The Australian e-health Journey Peter Sprivulis
Australian healthcare is a complex machine
Complex funding and delivery mechanisms
Complex information flows: eg referral
Efforts to reform the information flows have not always been successful
NEHTA was formed to develop the building blocks needed for high quality information sharing
The trick is learning how to use these building blocks
Learning implies that a national e-health programme is a Journey rather than an Event
The path to success is not completely clear
Approach to the NEHTA’s Benefits Realisation Study AeHSSM Paths  to Benefits Results Chains IBeS Diagrams
The investment required is ‘non-trivial’ yet ‘near-trivial’ in comparison to total healthcare expenditure
Findings: The major quantifiable benefit is improved effective, reliable utilisation Increased percentage of effective  ex...
E-Referral
E-Prescribing and medication management
Supported self managed care
Shared care of complex disease
System surveillance and learning
Implement an information sharing platform to support ‘all this’
So, what is a shared electronic health record? From a benefits realisation perspective, a ‘shared EHR is really a  compend...
Where to begin? <ul><li>It’s a long journey - commit to the information services that are clearly needed - now </li></ul><...
 
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The Australian e-health Journey

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Peter Sprivulis
HINZ Seminar Series
8 July 2008

Published in: Health & Medicine
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  • The Australian e-health Journey

    1. 1. The Australian e-health Journey Peter Sprivulis
    2. 2. Australian healthcare is a complex machine
    3. 3. Complex funding and delivery mechanisms
    4. 4. Complex information flows: eg referral
    5. 5. Efforts to reform the information flows have not always been successful
    6. 6. NEHTA was formed to develop the building blocks needed for high quality information sharing
    7. 7. The trick is learning how to use these building blocks
    8. 8. Learning implies that a national e-health programme is a Journey rather than an Event
    9. 9. The path to success is not completely clear
    10. 10. Approach to the NEHTA’s Benefits Realisation Study AeHSSM Paths to Benefits Results Chains IBeS Diagrams
    11. 11. The investment required is ‘non-trivial’ yet ‘near-trivial’ in comparison to total healthcare expenditure
    12. 12. Findings: The major quantifiable benefit is improved effective, reliable utilisation Increased percentage of effective expenditure Increased reliability of service delivery 60% 50% 50% 90%
    13. 13. E-Referral
    14. 14. E-Prescribing and medication management
    15. 15. Supported self managed care
    16. 16. Shared care of complex disease
    17. 17. System surveillance and learning
    18. 18. Implement an information sharing platform to support ‘all this’
    19. 19. So, what is a shared electronic health record? From a benefits realisation perspective, a ‘shared EHR is really a compendium of information services for which a range of views are provided, according to specific needs and permissions, having due regard to health consumer privacy.
    20. 20. Where to begin? <ul><li>It’s a long journey - commit to the information services that are clearly needed - now </li></ul><ul><ul><li>Invest in change management </li></ul></ul><ul><ul><li>Account for policy changes </li></ul></ul><ul><li>Do it properly </li></ul><ul><ul><li>Make it future proof – you will be using the technology for many years longer than you think </li></ul></ul><ul><ul><li>Make it scalable </li></ul></ul><ul><ul><li>Use open standards </li></ul></ul><ul><ul><li>Learn from experimentation </li></ul></ul>

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