The eHealth record Change & Adoptionapproach

27 March 2012

The PCEHR will offer significant benefits, both financial andnon-financial, particularly for frequent users of the system

PRELIMINARY

Quality

SOURCE: BEP; 2010 IEHR Deloitte business case; team analysis

Safety

Access

Efficiency

Population

Quality of care▪ Improved assessment▪ Improved treatment▪ Increased consumer participation▪ Improved preventative care

Safety of care and services▪ Reduced errors▪ Promotion of the health of the population

Access to health services and care appropriate to patient needs▪ Improved access to providers according to clinical and personal need▪ Increased choice▪ Increased responsiveness

Efficiency of care and services▪ Higher clinical efficiency▪ Improved use of funds▪ Improved use of infrastructure

Healthier and more robust population▪ Support of government initiatives▪ Increased innovation▪ Enhanced workforce▪ More resilient economy

1

Potential adoption curves for GPs based on Australia’s PCEHR timing1

0

10

20

30

40

50

60

70

80

2012 2013 2014 2015 2016 2017 2018 2019 2020 2021

USA2ItalyDenmarkPercent

SOURCE: International literature review, expert interviews, 2010 IEHR Deloitte business case, team analysis

1 “GP uptake” defined in US as “basic use” (e.g., clinical documentation stored electronically, patient problem and prescription lists on-line),and in Denmark/Italy as “using EHR systems” (e.g., viewing records, ePrescriptions, eBookings)

2 Years 1-2 of US data based on pre-aggressive incentives, Years 3-4 post-aggressive incentives,Years 5+ projections

3 Based on Deloitte’s 2010 IEHR business case (subsequently, there was a refinement of this in 2011– “relationship of the PCEHR system to the 2010 IEHR businesscase” to generate the “aggregate healthcare participation” curve taking into account GPs, specialists etc.)

However, international experience tells us it is a 5-year journey to achievemeaningful uptake levels

Can we accelerate beneficialusage above 1 - 2% in year 1through transitioning eHealthsites, providing targeted localsupport, and working withhealth communities and otherDepartment programs (e.g.,DVA, Defence)?

2

Implications for Australia

3

• July is the first step on a 10-year journey for the eHealth record

• “Soft launch” / staged implementation

• Push to build on strong platforms in Australia• Government investment to increase computerisation• Investment in specifications and common terminology• eHealth sites are testing components• Emphasis on different provider groups moving at different times

• Optional, not mandatory, approach to participations

There are 6 key areas of support in the NCAP delivery plan

Vendor support

Jurisdictions▪ DoHA▪ State and

territoryhealthagencies

6

NCAP National(training, events,comms, media)

3

5

Localsupportcapacity

eHealth sitecommunities

41

Other PriorityHealthCommunities

Priorityconsumers

andsupportingproviders

2

Overview of NCAP tools being delivered PRELIMINARY

5

• Training: learning center being set up in March - 24 components (e.g., e-learning modules, training packs, interactive case studies)

• Events: Holding 48 events – approximately 50% of these with clinicalpractitioner groups, aligned to the priority health community groups

• Communications: Developing case studies, identifying, briefing andmedia training 100-200 clinical advocates, supporting training for helpdesk, producing and disseminating brochures

2.1 Communications campaign

2.2 “Pathfinder” communities

2.3 Vendor support2.4 Work with interest based consumer

groups – healthy aged and agedcare

We are pursuing a number of healthcare communitiesdirected activities1. Mothers & Newborns

4. Prostate, Breast and Bowel Cancer

7. Defence/JEHDI

7.1 JeHDI communications

2. Older Australians

5. Mental health

8. Private Health Insurance

3. Diabetes

6. Department of Veteran’ Affairs

6.1 Targeted communicationstoolkit

6.2 Direct mail campaign

9. ACCHS

AS AT 15 MARCH

4.1 Targeted communications toolkit

4.4 Support groups and help lines

4.3 Cancer patient packs

1.1 Targeted communications toolkit

1.2 Birth forms

1.3 Targeted marketing

3.1 Mail out

3.2 NDSS diabetes starter pack

3.3 Editorial articles

3.4 Link to consumer portals

3.5 National diabetes helpline

5.1 Develop/tailor collateral for youthand adult mental health

5.2 Jurisdictional champion trainingforums

5.3 Organisation & consumerregistration support

8.1 Public statement of support

8.2 PHA Promotion to funds

8.3 Third party portals

9.1 Engagement with peak bodies9.2 Potential for training and

registration programs

We are pursuing a number of healthcare provider directedactivities

A. RACGP

D. PSA

G. AMA

B. APNA

E. NAMDS

H. AHPA

C. PGA

F. Improvement Foundation / APCC

AS AT 15 MARCH

A.1 Online learning

A.2 CPD points / education modules

A.3 Dedicated Good Practice issue

A.4 While you are waiting issue

A.5. GP HelpDesk

B.1 Promotional campaign C.1 Distribution of module throughPGA channels

D.1 Online learning moduledevelopment

D.2 DVDs sent to rural areas

D.3 PSA eHealth forum on website

E.1 Add footnote to treatment reportsfor GPs

E.2 Website info and linksE.3 NAMDS call centre promotion –

intro script

F.1 Expand eCollaboratives – 80practices

Currently supporting development ofImplementation Guide

H.1 Online learning/education module

Overview of eHealth sites

The sharing of eHealth records is already being pioneered across Australia including work underwayat 12 eHealth sites.These sites comprise of geographic areas and healthcare organisations and practices. Their frontlineexperiences are helping to shape the national system.

