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National E-Health Transition Authority
www.nehta.gov.au
1
Improving the National
Telehealth Landscape
21 March 2013
Dr Muk...
National E-Health Transition Authority
www.nehta.gov.au
22 National E-Health Transition Authority
www.nehta.gov.au
General...
3 National E-Health Transition Authority
www.nehta.gov.au
NEHTA’s purpose
Lead the uptake of eHealth systems of national
s...
4 National E-Health Transition Authority
www.nehta.gov.au
Work Programme 2013-14
o Continue to drive the national adoption...
5 National E-Health Transition Authority
www.nehta.gov.au5
• Every year Australians have an average
of 22 interactions wit...
6 National E-Health Transition Authority
www.nehta.gov.au6
• By 31/12/2012:
Australians had: 61,000 interactions
using the...
7 National E-Health Transition Authority
www.nehta.gov.au
Australia geosciences map
Telehealth: the challenge for
Health C...
8 National E-Health Transition Authority
www.nehta.gov.au
Royal Flying Doctor Service: iconic Telemedicine
Using Telehealt...
9 National E-Health Transition Authority
www.nehta.gov.au
Royal Flying Doctor Service: iconic Telemedicine
Using Telehealt...
10 National E-Health Transition Authority
www.nehta.gov.au
Royal Flying Doctor Service: iconic Telemedicine
Using Teleheal...
11 National E-Health Transition Authority
www.nehta.gov.au
Royal Flying Doctor Service: iconic Telemedicine
Using Teleheal...
12 National E-Health Transition Authority
www.nehta.gov.au
Royal Flying Doctor Service: iconic Telemedicine
Using Teleheal...
13 National E-Health Transition Authority
www.nehta.gov.au
Royal Flying Doctor Service: iconic Telemedicine
Using Teleheal...
14 National E-Health Transition Authority
www.nehta.gov.au
Royal Flying Doctor Service: iconic Telemedicine
Using Teleheal...
15 National E-Health Transition Authority
www.nehta.gov.au
The National Broadband
Network: NBN
Debate about need for good ...
16 National E-Health Transition Authority
www.nehta.gov.au
The NBN: National Digital
Economy Strategy
The Strategy’s eight...
17 National E-Health Transition Authority
www.nehta.gov.au
Availability
Now?
18 National E-Health Transition Authority
www.nehta.gov.au
Telehealth in Remote areas
19 National E-Health Transition Authority
www.nehta.gov.au
19 National E-Health Transition Authority
www.nehta.gov.au
Tele...
20 National E-Health Transition Authority
www.nehta.gov.au
Telehealth in Australia
Focus has been on:
Face to face video c...
21 National E-Health Transition Authority
www.nehta.gov.au
Regional telehealth program links to:
GPs
Specialists
Aged care...
22 National E-Health Transition Authority
www.nehta.gov.au
Long term conditions: monitoring - , focus on chronic
condition...
23 National E-Health Transition Authority
www.nehta.gov.au
UK Whole System Demonstrator (WSD) Results
Telehealth in the UK...
24 National E-Health Transition Authority
www.nehta.gov.au
28 August 2012 Rebecca Todd
Telestroke service in Lancashire an...
25 National E-Health Transition Authority
www.nehta.gov.au
North Pole View
26 National E-Health Transition Authority
www.nehta.gov.au
Western Europe
27 National E-Health Transition Authority
www.nehta.gov.au
Africa & Europe
28 National E-Health Transition Authority
www.nehta.gov.au
Asia & E. Europe
29 National E-Health Transition Authority
www.nehta.gov.au
North and Central America
30 National E-Health Transition Authority
www.nehta.gov.au
Australasia & S. E. Asia
Video and your services
1. Video will become a bigger part of consumer
expectations and your service
2. There are big chan...
Value of face to face
communications
• Human communication
– establishes an inherent confidence
– a sense of the environme...
