digital health a human imperative - himss australia · himss australia digital health summit 2019...
TRANSCRIPT
HIMSSAustralia Digital Health Summit 2019
Digital Health A Human Imperative
Tim KelseyChief Executive
National Digital Health Strategy – roadmap for delivery
High-quality data
with a commonly
understood
meaning that can
be used with
confidence
Health information
that can be
exchanged
securely
Digitally enabled
models of care
that improve
accessibility,
quality, safety
and efficiency
A thriving digital
health industry
delivering
world-class
innovation
A workforce
confidently using
digital health
technologies to
deliver health
and care
Health
information that
is available
whenever and
wherever it is
needed
INTEROPERABILITYAND DATA QUALITY
3
SECUREMESSAGING
2
MYHEALTH RECORD
1 4
ENHANCEDMODELS OF CARE
5
WORKFORCE AND EDUCATION
6
DRIVINGINNOVATION
7
Better availability
and access to
prescriptions
and medicines
information
MEDICINESSAFETY
Co-designed with all states and territories and agreed by COAG Health Council
3
INTEROPERABILITYAND DATA QUALITY
1
MYHEALTH RECORD
4
MEDICINESSAFETY
5
ENHANCEDMODELS OF CARE
6
WORKFORCE AND EDUCATION
7
DRIVINGINNOVATION
2
SECUREMESSAGING
1
MYHEALTH RECORD
My Health Record – latest national statistics
22.6 million Australians have a record
16,227 healthcare provider organisations registered
36 million clinical documents uploaded
70.2 million medication prescription and dispense records uploaded
1.5 billion Medicare documents uploaded
As at 29 September 2019
3
INTEROPERABILITYAND DATA QUALITY
1
MYHEALTH RECORD
4
MEDICINESSAFETY
5
ENHANCEDMODELS OF CARE
6
WORKFORCE AND EDUCATION
7
DRIVINGINNOVATION
2
SECUREMESSAGING
1
MYHEALTH RECORD
My Health Record – Connections
90% community pharmacies
registered, 65% connected to My Health Record
66% pathology labs connected to
My Health Record
77% public hospitals connected to
My Health Record
65% private hospitals registered,
58% connected to My Health Record
33% diagnostic imaging practices
connected to My Health Record
90% in-patient beds connected
nationally
Case study – Emergency Departments
Earlier this year a patient presented at the Emergency Department of the Royal Perth Hospital and collapsed at the Triage desk.
‘The patient had a fluctuating conscious state, was profoundly hypotensive with a sporadic heart beat and was not able to give any medical information,’ said Tiffany Graham, clinical nurse in the ED. ‘Staff were able to view the patient’s My Health Record and found a discharge summary from another hospital, as well as access the patient’s most recent Pharmaceutical Benefits Scheme (PBS), which showed he had recently been dispensed quite a large volume of one particular drug. Staff suspected the patient may have overdosed on this medicine and after consultation with on-call toxicologists were able to commence treatment based on this information.
We wouldn’t have been able to access that information without My Health Record. It’s such an important resource to us.’
3
INTEROPERABILITYAND DATA QUALITY
1
MYHEALTH RECORD
4
MEDICINESSAFETY
5
ENHANCEDMODELS OF CARE
6
WORKFORCE AND EDUCATION
7
DRIVINGINNOVATION
2
SECUREMESSAGING
1
MYHEALTH RECORD
My Health Record Benefits: Already changing clinical practice
As at 29 September 2019
The Agency commissioned an independent
study on multifaceted intervention to change
clinical practice using My Health Record (MHR)
in primary care:
• 25% medication de-prescribing: saving
$160.00 to $408.86 per year per medication,
plus a one-time saving of $73.00
• 19% pathology order changed: amounting to
a reduction of 8% of all GP pathology orders
overall.
