Left column is what we doMaking sense – machine learning + CSPSocial mediaPredicitonChange management – Sanderson etal.Making ICT useful for health, measuring adoption + finding the key workflow issues to addressNational scaleTelehealth (Cloud) ervicesJapana reconstructionLiving lab: ACT based, probably at UC. Have several vendors interested, including Microsoft CISCO ACT Health,Cluster: part of the e-government cluster
As a provider of aged care services. We are very well aware of the challenges that face us. From 2030 we are gong to feel the harsh challenges of caring for our seniors and will impact not on all levels of government but providers, families, business and the general community.In 2015 – the number of people over the age of 65 years is going to outnumber children 0 to 14 years for the first time in human history.Quarter of the population will be over 65There is going to be almost 5 times the number of people over the age of 80 years – our oldest oldOur informal carers – the spouse, children, grandchildren, friends who look after the 75% of our aged population now – the proportion is going to drop by 40%And the challenges of funding the future demand on services. Community care providers have an issue right now that the funding we receive does not provide the resources it did for a client 10 years ago. As funding escalation has not kept up with labour and non labour costs.
The first home a hostel was built in 1990, and Georgie’s dream a nursing a nursing home in 1997 (some thirty years later).
As far as the cost of Telehealth, we are confident this daily monitoring with some scale could be as low as $50 a week.With the funding of large scale research and pilot of telehealth care, and the use of health economists – the actual savings in health dollar could be determined. However very simply if the hospital will discharge a client early with the knowledge that their vital signs will be monitored regularly by a clinician. Or if a community care service provider can intervene to avoid an admission to hospital– almost $1000 a bed day is saved.
This technology is commonly called smart home or telecare technologies.Sensor that activate if there is no movement in a home for a certain period of time.Sensors that alert you if someone has walked out the door and not returned in a set period of time.Bed sensors, chair sensors, gas , fire, flood, heat, and lighting.Medication reminders, critical visit alerts and a range of specialised sensors for Epilepsy and Continence.
eHealth in Australia<br />Leif HanlenDirector Health @ NICTA<br />
Who is NICTA?<br />Australia’s ICT research center of excellence<br />“Use inspired research”<br />Making fundamental advances in ICT that can underpin the development of globally competitive products, processes and services.<br />Building innovative ICT companies.<br />Contributing skills and outcomes that are changing the profile of our ICT industry.<br />700 people (300 research staff)<br />5 laboratories<br />2<br />
What is eHealth @ NICTA?<br />Demonstrate technology<br />Making sense of health data<br />Change-management to promote adoption<br />Research outcomes lead to national impact<br />engagement<br />ICT health projects of national significance<br />Build community<br />
Australia?<br />22million people<br />Fed. Gov’t<br />8 states<br />Health<br />75% public<br />25% private<br />Medicare<br />60/40 Fed/state<br />Aged care<br />Mixed between federal & state and many programs<br />
eHealth in Australia: Federal spend<br />Over $1.2billion (€1billion) in new public funding<br />$400m (€310m) subsidized tele-health services<br />$467m (€360m) for new health records<br />$487m (€370m) improved aged care facilities<br />Of total $59.8trillion (€45tr) Federal Health budget<br />Health 16%<br />Social Security & Welfare 33%<br />Total 2011-12 Federal budget<br />
Aligned forces<br />$1.2b eHealth<br />Ageing in place<br />$42b NBN<br />Clear benefits<br />“choice”<br />For aged care spend<br />
E-Health<br />Complete E.H.R for all citizens by Jul 2012<br />Currently in first-stage roll-out<br />PCEHR<br />
Broadband (100+ Mbps Fibre to home)<br />$42b (€32billion) fibre to 93% of homes<br />Currently in first-stage roll-out<br />By 2020<br />PCEHR<br />NBN<br />
Telehealth/ smart home services<br />Dominated by pilot projects<br />More than 600 active sites<br />Some homes<br />Open std’s<br />PCEHR<br />NBN<br />home<br />
How the “health market” works<br />Many independent fixed fee for service<br />Little/no funding for infrastructure<br />Medicare Benefits Schedule<br />Some people are “bulk billed” (no cost customer)<br />Most pay “upfront”<br />New incentives:<br />1.5x factor on GP payments if “tele” used.<br />No equivalent (yet) for home care<br />
$ 10 per week data and website<br /> $ 25 per week monitoring <br /> $ 15 per week equipment <br /> $ 50 per week<br />Business case<br />
SMART HOME TECHNOLOGY<br />Feros Care has 137 smart homes installed<br />
Smart homes in Queensland<br />Large research project with 3 areas:<br />Preventative Health and Communities of Care<br />Independent Living<br />Design<br />
Telehealth Research & Innovation Lab<br />University of Western Sydney<br />ICT methods supporting new models of Health care in areas such as aged care & independent living, chronic disease management<br />Data Management and Analysis<br />Software/Hardware for Telehealth/eHealth<br />Intelligent Automated Systems and Human Factors<br />
Conclusion<br />Australian market<br />Growing, and being activated<br />Highly regulated, but not impossible<br />Similar market behaviours in Taiwan & Singapore<br />Different scale<br />Disaster recovery<br />