Telehealth in Victoria

Transcription

1 Australian Telehealth Conference 2017 Telehealth in Victoria Andrew M Saunders - Director Digital Health & Health Sector CIO Penelope Watson - Manager, Telehealth Strategy & Development

2 Topics Victoria s Digital Health Strategy & Context for Telehealth Andrew Telehealth in Victoria Past, Present, Future Penelope 28 April 2017

3 Australia s health system Victoria: A snapshot Public sector health services are provided by all levels of government. Public hospitals are managed by state and territory governments. Victoria s population is just over 6 million (ABS, 2016) Just over two thirds of the population (67%) are aged between years Nearly 900,000 people are aged 65 years and over (15%) Total health expenditure in Victoria by Government in was $39 billion (AIHW 2016) Community Health ($817 million 2%) Primary health ($13.5 billion 35%) Public hospitals ($ billion 29%) Victoria s health services devolved governance model

4 Pressures on Victoria s health sector

5 Connected health in the future: moving to a person-centric model of care

6 Telehealth is not a stand alone clinical workflow system It is part of a Digital Health eco-system Telehealth Clinical Workflow Processes

7 Challenges to overcome Paper based clinical records Network Connectivity & Interoperability below clinical grade Integrating Telehealth into clinical workflows Change management / Developing clinical expertise Funding Appropriate clinical governance

8 Priority Use Cases 1 Urgent care / unplanned consultations Enabling the provision of support and specialist advice during an unplanned medical event. For example, emergency presentation or urgent care. 2 Planned consultation Scheduled consultation that may or may not include a patient and secondary physician. For example, outpatients and MDMs. 3 4 Home & community based care Education & training Providing post-discharge management, community/ home based care delivery (particularly for those with chronic disease), including remote monitoring of patient vital signs. Events focused on education, training and supervision purposes. For example, morbidity and mortality meetings. 28 April 2017

9 Telehealth in Victoria Past, Present, Future April 2017 Penelope Watson Manager, Telehealth Strategy & Development

10 Vision The cornerstone of the department s telehealth vision is that, where clinically appropriate, it must be seen as a routine method of delivering clinical care, and a viable and reliable alternative to face to face consultations.

11 The Past 2013 Telehealth Unit established 2013 Health Innovation Reform Council developed a telehealth paper & recommended a number of projects be funded $8.72 million funding for telehealth projects (27) Resources developed: Critical Success Factors for Telehealth Implementation Medico-Legal Aspects of Telehealth Services for Victorian Public Health Services Various toolkits from telehealth projects Audit of Network Capacity completed

12 Present 2016 $5 million allocated to support adoption and increase of telehealth in public specialist outpatient clinics 16 trojects across 15 health services received funding Better Care Victoria funded $4.1 million across 6 telehealth projects Health Services provided access to Healthdirect Video Call (at this stage primarily to projects but is available to any Victorian publically funded health service) PwC engaged to complete: Telehealth Strategic Options Assessment - Current and Future State, and Roadmap Business Case to support State-Wide Telehealth Capability

13 Telehealth Strategic Options Assessment Survey Surveyed 86 Health Services on their understanding of telehealth use (RR 60%) The survey focused on the four user cases Telehealth frequency

14 Survey Responses Existence of a telehealth strategy within the Health Service

15 Survey Responses Telehealth activities included within ICT strategy (for those answering no)

16 Survey Responses The greatest issues in implementing Telehealth programs Other 34.1% Poor infrastructure and / or end user device capability 39.0% Lack of sustainable ongoing funding sources 70.7% Lack of upfront funding to commence program 51.2% Lack of overall interest in Telehealth 9.8% Poorly implement and / or managed 26.8% Lack of consumer / patient acceptance 19.5% Lack of executive engagement and buy-in 9.8% Lack of clinician engagement and buy-in 39.0% Number of HS Metropolitan Melbourne Regional Victoria

17 Future Directions for Telehealth in Victoria Strategic Plan: Enabling better care for Victorians, Telehealth in Victoria, May 2016 The report describes a future vision for a state-wide telehealth capability which will enable telehealth to be scaled up and utilised for planned and unplanned care, home and community based care, and education and training The capability will include the policy and governance structures, people and process, and supporting technology

18 Future Vision The future vision for Telehealth in Victoria 01 Urgent care / unplanned consultations In urgent and unplanned events, patients have access to timely expert clinical advice to support their care, irrespective of where they are located in Victoria 04 Training and education All clinicians irrespective of location will have access to certain forms of education and training. The future state of telehealth in Victoria 02 Planned consultations Where required to support patient care, remote specialist clinical advice will be available to patients and treating clinicians irrespective of condition or geographic location. 03 Home and community based care For cohorts at high risk of hospital-based service utilisation, the provision of teleconsultation and monitoring within the community / home environment reduces the burden of disease on the patient and the Government.

19 Future State Delivery Partnership Delivery Model requiring a staged approach over 4 years A blend of key capabilities between DHHS and Health Services Centralisation of key activities i.e. strategic direction and policy, aligning funding arrangements, promotion of standardisation etc. Health Services continue to build on their experiences in telehealth State-wide Telehealth Community of Practice & Special Interest Groups for each Use Case

20 Knowledge gained and resources developed during Model of Care testing and deployment by SIGs and Exemplar sites is collected and stored centrally with COP to ensure shared access to information and learnings Proposed Delivery Framework Statewide Telehealth Community of Practice (COP) Selected Use Case Special Interest Group Application of SIG telehealth expertise Requirements for design of use case Revisions and adjustments to Model of Care communicated to SIG for iteration and deployment to Exemplar sites Development and testing of Model of Care for selected use case by SIG Exemplar site 1 deployment of use case Exemplar site 2/3/4 Statewide Telehealth Capability Program

21 Where to Now? Another funding round for telehealth projects 2017/18 Explore use cases further Work with Victorian Telehealth Community of Practice (2016/17 funded project) Join at: Seek funding to support State-wide telehealth capability Strengthen data collection - VINAH

22 Questions?