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Innovation and Healthcare Reform

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USING SOCIAL INNOVATION TO DEVELOP & DEPLOY FAIR, EQUITABLE & SUSTAINABLE HEALTHCARE SOLUTIONS

We are small, flexible and dynamic healthcare service provider based in Victoria, Australia. We work with individuals, organisations and businesses of all sizes to improve patient outcomes and reduce healthcare costs.

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Innovation and Healthcare Reform

  1. 1. INNOVATION ANDHEALTHCARE REFORMDavid Noble MBBS FANZCA
  2. 2. www.bdihealth.comWHAT IS INNOVATIONInnovation is the practical (commercial) application of aninvention or novel idea (product, service, process)The light bulb was research and development; the powergrid allowed the practical applicationResearch might be cool science but it iscommercial application that pays the bills
  3. 3. www.bdihealth.comAUSTRALIAN HEALTHCARE“The Australian Healthcare sector is arguably one of thelargest cottage industries in the southern hemisphere”Cottage Industry: a small and often informally organised industry that lacksthe coordination and discipline of business
  4. 4. www.bdihealth.comWHAT IS BDI HEALTH?COMBINING CLINICAL PRACTICE WITH CLINICAL TRANSLATION Clinical Practice using skills, knowledge and existing products, services or processes to treat patients today Clinical Translation using skills and knowledge and resources to develop and deploy new healthcare products, services or processesfor tomorrow Healthcare technology development Medical hardware 3 commercial development grants $110k Clinical translation “pipeline” with UK and US entities for hardware and software development Healthcare technology deployment Adviser to IBM Smarter Healthcare Solutions
  5. 5. www.bdihealth.comWHAT IS ANAESTHETICSThe delivery of real time, hyper-dynamicmultisystem risk/benefit analysis and actionsconstrained by existing governance andprocess mechanisms
  6. 6. www.bdihealth.comTHE HEALTHCARE ECOSYSTEMThe delivery of real time, hyper-dynamicmultisystem risk/benefit analysis and actionopportunity modified by continuously evolvinggovernance and process mechanisms
  7. 7. www.bdihealth.comWhy should anybody care?
  8. 8. www.bdihealth.comGRATTAN INSTITUTE APRIL 2013“Time to face rising pressures on Australian government budgets” The report finds that the greatest of the pressures that put Australia’s prosperity atrisk come from sustained growth in spending, especially health expenditure, whichrose by nearly $42 billion in real terms over the past decade. But contrary to widespread belief, it is not the ageing population that is drivinghealth spending but the fact that people of all ages are seeing doctors more often,having more tests and operations and taking more prescription drugs.
  9. 9. www.bdihealth.comHOW GOVERNMENTS RESPOND TO FINANCIALIMBALANCE Increase in taxation Reduction in servicesALL OF THESE HAVE A NEGATIVE IMPACTON FINANCIAL PROSPERITYTraditional methods will not fix the system… but that neverstopped them before
  10. 10. www.bdihealth.comWHO MAKES THE BIG BUCKSTHE AGE MAY 20131. Surgeon- $350,3832. Anaesthetist- $302,6534. Internal Medicine- $254,5976. Psychiatrist- $176,8859. Other medical- $155,46510.Dental- $140,957
  11. 11. www.bdihealth.comWHERE DOES THE HEALTHCARE $ GO? 25%-40% of the healthcare budget is lost as “waste” 60% of a hospital’s expenditure is on wages
  12. 12. www.bdihealth.comAN ARGUMENT FOR CHANGEIT IS POSSIBLE THAT GOVERNMENTS WILL SOON BE ARGUINGTHAT THE MEDICAL PROFESSION IS THE PROBLEM AND NOT THESOLUTION TO THE HEALTHCARE CRISISINCOME WILL BE A SIGNIFICANT FACTOR
  13. 13. www.bdihealth.comTHE WRITING IS ON THE WALL Performance-based funding Change in workforce dynamics More medical graduates to increase competition Insufficient places for current graduates Increasing anaesthetic trainee numbers to alter supply/demand ratio No staff jobs in major cities and departments being downsized Introduction of Nurse Practitioners Perioperative specialists Other specialties including general surgery Session rate is $400The only laws that can’t be changed are the laws of natureLook what happened to the bank deposits in Cyprus
  14. 14. www.bdihealth.comIF WE WANT TO SURVIVE WE NEED TO SEEN AS PART OF THESOLUTION AND NOT JUST PART OF THE PROBLEMDO WE ACCEPT THEIR PATH OR CHOOSEOUR OWN?
  15. 15. www.bdihealth.comPART OF THE SOLUTIONONE OPTION IS TO BECOME CLINICALTRANSFORMATION SPECIALISTS IN ADDITIONTO CLINICAL PRACTICE SPECIALISTS
  16. 16. www.bdihealth.comAN EXAMPLE OF CLINICAL TRANSLATION As anaesthetists we acts as clinical specialists If we use our skills and knowledge to develop and deploy new products,services and processes then become clinical translation specialists If those products, services or processes improve patient outcomes anddecrease total healthcare costs then they improve the financial balance inhealthcare If the new products, services or processes have commercial potential thenthey can be exported and improve national prosperity If we have a stake in it we make $$
  17. 17. www.bdihealth.comCOMMERCIAL HEALTHCARE REFORMImproved patient outcomesDecreased total healthcare costsDevelop export driven healthcare economy
  18. 18. www.bdihealth.comEXPORT DRIVEN HEALTHCARE ECONOMY New Zealand has made a commitment to double medical technology exportsbetween 2012 and 2015 What are the roadblocks to Australia achieving something similar?The roadblocks are cultural and not technical orgeographical
  19. 19. THE END

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