuy Homelands Health Service delivery model. The key requirements of the review were to:
- Benchmark the service against the National Key Performance Indicators for Aboriginal and Torres Strait Islander primary health care (nKPIs) with consideration of jurisdiction, remoteness and size of organisation
- Describe the key features of the model and how it seeks to promote access to services for residents of the Homelands. Access includes the dimensions of availability, geography, affordability, organisation of PHC resources to enable contact with, entry to services and navigation of the system, timeliness, acceptability and awareness
- Consider the efficacy and cost of LHAC systems that support timely referral and treatment of clients for secondary and tertiary treatment
- Identify the strengths and weaknesses of the service model with respect to promoting access to health care for dispersed populations
- Comment on funding adequacy and effectiveness compared to service delivery to similar populations.
- Recommendations on how to improve, strengthen and preserve outreach model.
In undertaking the Review, KBC drew on the literature to develop a Framework against which to describe and analyse the Laynhapuy Homelands Health service delivery model. This framework considered the functions of the service, the necessary building blocks that underpin effective service delivery and governance, and key dimensions of access (availability, geography, affordability, organisation of PHC resources to enable contact with, entry to services and navigation of the system, timeliness, acceptability and awareness.
The framework was populated through:
- Desktop analysis of documentation provided by Laynhapuy Homelands Health
- Key informant interviews
The performance of the LHHS was assessed by comparing the nKPI data collected and reported by the LHHS to the national collection and report.
The KBC team synthesised the data collected through the review to identify and describe the strategies used by the service to promote access to primary health care for homelands residents, features of the service model that assisted in achievement of KPIs. The review made a determination of the effectiveness of systems to support referral of residents for secondary and tertiary treatment. The key factors that contributed to the success of the model were identified, as were risks to it sustainability. The report included advice for the future directions of the service.