digital health in australia
TRANSCRIPT
Digital Health in Australia
Laurie Hawkins, CEO, HealthServicesDirectories, Australia
Email: [email protected]
Presentation Overview
1. Introduction
2. Common Health Sector Challenges
3. Data◦ A Catalyst for Change
◦ Barriers to Change
4. The Relevance of Provider Directories – A Start◦ Provider Directories Experience in Victoria (Australia)
◦ The Victorian Human Services Directory – The Enhancement
◦ The Australian National Health Services Directory – Foundation for new E-Health Initiatives
5. What Service Directories do – examples of innovation using data
LAURIE HAWKINS, AUSTRALIA, HEALTH SERVICES DIRECTORIES ADVOCATEOctober 2017
Introduction
Managed the successful development of the Victorian Human Services Directory (Vic HSD), which has now become a National System used across Australia.
This presentation discusses the relevance of Service Directories to emerging health sector challenges with a view to long term health and social care service delivery, sustainability and innovation
LAURIE HAWKINS, AUSTRALIA, HEALTH SERVICES DIRECTORIES ADVOCATEOctober 2017
Common Health Sector Challenges
Challenges facing Governments and Health Care across the World
◦ Escalating demands on health and social services
◦ Ageing Populations
◦ Rising rates of Chronic Diseases
◦ Increasing costs to fund healthcare
These challenges are further compounded by the need to balance
◦ Decreasing Government resources
◦ Increasing Consumer expectations
Our current trajectory is not sustainable
LAURIE HAWKINS, AUSTRALIA, HEALTH SERVICES DIRECTORIES ADVOCATEOctober 2017
Data: A Catalyst for Change
The Australian health sector is faced with many challenges in an environment of diminishing health resources
Yet it has a powerful resource growing in abundance that can fuel change
LAURIE HAWKINS, AUSTRALIA, HEALTH SERVICES DIRECTORIES ADVOCATEOctober 2017
Data: A Catalyst for Change
World Wide◦ Volumes of data expanding at a exponential rate◦ Many industry sectors seeking to embrace data
with varying levels of success and impact (Facebook, Amazon, Google, etc.)
Health Sector◦ Data is typically a by-product of health care
delivery◦ Massive stockpiles of data, and growing◦ Data overwhelmingly underutilised◦ Data presents an incredible opportunity to help
healthcare become more effective
LAURIE HAWKINS, AUSTRALIA, HEALTH SERVICES DIRECTORIES ADVOCATEOctober 2017
Given the ever increasing trajectory of disease impact (human and economic), when will this trend change? Can data provide the catalyst for this change?
Data: Barriers to Change
◦ Fragmented Silos
◦ Complex and costly system integration
◦ Proprietary Formats
◦ Different formats, types, databases, spreadsheets, video, etc..
◦ Lack of coordination and collaboration across Public and Private, Not for Profit organisations
LAURIE HAWKINS, AUSTRALIA, HEALTH SERVICES DIRECTORIES ADVOCATEOctober 2017
How do we bring all this data together so that we can more effectively use it?
The Relevance of Provider Directories – A Start
Typically there are many fragmented and siloed Provider Directories across most Countries
◦ Most hospitals, aged care, community care, mental health and primary care settings independently maintain address books of local clinicians and services.
◦ Used daily by doctors, nurses and allied health professionals to aid the transfer and management of care.
◦ They range from simple lists to relatively sophisticated databases separate to or embedded within other systems
◦ The consent, management and quality of data regimes are highly variable
Massive replication of systems, data, maintenance costs and resources that could otherwise be far better used
LAURIE HAWKINS, AUSTRALIA, HEALTH SERVICES DIRECTORIES ADVOCATEOctober 2017
Provider Directories Experience in Victoria (Australia)
Previously in Victoria
◦ Contained only General Practitioner (GP) data
◦ Massive duplication
◦ Cost
◦ Effort
◦ Data out of date
◦ Inconsistent data validation regimes
◦ No transactional or operational information e.g. opening hours, languages spoken
◦ Do not contain “Not for Profit” healthcare providers
Is there a better way?
Impacts
◦ The capacity for “Patient Centric” service delivery
◦ Transfer of Care, e.g. from hospital to aged care
◦ Transfer of patient data via referrals, discharges, pathology ordering, etc.
