Digital Health A Human Imperative - HIMSS Australia · HIMSS Australia Digital Health Summit 2019...

HIMSSAustralia Digital Health Summit 2019

Digital Health A Human Imperative

Tim KelseyChief Executive

National Digital Health Strategy – roadmap for delivery

High-quality data

with a commonly

understood

meaning that can

be used with

confidence

Health information

that can be

exchanged

securely

Digitally enabled

models of care

that improve

accessibility,

quality, safety

and efficiency

A thriving digital

health industry

delivering

world-class

innovation

A workforce

confidently using

digital health

technologies to

deliver health

and care

Health

information that

is available

whenever and

wherever it is

needed

INTEROPERABILITYAND DATA QUALITY

3

SECUREMESSAGING

2

MYHEALTH RECORD

1 4

ENHANCEDMODELS OF CARE

5

WORKFORCE AND EDUCATION

6

DRIVINGINNOVATION

7

Better availability

and access to

prescriptions

and medicines

information

MEDICINESSAFETY

Co-designed with all states and territories and agreed by COAG Health Council

3


1

MYHEALTH RECORD

4

MEDICINESSAFETY

5


6


7

DRIVINGINNOVATION

2

SECUREMESSAGING

1

MYHEALTH RECORD

My Health Record – latest national statistics

22.6 million Australians have a record

16,227 healthcare provider organisations registered

36 million clinical documents uploaded

70.2 million medication prescription and dispense records uploaded

1.5 billion Medicare documents uploaded

As at 29 September 2019

3


1

MYHEALTH RECORD

4

MEDICINESSAFETY

5


6


7

DRIVINGINNOVATION

2

SECUREMESSAGING

1

MYHEALTH RECORD

My Health Record – Connections

90% community pharmacies

registered, 65% connected to My Health Record

66% pathology labs connected to

My Health Record

77% public hospitals connected to

My Health Record

65% private hospitals registered,

58% connected to My Health Record

33% diagnostic imaging practices

connected to My Health Record

90% in-patient beds connected

nationally

Case study – Emergency Departments

Earlier this year a patient presented at the Emergency Department of the Royal Perth Hospital and collapsed at the Triage desk.

‘The patient had a fluctuating conscious state, was profoundly hypotensive with a sporadic heart beat and was not able to give any medical information,’ said Tiffany Graham, clinical nurse in the ED. ‘Staff were able to view the patient’s My Health Record and found a discharge summary from another hospital, as well as access the patient’s most recent Pharmaceutical Benefits Scheme (PBS), which showed he had recently been dispensed quite a large volume of one particular drug. Staff suspected the patient may have overdosed on this medicine and after consultation with on-call toxicologists were able to commence treatment based on this information.

We wouldn’t have been able to access that information without My Health Record. It’s such an important resource to us.’

3


1

MYHEALTH RECORD

4

MEDICINESSAFETY

5


6


7

DRIVINGINNOVATION

2

SECUREMESSAGING

1

MYHEALTH RECORD

My Health Record Benefits: Already changing clinical practice


The Agency commissioned an independent

study on multifaceted intervention to change

clinical practice using My Health Record (MHR)

in primary care:

• 25% medication de-prescribing: saving

$160.00 to $408.86 per year per medication,

plus a one-time saving of $73.00

• 19% pathology order changed: amounting to

a reduction of 8% of all GP pathology orders

overall.

• Provider uploads to MHR have increased by 190% since March

• Provider views of MHR have increased by 90% since March

• Evidence of a 300% increase in ‘unique’ records being accessed since March

3


1

MYHEALTH RECORD

4

MEDICINESSAFETY

5


6


7

DRIVINGINNOVATION

2

SECUREMESSAGING

1

MYHEALTH RECORD

Clinicians sharing information with other clinicians – Significant Growth


3


1

MYHEALTH RECORD

4

MEDICINESSAFETY

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6


7

DRIVINGINNOVATION

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SECUREMESSAGING

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MYHEALTH RECORD

Digital Health LiteracyHealth My Way

• Health My Way is a Good Things Foundation program supported by the Australian Digital Health Agency

• The objective of the program is to increase the digital literacy of more than 4 million Australians who have limited digital skills*.

• Following the pilot program in July 2019 we are pleased to announce the rollout of the program to start form January 2020

• 22.6 million Australians have a My Health Record, but 4 million Australians have limited digital skills.

• Making sure people who have limited digital skills and/or access to resources to access and manage a digital health system is a key element of the Agency’s digital health literacy program

• Through Health My Way, 70 Network Partners will be funded to deliver the program to their communities resulting in:

• 140 Digital Health Mentors trained

• 2,800 community members directly supported to see the relevance of digital health tools and build their skills and confidence in using them

• 5,600 people engaged in the topic of digital health literacy through 70 community engagement events.

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1

MYHEALTH RECORD

4

MEDICINESSAFETY

5


6


7

DRIVINGINNOVATION

2

SECUREMESSAGING

2

SECUREMESSAGING

Secure messaging deliverables

• By end of 2020, 42 organisations connected across 56 software products

• Secure messaging will enable health and care providers to easily find each other online and securely exchange clinical information in real time

• The Service Registration Assistant (SRA) will provide subscribers such as secure messaging directories, clinical pathway directories, referral directories, and health services directories with consistent and accurate information.

NSW HealthNSW Health

GPs , AHPs, Specialists inNorthern NSW LHD

AHPRA

CIS / PMS / EMR(e.g. BP, MD, Coreplus)

AU FHIR PD

Portal

Validation Service

HI / HPD ABR

System of Record

PublicationServices

SubscriptionServices

Organisations Healthcare Services Practitioners Practitioner Roles Locations

Service Registration Assistant Northern NSW LHD

Provider Directory

Aggregation Services

Provider Directory

Messaging Provider

Clinical Services Directory

HERO Directory

Patient Administration

System

GPs , AHPs, Specialists in Northern NSW LHD

(available to all subscribing clients)

CIS / PMS / EMR

CIS / PMS / EMR

This would be delivered through the scaling out of secure messaging industry offer

PublicationServices

SubscriptionServices

2

1

3

4

(e.g. HealthDirect)

5

6

(e.g. HealthLink,

Telstra Health,Global Health)

TranslationServices

Alternative to (4)4

SRA Proof of Concept

3


1

MYHEALTH RECORD

4

MEDICINESSAFETY

5


6


7

DRIVINGINNOVATION

2

SECUREMESSAGING

3


3


1

MYHEALTH RECORD

4

MEDICINESSAFETY

5


6


7

DRIVINGINNOVATION

2

SECUREMESSAGING

7

DRIVINGINNOVATION

• HealthEngine, Healthi, HealthNow authorised third party apps with view only connections to My Health Record

• Mobile Health Review principles:

Access must be for the public good

Pace of change must be aligned to social license

Data must be accurate, stored securely, and controlled by consumer

Data will not be reused and data governance at highest standard

Access to My Health Record bound by stringent contractual arrangements with serious penalty provisions for breaches

Innovation – mHealth

Further information and support

My Health Record

Web: www.myhealthrecord.gov.au

My Health Record Help line: 1800 723 471

(select 2 for providers)

Australian Digital Health Agency

Web: www.digitalhealth.gov.au

Email: [email protected]

http://www.myhealthrecord.gov.au/

http://www.digitalhealth.gov.au/

mailto:[email protected]

Digital Health A Human Imperative - HIMSS Australia · HIMSS Australia Digital Health Summit 2019...

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