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Andrew M Saunders
Health Chief Information Officer
Enabling consumer centred care
through a transformative shift in health
data and technology
Digital Health Summit Melbourne 20 April 2016
Current Health Sector context
2
Key theme:
Person centred health care
• Prevent illness
• Better manage demand
• Reduce admissions and
re-admissions
• Reduce unit costs
Key drivers:
Increasing demand
• population growth
• population aging
• increasing chronic disease
Increasing costs
• Health care costs rising faster
than inflation
Reducing federal contribution
Increasing community expectation
• that the government should “join
the dots” in providing services
Technology as a Catalyst for change
Ride the wave of change or be swept away!
Consumers driving adoption of innovation
Scale of ICT has dramatically changed
The Cloud is real and changing service offerings
People and Computing are beginning to merge
Shared collaboration between suppliers &
consumers
Shareable individual digital health data
Wearable health monitoring devices
Sub acute care independent of hospital setting
Victoria’s Future Healthcare Model
4“Enabling person-centred health and wellbeing”
There are 6 emerging priorities to deliver Health 2040:
1. A person-centred view of healthcare
2. Preventing and treating chronic disease
3. Improving people’s health outcomes and experience
4. Improving the way that the system works together
5. Better health for people in rural and regional areas
6. Valuing and supporting our workforce
The person is at the centre of improved
health & wellbeing outcomes
5
Preventative Health Episodic Health Care
Continuity of CareApplied Health Research
- Active participation
Person centred
Health
Sector Integration
Building block Description
A. Digital Clinical
Services
Modern Patient Administration (PAS), Electronic Medical Record
(EMR) & supporting clinical systems.
B. Enterprise Master
Patient Index
Uniquely identifies a person and enables linking of all clinical
information for the person across multiple health services.
C. Clinical Information
Exchange
Provide a repository for key clinical information for a person,
including discharge summaries, radiology & pathology.
D. eReferrals &
Discharge
Summaries
Automate referrals and discharge summaries, ensuring ability to
integrate directly into clinical systems and associated workflows.
E. Place based
implementations
Enable easy navigation through the system via integration of
systems and information, customised to place based needs.
F. Health network Deliver a robust & secure network that provides equity of access
for all health services and supports telehealth.
Some Digital Health Building Blocks
Illustrative precision health eco system
Consumer Digital Health Innovation
Smart toilets
Precision / genomic medicine
‘A 20-month-old girl
suffering from a rare
neurodegenerative
disease was diagnosed
by exome sequencing
and successfully treated’
Fashionable
wearables
Clinical wearables
Insertable
cardiograph
chips
Challenges to overcome
Paper based records that
can’t be easily shared
Digital clinical systems are all about
the workflows, and changes to them.
Need to evolve from existing legacy
building and ICT infrastructure
Funding approach currently supports
discrete episodic care delivery.
Questions
Page 10

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Digital health summit 20 april 2016

  • 1. Andrew M Saunders Health Chief Information Officer Enabling consumer centred care through a transformative shift in health data and technology Digital Health Summit Melbourne 20 April 2016
  • 2. Current Health Sector context 2 Key theme: Person centred health care • Prevent illness • Better manage demand • Reduce admissions and re-admissions • Reduce unit costs Key drivers: Increasing demand • population growth • population aging • increasing chronic disease Increasing costs • Health care costs rising faster than inflation Reducing federal contribution Increasing community expectation • that the government should “join the dots” in providing services
  • 3. Technology as a Catalyst for change Ride the wave of change or be swept away! Consumers driving adoption of innovation Scale of ICT has dramatically changed The Cloud is real and changing service offerings People and Computing are beginning to merge Shared collaboration between suppliers & consumers Shareable individual digital health data Wearable health monitoring devices Sub acute care independent of hospital setting
  • 4. Victoria’s Future Healthcare Model 4“Enabling person-centred health and wellbeing” There are 6 emerging priorities to deliver Health 2040: 1. A person-centred view of healthcare 2. Preventing and treating chronic disease 3. Improving people’s health outcomes and experience 4. Improving the way that the system works together 5. Better health for people in rural and regional areas 6. Valuing and supporting our workforce
  • 5. The person is at the centre of improved health & wellbeing outcomes 5 Preventative Health Episodic Health Care Continuity of CareApplied Health Research - Active participation Person centred Health Sector Integration
  • 6. Building block Description A. Digital Clinical Services Modern Patient Administration (PAS), Electronic Medical Record (EMR) & supporting clinical systems. B. Enterprise Master Patient Index Uniquely identifies a person and enables linking of all clinical information for the person across multiple health services. C. Clinical Information Exchange Provide a repository for key clinical information for a person, including discharge summaries, radiology & pathology. D. eReferrals & Discharge Summaries Automate referrals and discharge summaries, ensuring ability to integrate directly into clinical systems and associated workflows. E. Place based implementations Enable easy navigation through the system via integration of systems and information, customised to place based needs. F. Health network Deliver a robust & secure network that provides equity of access for all health services and supports telehealth. Some Digital Health Building Blocks
  • 8. Consumer Digital Health Innovation Smart toilets Precision / genomic medicine ‘A 20-month-old girl suffering from a rare neurodegenerative disease was diagnosed by exome sequencing and successfully treated’ Fashionable wearables Clinical wearables Insertable cardiograph chips
  • 9. Challenges to overcome Paper based records that can’t be easily shared Digital clinical systems are all about the workflows, and changes to them. Need to evolve from existing legacy building and ICT infrastructure Funding approach currently supports discrete episodic care delivery.