The strategic vision: Digitally enabled health and care in Australia 4 May 2018 Dr Monica Trujillo Chief Clinical Information Officer Executive General Manager, Clinician and Consumer Engagement and Clinical Governance www.digitalhealth.gov.au
About Us The Agency is a Corporate Commonwealth Entity funded by all Australian Governments. It designs and operates national digital health services and set data standards that: Give co consumers more co control of their health and ca care when they wish it o Connect ct and empow ower healthcare professionals o Promote Australia’s global leadership in digital health and innov ovation o The Agency reports to its Board, appointed by the Minister. The Agency is the system operator for the My Health Record, and a number of other clinical information systems and standards, and commenced operations on 1 July 2016. “ “ Australia is well placed The digital health globally to take market will grow at advantage of this over 25.9% compound growth as a test bed for annual growth rate to health innovation and reach $379bn by 2024 research ” ” Global Market Insights, Hendersen et al. (2016) Inc 23 Nov 2016 www.digitalhealth.gov.au
Australia produces high quality health outcomes “ Australia ranks highest on Administrative Efficiency and Health Care Outcomes, and is among the top-ranked countries on Care ” Process and Access Commonwealth Fund (2017) Source: Commonwealth Fund, 2 0 17 www.digitalhealth.gov.au
Digital Health Supporting Clinicians An average 13% of appointments in general practice need follow up because of missing information. Content shared digitally between clinicians and patients means reduced risk of lost information. 223,000 patients admitted to hospital due to adverse drug events costing $1.2 billion – 2-3% of all hospital admissions. Medicines information available securely online reduces safety risk. 14% of pathology tests are ordered due to lack of access to patient history. People and clinicians will be able to see results of previous tests. “ The use of digital technologies to deliver healthcare can be an enabler to support the delivery of better patient outcomes. Digital technology does hold great promise but the literature clearly indicates technology is not a solution on its own. Digital innovations must provide benefit and in most cases, complement existing proven models of care. “ Royal Australian College of General Practitioners, submission to National Digital Health Strategy, 2017 www.digitalhealth.gov.au
Learning and Insights Australians value our high quality healthcare practitioners and workers, and generally experience Over 45% of respondents had difficulty accessing affordable and accessible care healthcare when they needed it. Top reasons given: - Cost, - Location, and - Couldn’t get an appointment Over 65% of respondents say the Australian healthcare system is difficult to navigate. People want to know the cost, quality, and availability of services The top three activities people want to be able to do on their mobile device: 1. Manage their medications 2. Track their health 3. Request refill prescriptions More than four times as many people want to access their personal health information on their smart phone than do currently www.digitalhealth.gov.au
National Digital Health Strategy – Key Themes Help all the people who care for me to Support me in making the right understand me, and together, provide safe and healthcare choices, and provide me personalised care with options Create an environment where my healthcare Preserve my trust in the providers and I can use and benefit from healthcare system and protect my innovative technologies rights www.digitalhealth.gov.au www.digitalhealth.gov.au
National Digital Health Strategy What does the Australian sector say ?
National Digital Health Strategic Priorities: 2018 – 2022 MY HEALTH RECORD Health information that is available whenever and wherever it is needed Health information that can be exchanged securely SECURE MESSAGING INTEROPERABILITY AND High-quality data with a commonly understood meaning that can be used with confidence DATA QUALITY Better availability and access to prescriptions and medicines information MEDICATION SAFETY Digitally-enabled models of care that improve accessibility, quality, safety and efficiency ENHANCED MODELS OF CARE A workforce confidently using digital health technologies to deliver health and care WORKFORCE EDUCATION A thriving digital health industry delivering world-class innovation DRIVE INNOVATION
Priority 1 : My Health Record An electronic summary of an individual’s health information that can be shared securely online between the individual and registered healthcare providers involved in their care to support improved Key Facts decision making and continuity of care. Two out of the three patients experience a medication error of some sort of admission “ to hospital. My Health Record is the future of medicine. Empowering people with health care Dr Michael Gannon, President, Australian Medical Association information to support self-management could save $1,300 to $7,515 per patient per “ year. $ Prioritise making the My Health Record shareable and used by all health professionals and in all health settings. This fundamental step will have massive benefits to consumers Sharing information electronically about tests who will be able to trust that their information is being could reduce unnecessary duplication by adequately communicated. approximately 18% and significantly lower Consumers Health Forum of Australia hospital re-admission rates.
How does My Health Record work? www.digitalhealth.gov.au
The Government is expanding My Health Record for all Australians in 2018 Forming the Providing a choice to Giving all Australians Expanding on an cornerstone of a opt out of having a control of their own existing, proven better health system My Health Record health record, what system that is safe and digital health altogether if they it contains and how and secure. innovations for prefer. it is accessed. Australia. Our vision is a world-leading national, digital health capability that improves the lives of all Australians by supporting the efficient delivery of healthcare. My Health Record provides for potentially lifesaving access to a patient’s key health information such as medications, allergies, conditions and test results - supporting significant improvements in the safety, quality and efficiency of Australia’s healthcare system. www.digitalhealth.gov.au 12
Recent milestones – My Health Record Partnership with the peak national More than 95 per cent of body representing pharmacists, the Australian diagnostic imaging Pharmaceutical Society of Australia practices can now connect to the (PSA) to increase the number of My Health Record system with 16 pharmacists using My Health Record. new software companies having service agreements with the Australian Digital Health Agency. Pharmacists can now upload dispense records and view hospital discharge summaries, shared health summaries, and Australia’s largest pathology labs allergy information to My Health have signed up to My Health Record Record using enhanced Chemist Warehouse, representing 30 per cent of the community pharmacy market, and Corum representing 1,000 pharmacies are also connecting to My Health Record system in 2018 www.digitalhealth.gov.au
My My Health th Record stati tisti tics - www.digitalhealth.gov.au
Key My Health Record system benefits www.digitalhealth.gov.au
Privacy and Access: a new standard in patient confidentiality A person controls who has access to their My Health Record: In an emergency, a clinician They can choose to decline They can set up a pin code They can subscribe to SMS All instances of access to My access to specific documents that will mean only clinicians or email alerts that report in can exercise a ‘break glass’ Health Record are monitored real time when registered facility – but instances are in their My Health Record with permission can access their My Health Record provider organisations access carefully monitored and their My Health Record reported to the citizen www.digitalhealth.gov.au
My Health Record Expansion: Working with the clinical community – Information, Education and Adoption www.digitalhealth.gov.au
Other National Priorities www.digitalhealth.gov.au
Priority 4 : Medication Safety www.digitalhealth.gov.au
Priority 5 : Digitally enabled models www.digitalhealth.gov.au
Priority 6: Digitally enabled workforce www.digitalhealth.gov.au
Data today and tomorrow … Where to from here ? www.digitalhealth.gov.au
Contact Us Help Centre 1300 901 001 8am - 6pm Monday to Friday AEDT help@digitalhealth.gov.au or monica.trujillo@digitalhealth.gov.au Email www.digitalhealth.gov.au Website @MonicaTCMIO https://twitter.com/AuDigitalHealth Twitter Monica Trujillo LinkedIn Australian Digital Health Agency www.digitalhealth.gov.au
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