Lh 20110920-casala


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Lh 20110920-casala

  1. 1. eHealth in Australia<br />Leif HanlenDirector Health @ NICTA<br />
  2. 2. 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 />
  3. 3. 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 />
  4. 4. 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 />
  5. 5. 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 />
  6. 6. Aligned forces<br />$1.2b eHealth<br />Ageing in place<br />$42b NBN<br />Clear benefits<br />“choice”<br />For aged care spend<br />
  7. 7. E-Health<br />Complete E.H.R for all citizens by Jul 2012<br />Currently in first-stage roll-out<br />PCEHR<br />
  8. 8. 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 />
  9. 9. 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 />
  10. 10. 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 />
  11. 11. Australian Health (IT) market<br />
  12. 12. Trends in Australia<br />
  13. 13.
  14. 14. $ 10 per week data and website<br /> $ 25 per week monitoring <br /> $ 15 per week equipment <br /> $ 50 per week<br />Business case<br />
  15. 15. SMART HOME TECHNOLOGY<br />Feros Care has 137 smart homes installed<br />
  16. 16. Smart homes in Queensland<br />Large research project with 3 areas:<br />Preventative Health and Communities of Care<br />Independent Living<br />Design<br />
  17. 17. 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 />
  18. 18. An altogether different kind of market<br />
  19. 19. Japan (Miyagi)<br />March earthquake & tsunami<br />Northern Japan<br />Red line shows flooded areas more than 25km inland<br />Miyagi prefecture had flooding 16.5m deep<br />
  20. 20. Japan (Miyagi)<br />Main hospital<br />
  21. 21. Japan (Miyagi)<br />
  22. 22. 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 />