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Collaborative Leadership Insights - creating a digital health eco-system
- 1. Collaborative Leadership Insights Gartner Symposium 2017 MrAndrew M Saunders Non Executive Director HiMSS Asia Pacific Governance Board Collaborative Leadership Insights - creating a digital Health ‘eco-system’
- 2. Collaborative Leadership Insights Collaborative Leadership Insights 1. Australia’s healthsystem 2. Potential of ‘digital health’ – will it ‘uberise’ health? 3. Developing a digitising health ‘eco system’ strategy 4. Collaborative leadership insights 5. Questions Outline
- 3. Collaborative Leadership Insights Collaborative Leadership Insights 1. Australia’s HealthSystem Primarily focused on episodic ‘sick & injured’ care Commonwealth manages primary health • GPs, Specialists, associated diagnostic services • Funding via Medicare and co-payments States manage public hospitals • Funding via state budgets • Prioritisation of patients based on clinical needs Private hospitals - ‘not for profit’ & ‘for profit’ • Mostly funded via private health insurance & co payments
- 4. Collaborative Leadership Insights Collaborative Leadership Insights Medical Clinicians • Majorityare independent/small business rather than salaried employees Current System is not organised around the person • Diffused accountability between: • State and Federal Governments • Primary and tertiary health providers • Private insurers • Medical clinicians • The individual Episodic care funding/fee for service rewards turnover • Does not reward prevention, early intervention and continuity of care Australia’s Health System
- 5. Collaborative Leadership Insights Collaborative Leadership Insights Pressures: • Aging ofpopulation • Increasing burden of chronic diseases • Increasing expectations of healthcare delivery by population • Medical costs increasing faster than inflation over long period • Government finances under pressure5 Pressures on Australia’s health sector. Victorian Health Vision 22 July 2015 Ensure people are as healthy as they can be Deliver the best healthcare outcomes possible
- 6. Collaborative Leadership Insights Collaborative Leadership Insights iPerson Centred HealthSystem from HiMSS17 & US site visits What does ‘treat me as a person’ mean? Patient engagement – does the person feel empowered in the care provided Age friendly health systems – what is important to them matters Human centred design Need to bring back the joy of working in the health system
- 7. Collaborative Leadership Insights Collaborative Leadership Insights • Integrated clinicalpathway workflows • Automated cognitive decision support and alert algorithms Improve Safety, Quality, Consistency & Timeliness of health services • Prevention & rehabilitation through active ‘social platform’ engagement • Personal ownership of health through increased knowledge & personal health data Increased engagement & empowerment of consumers • Improved prevention, early intervention and continuity of care management • Improved control & utilisation of hospital resources Reduced costs of health services 7 2. Current Digital Health opportunities 22 July 2015
- 8. Collaborative Leadership Insights Collaborative Leadership Insights Future Digital Health– will it be Uberised? Cloud based digital health – any where, any time, any device Sensors will get smaller, cheaper and increase capability to seamlessly collect data Deep data analytics & cognitive processing Person centred precision medicine leveraging genomics, clinical and population data Insertable chips Clinical wearables Smart toilets Genomic & Precision medicine
- 9. Collaborative Leadership Insights Collaborative Leadership Insights Digital Health isNOT about ICT projects Digital Health is enabling digital platformsand workflowsthat: Improve Safety & Quality by reducing avoidable harm Reduce the burden of chronic disease by linking all episodes of care to the person Provide clinical data that can be analysed and used for research to improve clinical outcomes Provide a longitudinal health record for a person that will assist in prevention and early intervention of health issues 3. Developing a Digital Health Strategy
- 10. Collaborative Leadership Insights Collaborative Leadership Insights Lack of confidenceby Govt in ICT projects Health services ‘own’ their own ICT Integrated EMRs are ‘expensive’ Privacy & Cyber Security concerns 10 4. What are some of the Risks & Issues we need to manage? 22 July 2015 Some Challenges to overcome
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- 12. Collaborative Leadership Insights Collaborative Leadership Insights Vic Digital HealthPriorities Building block Priority A. Digital Clinical Services Integrated Electronic Medical Record B. Enterprise Master Patient Index Index that links Health Service and National Health Identifiers C. Clinical Information Sharing Person’s clinical information available at the right time, the right place in the right format D. eReferrals & Discharge Summaries Automate & integrate referrals and discharge summaries E. Clinical Grade Health network Deliver a robust & secure network that provides equity of access
- 13. Collaborative Leadership Insights Collaborative Leadership Insights Digitising Health requiredan integrated ‘eco system’ Empower individual health services to develop local digital health services that adhere to interoperability standards and enable clinical information sharing • Public health services • Ambulance • Independent community health services Implement whole of public sector digital health initiatives centrally to maximise connectivity and sharing • unique identification of the patient/person • share clinical information across the sector • share clinical research information across the sector • streamline reporting and share analytics across the sector Share clinical information with Primary Care providers & Private Hospitals through My Health Record and/or directly with patient consent
- 14. Collaborative Leadership Insights Collaborative Leadership Insights National Digital HealthStrategy My Health Record Secure Messaging Interoperability and Data Quality Medications Safety Enhancing Models of Care Workforce Education Drive Innovation
- 15. Collaborative Leadership Insights Collaborative Leadership Insights ‘Collaboration is apurposeful relationship between 2 or more parties working together in which all parties strategically choose to co- operate to achieve shared or overlapping objectives.’ 4. Collaborative Leadership Insights When collaboration doesn’t work The ‘size of the prize’ must be worth the additional effort in collaborating together
- 16. Collaborative Leadership Insights Collaborative Leadership Insights Collaborative Leadership Insights 3.Collaboration is a skill to master 1. Positive Assumptions 2. “Interests based” conversations 4. Everyone has trouble letting go – create new positions together 5. Being comfortable with ambiguity & uncertainty whilst still being accountable
- 17. Collaborative Leadership Insights Collaborative Leadership Insights Collaborative Leadership Insights 8.Carefully define roles & accountabilities 6. Never let a crisis go to waste 7. People build trust by working ‘on stuff’ together 9. Find your centralised / de-centralised ‘sweet spot’ 10. Appreciate often – collaboration is hard work!
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