NACCHO Members' Conference 2019

1. NACCHO Conference 2019
Transforming health and wellbeing in local communities:
putting digital technology to work
Tim Kelsey
Chief Executive

2. Acknowledgement
We would like to acknowledge the traditional owners of
country we are meeting on today, the people of the Larrakia
Nation, and their continuing connection to land, sea and
community. We pay our respects to them and their cultures,
and to Elders both past and present.

3. National Digital Health Strategy – roadmap for delivery
High-quality data
with a commonly
understood
meaning that can
be used with
confidence
Health information
that can be
exchanged
securely
Digitally enabled
models of care
that improve
accessibility,
quality, safety
and efficiency
A thriving digital
health industry
delivering
world-class
innovation
A workforce
confidently using
digital health
technologies to
deliver health
and care
Health
information that
is available
whenever and
wherever it is
needed
INTEROPERABILITY
AND DATA QUALITY
3
SECURE
MESSAGING
2
MY
HEALTH RECORD
1 4
ENHANCED
MODELS OF CARE
5
WORKFORCE AND
EDUCATION
6
DRIVING
INNOVATION
7
Better availability
and access to
prescriptions
and medicines
information
MEDICINES
SAFETY
Co-designed with all states and territories and agreed by COAG Health Council

4. 3
INTEROPERABILITY
AND DATA QUALITY
1
MY
HEALTH RECORD
4
MEDICINES
SAFETY
5
ENHANCED
MODELS OF CARE
6
WORKFORCE AND
EDUCATION
7
DRIVING
INNOVATION
2
SECURE
MESSAGING
1
MY
HEALTH RECORD
My Health Record – latest national statistics
22.6 million Australians have a record
16,227 healthcare provider organisations registered
70.2 million medication prescription and dispense
records uploaded
1.4 billion documents uploaded
17,800 shared health summaries and event summaries
uploaded by ACCHOs in September 2019
66% of Aboriginal
Medical Services
in Australia are
connected to My
Health Record

5. 3
INTEROPERABILITY
AND DATA QUALITY
1
MY
HEALTH RECORD
4
MEDICINES
SAFETY
5
ENHANCED
MODELS OF CARE
6
WORKFORCE AND
EDUCATION
7
DRIVING
INNOVATION
2
SECURE
MESSAGING
1
MY
HEALTH RECORD
My Health Record across Australia
• Over 800 public hospitals and health services are
connected and uploading:
o Discharge Summaries
o Pathology Reports
o Diagnostic Imaging Reports
• Private hospitals, pathology and diagnostic imaging
providers are coming on board
• Most GP practices and Aboriginal Medical Services are
connected
• Over 85% of community pharmacies are registered
• Australian Digital Health Agency provide My Health
Record Training & Strategic Engagement events
specifically tailored for ACCHO/AMS service providers
and their partners . The workshops are tailored for all
staff who work within Indigenous Health Services.
For more information visit: www.myhealthrecord.gov.au/about/who-is-using-digital-health

6. 3
INTEROPERABILITY
AND DATA QUALITY
1
MY
HEALTH RECORD
4
MEDICINES
SAFETY
5
ENHANCED
MODELS OF CARE
6
WORKFORCE AND
EDUCATION
7
DRIVING
INNOVATION
2
SECURE
MESSAGING
1
MY
HEALTH RECORD
My Health Record for young people
• Effective 4 February 2019 the Australian
Parliament made important changes to My Health
Record laws. These laws mean stronger privacy
protections for young people aged 14-17 years.
• Parents are automatically removed as Authorised
representatives from the young person’s My
Health Record from the age of 14
• The young person can manage their own My
Health Record.
• The young person can choose to nominate a
parent, guardian or other person as a Nominated
Representative and grant appropriate level of
access if they wish.
I think we all know that young people,
me included, don’t necessarily like
being told what to do.
So having a capacity to actually take
ownership and control of our own
health and own record gives us an
ability to manage ourselves in a way
that wouldn’t otherwise be possible.
Harry Isles Mann
National Youth Mental Health Advocate
“
”

