The document discusses the challenges facing healthcare and eHealth, including integrated care, precision medicine, population health, high reliability organizations, and the intelligent healthcare enterprise. It outlines five challenges for Queensland Health: integrating with primary care, replacing legacy systems, new partnerships, digitalization of hospital and health services, and pursuing innovation. The vision is for system-wide technology solutions and digital innovation to promote well-being, deliver healthcare, and connect healthcare services by 2026.

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Challenges in healthcare
Dr Richard Ashby
Chief Executive / Chief Information Officer
eHealth Queensland
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Partners in Technology briefing – May 2017

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What are the challenges for eHealth?

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Institute for the Future
Health horizons 2020
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Challenge areasChallenge areas
Institute for the Future 2017

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King’s Fund, KPMG, EY Global Outlook
2015-17
• Integrated care
• Precision medicine
• Population health
• High reliability healthcare
organisation
• The intelligent healthcare
enterprise
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Queensland Health 2017
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Five challengesFive challenges

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Brisbane Diamantina Health Partners
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Precision medicine exemplar - MelanomaPrecision medicine exemplar - Melanoma
PRECISION
TREATMENT
(QIMR Berghoffer)
(MSH, MNH,
UQ, QUT)
(HSQ, QGHA)
(QH, UQ, QUT,
MSH, MNH)
(QIMR Berghoffer)
TRIENNIAL 3D
VECTOR IMAGING
MELANOMA
(UQ)
IBM WATSON
HYBRID IMAGING
GENOMIC TESTING
Keytruda
Opdivo
Yervoy
Zelboraf etc.
SunSmart monitoring and
behaviour app
WEARABLE TECH
UV Dosimetry
BRAF Class 1, Class 2
SURGERY
+ -
VACCINE
(AEHRC)
EVALUATION
GENOMIC
SCREENING
EPIDEMIOLOGY
AT RISK
CDKN2A
(QUT)

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Digital Health Strategic Vision for
Queensland
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A vision for system-wide technology solutions, services and digital
innovation
Promoting
wellbeing
Delivering healthcare Connecting healthcare
Strategic alignmentStrategic alignment
Pursuing
innovation
‘By 2026, Queenslanders will be amongst the healthiest people in the world’

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Investment prioritiesInvestment priorities
Investing in digital
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The eHealth Investment Strategy provides a cohesive and considered plan for
Queensland Health’s ICT investment priorities over the next 20 years

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Digitalisation of Hospital and
Health Services 2017-2020
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PA Hospital
Mackay
Logan / Beaudesert
LCCH
Townsville
QEIIRedlands
RBWH
GCUH / RobinaIpswich
Caboolture
Cairns
Roma
Redcliffe
Rockhampton
Hervey Bay
Bundaberg
TPCH
Mt Isa
Longreach Toowoomba
Thursday Island
SCUH

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Integration with primary care
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• eReferrals
• Pathways
• My Health Record
• Medical imaging
• Pathology
• Community pharmacy

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Replace legacy systems
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• Patient administration
• Laboratory information
• Finance
• Public health
• Interoperability
• Infrastructure

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New partnerships
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• Australian Digital Health Agency
• Queensland Genomics Health Alliance
• Data 61
• Universities
• Brisbane Diamantina Health Partners
• Private sector (health/ICT)

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Innovation
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• Internet of things
• ‘Remote’
• ‘Mobility’
• Apps
• Wearable technology
• Big data
• Gamification

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The future is digital