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How technology is changing the way patients access healthcare

Richard discusses the latest developments in Australian telehealth and eHealth projects, including personally controlled electronic health records (PCEHRs), as well as international trends in these fields.
by

Richard Taggart

on 2 June 2015

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Transcript of How technology is changing the way patients access healthcare

How
technology
is changing the way patients access health care in Australia

Richard Taggart
29th May 2014
richard.taggart@aseconsulting.net.au
+61 (0) 401 856 705
Atlantis Healthcare
The Insight Bite

We have to talk about healthcare...
A reminder of the problems

What do we we want from health?

How do we use technology to support patients?

Our progress in Australia

Ways to engage patients and clinicians

A vision for the future
Contents
Where I work - ASE

UK Professional services company established in 1987

Invited to Australia in 2010

We help health organisations in identifying, defining and implementing complex change programmes - technology focus, eHealth, eMM

NHS Connecting for Health, Singapore, PCeHR

Innovations lab
About me
POME Pharmacist
Hospital, Retail & Pharma
Consult on technology enabled change programmes
Planning, Implementation and Outcomes Evaluations
Terrible sportsman
Multiple ailments - I'm a
patient too!
We need to talk about healthcare...
Medicines
Convenient
Effective
Affordable
Safe
21st Century
Health Care
The Business of Health Care
Is all about transferring care
information
Bob wants...
But...
[Smith2005] Smith, PC, Araya-Guerra, R et al 2005, Missing Clinical Information During Primary Care Visits, JAMA, 293(5):565-571

[Cummings2010] Cummings, E., Showell, C., Roehrer, E., Churchill, B., Turner, B., Yee, K.C., Wong, M.C., Turner, P. (2010) Discharge, Referral and Admission: A Structured Evidence-based Literature Review, eHealth Services Research Group, University of Tasmania, Australia (on behalf of the Australian Commission on Safety and Quality in Health Care, and the NSW Department
of Health)

[Runciman2003] Runciman, WB., Roughead, EE, Semple, SJ., Adams, RJ., 2003, Adverse drug events and medication errors in Australia, International Journal for Quality in Health Care, 15(1)

[Forsythe2011] Forsythe, J. MacDonald, A. Wilhelm, E. Strachan, A. Evans, D. Efficacy of Electronic Discharge Summaries: A Case Study Demonstrating Early Results at Two Hospitals EJI Vol 6, No 1 (2011): Special Issue on HIC 2009

[Hunt2012] Hunt TD, Ramanathan SA, Hannaford NA, et al. CareTrack Australia:
assessing the appropriateness of adult healthcare: protocol for a retrospective medical record review. BMJ Open, 2012; 2: e000665.

References
Clinicians believe that the missing information was outside their clinical system in
57.3%
of visits with missing information [Smith2005].
But we don't do this very well....
Missing information at referral, admission, handover and discharge [Cummings2010]
Only 39% of discharge summaries reach the GP [Forsythe2011]
63% of patients turn up to referral appointments without detailed health information from their GP [Cummings2010]
Is it any wonder that things go wrong?
Estimated that
2%-4%
of all hospital admissions, and up to
30% for patients over 75 years
are
medication related
, with up to three quarters potentially preventable [Runciman2003]
And navigating the health system is a
challenge
Rising costs of health....
We need to balance the books
So... What must change?
UNSW CareTrack study

57% of Australian patients in the sample received appropriate care

Levels of appropriate care varied between HCPs with compliance being as high as 80% for some healthcare practices and as low as 32% for others

[Hunt2012]
Do we deliver appropriate care?
Clinical Knowledge
Improve the handover of patient care through improved,
standards based electronic communication
Provide greater access to clinical
knowledge and decision support
Access to
patient health information
at the point of care
Help patients to better
navigate the health system
Keep people out of our hospitals empower
self-management
We're making progress
Personally Controlled Electronic Health Record (PCEHR)
Electronic Medical Records
Shared EHRs
National Prescription & Dispensing Repository
Develop new 'technology-enabled' models of care
Continuously developing
Continued support for PCEHR
Pathology
Diagnostic Imaging
Under review:
Opt-Out
New features
Data Analytics
Tools to help navigate the system
OVERLOAD
Standards Based Communication
ePractice Incentive Programme
Electronic Referrals
Hospital Discharge Summaries
Specialist Letters
Electronic Transfer of Prescriptions
Electronic Transfer of Prescriptions
Scan the barcode

Collect the script when you want
eRx Express
among others
Straight to the pharmacy system
Electronic Medicines Management
Knowledge & Decision Support
Guideline tools ;
Map of Medicine, Health Pathways
Medicines Formulary Tools
Built-in decision support tools
Telehealth
VIDEO
Telehealth Incentive Programme
Liver Outreach Australia Program (LORA)
Opthamology Outreach Trial
Remote Monitoring
Pump Labs - trials
Blood Glucose Monitoring
Asthma & COPD
Activity Monitoring
Clinical Cloud
Alerts and interventions
Avoid crisis
Alerts
Choose a channel
Many providers looking at remote monitoring
NSW Health
Barwon Health
Private Hospital Groups
Insurers
NBN Funded Projects
Other innovations to watch out for
Ingestable Sensors from Proteus Digital Health
BRIGHT
FUTURE
How can Pharma engage with digital healthcare?
Supply chain - barcodes as standard (NPC), AMT
http://www.nehta.gov.au/our-work/supply-chain
Providing outcomes, not just medicines/diagnostics
Supporting development of apps and pathways for consumers and clinicians - Integration
Big data - Shared eHealth Records
Personalised medicines and personalised service
Consumer groups - www.patientslikeme.com
Thank you for listening
How was my driving?
Full transcript