7. 3
INTEROPERABILITY
AND DATA QUALITY
1
MY
HEALTH RECORD
4
MEDICINES
SAFETY
5
ENHANCED
MODELS OF CARE
6
WORKFORCE AND
EDUCATION
7
DRIVING
INNOVATION
2
SECURE
MESSAGING
5
ENHANCED
MODELS OF CARE
Improving health outcomes
The Agency is refocusing consumer and community engagement programs to
better target the needs of the Australian population across rural, regional and
remote Australia.
Connecting the health issues of most importance to consumers with providers
and innovators to foster consumer-driven design solutions for better health
care management. For example:
• What are the mobile preventative health apps and approaches currently in use or
‘blue sky thinking’ that could support youth mental health
• How can technology be used to build trust, relationships and connections
between consumers, carers, families, healthcare workers and specialists in the
aged care sector? Can it help mitigate Elder Abuse?
• How can digital health technologies be aligned to the CTG goals and used to
improve outcomes for Aboriginal and Torres Strait Islander People?
Aboriginal and
Torres Strait
Islander People
Refugees and
recent migrants
Youth (14-25) Older Australians
and Carers
Parents and
children

8. 3
INTEROPERABILITY
AND DATA QUALITY
1
MY
HEALTH RECORD
4
MEDICINES
SAFETY
5
ENHANCED
MODELS OF CARE
6
WORKFORCE AND
EDUCATION
7
DRIVING
INNOVATION
2
SECURE
MESSAGING
5
ENHANCED
MODELS OF CARE
Addressing barriers to digital health uptake
• Digital health literacy education programs for national rollout in 2020
• Youth – MHR use, privacy and rights curriculum in schools program in
partnership with the Australian Human Rights Youth Commissioner
• People with low digital health literacy – Good Things Foundation and the
Australian Libraries Information Association
• Digital health literacy training program for frontline library staff
• Youth mental health education programs and digital technologies
• Digital health education programs will be tailored to Aboriginal and Torres Strait
Islander communities in collaboration with stakeholders; ACCHS are
fundamental to closing the gap in Aboriginal and Torres Strait Islander health
outcomes and are leaders in digital health.
• In consultation with Affiliates
• In language
• In consultation with Elders, community leaders and stakeholders
• Delivered in a culturally appropriate manner
Affiliates meeting at Queensland Aboriginal and
Islander Health Council (QAIHC)
Tailoring communications and engagement materials
My Health Record storybooks – AHMRC NSW

9. 3
INTEROPERABILITY
AND DATA QUALITY
1
MY
HEALTH RECORD
4
MEDICINES
SAFETY
5
ENHANCED
MODELS OF CARE
6
WORKFORCE AND
EDUCATION
7
DRIVING
INNOVATION
2
SECURE
MESSAGING
5
ENHANCED
MODELS OF CARE
Achievements to date
• Governance established
• Baby book minimum dataset harmonised across
all states and territories
• Significant co-design progress achieved, covering:
▪ 222 co-design workshop participants
▪ 60 interviews, presentations and workshops
▪ 27 personas
▪ 79 health interactions
National Children’s Digital Health Collaborative

10. 3
INTEROPERABILITY
AND DATA QUALITY
1
MY
HEALTH RECORD
4
MEDICINES
SAFETY
5
ENHANCED
MODELS OF CARE
6
WORKFORCE AND
EDUCATION
7
DRIVING
INNOVATION
2
SECURE
MESSAGING
5
ENHANCED
MODELS OF CARE
Key milestones
• Child Digital Health Record proof of concept to
commence in NSW in 2020
• Co-design and harmonisation of data set for Digital
Pregnancy Health Records and Child Digital Health
Record (5 to 14 years)
• National Scalability Business Case developed for
Children’s Digital Health endorsed by AHMAC in
FY2019/20
• National rollout on the forward horizon post-business
case development
National Children’s Digital Health Collaborative

11. 3
INTEROPERABILITY
AND DATA QUALITY
1
MY
HEALTH RECORD
4
MEDICINES
SAFETY
5
ENHANCED
MODELS OF CARE
6
WORKFORCE AND
EDUCATION
7
DRIVING
INNOVATION
2
SECURE
MESSAGING
5
ENHANCED
MODELS OF CARE
Communities of Excellence - Concept
• What: regional and/or rural communities that have all
healthcare providers connected to the My Health Record
system.
• Why: to demonstrate the benefits of using the My Health
Record system and digital health through meaningful,
connected use.
• Where: 3 communities have been chosen for the pilot –
Berrigan (NSW), Emerald (QLD) and Hedland (WA). These
communities are rural or remote communities and have
strong local clinical leadership and support.
Having My Health Record means
that my staff can manage our
clients better.
For example, they will get to
know what’s going on with our
people and help them to identify
people who need a review of
medication
Ungi
Aboriginal Medical Service
Bourke, NSW
“
”