Organisational value
• Increased access, productivity, convenience,
service levels
• Reduced isolation, costs
• Compressed...
WebRTC is game changing
• Web Real Time Communications (WebRTC)
• High quality, secure, multipoint video
communications no...
Web standards have a
profound and immediate
impact on the way we
communicate
Click a link to view
text information
Click a...
SERVICE
LAYER
Multiple health care settings and combinations of providers
Health orgs Carers EducatorsIndividualsAncillary...
Video and your services
1. Video will become a bigger part of consumer
expectations and your service
2. There are big chan...
38 National E-Health Transition Authority
www.nehta.gov.au
Conclusion:
• Telehealth like eHealth mHealth uHealth all are i...
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Improving the National Telehealth Landscape

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Dr Mukesh Haikerwal, Head Clinical Lead, National E-Health Transition Authority delivered this presentation at IIR’s National Telemedicine Summit. For more information about our wide range of medical and health events covering a broad range of industry issues, please visit www.healthcareconferences.com.au

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Transcript of "Improving the National Telehealth Landscape "

  1. 1. National E-Health Transition Authority www.nehta.gov.au 1 Improving the National Telehealth Landscape 21 March 2013 Dr Mukesh Haikerwal NEHTA Clinical Lead The National E-Health Transition Authority
  2. 2. National E-Health Transition Authority www.nehta.gov.au 22 National E-Health Transition Authority www.nehta.gov.au General Medical Practitioner Head Clinical Leadership, Engagement Unit & Clinical Safety: NeHTA, Professorial Fellow, Flinders University, Adelaide Chair of Council, World Medical Association Broadband Champion (DBCDE) Chair beyondblue Doctors Mental Health Programme 19th President, Australian Medical Association Ex-Commissioner, National Health & Hospitals Reform Commission CSIRO / Australian E-Health Research Centre: RIAC Brain Injury Australia: Board Member Mukesh Haikerwal AO
  3. 3. 3 National E-Health Transition Authority www.nehta.gov.au NEHTA’s purpose Lead the uptake of eHealth systems of national significance; and coordinate the progression and accelerate the adoption of eHealth by delivering urgently needed integration infrastructure and standards for health information. eDiagnostics eDischarge eReferral eMedications Terminology Secure MessagingIdentifiers Authentication Priority eHealth Solutions eHealth Foundation Services
  4. 4. 4 National E-Health Transition Authority www.nehta.gov.au Work Programme 2013-14 o Continue to drive the national adoption and uptake of eHealth and support the Australian health sector’s transition to the effective use of eHealth. o Building on the progress achieved to date with the lead eHealth sites we will focus on driving take-up and transitioning the sites to national adoption. o Further enable the improved continuity and coordination of care; medications management; and the use of diagnostic information to enhance specifications and standards development. TELEHEALTH is not on the programme but there is knowledge hat we must work with this technology, integrate it with the eHealth build, leverage from it and provide eHealth collateral to Telehealth.
  5. 5. 5 National E-Health Transition Authority www.nehta.gov.au5 • Every year Australians have an average of 22 interactions with the health system, including: 4 visits to a GP 12 prescriptions 3 visits to a specialist. • Most of the information from these visits is currently held in paper-based records in separate locations. Most of these records are not shared electronically. Why do we need an eHealth record system? Approximately 13% of health provider consultations have missing information
  6. 6. 6 National E-Health Transition Authority www.nehta.gov.au6 • By 31/12/2012: Australians had: 61,000 interactions using the MBS for Tele-health system, including: 7200 Practitioners 28000 Patients involved • MBS Settings changed • On-going Telehealth by States non-MBS • Opportunity to enhance Patient Journey Using Telehealth: supported by the eHealth record system? The PCEHR with Telehealth settings has the benefits of enhanced patient care with better information during the consultation.
