NICTA, Hanlen, Remote and Rural Health

Universal infrastructure as a service, available nationally

Review current state of telehealth service(s) and relevant use-cases across all jurisdictions

Thou shalt not reinvent the wheel

Define and quantify the complete value chain

who benefits, who pays?

Divide the Technical requirements into

• Network service requirements
• Device requirements
• Applications requirements

Common minimum standard for all

Clear technical and business requirements

• Single point of contact
• Clear payment options
• Demand aggregation

Develop staged project milestones that capture continual improvement and innovation

• Technical connectivity:

• Management tools

Stage, sustain, improve

Define success criteria with emphasis on cross-jurisdictional scenarios

• Proof of efficacy
• System-user satisfaction
• Improved health outcomes
• Increased cross-jurisdictional activity

Change-management is key

What's happening in Europe?

"Today, many European countries and regions are world leaders in eHealth. They have developed advanced health information networks, electronic health records and health cards"

More than 90% of European hospitals are connected to broadband, 80% have electronic patient record systems,

• 71% use online eBooking systems for patients' appointments with medical staff and
• 39% use videoconferencing (mainly for consultations between internal medical staff and external specialists).

but only 4% of hospitals grant patients online access to their electronic records.

E-Health and the cloud: a perspective from ground level

2004: EU developed eHealth action plan

2011: plan was evaluated

Problems?

• Fragmented structure
• Different groups at different stages
• Limited common effort

Solutions?

• Nordic countries interoperating: right of citizenship
• Estonia (single country) example: gov't directive
• EU has adopted large-scale collective research approach

NICTA brought Australian and European ehealth researchers together in Budapest

Anyone to everyone. private, allied...

Clinicians can VC to:

4 jurisdictions present at workshop.

(public health services): each provided survey of current status

With permission Grampians Rural Health Alliance

• common service
• manual booking
• manual address book

• Scale

• call for entrants
• automate manual processes
• sustainable

What does each player want?

• H.323 & SIP for all 'islands'
• Video conf. firewall traversal

• Value add

• funding for change-management
• funding for innovation
• continual improvement

ensures "device" issues do not distort network requirements

National Tele-health Infrastructure Service

The tele-health infrastructue service is an inclusive standards-based interoperable service that provides a platform for clinical grade videoconferencing and tele-health by providing agreed service levels, including usability; guaranteed common quality standards; secure network interconnections; from anyone-to-anyone, and anyone-to-everyone across multiple health networks, including public and private health provider networks and with providers and patients both on- and off- net.

The service will be intuitive (easy to use), scalable and connect urban, outer metropolitan, rural, regionaland remote health providers and patients. The service will leverage and align appropriate existing and emerging national services including governance models, existing secure dependable services, national privacy standards, clinical protocols and current jurisdictional capabilities. Robust governance and operational models that support innovation, continual improvement and flexibility will underpin the service, and position the service to be sustainable into the future.

The service will support patient centric approaches and best-practice clinical care, allowing increased access and equity and improved health outcomes.