◦ Coordinated care across service delivery teams
◦ No “Single View” of Health and Social Services
LAURIE HAWKINS, AUSTRALIA, HEALTH SERVICES DIRECTORIES ADVOCATEOctober 2017
The Victorian Human Services Directory – The Enhancement
The Challenge: to consolidate more than 160 statewide Provider and Practitioner Directories
• Amalgamation of a number of Directories used for different purposes
• Fragmented and duplicated Provider Directories across the State
• Housing Services Directory
• Social Services Directory
Resulted in the development of a State Wide shared “Services” Directory, consolidating over 160 fragmented provider directories
October 2017 LAURIE HAWKINS, AUSTRALIA, HEALTH SERVICES DIRECTORIES ADVOCATE
The Victorian Human Services Directory
The Directory based on Organisations includes:
◦ services offered
◦ contact details
◦ location
◦ opening hours
◦ languages spoken
◦ billing arrangements
◦ supported types of communication
◦ practitioner details (voluntary model)
◦ Secure messaging identifiers
◦ Etc.
LAURIE HAWKINS, AUSTRALIA, HEALTH SERVICES DIRECTORIES ADVOCATEOctober 2017
National Health Services Directory – Foundation for E-Health Initiatives
The success of the Victorian Human Services Directory has resulted in it being rolled out nationally across Australia
◦ Repository of Health and Social (Human) Services data
◦ One Application Programming Interface (API or Web Service)
◦ Over 9.5 million transactions and searches/month
◦ Multiple interfaces for different stakeholders
Which results in
◦ Interoperability
◦ Integrated care with the consumer at the “Core”
◦ Evidence Based Health Planning at regional and national level
LAURIE HAWKINS, AUSTRALIA, HEALTH SERVICES DIRECTORIES ADVOCATEOctober 2017
The Australian National Health Services Directory
Services◦ National Services Directory (400,000+ Services)
◦ National Provider Directory (300,000+ accredited Health Practitioners )
◦ National Disability Insurance Scheme Directory (NDIS)
◦ National Telehealth Directory
Telephone Call Centres◦ GP After Hours
◦ NURSE-ON-CALL
Consumer Web Portals
Smartphone Apps
National Health Programs, e.g. Diabetes
eHealth Identifiers◦ Health Provider Identifiers - Individual (HPI-I’s)
◦ Health Provider Identifiers – Organisational (HPI-O’s)
◦ Health Insurance Identifiers for Organizations and Providers
◦ Secure Messaging (National and Private Providers)
October 2017 LAURIE HAWKINS, AUSTRALIA, HEALTH SERVICES DIRECTORIES ADVOCATE
The Australian National Health Services Directory
The National Health Services Directory (NHSD) provides the foundation for eHealth innovation at national, state and local levels.
October 2017 LAURIE HAWKINS, AUSTRALIA, HEALTH SERVICES DIRECTORIES ADVOCATE
The Australian National Health Services Directory
October 2017 LAURIE HAWKINS, AUSTRALIA, HEALTH SERVICES DIRECTORIES ADVOCATE
Content Providers, Healthand Social (Human) Services
Organisations and Practitioners
NHSD
The Australian National Health Services Directory
October 2017 LAURIE HAWKINS, AUSTRALIA, HEALTH SERVICES DIRECTORIES ADVOCATE
Secure Messaging and National Templating Service
(Discharge SummariesPathology Reports, etc)
National Health Programs, Call Centres
(After Hours GP Helpline, Nurse On Call, Pregnancy
Birth & Baby, etc)
National Telehealth Directory(Telehealth video calls)
Hospital EHR’s, Clinical, Community Allied Health, Mental Health and Aged Care Systems. Allied
Health, Social Care, Doctors/General Practitioners, Dentists, Pharmacists, OT, etc.