Map and Key▪ Inner East Melbourne Medicare Local / Eastern Health▪ Hunter Urban Medicare Local / HNEHS▪ Metro North Brisbane Medicare Local / QLD Health▪ ACCORAS▪ Calvary Healthcare ACT▪ Department of Health and Human Services (Tasmania)▪ FRED IT▪ Greater Western Sydney eHealth Consortium/

NSW Health▪ Mater Health Services▪ Medibank Private Limited▪ Northern Territory Department of Health and Families

in conjunction with the Aboriginal Medical ServicesAlliance Northern Territory and General PracticeNetwork NT

▪ St Vincent’s & Mater Health Sydney8

Preliminary assessment of jurisdictional “early wins” PRELIMINARY

Dischargesummaries

Mentalhealth

EDidentification

Maternal childbook

Chroniccare

Joined-upcomm-

unicationsPortallink

NSW

Vic

Qld

SA

WA

Tas

ACT

NT

TBD

TBD

10

Summary calendar for events/milestones/media (A3)

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SOURCE: NCAP

Older Australians

▪ 9-12, Australian Rotary Club Conference 2012, Melbourne▪ 18-25, NSW Seniors Week 2012, Sydney▪ 26-28, Aged Care Summit Australia 2012, Sydney

▪ 19-20, ITAC 2012 ConferenceInformation Technology in AgedCare

▪ Public statement of support fromaged care organisations (NACA)

▪ 2-4/5, Australian and New Zealand Society for Geriatric Medicine, Sydney▪ 17-18/5, Aged Care Association Australia NSW Congress 2012, Sydney▪ 20-21/5, ACSA National Community Care Conference, Adelaide▪ Development of member/consumer based assisted registration

▪ 26-28, Tri-State 2012 Aged andCommunity Services Conference,Albury

Aboriginal HealthWorker

▪ 26-27, The Joint Forum of QUMAX, S100 Supply to remote AreaAboriginal Health Services and the S100 Pharmacy Support AllowanceProgram, Melbourne

▪ 30-31, NT General Practice Education, Alice Springs

▪ 7/5, May Day, Darwin▪ 14/5, Lowitja Institute National Conference, Alice Springs

▪ 31, NaTSIHWA AGM, Adelaide

Pharmacist ▪ 8-11, Australian Pharmacy Professional Conference & Trade Exhibition(APP), Gold Coast

▪ 25-27/5, Clinical and Practice Expo, Sydney

Jan Feb March Apr May June

PRELIMINARY

GPs/PracticeNurses

▪ 6-7, International Primary Healthcare Conference, Brisbane▪ 8-10, Best Practice Summit 2012, Bundaberg▪ 21-23, Australian College of Health Service Mgt, Hunter Valley▪ 30-31, NT General Practice Education, Alice Springs

▪ 11-13, 14th National NurseEducation Conference, Perth

▪ 25-27/5, Australian Medical Association Conference▪ 3-5/5, Australian Practice Nurses Association Conference, Melbourne▪ 23-26/5, Royal College of Nursing Australia Conference 2012, Cairns

Mothers andNewborns

▪ 17-24, ACNN National Conference,Perth

▪ 16-18, Adelaide Pregnancy, Babies and Children Expo 2012, Adel.▪ 30/3-1/4, The Baby & Toddler Show 2012, Melbourne▪ CDA compliant discharge summary to GP & Registered Child and Family

nurse from inpatient and Children's hospital (GWS)

▪ 18-20/5, Sydney Pregnancy, Babies & Children’s Expo 2012, Sydney▪ Inclusion of PCEHR apps in “birth pack” for new mothers at leading birth centres for

40 hospitals▪ Promote immunisation application functionality to mothers groups▪ Dissemination of registration materials/assisting registration at leading ante-natal

clinics

▪ Basic blue book live (GWS)▪ Promote PCEHR through external

industry websites▪ Statement of support from key

organisations (WCHA/AAMCFHN/RANZCOG)

People withChronicConditions

▪ 9-12, Australian Rotary Club Conference 2012, Melbourne▪ Diabetes starter kit includes PCEHR communications (with NDSS)▪ 30/03-01/04, HDL Satellite Symposium, Cairns

▪ 2-4/5, Australian and New Zealand Society for Geriatric Medicine, Sydney▪ Date TBA – Heart Foundation Conference 2012, location (?)▪ Link to PCEHR on websites e.g Diabetes Australia▪ St Vincent’s Clinic enablement – HPI-Is and HPI-Os, software▪ 11,/6, Asia Pacific Conference of Mental Health, Perth▪ 30/05-06/06 40th Annual Renal Society, Melbourne▪ 24/05, Reframing Mental Health, Melbourne

▪ 23-24, Voices Vic Mental HealthConference 2012, Melbourne

▪ 24-25, The MHS Summer Forum,Sydney

▪ Letters of support and pre-registration info in PCFA, BCNAand BCA patient packs

▪ Statement of Diabetes Association(DA, ADS, ADEA)

▪ Statement of support from prostate,breast and bowel cancer orgs.