  7. 7. 7 National E-Health Transition Authority www.nehta.gov.au Australia geosciences map Telehealth: the challenge for Health Care
  8. 8. 8 National E-Health Transition Authority www.nehta.gov.au Royal Flying Doctor Service: iconic Telemedicine Using Telehealth: not so new? Iconic Health Care
  9. 9. 9 National E-Health Transition Authority www.nehta.gov.au Royal Flying Doctor Service: iconic Telemedicine Using Telehealth: not so new? Iconic Health Care
  10. 10. 10 National E-Health Transition Authority www.nehta.gov.au Royal Flying Doctor Service: iconic Telemedicine Using Telehealth: not so new? Iconic Health Care
  11. 11. 11 National E-Health Transition Authority www.nehta.gov.au Royal Flying Doctor Service: iconic Telemedicine Using Telehealth: not so new? Iconic Health Care
  12. 12. 12 National E-Health Transition Authority www.nehta.gov.au Royal Flying Doctor Service: iconic Telemedicine Using Telehealth: not so new? Iconic Health Care Mt. Isa 2 weeks ago!
  13. 13. 13 National E-Health Transition Authority www.nehta.gov.au Royal Flying Doctor Service: iconic Telemedicine Using Telehealth: not so new? Iconic Health Care Mt. Isa 2 weeks ago!
  14. 14. 14 National E-Health Transition Authority www.nehta.gov.au Royal Flying Doctor Service: iconic Telemedicine Using Telehealth: not so new? Iconic Health Care Mt. Isa 2 weeks ago!
  15. 15. 15 National E-Health Transition Authority www.nehta.gov.au The National Broadband Network: NBN Debate about need for good broadband access Broadband for health: internet to GP & Pharmacy Speed: 1Gb/S Fibre 25Mb/s Satellite / Fixed Wireless BB to ALL Homes and Businesses: optic fibre (93%) fixed wireless and next-generation satellite
  16. 16. 16 National E-Health Transition Authority www.nehta.gov.au The NBN: National Digital Economy Strategy The Strategy’s eight goals aim to: • increase Australian households’ online participation • increase Australian business’ and not-for-profit organisations’ online engagement • smartly manage our environment • improve health and aged care • expand online education • increase teleworking • improved online government service delivery and engagement • increase digital engagement in regional Australia.
  17. 17. 17 National E-Health Transition Authority www.nehta.gov.au Availability Now?
  18. 18. 18 National E-Health Transition Authority www.nehta.gov.au Telehealth in Remote areas
  19. 19. 19 National E-Health Transition Authority www.nehta.gov.au 19 National E-Health Transition Authority www.nehta.gov.au Telehealth: exposing the possibility
  20. 20. 20 National E-Health Transition Authority www.nehta.gov.au Telehealth in Australia Focus has been on: Face to face video consultation Dealing with issues associated with geography Access to specialist care Distance support of local practitioners to deliver care locally, minimise travel for ALL Store and Forward technology Increasing interest in: Home monitoring Home rehabilitation
  21. 21. 21 National E-Health Transition Authority www.nehta.gov.au Regional telehealth program links to: GPs Specialists Aged care Access to any kind of care Telehealth being used in settings from acute care to aged care Telehealth in Europe
  22. 22. 22 National E-Health Transition Authority www.nehta.gov.au Long term conditions: monitoring - , focus on chronic conditions (e.g. Diabetes COPD Heart Diseases) Telehealth in Europe In Europe the focus is on improved management of long term conditions, providing access to care. Geography makes easy to understand the different emphasis
  23. 23. 23 National E-Health Transition Authority www.nehta.gov.au UK Whole System Demonstrator (WSD) Results Telehealth in the UK is typically remote monitoring rather than Face to Face consultation Headline significant enough to persuade the UK to invest in the technology. 6,191 people in 238 GP practices and was the largest of its kind in the world so far Kent, Cornwall and Newham (London): 45% reduction in mortality (equating to 120 surviving where they may not have if no such care ) Significant reductions in: Emergency admissions : 21%, Planned hospital admissions: 24% Visits to A&E: 15% Days in hospital: 14% Tariff costs for treatment: 8% Focused on the long-term conditions diabetes, chronic obstructive pulmonary disease and coronary heart disease”. Telehealth in Europe
