The strategic vision: Digitally enabled health and care in ... · The strategic vision: Digitally...
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www.digitalhealth.gov.au
Thestrategicvision:DigitallyenabledhealthandcareinAustralia
4May2018
DrMonicaTrujilloChiefClinicalInformationOfficer
ExecutiveGeneralManager,ClinicianandConsumerEngagementandClinicalGovernance
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www.digitalhealth.gov.au
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“Thedigitalhealthmarketwillgrowatover25.9%compoundannualgrowthratetoreach$379bnby2024
Australiaiswellplacedgloballytotakeadvantageofthisgrowthasatestbedforhealthinnovationandresearch
Hendersen etal.(2016)GlobalMarketInsights,Inc 23Nov2016
AboutUsTheAgencyisaCorporateCommonwealthEntityfundedbyallAustralianGovernments.Itdesignsandoperatesnationaldigitalhealthservicesandsetdatastandardsthat:o Giveconsumersmorecontroloftheirhealthandcarewhentheywishito Connectandempowerhealthcareprofessionalso PromoteAustralia’sgloballeadershipindigitalhealthandinnovationTheAgencyreportstoitsBoard,appointedbytheMinister.TheAgencyisthesystemoperatorfortheMyHealthRecord,andanumberofotherclinicalinformationsystemsandstandards,andcommencedoperationson1July2016.
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www.digitalhealth.gov.au
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“ AustraliarankshighestonAdministrativeEfficiencyandHealthCareOutcomes,andisamongthetop-rankedcountriesonCareProcessandAccess
CommonwealthFund(2017)
Australiaproduceshighqualityhealthoutcomes
Source:CommonwealthFund,2017
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www.digitalhealth.gov.au
DigitalHealthSupportingCliniciansAn average 13% of appointments in general practice need follow up because of missing information.
Content shared digitally between clinicians and patients means reduced risk of lost information.
223,000 patients admitted to hospital due to adverse drug events costing $1.2 billion – 2-3% of all hospital admissions.
Medicines information available securely online reduces safety risk.
14% of pathology tests are ordered due to lack of access to patient history.
People and clinicians will be able to see results of previous tests.
Theuseofdigitaltechnologiestodeliverhealthcarecanbeanenablertosupportthedeliveryofbetterpatientoutcomes.Digitaltechnologydoesholdgreatpromisebuttheliteratureclearlyindicatestechnologyisnotasolutiononitsown.Digitalinnovationsmustprovidebenefitandinmostcases,complementexistingprovenmodelsofcare.RoyalAustralianCollegeofGeneralPractitioners,submissiontoNationalDigitalHealthStrategy,2017
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www.digitalhealth.gov.au
LearningandInsights
Morethanfourtimesasmanypeoplewanttoaccesstheirpersonalhealthinformationontheirsmartphonethandocurrently
Thetopthreeactivitiespeoplewanttobeabletodoontheirmobiledevice:1.Managetheirmedications2.Tracktheirhealth3.Requestrefillprescriptions
Over65% ofrespondentssaytheAustralianhealthcaresystemisdifficulttonavigate.Peoplewanttoknowthecost,quality,andavailabilityofservices
Over45% of respondents haddifficultyaccessinghealthcarewhentheyneededit.Topreasonsgiven:- Cost,- Location,and- Couldn’tgetanappointment
Australiansvalueourhighqualityhealthcarepractitionersandworkers,andgenerallyexperienceaffordable andaccessible care
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www.digitalhealth.gov.auwww.digitalhealth.gov.au
NationalDigitalHealthStrategy– KeyThemes
Supportmeinmakingtherighthealthcarechoices,andprovideme
withoptions
Helpallthepeoplewhocareformetounderstandme,andtogether,providesafeand
personalisedcare
CreateanenvironmentwheremyhealthcareprovidersandIcanuseandbenefitfrom
innovativetechnologies
Preservemytrustinthehealthcaresystemandprotectmy
rights
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NationalDigitalHealthStrategy
WhatdoestheAustraliansectorsay?
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National Digital Health Strategic Priorities: 2018 – 2022
MY HEALTH RECORD
SECURE MESSAGING
INTEROPERABILITY ANDDATA QUALITY
MEDICATION SAFETY
ENHANCED MODELS OF CARE
WORKFORCE EDUCATION
DRIVE INNOVATION
Health information that is available whenever and wherever it is needed
Health information that can be exchanged securely
High-quality data with a commonly understood meaning that can be used with confidence
Better availability and access to prescriptions and medicines information
Digitally-enabled models of care that improve accessibility, quality, safety and efficiency
A workforce confidently using digital health technologies to deliver health and care
A thriving digital health industry delivering world-class innovation
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Priority1:MyHealthRecordAn electronic summary of an individual’s health information that can be shared securely online between the individual and registered healthcare providers involved in their care to support improved decision making and continuity of care.
