How we can help

We work with clients to help solve the complex challenges health organisations face. We work on diverse projects, from the development of the most appropriate health policies and strategies, to on the ground implementation – working shoulder to shoulder with you and your team.

Our clients include state and federal government, leading private sector organisation such as private insurers, pharmaceutical companies, and new entrants into the health market.

PwC’s National Health Practice focuses on key areas that address current and future challenges for our clients:

Integrated care

Providing effective, efficient and relevant care to create a better patient outcome and experience

Integrating care should put the patient or citizen at the centre of the whole care economy.

It should be aimed at improving the patient experience and the health of populations and reducing the cost of health care per head. The traditional notion of healthcare and service delivery will be disrupted under integrated care – replacing a traditional deliverer and service focus with that of the recipients’ desired outcomes. This creates significant implications for the way service providers are engaged, work together and deliver services and similar challenges for commissioners.

Integrated care can only be achieved by everyone pulling together. It’s not easy. There needs to be the right incentives, a clear, aligned vision and clarity on financial arrangements. This vision should, we believe, focus on keeping people well, delivering care closer to homes and communities and avoiding interventions that prevent individuals living independent lives.

Above all, stakeholders need to put the patient at the heart of the change regardless of organisational silos.

PwC has Global experience in helping public and private organisations structure, design and implement their Integrated Care programs.

Funding and finance

Delivering more cost effective health services

Over recent years, states and territories have taken different steps in driving greater understanding and accountability for the activities funded within health services. Activity Based Funding (ABF) and Activity Based Management have been important drivers, and whilst there is uncertainty as to the future funding models that will apply, understanding costs associated with activities and the extent to which funding covers these costs will always be a vital part of health service performance.

There is always the need to seek efficiency in the delivery and funding of public hospital services across Australia, including the increasing focus upon whether services currently delivered in-hospital can be delivered equally well in other settings, but at lower cost.

PwC can help along the entire continuum of financial management from cost through to profitability, to help organisations understand and improve their financial performance and drive efficiency.

PwC has helped clients across the health spectrum from federal governments and jurisdictions to hospitals and local health networks, covering the spectrum of detailed ABF-related analyses to planning how to deliver more cost effective health services.


Improving delivery and management of healthcare

Productivity helps to focus health providers on eliminating waste and concentrating on those areas that provide the greatest benefits to patients. We work with the leaders of health facilities such as hospitals and aged care providers to improve the operational performance of their organisations, demonstrating improved quality of care for the patient, enhanced satisfaction for staff and efficient use of financial resources.

Healthcare costs are increasing, for example:

  • Rise in Chronic Conditions
  • Increased life expectancy
  • Higher patient expectations
  • New treatments, drugs and technology
  • Constricting State and Federal budgets
  • Implementation of Activity Based Funding and the need to meet the Efficient price
  • Need to improve operating margin in Private Sector

All organisations will need to improve the way they deliver and manage healthcare to stay financially viable, meet national performance measures and patient expectations.

PwC has a proven track record of helping organisations reduce their cost base and increase efficiency whilst preserving focus on patients outcomes and safety, for example:

  • Clinical services redesign – optimising patient flow in individual departments such as Emergency Department and Operating Theatres as well as whole of system reviews of services such as Rehabilitation.
  • Revenue integrity – such as accurate documentation for revenue sought under benefit payment schedules in aged care facilities.
  • Patient journey / patient experience – such as redesigning the end to end customer experience in an ambulance service
  • Support of new health providers – such as Local Health District Boards and Medicare Locals.

Technology and Electronic Medical Records (eMR)

Access to the right information, in the right place, at the right time

Health information technology initiatives relies heavily on having the right information, in the right place, at the right time for use by the right clinician. There should be one patient story -  regardless of where they access care or services.

To really use technology effectively in health, we need systems to interact with one another to provide the data required to make informed decisions about the delivery of care.

Our team work with organisations on end to end delivery – from IT strategy to implementation. This includes: the development of business cases, architecture and design, assistance with enterprise applications, sourcing, project resourcing or operational management.

From our industry knowledge, experience and consulting capabilities we have been able to play key roles in the strategy and implementation of eMRs and worked in partnership with our clients on major health transformations which used technology as an enabler for change.

Examples of our assignments include:

  • Implementation partner for multiple eMR roll-outs (from business case to post-implementation)
  • Benefits evaluation frameworks for electronic medical records – such as the evaluation framework for a national EHR
  • Rostering rollout – project and change management on Statewide implementation.


Sustainable and effective change for people with disability

PwC has deep knowledge of the disability sector and strives to work to developing its capability and capacity. The National Disability Insurance scheme (NDIS) is the largest change to social policy in Australia’s history, and PwC is passionate about making this innovative concept a reality.

PwC’s work with various bodies such as NGO’s and state and federal governments helps to drive change, inform policy, and prepare the sector for the future. Our team is passionate about improving the lives of people living with disability and is actively working on numerous aspects of the National Disability Insurance Scheme, from our initial work with the productivity commission and the Disability Investment Group on the design of the NDIS at it's inception, to our more recent focus on operational implementation and transition to the scheme.

We are working with state and federal governments, the National Disability Insurance Agency, and non-profit and private sector providers nationally to realise the opportunities which the shift to a competitive, consumer driven approach to disability services and supports offers.

Consumer and Digital

Customer-centred strategy for healthcare in an evolving digital world

Health organisation are finding their own moments of truth where they engage in new thinking about their customers. Whether these moments are prompted by inspiration from other industries, competition, health reform, consumer demands, technology advances or the bottom line; agile health organisations are changing the way they get to know their customers. They are moving beyond basic transactions to embrace patients, residents as consumers and customers.

PwC builds on an outside-in approach to customer-centred strategy that is based on three core pillars: customer analysis, customer strategy and customer engagement. PwC can partner with you from strategy through to execution to put the customer at the centre.

Our integrated approach is designed to help service providers reposition themselves as the leading provider of choice by getting ahead of regulatory reform and consumer empowerment to exceed the expectations of consumers and deliver value in the evolving digital economy.

Aged care

Providing quality care to an ageing population with diverse needs

Every day, more than a million Australians are cared for by aged care organisations across the nation and this number will continue to increase substantially. The industry is on the verge of significant change; in order to provide quality care to an increasing number of older Australians, we need to think and operate differently.

We believe that the diversity of peoples’ needs should be met by equally diverse support. Further consideration about how this can be achieved within the capacity of the broader ‘health and care’ sector is required, in order to support individuals, families and carers beyond the auspices of ‘aged care’. Those individuals, families and carers who require aged care services will also require some level of additional support be it primary, acute or informal community support.

Whilst there are still many unknowns about the future of aged care, what we can be sure of is the increase in the number of people with complex long-term conditions, budget constraints, increasingly sophisticated (and expensive) treatments and rising expectations of what health and care services should deliver.

PwC understands government aged care policies, the challenges faced by service providers and the changing demands of aged care users.

Contact us

Sarah Butler
Partner, National Health Leader
Tel: +61 2 8266 5091

Richard Royle
Partner, Digital Health Leader
Tel: +61 7 3257 5175

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