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Emerging Technology Symposium24th May 2017
Ann-Marie CavanaghChief Technology and Digital Services Officer
Darren DouglassDeputy CT&DSO eHealth
The future we want
2
“The health sector will need to be adaptable in coming years as developing technology changes how services can be delivered in ways we do not yet understand.”
Minister of Health 2016
NZ Demographics
4.5
4.55
4.6
4.65
4.7
2015 2016
• In 2016, the population grew by 97,300 or 2% to 4.69 million
• In 2016 the % of population aged 65+ had increased to 15% (1996 – 11.5%). The 65+ population is projected to reach 23% by 2043
• In 2016 the % of population aged 15-39 was 33.7% (1996 – 38.4%)
• Nelson, Marlborough, Tasman, West Coast, Northland, Bay of Plenty & Hawkes Bay –median age above 40. NZ median age is 37
0%
10%
20%
30%
1996 2016 2043
NZ population
Population size
Mean Age Projected
3
In addition we are seeing shifts in ethnicity
Ethnicity
• Maori, Pacific & Asian populations will all
increase their share of the total NZ
population because of their higher growth
rates
• Increased overlapping ethnicities - more
people identifying with more than one ethnic
group.
Distribution
• The Auckland region has annual growth of
1.5%
• Auckland will increase from 34% of NZ in
2013 to 37% by 2028
4
Future impact on workforce
• 65% of today’s schoolchildren...employed in jobs... yet to be created. (U.S. Department of Labor report)
• By 2029 robots will have reached human levels of
intelligence (Ray Kurzweil, director of engineering at Google)
• 33% of jobs will be replaced by software, robots, and
smart machines by 2025. (Gartner)
5
Digital coming into Health!
Future – staying ahead
Ministry of Health response
T&DS Transformation
Future leaders need to understand
Systems thinking
Strategic conversations
Agile in thinking and actions
Manage chaos and complexity
Instilling enough stability to ensure smooth daily operations
Leaders we need - what’s their profile?
1• Courage, resilience & self control
2• Self & situation awareness
3• Communicator & story tellers
4• Learning and teaching culture
5• Service above self
6• Inspiration & influence NOT control or authority
7• Team player
New Zealand Health Technology 2026A Living Vision
Technology transforming the way
New Zealanders live well, stay well, get well
14
People-powered
Ma te iwi
hei kawe
Smart system
He atamai te
whakaraupapa
One team
Kotahi te tima
All
New Zealanders
live well
stay well
get well
Closer to
home
Ka aro mai ki te
kainga
Value
and high
performance
Te whainga hua
me te tika o
nga mahi
People-powered
Ma te iwi hei
kawe
Smart system
He atamai te
whakaraupapa
One team
Kotahi te tima
All
New Zealanders
live well
stay well
get well
Closer to
home
Ka aro mai ki te kainga
Value
and high
performance
Te whainga hua me te tika
o
nga mahi
15
Value for
NZ
o How can technology optimise the
performance of the health system?
o Requires prioritisation
o Flexible funding and funding sources
o Align incentives to support different
delivery models and smart use of
technology
o Focus on changing behaviours
o Address inequities in knowledge and
education, access to services, health
outcomes, connectivity and access to
technology services
Value for
NZ
People-powered
Ma te iwi hei
kawe
Smart system
He atamai te
whakaraupapa
One team
Kotahi te tima
All
New Zealanders
live well
stay well
get well
Closer to
home
Ka aro mai ki te kainga
Value
and high
performance
Te whainga hua me te tika
o
nga mahi
Life
centred
16
Responsive
Predictive
Personalised
Value for
NZ
Life
centred
o Technology empowering people to
flourish through fully participating in
their wellbeing
o Integrating information from traditional
health services, natural health services,
social services and the consumer….my
life context
o Supporting functional medicine by
integrating traditional and non-
traditional health services with the
consumer at the centre
People-powered
Ma te iwi hei
kawe
Smart system
He atamai te
whakaraupapa
One team
Kotahi te tima
All
New Zealanders
live well
stay well
get well
Closer to
home
Ka aro mai ki te kainga
Value
and high
performance
Te whainga hua me te tika
o
nga mahi
Life
centred
17
Responsive
Predictive
Personalised
Accessible
trusted
information
Accessible
trusted
information
o Consumerisation of technology
o Digital trust - secure, reliable, safe,
convenient
o Policies, processes and standards for
data security, privacy, access and use,
data definitions and taxonomy, data
architecture and standards
o Always connected - location, time,
device agnostic
o Interoperability, common language,
shared understanding
o Environment to drive innovation
Value for
NZ
18
Option 1: Do nothing Option 2: ‘The Core Five’
Platform
Option 3: Continuity of Care
Platform
Option 4: Wellness Platform Option 5: Wellness Gateway
This option would continue with multiple
provider focussed systems (including
some central information repositories)
with varying levels of information
exchange between them.
A health information platform supporting
a minimum set of a consumer’s health
information needed in case of
unexpected or unscheduled care.
