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Clean
In Integrated tegrated Ca Care re – Hea Healt lth h Nav avigator gator
Emma Hossack CEO Extensia
Clean Emma Hossack CEO Extensia Sou Southern thern Inl Inland - - PowerPoint PPT Presentation
Clean Emma Hossack CEO Extensia Sou Southern thern Inl Inland - - PowerPoint PPT Presentation
In Integrated tegrated Ca Care re Hea Healt lth h Nav avigator gator Clean Emma Hossack CEO Extensia Sou Southern thern Inl Inland Health and Health Init Initiativ iative e - SIH SIHI Project Area Pro ject Area People
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People Living in Country WA Experience
- higher rates of diabetes, cardiovascular and chronic obstructive pulmonary disease
- admissions to hospital and/or presentation to emergency care due to chronic conditions
- a lot of preventable admissions - In 2010 the estimated cost of potentially preventable hospitalisations
to WACHS was $89 million, of which $55 million is related to chronic conditions.
- a 2 year shorter life expectancy than metropolitan areas
WA Country Health Service Serves:
- a population of almost 560,000 people, (21 per cent of WA’s total population) dispersed over a vast
geographic area covering 2.55 million square kilometres – more than 10 times the size of the United Kingdom
- a larger than usual indigenous population - In metropolitan Perth 1.6 per cent of the population is
Aboriginal (33,000 people) and in country WA this increases to 7.6 per cent (42,500 people). .
- Pro
Project Area ject Area
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- To enable aged people suffering health
issues to stay at home longer and avoid preventable hospitalisation
- To use tools shared with many levels of
providers - modified as required
- To use telehealth and video conferencing
through a Health Navigator service – linking sufferers of Chronic respiratory conditions or diabetes with the right level
- f care.
- To measure the effect of
intervention in systems
Purp Purpose
- se
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- What say the users? The consumer provider interviews indicate great enthusiasm. Comments
such as “it has changed my life” are rare in digital health programmes: Health Navigator – Diabetes management - https://youtu.be/CuUgIxrkXyM Health Navigator – Heart and lung disease management -https://youtu.be/TzcmhT-Za-I
- How often do they share? 75% of the CISS records are accessed by 2+providers in the last 12
months & 38% are accessed by 4+ providers - strong indicator of actual sharing. 1200 referrals pcm,
- Who uses it? 700 healthcare providers including half the GPs in the area. The Lions Van,
Diabetes WA and Asthma WA –no limit to number of NGOs which can join
- Trusted? Yes. A year of education followed the Scottish model for OPT OUT. For an entertaining
link on OPT OUT see how Google does it https://m.youtube.com/watch?v=lMChO0qNbkY
- Measurement? Real time reporting and notifications enable swift remedial action. Daily reports to
monitor usage and graphical statistics –measures real purpose of shared record, not just registrants.
Any Good?
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- Provider attitude to sharing.
- Initial difficulty matching the consent model with
the cohort.
- Lots of systems being bundled up at the time in
wheatbelt– providers overwhelmed.
- Indigenous population in Southwest very
displaced – history of Yorke, stolen generation etc.
- Uncertainty with change of government and funding.
Ross Bonifanti sculpture Courtesy Rebecca Hossack Gallery London
Brick Bats
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- Within Budget and time –it works
- Consumer and provider satisfaction
- Team enthusiasm
- Taken up without incentives
- Grew organically without unrealistic
political milestones –DWA, AF and EV
- Appreciation of the need to accept and do
something about feedback – the consent model name & templates
Courtesy Rebecca Hossack Gallery,Hepzibah Swinford
Bouquets
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- CEO Extensia
- President Medical Software Industry Association
- Treasurer International Association of Privacy
Professionals ANZ
- Director ScriptWise
- Contact: ehossack@extensia.com.au; +61 411478799