12. 3
INTEROPERABILITY
AND DATA QUALITY
1
MY
HEALTH RECORD
4
MEDICINES
SAFETY
5
ENHANCED
MODELS OF CARE
6
WORKFORCE AND
EDUCATION
7
DRIVING
INNOVATION
2
SECURE
MESSAGING
6
WORKFORCE AND
EDUCATION
Mental Health Toolkit
The toolkit includes:
• an introduction to the My Health Record system and its benefits
• how to register for My Health Record
• how to connect to the system and configure the organisation’s IT
• healthcare providers’ privacy, security and consent obligations
• how to view information in a person’s My Health Record and upload
information to it
• who to contact for help and support.

13. 3
INTEROPERABILITY
AND DATA QUALITY
1
MY
HEALTH RECORD
4
MEDICINES
SAFETY
5
ENHANCED
MODELS OF CARE
6
WORKFORCE AND
EDUCATION
7
DRIVING
INNOVATION
2
SECURE
MESSAGING
6
WORKFORCE AND
EDUCATION
Digital Health Workforce and Education Roadmap
• Leading the development of a national digital health
workforce and education roadmap linked directly to
Australia's national digital health strategy.
• The priority is to ensure a health workforce that is
confident using digital health technologies to deliver
health and care.
• Engagement across the health sector to understand
what is needed to realise this outcome.
• Engagement with Aboriginal and Torres Strait Islander
Health Practitioners, Affiliates and Community
Controlled Health Organisations is critical to inform the
roadmap.
There’s a lot of cynicism out there; that online
records are just an excuse for governments to
collect information about us. Part of my job is
assuring people that only authorised doctors
can access a person’s My Health Record, with
strict safety checks along the way to ensure
their privacy.
Once access is granted, the information is only
used for the purposes of improving a patient’s
health and wellbeing.
Steve Renouf
Co-chair on the ADHA National Medicines
Safety Program
“
”

14. 3
INTEROPERABILITY
AND DATA QUALITY
1
MY
HEALTH RECORD
4
MEDICINES
SAFETY
5
ENHANCED
MODELS OF CARE
6
WORKFORCE AND
EDUCATION
7
DRIVING
INNOVATION
2
SECURE
MESSAGING
6
WORKFORCE AND
EDUCATION
My Health Record eLearning module for
Aboriginal Health Practitioners
• APHRA announced that it will be mandatory for AHPs to
complete CPD from December 2019
• Agency is working with NATSIHWA to develop an
eLearning module for AHPs that can be endorsed for
CPD points
• Aboriginal Health Practitioners are an essential part of
the healthcare system, as the bridge between Aboriginal
Communities and the healthcare system

15. 3
INTEROPERABILITY
AND DATA QUALITY
1
MY
HEALTH RECORD
4
MEDICINES
SAFETY
5
ENHANCED
MODELS OF CARE
6
WORKFORCE AND
EDUCATION
7
DRIVING
INNOVATION
2
SECURE
MESSAGING
5
ENHANCED
MODELS OF CARE
Acknowledging community leadership
• Aboriginal Community Controlled Health Organisations are at the
forefront of the adoption of electronic health records.
• As an Agency we are proud of our support to Aboriginal and Community
Controlled Health Organisations and Affiliates.
• We seek to further strengthen our approach to the delivery of digital
health programs to support Aboriginal and Torres Strait Islander People
achieve better health outcomes for their communities.
• We acknowledge that some stakeholders may have data sovereignty
concerns about data collection and we commit to listening and working
with you to address these concerns.
• We acknowledge the leadership of Aboriginal and Community Controlled
Health Organisations and Affiliates in Closing the Gap.
• We commit to partner with you and to work in collaboration on this
critical agenda for your People.

16. Further information and support
My Health Record
Web: www.myhealthrecord.gov.au
My Health Record Help line: 1800 723 471
(select 2 for providers)
Australian Digital Health Agency
Web: www.digitalhealth.gov.au
Email: help@digitalhealth.gov.au