Consumers can view their information
using a national portal, clinicians could
view and edit via clinical information
systems, and service providers could
leverage anonymised data through
national programs such as the IDI.
Vetted app developers can connect to
develop consumer and provider apps
that use information.
Data could include:
• Demographics
• Diagnoses
• Medications
• Immunisations
• Allergies
A health information platform supporting
a holistic view of the health care a
consumer has received.
Consumers can view their information
using a national portal and annotate
incorrect information, clinicians could
view and edit via clinical information
systems, and service providers could
leverage anonymised data through
national programs such as the IDI.
Vetted app developers can connect to
develop consumer and provider apps
that use information.
Data could include:
• Information in the Emergency
Care Summary
• Lab and Test Results
• Vital Signs
• Radiology images
• Advanced Care Directives
• Care Plans
• Progress Notes
• Appointments, Referrals and
Visits
A health information platform supporting
a broader view of wellness.
Consumers can view/add/manage the
wellness information they contribute,
clinicians could view and edit via clinical
information systems, and service
providers could leverage anonymised
data through national programs such as
the IDI.
Vetted app developers are encouraged
connect to develop consumer and
provider apps that both provide and use
information to the platform.
Data could include:
• Information defined in the
Continuity of Care Platform
• Family History
• Social History
• Health Risk Factors
• Consumer Wellness Data
• Consumer Generated Vitals and
Remote Monitoring
• Genomic Data
• Other Consumer and Social
Sector Data
A national platform that promotes the
sharing of consumer health data (as in
options 2 to 4), but also allows third party
ecosystem of service offerings to
consumers and providers to be
published on the national platform with
appropriate governance.
The platform would allow developers to
leverage national infrastructure,
authentications / authorisations,
foundational services, and relationships
with consumers/providers.
When consumers or providers connect
to the national platform, they have the
ability to not only view their information,
but also a set of apps and services built
on that platform
Examples could include:
• Data sharing as in options 2-4
• Apps that leverage the national
infrastructure to allow consumer
appointment booking
A platform enabling interoperability bound by standards for all connected systems and users that
enables clinical information systems, portals and mobile applications to connect.
Across Options
DRAFT FOR DISCUSSION – NOT GOVERNMENT POLICY
Functionality of 5
Starting with a Limited Data Set from 2
and/or 3 based on availability
Electronic Health Record Business CaseAccessible
trusted
information
Commitment to Interoperability
Commitment to Interoperability across all sector participants
1. Consumer Trust: Consumers can trust the quality, security and privacy of theirhealth data
2. No Blocking: We will not block or hinder access to the health data we hold
3. Data Sharing: Health data will be shared across the health and social carecontinuum
4. Standards: We will implement agreed national interoperability standards
5. Common Capabilities: We will utilise agreed national information commoncapabilities
Accessible
trusted
information
People-powered
Ma te iwi hei
kawe
Smart system
He atamai te
whakaraupapa
One team
Kotahi te tima
All
New Zealanders
live well
stay well
get well
Closer to
home
Ka aro mai ki te kainga
Value
and high
performance
Te whainga hua me te tika
o
nga mahi
Life
centred
21
Responsive
Predictive
Personalised
o Where I am, when I want it, how I
choose to access
o Convenience - My data, my time, my
language
o Virtual option always available
o Care comes to me
o Removing isolation through keeping
people and communities connected
o Confidence in access to best treatments
Closer to
me
Closer to me
Accessible
trusted
information
Value for
NZ
People-powered
Ma te iwi hei
kawe
Smart system
He atamai te
whakaraupapa
One team
Kotahi te tima
All
New Zealanders
live well
stay well
get well
Closer to
home
Ka aro mai ki te kainga
Value
and high
performance
Te whainga hua me te tika
o
nga mahi
Life
centred
22
Responsive
Predictive
Personalised
Closer to me
Accessible
trusted
information
Sustained
change and
innovation
o Technology is easy; human change is
harder
o All technology enabled change needs to
consider
o Impact on service models
o Regulation and policy
o Technology, workforce enablers
o Changing business models
o Requires a co-design approach
o Support for industry innovation
Sustained
change and
innovation
Value for
NZ
Informed
Choice
23
Sustained
change and
innovation
Health Technology Vision Themes
People-
powered
Ma te
iwi hei
kawe
Smart
systemHe atamai
te
whakaraupa
pa
One team
Kotahi te
tima
All
New
Zealanders
live well
stay well
get well
Closer to
home
Ka aro mai
ki te kainga
Value
and high
performance
Te whainga hua
me te tika o
nga mahi
Accessible
trusted
information
Informed
Choice Life
centred
Actionable
insights
Responsive
Predictive
Personalised
Virtual
organic teams
Value for
NZ
Sustained
change and
innovation
Closer to me
24
25
“The health sector
will need to be
adaptable in coming
years as developing
technology changes
how services can be
delivered in ways we
do not yet
understand.”Minister of Health 2016
Questions?
