Digital health is an essential enabler in achieving person centred health and wellbeing, A collaborative digital health strategy is required to manage the complexities of the complex hybrid health model in Australia, This presentation explores the approaches to leadership, transformation and culture that can be effective when working in a complex stakeholder environment.
3. Collaborative
Leadership
Insights
Collaborative
Leadership
Insights
1. Australia’s Health System
Primarily focused on episodic ‘sick & injured’ care
Commonwealth manages primary health
• GPs, Specialists, associated diagnostic services
• Funding via Medicare and co-payments
States manage public hospitals
• Funding via state budgets
• Prioritisation of patients based on clinical needs
Private hospitals - ‘not for profit’ & ‘for profit’
• Mostly funded via private health insurance & co payments
4. Collaborative
Leadership
Insights
Collaborative
Leadership
Insights
Medical Clinicians
• Majority are independent/small business rather than salaried employees
Current System is not organised around the person
• Diffused accountability between:
• State and Federal Governments
• Primary and tertiary health providers
• Private insurers
• Medical clinicians
• The individual
Episodic care funding/fee for service rewards turnover
• Does not reward prevention, early intervention and continuity of care
Australia’s Health System
5. Collaborative
Leadership
Insights
Collaborative
Leadership
Insights
Pressures:
• Aging of population
• Increasing burden of chronic diseases
• Increasing expectations of healthcare delivery by population
• Medical costs increasing faster than inflation over long period
• Government finances under pressure5
Pressures on Australia’s health sector. Victorian Health Vision
22 July 2015
Ensure
people are
as healthy
as they
can be
Deliver the
best
healthcare
outcomes
possible
6. Collaborative
Leadership
Insights
Collaborative
Leadership
Insights
iPerson Centred Health System from HiMSS17 & US site visits
What does ‘treat me as a person’ mean?
Patient engagement – does the person feel empowered in the care
provided
Age friendly health systems – what is important to them matters
Human centred design
Need to bring back the joy of working in the health system
7. Collaborative
Leadership
Insights
Collaborative
Leadership
Insights
• Integrated clinical pathway workflows
• Automated cognitive decision support and alert algorithms
Improve Safety, Quality, Consistency & Timeliness of health services
• Prevention & rehabilitation through active ‘social platform’ engagement
• Personal ownership of health through increased knowledge & personal health data
Increased engagement & empowerment of consumers
• Improved prevention, early intervention and continuity of care management
• Improved control & utilisation of hospital resources
Reduced costs of health services
7
2. Current Digital Health opportunities
22 July 2015
8. Collaborative
Leadership
Insights
Collaborative
Leadership
Insights
Future Digital Health – will it be Uberised?
Cloud based digital health – any where, any time,
any device
Sensors will get smaller, cheaper and increase
capability to seamlessly collect data
Deep data analytics & cognitive processing
Person centred precision medicine leveraging
genomics, clinical and population data
Insertable chips
Clinical wearables
Smart toilets
Genomic & Precision
medicine
9. Collaborative
Leadership
Insights
Collaborative
Leadership
Insights
Digital Health is NOT about ICT projects
Digital Health is
enabling digital
platformsand
workflowsthat:
Improve Safety & Quality by reducing avoidable harm
Reduce the burden of chronic disease by linking all
episodes of care to the person
Provide clinical data that can be analysed and used for
research to improve clinical outcomes
Provide a longitudinal health record for a person that will
assist in prevention and early intervention of health issues
3. Developing a Digital Health Strategy
12. Collaborative
Leadership
Insights
Collaborative
Leadership
Insights
Vic Digital Health Priorities
Building block Priority
A. Digital Clinical
Services
Integrated Electronic Medical Record
B. Enterprise Master
Patient Index
Index that links Health Service and National Health
Identifiers
C. Clinical Information
Sharing
Person’s clinical information available at the right time, the
right place in the right format
D. eReferrals &
Discharge Summaries
Automate & integrate referrals and discharge summaries
E. Clinical Grade Health
network
Deliver a robust & secure network that provides equity of
access
13. Collaborative
Leadership
Insights
Collaborative
Leadership
Insights
Digitising Health required an integrated ‘eco system’
Empower individual health services to develop local digital health services that
adhere to interoperability standards and enable clinical information sharing
• Public health services
• Ambulance
• Independent community health services
Implement whole of public sector digital health initiatives centrally to maximise
connectivity and sharing
• unique identification of the patient/person
• share clinical information across the sector
• share clinical research information across the sector
• streamline reporting and share analytics across the sector
Share clinical information with Primary Care providers & Private Hospitals through
My Health Record and/or directly with patient consent
15. Collaborative
Leadership
Insights
Collaborative
Leadership
Insights
‘Collaboration is a purposeful
relationship between 2 or more
parties working together in which all
parties strategically choose to co-
operate to achieve shared or
overlapping objectives.’
4. Collaborative Leadership Insights
When collaboration doesn’t work
The ‘size of the prize’ must be worth the
additional effort in collaborating together