• Provider uploads to MHR have increased by 190% since March
• Provider views of MHR have increased by 90% since March
• Evidence of a 300% increase in ‘unique’ records being accessed since March
3
INTEROPERABILITYAND DATA QUALITY
1
MYHEALTH RECORD
4
MEDICINESSAFETY
5
ENHANCEDMODELS OF CARE
6
WORKFORCE AND EDUCATION
7
DRIVINGINNOVATION
2
SECUREMESSAGING
1
MYHEALTH RECORD
Clinicians sharing information with other clinicians – Significant Growth
As at 29 September 2019
3
INTEROPERABILITYAND DATA QUALITY
1
MYHEALTH RECORD
4
MEDICINESSAFETY
5
ENHANCEDMODELS OF CARE
6
WORKFORCE AND EDUCATION
7
DRIVINGINNOVATION
2
SECUREMESSAGING
1
MYHEALTH RECORD
Digital Health LiteracyHealth My Way
• Health My Way is a Good Things Foundation program supported by the Australian Digital Health Agency
• The objective of the program is to increase the digital literacy of more than 4 million Australians who have limited digital skills*.
• Following the pilot program in July 2019 we are pleased to announce the rollout of the program to start form January 2020
• 22.6 million Australians have a My Health Record, but 4 million Australians have limited digital skills.
• Making sure people who have limited digital skills and/or access to resources to access and manage a digital health system is a key element of the Agency’s digital health literacy program
• Through Health My Way, 70 Network Partners will be funded to deliver the program to their communities resulting in:
• 140 Digital Health Mentors trained
• 2,800 community members directly supported to see the relevance of digital health tools and build their skills and confidence in using them
• 5,600 people engaged in the topic of digital health literacy through 70 community engagement events.
3
INTEROPERABILITYAND DATA QUALITY
1
MYHEALTH RECORD
4
MEDICINESSAFETY
5
ENHANCEDMODELS OF CARE
6
WORKFORCE AND EDUCATION
7
DRIVINGINNOVATION
2
SECUREMESSAGING
2
SECUREMESSAGING
Secure messaging deliverables
• By end of 2020, 42 organisations connected across 56 software products
• Secure messaging will enable health and care providers to easily find each other online and securely exchange clinical information in real time
• The Service Registration Assistant (SRA) will provide subscribers such as secure messaging directories, clinical pathway directories, referral directories, and health services directories with consistent and accurate information.
NSW HealthNSW Health
GPs , AHPs, Specialists inNorthern NSW LHD
AHPRA
CIS / PMS / EMR(e.g. BP, MD, Coreplus)
AU FHIR PD
Portal
Validation Service
HI / HPD ABR
System of Record
PublicationServices
SubscriptionServices
Organisations Healthcare Services Practitioners Practitioner Roles Locations
Service Registration Assistant Northern NSW LHD
Provider Directory
Aggregation Services
Provider Directory
Messaging Provider
Clinical Services Directory
HERO Directory
Patient Administration
System
GPs , AHPs, Specialists in Northern NSW LHD
(available to all subscribing clients)
CIS / PMS / EMR
CIS / PMS / EMR
This would be delivered through the scaling out of secure messaging industry offer
PublicationServices
SubscriptionServices
2
1
3
4
(e.g. HealthDirect)
5
6
(e.g. HealthLink,
Telstra Health,Global Health)
TranslationServices
Alternative to (4)4
SRA Proof of Concept
3
INTEROPERABILITYAND DATA QUALITY
1
MYHEALTH RECORD
4
MEDICINESSAFETY
5
ENHANCEDMODELS OF CARE
6
WORKFORCE AND EDUCATION
7
DRIVINGINNOVATION
2
SECUREMESSAGING
3
INTEROPERABILITYAND DATA QUALITY
3
INTEROPERABILITYAND DATA QUALITY
1
MYHEALTH RECORD
4
MEDICINESSAFETY
5
ENHANCEDMODELS OF CARE
6
WORKFORCE AND EDUCATION
7
DRIVINGINNOVATION
2
SECUREMESSAGING
7
DRIVINGINNOVATION
• HealthEngine, Healthi, HealthNow authorised third party apps with view only connections to My Health Record
• Mobile Health Review principles:
Access must be for the public good
Pace of change must be aligned to social license
Data must be accurate, stored securely, and controlled by consumer
Data will not be reused and data governance at highest standard
Access to My Health Record bound by stringent contractual arrangements with serious penalty provisions for breaches
Innovation – mHealth
Further information and support
My Health Record
Web: www.myhealthrecord.gov.au
My Health Record Help line: 1800 723 471
(select 2 for providers)
Australian Digital Health Agency
Web: www.digitalhealth.gov.au
Email: [email protected]