Narelle Doss A/Chief Digital Strategy Officer eHealth Queensland Queensland Health

1. The Digital Landscape
Partners in Technology briefing - May 2019
Narelle Doss
Acting Chief Digital Strategy Officer, eHealth Queensland

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Digital Transformation Agenda

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Digital Foundations
Digital Readiness
 Digital worker
 Digital literacy
 Cyber security
 Information Management
Strategy and Roadmap
Digital infrastructure
 Infrastructure maintenance & uplifts
 Digital Collaboration (O365)
 Windows 10 Migration
 Bring your own device
 Follow Me Desktop
Population health
 Notifiable conditions system
 Health literacy
Precision medicine
 Digital genomics strategy
Promoting wellbeing
Digital consumer
 Patient online portal
 “Healthier. Happier.” website
 mHealth applications strategy
 Wearables
 Gamification
Delivering healthcare
High reliability healthcare organisation
 Digital hospitals (integrated electronic Medical Records)
 Electronic health record for regional primary and community care
 Telehealth (including virtual care)
 Patient Administration System
 Rural and Remote digital health strategy
 Implantables and digestibles
 Robotics
Diagnosis
 Laboratory Information System
 Digital medical imaging
Connecting healthcare
Enabling integrated healthcare
 My Health Record
 The Viewer (Health provider portal)
 Queensland Digital Children Redbook
 Digital pregnancy record
 Integrated referrals management
 Mobile enabled Care (MeCare)
 Information sharing project
 Innovation hub
 Innovation proof of concepts and pilots
Pursuing innovation
Fostering an intelligent healthcare enterprise
 Artificial Intelligence
 Internet of Things (IOT)
Digital Business systems
 Financial systems renewal
 Integrated workforce
management
 Clinical and business intelligence platform
 Information interoperability
 Identity access management
 Cloud computing
 Network connectivity
Queensland’s Digital Health Landscape
 Clinical and business intelligence and analytics
 Big Data

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Meeting Today’s Healthcare Challenges
Ageing
Population
Spread of
Queensland
Population
Increasing
Burden of
Disease
Paper based
processes
Limited
Budgets
Connectivity
AnywhereElectronic
Medical
Records
Wearables,
Remote
Monitoring

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The eHealth Investment Strategy provides a cohesive and considered plan for Queensland
Health’s ICT investment priorities.
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Investing in Digital Transformation
Current priorities
Digital Future
 Rural and Remote Digital
Healthcare Strategy
 Interoperability Program
 Patient Online Portal
 Digital Literacy
Clinical Systems
 Integrated Electronic Medical Record
(ieMR) and digital hospitals
 Primary and Community Care
Electronic Record (RIVeR)
 Pathology System Renewal
 Integrated Referral Management
 My Health Record
 Digital Pregnancy Record
 Digital Telehealth Strategy
 Digital Medical Imaging
 The Viewer Enhancements
ICT Infrastructure
 Infrastructure Uplifts
 Contemporary Workplace
 Identify Management
 Cyber Security
 Clinical and Business
Intelligence Platform
Business Systems
 Financial System Replacement
 Integrated Workforce Management

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Digital Hospital Program
The Digital Hospital program has made substantial progress
and to date have successfully transformed eleven acute
healthcare facilities into fully Digital Hospitals.
Currently, over 30% of Queensland hospital beds are
digital. By the end of 2019 a further 3 healthcare facilities
will become “Digital Hospitals”.
And by 2020, Queensland
will have 27 Digital Hospitals.
A digital hospital is a hospital service
facility with highly connected, interactive
digital information systems which support
precise, informed treatment of individual
patients/clients while enabling optimally
efficient use of infrastructure
Digital Hospital Benefits Realised
Reduction in time
taken to record vital
signs
Reduction in
emergency
readmissions
Reduction in
diagnostic imaging
Reduction in
inpatient length of
stay
Reduction in
stationery costs
12%
7%
4%
53%
56%
17%
26%
6%
88%
56%
Reduction in medical
record maintenance
87%
Reduction in admin
time spent retrieving
records
57%
Reduction in hospital
acquired pressure
injuries
34%
Reduction in hospital
acquired infections
9%
Reduction in hospital
standardised mortality
ratio
18%
99%
97%
88%
37%
23%
Average* Best*
Average* Best*
* Refers to weighted average and best performance of benefits realised at participating hospitals (PAH, Cairns, Mackay, QCH and Townsville) that have implemented the
integrated electronic Medical Records (ieMR) solution

