Your SlideShare is downloading. ×
Australian telehealth challenges and opportunities
Upcoming SlideShare
Loading in...5
×

Thanks for flagging this SlideShare!

Oops! An error has occurred.

×
Saving this for later? Get the SlideShare app to save on your phone or tablet. Read anywhere, anytime – even offline.
Text the download link to your phone
Standard text messaging rates apply

Australian telehealth challenges and opportunities

1,199

Published on

A look at Australian telehealth trends including background on the history of telehealth in ANZ healthcare. The presentation also explores the drivers behind greater adoption of telehealth in …

A look at Australian telehealth trends including background on the history of telehealth in ANZ healthcare. The presentation also explores the drivers behind greater adoption of telehealth in healthcare services such as rural population requirements, developments in technology and demographic changes.

Published in: Health & Medicine, Technology
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total Views
1,199
On Slideshare
0
From Embeds
0
Number of Embeds
1
Actions
Shares
0
Downloads
35
Comments
0
Likes
0
Embeds 0
No embeds

Report content
Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
No notes for slide

Transcript

  • 1. Australian TelehealthChallenges and OpportunitiesCisco Health PracticeDr Brendan LovelockHealth Practice Lead© 2011 Cisco and/or its affiliates. All rights reserved. EDCS-962069 Cisco Confidential 1
  • 2. Overview Telehealth Drivers for Landscape in Telehealth Australia Practical People Centered Transformation of Care Solution Challenges for Outcomes Telehealth© 2011 Cisco and/or its affiliates. All rights reserved. EDCS-962069 Cisco Confidential 2
  • 3. What do we Mean by Telehealth • It is about creating a clinically productive dialogue between care providers and between care providers and patient • Integration of data-voice-video: producing an information rich dialogue • Developed within, between and external to health care facilities • Australia has been a leader is Telehealth from 1929 RFDS Morse code communications program© 2011 Cisco and/or its affiliates. All rights reserved. EDCS-962069 Cisco Confidential 3
  • 4. Australia and Telehealth Date Telehealth Mile-stones 1929 Tele-health program began using a pedal powered wireless and Morse code Mid 1930s The tele-health program moved to voice radio 1939 The medical chest system was first suggested 1942 The medical chest program began with each component numbered. The ‘where does it hurt chart’ was introduced 1951 The tele-health program moved to predominantly fixed-line telephone services 1980s Tele-health program incorporated fixed line 1990s Mobile and satellite telephone services with the occasional use of video-conference facilities © 2011 Cisco and/or its affiliates. All rights reserved. EDCS-962069 Cisco Confidential 4
  • 5. The Clinical Ecosystem Specialist GP 22,471 Specialist 24,029 GPs Acute 736 Public Hospitals 8.5 million separations Home Community© 2011 Cisco and/or its affiliates. All rights reserved. EDCS-962069 Cisco Confidential 5
  • 6. The Clinical Ecosystem Specialist GP 22,471 Specialist 24,029 GPs Acute 736 Public Hospitals 8.5 million separations Home Around 3000 bridging based endpoints Community© 2011 Cisco and/or its affiliates. All rights reserved. EDCS-962069 Cisco Confidential 6
  • 7. The Clinical Ecosystem Federal Governments Telehealth Program 495,000 services by end of 2015 Specialist GP 22,471 Specialist 24,029 GPs Acute 736 Public Hospitals 8.5 million separations Home Around 3000 bridging Community based endpoints© 2011 Cisco and/or its affiliates. All rights reserved. EDCS-962069 Cisco Confidential 7
  • 8. The Clinical Ecosystem Federal Governments Telehealth Program 495,000 services by end of 2015 Specialist Leverage Infrastructure and GP 22,471 Specialist skills 24,029 GPs Acute 736 Public Hospitals 8.5 million separations Home Around 3000 bridging Community based endpoints© 2011 Cisco and/or its affiliates. All rights reserved. EDCS-962069 Cisco Confidential 8
  • 9. Telehealth Drivers in Australia • Cost of Care • Acceleration of healthcare costs as a % of GDP (Currently 9.2% of GDP) • Equity of care • How do we more effectively reach and engage consumers: the geographic, cultural and demographic divides • Resource Availability • Limited supply of specialist resources facing increasing demand© 2011 Cisco and/or its affiliates. All rights reserved. EDCS-962069 Cisco Confidential 9
