AUSTRALIA’S CONNECTED HEALTHCARE SYSTEM Health_Austrade.pdf · Telstra Health’s Vision is to...

AUSTRALIA’S CONNECTED HEALTHCARE SYSTEMDr Adrian Nowitzke, Head of Health Informatics

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History and Overview

Telstra Health’s Vision is to combine the reach and trust of an iconic Australian brand with proven health industry expertise to deliver an integrated eHealth ecosystem.

Telstra established its health business unit in early 2013, led by Shane Solomon, former National Partner for Healthcare at KPMG and Chief Executive of the Hong

Kong Hospital Authority

$1B by 2020

$1B by 2020

Telstra is Australia’s leading telecommunications and information services company and has a current market capitalisation of ~A$70 billion


Six transformative opportunities

Providing greater controlof your health Empowering people to convenientlymanage their own needs.

Reducing admissionsCoordinating care online, enablingAustralians to stay at home longer

Supporting safer, more efficient pharmaciesCreating a safer, efficient and more convenient pharmacy system

ConnectivityIncreasing access to healthcare regardless of location

Improving integration of healthcare information Reducing complexity and improving patient care by integrating personal health information across providers.

Supporting a more productivehealth systemUsing connected solutions to improve efficiency and productivity across the system.

Transforming healthcare delivery

Brilliantly connected healthcare services for everyone


Building a connected ecosystem through investments and partnerships

Connecting CapabilitiesGateway

Care Coordination

ProviderApplications

Telecare

Analytics & Big Data

Enabling Solutions

Foundational Architecture

Acquisitions Joint Ventures

Strategic Relationship

Invention


Australians are more connected than ever

Sources: Sensis e-Business Report 2015, Roy Morgan Research

61% of Australians look online for health

information62% of Australians use

online banking

Those who shop online spend $4400 annually on

average

61% of Australians have made online purchases

79% of Australians access the internet daily

Australians own 3 internet enabled devices on

average


Health is yet to fully embrace the revolution

REMOTE AUSTRALIANS access GP services at almost one third less regularly than those in major cities. NHRA, Fact Sheet 23 Measuring the metropolitan-rural inequity, Nov 2010

1 IN 6 HOSPITAL admissions run duplicate pathology or radiology tests because health workers had no access to previous results.AIHW and University of Sydney, 2009

Up to 30% of hospital admissions in over 65s are due to

MEDICATIONCOMPLICATIONSACSQHC, Medication safety in Australia, Aug 2013

Overall health spending in Australia will increase from $120bn in 2010 to

$200bn BY 2020AIHW: Health Expenditure in Australia 09/10

Asia will need an additional

180 MILLIONHOSPITAL BEDSin the next 10 years.The Economist Intelligence Unit, Asia Rising: Healthcare Industrial Dynamism Barometer, 2014

Lack of coordinated care causes an estimated

20% OF ELDERLY PATIENTS to be readmitted to hospital within a month of being discharged.Dilworth, S. Readmission Of Older Patients To The Acute Care Setting HNE Handover: For Nurses and Midwives, v2, n1, May 2013

1 IN 5 medical errors is due to incomplete patient medical information.nehta Annual Report, 2012

Nurses spend more than

20% OF THEIR TIME on documentation and paperwork.Journal of Advanced Nursing, How nursing staff spend their time on activities in a nursing home, Jan 2011

The Australian healthcare IT market is forecast to grow at an annual compound rate of 12.3%, rising from $1.2bn in 2015 to

$2.21bn BY 2020Frost & Sullivan Analysis of Healthcare IT spending in Australia, 2015


• 610,000 healthcare professionals• 98,000 doctors/surgeons• 350,000 nurses/midwives• 1,400 hospitals• 9.7m annual hospitalisations• 130m+ annual GP visits• Ageing population• Increasing rates of chronic illness• Health facing unsustainable costs• Health system based on premise of

universal care, equality in access

The Australian health landscape


Current technology adoption v global

Digital solution Australia Global

Hospital EMRs 78% -

GP desktop software 70% 72%

Electronic prescribing 10% 36%

Electronic referrals 22% 34%

Digital access to patient information when seen by another provider 55% 51%

Communicate electronically w patients 8% 16%

Share pathology requests digitally 16% 44%

Video consultations 20% 20%

Remote health monitoring/telemonitoring 11% 16%

Patient administration 63% 49%

Sources: Accenture Doctors Survey 2015


The national broadband network and innovation


• Federal government funds primary care and state governments fund hospitals (60:40)• Private and public sector 50:50• No University ownership of hospitals (one exception)• National personally controlled electronic health record (My Health Record)• Changes required to care delivery models

• Precision medicine• Coordinated/integrated care• Pay for quality

• Efficiency and access gains required• New National Digital Health Strategy 2016-19 to be released this year

Government landscape


Australian digital health markets

PharmaceuticalsEmployers/B2BInsurers

GovernmentConsumersProviders


• Increasing use of digital solutions• Current review of Medicare rebates for

medical technologies• Genomics/precision medicine• Growing number of Health Innovation

Funds (State and Federal), R&D tax incentives, Australian Medical Research Fund

The future

THANK YOU

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