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344,785
patients treated
across Outpatient Visits,
Inpatient Admissions and
Emergency Presentations
58,895 Inpatient Admission
64,577 Emergency Presentations
221,313 Outpatient Appointments
10.04 million
instantaneous interactions with patient
records that no longer requiring paper
chart requests from Medical Record
Departments
318 million
transactions recorded in
the system
1.37 million
medications administered to
patients which required 7 steps of
Positive Patient Identification at the point
of care
5.50 million
orders across pharmacy, radiology,
pathology and other diagnostic
services
Data source: Cerner Lights On Network (2019)
Queensland ieMR Production data for the following facilities: CH, RBWH,
LBH, LCCH, MBH, PAH, QBII, TTH, Redland, SCUH and Ipswich Hospitals
A MONTH IN
THE LIFE OF THE
integrated electronic
Medical Record (ieMR)
(Digital Hospitals)
March 2019
46,947
unique users with improved
access to patient records at
the point of care
patient allergies recorded
Driving improved patient outcomes
through reduced adverse drug and food
events
75 seconds
to search for a patient record
8.54 minutes
average electronic
documentation time
with structured clinical notes
and pre populated templates
46,286

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We have a strong track record of delivering
digital infrastructure across the system
5000+
Wireless Access
Points
120
Locations
150kms
Data Cabling
20
Communications
Rooms
17,500
Data Outlets
During the last year we delivered…
and…
for more than 110,000
users across the state
Windows 10 deployed to
more than 60,000 devices

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Digital Strategies
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Rural and Remote Digital Healthcare Strategy
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Digital Genomics Strategy
 Strategy outlines how eHealth Queensland will provide
digital tools and technology for:
o ordering genomics tests
o reporting on results
o updating a patient’s electronic medical record
o supporting analysis of data and clinical decision making.
 Strategy developed in collaboration with key Queensland
Health and external stakeholders including Queensland
Genomic Health Alliance, Genetic Health Queensland,
Health Support Queensland and
Clinical Excellence Queensland.
A six year roadmap to provide the technology to empower clinicians to use genomic information.

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Health Informatics Strategy
 Information Management Strategy and Roadmap
o Outlines indicative program of work required across Queensland Health
and Hospital and Health Services.
 Data Custodianship - data and application custodianship
policy has been developed
o Health Informatics Services working to identify and appoint Data and
Application custodians.
 Digital Literacy and Capability
o 2nd cohort of the Certified Health Informatician Australasia (CHIA)
program (funded by eHealth) is underway.
o Working with Clinical Excellence Queensland to develop the
Manage4Improvement program to develop leadership around digital
innovation and change.
o Currently working on a Digital Readiness Strategy to support multiple
upcoming programs.

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mHealth Apps Strategy
 Challenges and issues:
o More than 325,000 mHealth apps.
o Queensland Health needs to create apps too (Clinical and
non-clinical).
o No unified strategy, policy and process for mHealth.
• eHealth Queensland actions:
o Developing mHealth strategy and framework including
national collaboration.
o Developing an assessment framework with Clinical
Excellence Queensland and running a pilot test program
for 11 apps.

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 Catalyst Innovation Program
o Innovation design
o Project facilitation
o Capability building
o Tools and systems
 Proof of Concepts and Pilots
 Events
 Innovation Hub
Digital Innovation Strategy

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Future Strategic Opportunities
 Implementation of the Rural and Remote Digital Healthcare
Strategy to deliver care to all Queenslanders.
 Enabling new and contemporary models of care through Digital
Innovation (Telehealth, Virtual Care)
 Supporting and enabling modernisation and digitisation of
Queensland facilities and systems.
 Piloting the national Digital Pregnancy Health Record.
 Exploring use cases for artificial Intelligence (AI) and robotics to
enhance healthcare service delivery.
 Digital Innovation - Proof of Concepts, Pilots and Hackathons

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