For the goals of health reform to be realised primary and secondary care must work together to achieve co-ordinated and integrated healthcare services. The process of transformation led policy has been underway for a number of years with the most recent being the COAG announcement in April 2016. Specifically in Schedule 2, “Bilateral agreements will be signed off to provide flexibility for each jurisdiction to determine the best model of care”, and the “Commonwealth will establish any enabling infrastructure, governance arrangements, or systems to support a pilot of a Health Care Homes model of primary health care, consistent with the advice provided by the Primary Health Care Advisory Group”. The implications for this work are that it provides a tool to inform the development of such governance arrangements that can be used nationally and tailored locally.

Balanced Scorecard for integrated primary/secondary health care governance
Figure 1: Balanced Scorecard for integrated primary/secondary health care governance © Nicholson et al 2015