  24. 24. 24 National E-Health Transition Authority www.nehta.gov.au 28 August 2012 Rebecca Todd Telestroke service in Lancashire and Cumbria: 343 advice calls 319 telestroke assessments 131 patients being thrombolysed Estimated 40 more patients to make a full recovery from a stroke with no lasting disability or brain damage 30 fewer people will require full-time care The service was estimated to save £7m: on track! Prisons example is a good one to quote. Guys at Airedale in Yorkshire supporting Prisons all over the UK. Telehealth in Europe
  25. 25. 25 National E-Health Transition Authority www.nehta.gov.au North Pole View
  26. 26. 26 National E-Health Transition Authority www.nehta.gov.au Western Europe
  27. 27. 27 National E-Health Transition Authority www.nehta.gov.au Africa & Europe
  28. 28. 28 National E-Health Transition Authority www.nehta.gov.au Asia & E. Europe
  29. 29. 29 National E-Health Transition Authority www.nehta.gov.au North and Central America
  30. 30. 30 National E-Health Transition Authority www.nehta.gov.au Australasia & S. E. Asia
  31. 31. Video and your services 1. Video will become a bigger part of consumer expectations and your service 2. There are big changes on the near horizon 3. Don’t spend money on infrastructure 4. Focus on how services come together & how client & patient behaviour changing
  32. 32. Value of face to face communications • Human communication – establishes an inherent confidence – a sense of the environment – stronger commitment to actions – a deeper level of connection between parties, especially if they have just met • Even silences have meaning • Visual examination
  33. 33. Organisational value • Increased access, productivity, convenience, service levels • Reduced isolation, costs • Compressed timescales • Better use of available workforce • Up skilling professionals and carers • Better outcomes, through more timely access and enhanced human communication
  34. 34. WebRTC is game changing • Web Real Time Communications (WebRTC) • High quality, secure, multipoint video communications now function of browsers • Highly functional, not just video • Free, open internet standard, ratified soon • Chrome, Firefox, IE (plugin), Android (beta) • Mainstream support in all browsers, and mobiles + more capabilities expected by 2014 • Will be present in range of vendor solutions
  35. 35. Web standards have a profound and immediate impact on the way we communicate Click a link to view text information Click a link to view an image Click a link to watch a video Click a link to communicate in real time Click a person to be their friend and exchange news Click a service for a video consultation Click a person to send an email data Quality video Audio
  36. 36. SERVICE LAYER Multiple health care settings and combinations of providers Health orgs Carers EducatorsIndividualsAncillaryClinicians MANAGEMENT LAYER Easy to get right service, in the right way and move between services Service entry points Planned / unplanned access Call dist. to pools of providers Reporting Process integration support NHSD / PCeHR TECHNOLOGY LAYER Simple, secure, high quality, ubiquitous access - no cost, accounts or downloads Standards based Devices that people use Real time video / data Monitoring Prescribing / referring Diagnostic How services come together with clients & patients
  37. 37. Video and your services 1. Video will become a bigger part of consumer expectations and your service 2. There are big changes on the near horizon 3. Don’t spend any money on infrastructure 4. Focus on how services come together and how client expectations are changing
  38. 38. 38 National E-Health Transition Authority www.nehta.gov.au Conclusion: • Telehealth like eHealth mHealth uHealth all are integral to Health • The Technologies are not the hard part: change management is • Significant gains are achievable in each sector, but combined the nett value is likely considerably greater • Deployment of these technologies are been driven by Clinicians and Consumers • This is about Healthcare using technology as a tool and not technology driving health • Sharing knowledge internationally will optimise uptake, usage and benefit
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