Two out of the three patients experience a medication error of some sort of admission to hospital.
Empowering people with health care information to support self-management could save $1,300 to $7,515 per patient per year.
Sharing information electronically about tests could reduce unnecessary duplication by approximately 18% and significantly lower hospital re-admission rates.
Key Facts
My Health Record is the future of medicine.
Dr Michael Gannon, President, Australian Medical Association
Prioritise making the My Health Record shareable and used by all health professionals and in all health settings. This fundamental step will have massive benefits to consumers who will be able to trust that their information is being adequately communicated.
Consumers Health Forum of Australia
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www.digitalhealth.gov.au
HowdoesMyHealthRecordwork?
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www.digitalhealth.gov.au
TheGovernmentisexpandingMyHealthRecordforallAustraliansin2018
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Formingthecornerstoneofa
betterhealthsystemanddigitalhealthinnovationsfor
Australia.
Expandingonanexisting,provensystemthatissafe
andsecure.
GivingallAustralianscontroloftheirownhealthrecord,whatitcontainsandhow
itisaccessed.
ProvidingachoicetooptoutofhavingaMyHealthRecordaltogetherifthey
prefer.
Ourvisionisaworld-leadingnational,digitalhealthcapabilitythatimprovesthelivesofallAustraliansbysupportingtheefficientdeliveryofhealthcare.MyHealthRecordprovidesforpotentiallylifesavingaccesstoapatient’skeyhealthinformationsuchasmedications,allergies,conditionsandtestresults- supportingsignificantimprovementsinthesafety,qualityandefficiencyofAustralia’shealthcaresystem.
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www.digitalhealth.gov.au
Recent milestones – My Health RecordPartnershipwiththepeaknationalbodyrepresentingpharmacists,thePharmaceuticalSocietyofAustralia(PSA)toincreasethenumberofpharmacistsusingMyHealthRecord.
Pharmacistscannowuploaddispenserecordsandviewhospitaldischargesummaries,sharedhealthsummaries,andallergyinformationtoMyHealthRecordusingenhanced
ChemistWarehouse,representing30percentofthecommunitypharmacymarket,andCorum representing1,000pharmaciesarealsoconnectingtoMyHealthRecordsystemin2018
Australia’slargestpathologylabshavesigneduptoMyHealthRecord
Morethan95percentofAustraliandiagnosticimaging
practicescannowconnecttotheMyHealthRecordsystemwith16newsoftwarecompanieshaving
serviceagreementswiththeAustralianDigitalHealthAgency.
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www.digitalhealth.gov.au
MyHealthRecordstatistics-
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www.digitalhealth.gov.au
KeyMyHealthRecordsystembenefits
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www.digitalhealth.gov.au
A person controls who has access to their My Health Record:
PrivacyandAccess:anewstandardinpatientconfidentiality
They can choose to decline access to specific documents
in their My Health Record
They can set up a pin code that will mean only clinicians with permission can access
their My Health Record
They can subscribe to SMS or email alerts that report in real time when registered
provider organisations access their My Health Record
In an emergency, a clinician can exercise a ‘break glass’ facility – but instances are
carefully monitored and reported to the citizen
All instances of access to My Health Record are monitored
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www.digitalhealth.gov.au
MyHealthRecordExpansion:Workingwiththeclinicalcommunity– Information,EducationandAdoption
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www.digitalhealth.gov.au
OtherNationalPriorities
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www.digitalhealth.gov.au
Priority4:MedicationSafety
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www.digitalhealth.gov.au
Priority5:Digitallyenabledmodels
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www.digitalhealth.gov.au
Priority6:Digitallyenabledworkforce
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www.digitalhealth.gov.au
Data todayandtomorrow …Where to from here ?
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www.digitalhealth.gov.au
Contact Us
1300 901 0018am - 6pm Monday to Friday AEDT
[email protected] or [email protected]
www.digitalhealth.gov.au
https://twitter.com/AuDigitalHealth
Help Centre
Website
@MonicaTCMIO
LinkedIn Australian Digital Health Agency Monica Trujillo