  • 10. Resource Availability • Population effect compounded by population density • 24.3% of rural and remote medical practitioners are over the age of 55. • Young doctors do not see rural locations as desirable due the professional and social isolation.© 2011 Cisco and/or its affiliates. All rights reserved. EDCS-962069 Cisco Confidential 10
  • 11. The ChallengesThe Healthcare Management Myth Health is a well disciplined organization ready to immediately obey their leader.© 2011 Cisco and/or its affiliates. All rights reserved. EDCS-962069 Cisco Confidential 11
  • 12. The Healthcare Management Reality • Healthcare is a Complex Adaptive System • Well disciplined agents of comparable authority that interact in often highly nonlinear ways to maximize their individual output. (1,2,3) • Health evolves as a result of many small innovations leading to a change in the whole system • This is what fuels change and evolution in healthcare but makes uniform implementation difficult • Rapid innovation is the opportunity presented to us by the Gov Telehealth Strategy (1) William B. Rouse, Health Care as a Complex Adaptive System, The Bridge, Spring 2008 (2) Sholo m Glouberman, Brenda Zimmerman, Complicated and Complex Systems: What Should Successful Reform of Medicare Look Like, Commission on the Future of Health Care in Canada, Discussion Paper No2, July 2002 (3) Joseph Tan, Joseph Wen, Healthcare and Services Delivery Systems as Complex Adaptive Systems, Communications of the ACM, May 2005, 48, 5, 38-44© 2011 Cisco and/or its affiliates. All rights reserved. EDCS-962069 Cisco Confidential 12
  • 13. Challenges: Readiness Spectrum Acute General Care Specialist Practitioner Hospital • Greater than 95% practice • High level of computerization • Less than 20% practice computerization • Good computer literacy computerization • Moderate computer literacy • Sophisticated network support • Low computer literacy • Basic network support • Existing telehealth • Little network support • Moderate motivation to infrastructure • Low motivation to change change • Existing funding programs • High motivation to change© 2011 Cisco and/or its affiliates. All rights reserved. EDCS-962069 Cisco Confidential 13
  • 14. Challenges: General Practitioner Perspective What proportion of your work What do you predict the could be done by telehealth? take-up to be like for access to specialist services by telehealth? Telehealth Assessment Final Report 28 June 2011 UniQuest Project No: 16807© 2011 Cisco and/or its affiliates. All rights reserved. EDCS-962069 Cisco Confidential 14
  • 15. Challenges: Specialist Perspective• Coordination • Need for high level of support• Time allotment • Fit with Current work practices .• Patient perspective • Concern with maintaining patient engagement• Equipment • Simplicity and cost effectiveness• Facilities • Facilities must be fit for purpose• Education Uniquest Telehealth Review • Change management is needed© 2011 Cisco and/or its affiliates. All rights reserved. EDCS-962069 Cisco Confidential 15
  • 16. Patient Perspective Affordable, quality, patient centred care Cisco HealthPresence™ • 99% were satisfied with the experience • 93% would recommend© 2011 Cisco and/or its affiliates. All rights reserved. EDCS-962069 Cisco Confidential 16
  • 17. External Challenges to Telehealth Business Experience• NICTA Telehealth Review Telemedicine in the context of the National Broadband Network July 25, 2010 Report by NICTA for Department of Broadband, Communications and the Digital Economy© 2011 Cisco and/or its affiliates. All rights reserved. EDCS-962069 Cisco Confidential 17
  • 18. Telehealth System Requirements • Integration with the clinical workflow • Integration with clinical systems and the way care is delivered • Integration with the business workflow • Integrating with business systems: availability, booking, billing reporting • Reducing the complexity of use: • User interface, Interoperability, reliable access • Reducing complexity of support • Easy and cost effective to support • Linkage with existing telehealth and clinical resources • Leverage state based, acute care linked telehealth systems • Systems must be adaptable: One size does not fit all © 2011 Cisco and/or its affiliates. All rights reserved. EDCS-962069 Cisco Confidential 18
  • 19. Thank you.© 2011 Cisco and/or its affiliates. All rights reserved. EDCS-962069 Cisco Confidential 19

×