Consumer Web Portals(Symptom Checker,
Find A Health Service, Find Health Information,
Mental Health, Aged Care, Carer Gateway)
National Disability Insurance Scheme (NDIS)
National Healthmap(Services, demographics,
health status, service utilisation, etc)
NHSD
Smart Phone Apps
The Australian National Health Services Directory
Consolidation of data benefits:
◦ Single View of Health, Social (Human) Services and accredited Healthcare Practitioners
◦ Elimination of many Provider Directories
◦ Different views for multiple stakeholders
◦ Health Planning at a International, National, State and Local level
◦ Amalgamation of Public, Private and Not for Profit information in one single directory
◦ Shared national health sector resource
A Foundation for wider data consolidation and innovation
October 2017 LAURIE HAWKINS, AUSTRALIA, HEALTH SERVICES DIRECTORIES ADVOCATE
Innovation – Consolidation of Data Sets and Visual Data Analytics
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A picture is worth a thousand words
National Healthmap
October 2017 LAURIE HAWKINS, AUSTRALIA, HEALTH SERVICES DIRECTORIES ADVOCATE
• Facilities sharing of data, resources, skills and knowledge across different organisations, Public, Private and Not For Profit (NFP)
• Eliminates the barriers of “Silos of data” held by organisations (Public and Private) to enable to enable effective sector wide information sharing across Local, National and International borders
• Can support 1000’s of International, National and Locally significant datasets
• Data Sets need to maintained once, e.g. Census data, Administrative Boundaries, etc
• Reusable data themes, reduce duplication of data across health sector, e.g. Cancer Theme, sub categories of Ovarian, Breast, Lung, Prostate
• Planning Models can be developed to incorporate a range of criteria:-
• Services by Time of Day/ Weekend
• Nursing homes & bed availability
• Population projections to determine future accessibility needs
The free flow of Data and Interoperability
Healthmap
October 2017 LAURIE HAWKINS, AUSTRALIA, HEALTH SERVICES DIRECTORIES ADVOCATE
• We know where Health Services are
• We know where consumer demand
• What do we need to do for the future?
• An example – Workforce Shortages
• Health Planners
• Policy Makers
• Consumers
• Researchers
A knowledge based platform to support Evidence Based Decision Making
October 2017 LAURIE HAWKINS, AUSTRALIA, HEALTH SERVICES DIRECTORIES ADVOCATE
October 2017 LAURIE HAWKINS, AUSTRALIA, HEALTH SERVICES DIRECTORIES ADVOCATE
October 2017 LAURIE HAWKINS, AUSTRALIA, HEALTH SERVICES DIRECTORIES ADVOCATE
October 2017 LAURIE HAWKINS, AUSTRALIA, HEALTH SERVICES DIRECTORIES ADVOCATE
October 2017 LAURIE HAWKINS, AUSTRALIA, HEALTH SERVICES DIRECTORIES ADVOCATE
October 2017 LAURIE HAWKINS, AUSTRALIA, HEALTH SERVICES DIRECTORIES ADVOCATE
October 2017 LAURIE HAWKINS, AUSTRALIA, HEALTH SERVICES DIRECTORIES ADVOCATE
October 2017 LAURIE HAWKINS, AUSTRALIA, HEALTH SERVICES DIRECTORIES ADVOCATE
October 2017 LAURIE HAWKINS, AUSTRALIA, HEALTH SERVICES DIRECTORIES ADVOCATE
October 2017 LAURIE HAWKINS, AUSTRALIA, HEALTH SERVICES DIRECTORIES ADVOCATE
October 2017 LAURIE HAWKINS, AUSTRALIA, HEALTH SERVICES DIRECTORIES ADVOCATE
October 2017 LAURIE HAWKINS, AUSTRALIA, HEALTH SERVICES DIRECTORIES ADVOCATE
October 2017 LAURIE HAWKINS, AUSTRALIA, HEALTH SERVICES DIRECTORIES ADVOCATE
October 2017 LAURIE HAWKINS, AUSTRALIA, HEALTH SERVICES DIRECTORIES ADVOCATE
October 2017 LAURIE HAWKINS, AUSTRALIA, HEALTH SERVICES DIRECTORIES ADVOCATE
October 2017 LAURIE HAWKINS, AUSTRALIA, HEALTH SERVICES DIRECTORIES ADVOCATE
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Smallpox – Eliminated in 1980
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Healthmap Links
National Healthmap (enter as Guest)
Healthmap Learning 101
All Doctors in Australia
Storyboards - Workface Shortages across Australia
Health Services by Focus Groups
Telehealth Capable Services by Focus Areas
Selected Hospitalisations - New South Wales
Chronic Disease - Diabetes Type 2 - Australia
This shows the following for Regional and Remote Communities and health services. 'Proximity of Influence Regions' are based on Thiessen Voronoi Territories representing the partitioning of a plane into regions based on 'closeness' to points (e.g. straight line distances to nearest services).
'Proximity of Influence Region' derived data are unweighted estimates of the underlying data falling within the regions and seek to help identify: those organisations/ services potentially most suited to influencing local community health outcomes.
Areas of need and relative proximity to health services to support more targeted health program delivery
October 2017 LAURIE HAWKINS, AUSTRALIA, HEALTH SERVICES DIRECTORIES ADVOCATE