Do States Like Telehealth? – Telehealth Crash Course Webinar Series
Telehealth: Where to from here? - HISA · CRICOS code 00025B Telehealth consultations rebated by...
Transcript of Telehealth: Where to from here? - HISA · CRICOS code 00025B Telehealth consultations rebated by...
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CRICOS code 00025B
Telehealth: Where to from here? Professor Len Gray
April 2019
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Access
Efficiency Health outcomes
The 3 goals of telemedicine…
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CRICOS code 00025B
Telehealth consultations rebated by MedicareJuly 2011 – June 2017
0
2000
4000
6000
8000
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12000
14000
No
. vid
eo
co
nsu
lta
tio
ns
July 2011 - Jun 2017
Specialist Support Linear (Specialist) Linear (Support)
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CRICOS code 00025B
Proportion of Specialist Telehealth Consultations in all Consultations [Q3, 2011 – Q2, 2017]
0.00%
0.50%
1.00%
1.50%
2.00%
2.50%
3.00%
Q3,2011
Q4,2011
Q1,2012
Q2,2012
Q3,2012
Q4,2012
Q1,2013
Q2,2013
Q3,2013
Q4,2013
Q1,2014
Q2,2014
Q3,2014
Q4,2014
Q1,2015
Q2,2015
Q3,2015
Q4,2015
Q1,2016
Q2,2016
Q3,2016
Q4,2016
Q1,2017
Q2,2017
Psychiatry
Geriatric medicine
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CRICOS code 00025B
Per capita telehealth uptake across statesJuly 2011 – June 2017
0
500
1000
1500
2000
2500
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3500
4000
4500
NSW VIC QLD SA WA TAS ACT NT Australia
Vid
eo c
onsultations p
er
100 0
00 p
eople
July 2011 - June 2017
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CRICOS code 00025B
Mobile-based REMOTE Monitoring system
PA HOSPITAL
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CRICOS code 00025B
Do I really need to go to the clinic?
Virtual
clinicRBG profile
Patient input[Email / self-report]
Labs
Text
Telephone
Video-conference
In person HbA1c: 1% reduction
Visits: 25% reduction
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CRICOS code 00025B
A diabetes management ecosystem
Service balance that reflects cost & complexity of care needs
Specialist to Patient VC
(Medium expense; moderate health care need)
Specialist office visit
(High Expense; most complex situations)
Specialist via Online System
(Least Expensive; advice to doctor caring
for patient)
SERVICE
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CRICOS code 00025BCRICOS code 00025B
“The rise of telemedicine & lower costs”
“The virtual doctor will see you now”
“Virtual doctors = real savings”
Kaiser Permanente
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CRICOS code 00025BCRICOS code 00025B[Presentation Title] | [Date] 10
[Entity Name]
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CRICOS code 00025BCRICOS code 00025B[Presentation Title] | [Date] 11
[Entity Name]
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CRICOS code 00025BCRICOS code 00025B
Sub-optimal and patchy uptake of VC
Minimal store-forward uptake
Patchy use of remote monitoring
Communication predominantly via conventional office visits
Minimal use of telehealth in metropolitan settings
Room for improvement?
[Presentation Title] | [Date] 12
Centre for Health Services Research
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CRICOS code 00025BCRICOS code 00025B
Integrated clinical information systems
Awareness, training
Appropriate reward systems for health practitioners
Targeted time-limited incentives for change
Even more research
Policy review: A new strategy for telehealth?
Steps forward…?
[Presentation Title] | [Date] 13
[Entity Name]
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CRICOS code 00025B
28 HDR student enrolled
8 completions
230 publications 340 presentations
> $ 40M grant funding47 public forums
The Telehealth CRE by numbers
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CRICOS code 00025B
Thank you