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CRICOS code 00025B
Telehealth: Where to from here? Professor Len Gray April 2019 - - PowerPoint PPT Presentation
Telehealth: Where to from here? Professor Len Gray April 2019 - - PowerPoint PPT Presentation
Telehealth: Where to from here? Professor Len Gray April 2019 CRICOS code 00025B The 3 goals of telemedicine Access Efficiency Health outcomes Telehealth consultations rebated by Medicare July 2011 June 2017 Specialist Support
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Telehealth consultations rebated by Medicare
July 2011 – June 2017
2000 4000 6000 8000 10000 12000 14000
- No. video consultations
July 2011 - Jun 2017
Specialist Support Linear (Specialist) Linear (Support)
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CRICOS code 00025B
Proportion of Specialist Telehealth Consultations
in all Consultations [Q3, 2011 – Q2, 2017]
0.00% 0.50% 1.00% 1.50% 2.00% 2.50% 3.00% Q3, 2011 Q4, 2011 Q1, 2012 Q2, 2012 Q3, 2012 Q4, 2012 Q1, 2013 Q2, 2013 Q3, 2013 Q4, 2013 Q1, 2014 Q2, 2014 Q3, 2014 Q4, 2014 Q1, 2015 Q2, 2015 Q3, 2015 Q4, 2015 Q1, 2016 Q2, 2016 Q3, 2016 Q4, 2016 Q1, 2017 Q2, 2017
Psychiatry Geriatric medicine
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Per capita telehealth uptake across states
July 2011 – June 2017
500 1000 1500 2000 2500 3000 3500 4000 4500
NSW VIC QLD SA WA TAS ACT NT Australia
Video consultations per 100 000 people July 2011 - June 2017
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CRICOS code 00025B
Mobile-based REMOTE Monitoring system
PA HOSPITAL
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CRICOS code 00025B
Do I really need to go to the clinic?
Virtual clinic
RBG profile Patient input
[Email / self-report]
Labs Text email Telephone Video-conference In person
HbA1c: 1% reduction Visits: 25% reduction
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CRICOS code 00025B
A diabetes management ecosystem
Service balance that reflects cost & complexity of care needs
Specialist to Patient VC (Medium expense; moderate health care need) Specialist office visit (High Expense; most complex situations) Specialist via Online System (Least Expensive; advice to doctor caring for patient)
SERVICE
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CRICOS code 00025B CRICOS code 00025B
“The rise of telemedicine & lower costs” “The virtual doctor will see you now” “Virtual doctors = real savings”
Kaiser Permanente
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CRICOS code 00025B CRICOS code 00025B [Presentation Title] | [Date] 10
[Entity Name]
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CRICOS code 00025B CRICOS code 00025B [Presentation Title] | [Date] 11
[Entity Name]
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CRICOS code 00025B CRICOS code 00025B
Sub-optimal and patchy uptake of VC Minimal store-forward uptake Patchy use of remote monitoring Communication predominantly via conventional office visits Minimal use of telehealth in metropolitan settings
Room for improvement?
[Presentation Title] | [Date] 12
Centre for Health Services Research
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CRICOS code 00025B CRICOS code 00025B
Integrated clinical information systems Awareness, training Appropriate reward systems for health practitioners Targeted time-limited incentives for change Even more research
Policy review: A new strategy for telehealth?
Steps forward…?
[Presentation Title] | [Date] 13
[Entity Name]
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CRICOS code 00025B
28 HDR student enrolled 8 completions 230 publications 340 presentations > $ 40M grant funding 47 public forums
The Telehealth CRE by numbers
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CRICOS code 00025B