MY BACKGROUND NHS UK Consultant Surgeon since 2003 Royal Marsden - - PowerPoint PPT Presentation

A MULTIMODALITY TELEHEALTH SYSTEM APPROACH TO THE MULTIDISCIPLINARY

(MDT) MEETING

Ranjan Thilagarajah MS FRCS

@ContextHealthAU

MY BACKGROUND

• NHS UK Consultant Surgeon since 2003
• Royal Marsden Hospital, London

(Hon.)

• CHIA accreditation - 2015
• Director of CONTEXT Health PTY Ltd

WHAT IS MDT?

A multidisciplinary approach involves drawing appropriately from multiple disciplines to explore and reach solutions based on an understanding of complex situations. To reduce health inequalities in access and

• utcomes of healthcare services.

The PATIENT MDT Discussion Cancer Registry Data Best Practice Guidance Outcome Data

AUSTRALIAN CANCER STATISTICS

• Australian Cancer Database (ACD) 1982
• Australian Association of Cancer Registries (AACR)

1982

• Australian Institute of Health and Welfare (AIHW)

1982

• National Cancer Statistics Clearing House (NCSCH)

1986 to co-ordinate national cancer statistics

STATE CANCER REPORTS

• Mandatory requirement

(2005)

• Submissions from
• Pathology laboratories
• Hospitals
• Aged Care facilities
• New cancers and mortalities

AUSTRALIA - HOSPITAL DISTRIBUTION

Hospitals by State Public Private NSW 226 173 Victoria 150 161 Queensland 170 106 Western Australia 95 55 South Australia 80 56 Tasmania 24 8 ACT 3 12 Northern Territory 5 2

CANCER AUSTRALIA

“Improving quality of life through systematic implementation of evidence- based strategies” “Despite the overall high cancer survival rates in Australia, there are ongoing challenges regarding disparity in the distribution of outcomes across populations and tumour groups”

“ECOSYSTEM” PLANNING

• End-to-end care with completion of the

healthcare cycle

• Patient - GP
• GP - Specialist
• Specialist - Specialist (MDT)
• Cancer Registry Data collection

BUSINESS INTEGRATION

• Recent acquisition of

Melbourne-based company

• Secures the start of the

patient journey

• A local service for patients,

wherever they are: “See your own GP”

CONTEXT GP System

CONTEXT GP

• Deployment in city, regional and remote areas across

Australia & UK

• “Concierge-led”, creating a personalised service for patients
• Simple to set up and use
• Waiting Room function
• Patients see their own GP

How much does this cost?

FROST & SULLIVAN MARKET REPORT

• 9.7% of Australia GDP (16-20% by 2045)
• 323,000 Private Providers via 140,000 Private Practices
• Only 2-3% are offering an online appointment booking

system

• The addressable online bookings market is AUD$256

million

• 87% of adults aged 18-64 now are using a smartphone

Analysis of Healthcare IT spending in Australia, 2015

CONTEXT MDT SOLUTION

• HD teleconferencing solution
• Live data viewing and

consensus decision making

• Peer to Peer secure

environment

• Case discussion record

archiving and retrieval

• Patent pending

Edgbaston, UK July 2015

Australia Mobile Phone Coverage (2011)

The World in Context

WHY NOT USE SKYPE?

• Use the right tool for the job
• Built for Healthcare from the

ground up?

• Skype not bound by the

Telecoms Act (Belgium case)

MADE FOR THE JOB

YES, IT WILL DO THE JOB…

CONTEXT CANCER REGISTRY

• To be built into the CONTEXT MDT System
• Patient demographic data
• Live submission of cancer data as part of the MDT

process

• Reconcile with current Australian national cancer data
• Metrics / benchmarking of data against the central ACD

TREATMENT OUTCOMES DATA?

• Early days!
• Use the MDT process as the “data gateway”
• National benchmarking becomes possible
• Sustainable improved patient care

SUMMARY

• Look at the whole system, not the parts in

isolation

• Don’t be disruptive for the sake of it
• In Healthcare, disruptive may be keeping the

norm without noticing the changes introduced!

George Brandis Federal Arts Minister and Attorney General

“The only people who have anything to fear are the mediocre”

‘OUR JOURNEYS’

Jordan Lovergrove, Ngarrindjeri Dreamtime Public Relations

Thank You

@ContextHealthAU