Aboriginal andTorres StraitIslanders

▪ 9-12, Australian Rotary Club Conference 2012, Melbourne▪ 22, National Close the Gap Day, Brisbane▪ Strengthening Connections, Sydney

▪ 6-8/6, National Indigenous Drug and Alcohol Committee Conference, Perth▪ IT interface with OATSIH

▪ NT General Practice events▪ Enhanced NT PCEHR

repository/feeder systems▪ Endorsement by NACCO board

of ERG draft TOR

▪ 1-3, Allied Health ProfessionsAustralia (AHPA) NationalConference, Canberra

▪ Date TBA – Rural DoctorsAssociation of Australia Events2012, various locations

▪ Second vendor ‘Master Class’training

▪ 7-10/5, Royal Australasian College of Surgeons Congress 2012, KL▪ 30/5-2/6, 40th Annual Renal Society of Australasia,Melbourne▪ 1-4, Trans Tasman Radiation Oncology Group ASM 2012, Darwin▪ 6-9/5, Royal Australasian College of Physician: Future Directions in Health

Congress 2012, Brisbane▪ 14-15/5, AusMedtech 2012, Sydney▪ 24-25/5, National Medicines Symposium 2012, Sydney

Other healthcommunities• DVA• Defence• PHI• Specialists• Vendors• Rural and

Remove

• 20-21, Clinical Documentation, Codingand Analysis Conference, Sydney

• 22-23, Connecting Healthcare 2012,Melbourne

• 24-26 NSW RDN/Rural DoctorsAssociation Summer RefresherConference, Coffs Harbor

▪ 19-20, IHE Connectathon▪ 20-22, GS1 Healthcare Conference, Sydney▪ 15-16, Australasian Health and Research Data Manager’s Association

Conference 2012, Gold Coast▪ 28 -29,, Health E Nation, Gold Coast▪ 29-30, Data Governance Conference 2012, Melbourne

▪ 31, NaTSIHWA AGM, Adelaide▪ Meeting with Eastern seaboard

CIOs about potential for Cernersystem implementation

Key: Potential Ministerial Interest 1 Other events1

Ehealth site milestones Other milestones/media opportunities/activities

Milestones / MediaOpportunities

▪ Consumer research results▪ Feature-return to school

▪ GP research results and expectations/support▪ Medicare Local workshop endorses PCEHR as early priority▪ NIP Model Community - Release 1A version▪ HPI-I/O structure, principles and guidelines finalised▪ 15, Learning Centre launch – public and member sections

▪ National PCEHR call center launch▪ Feature–Anzac Day seniors▪ Expressions of interest exceeds

100,0002

▪ Wave 2 of ecollaborativeslaunched

▪ Legislation passes▪ Pre-registration announcement▪ Feature - Mothers Day new parents pack▪ Feature – blue book▪ ‘Piggy-back’ off NBN story at each live site▪ Focus on IT safety▪ Hospital trials ED access▪ Launch on July 1 – “Minister signs up for eHealth record”

1 Please note there are 50 events within the B1 Indusrty Events stream and a selection of the events reach a variety of stakeholder groups there are events duplicated above to reflect this.2 Expressions of Interest (EOI) will be captured by the yourhealth.gov.au website and the database managed by DoHA. The purpose is to identify consumers who wish to receive a reminder email once the

system is launched, as well as supporting demographic details. EOI will be sourced from both eHealth sites and Health Community engagements

ActionCommitUnderstandAware

NEHTA Events

▪ 18, eCollaborative 21st CenturyPatient Care and Self-ManagementLearning Workshop Two

▪ Clinical Leads Training Sessions▪ eHealth Learning forums▪ Medical Indemnity Insurers meetings

▪ 8-11, APP Annual Conference▪ 3-4, Rural Health West Annual Conference▪ 6-7, International Primary Health Care Conference▪ 8-10, Best Practice Summit▪ 19-20, IHE Connectathon▪ 28, Health E Nation▪ 20-22- MHC truck in Gippsland, VIC▪ 27-29- MHC truck in Geelong, VIC▪ 29- AAPM Roadshow in Canberra▪ 30- AAPM Roadshow in Orange, NSW▪ Clinical Leads Training Sessions▪ Consumer Reference Forums

▪ 19-20, Information Technology in Aged Care▪ 3-5 - MHC truck in Melbourne▪ 13,16-17- MHC truck in Box Hill, VIC▪ 23-24, 26- MHC truck in Burnie, TAS▪ 19- AAPM Roadshow in Adelaide▪ 26-27- AAPM Roadshow in Melbourne▪ 28- AAPM Roadshow in Launceston, TAS▪ Clinical Leads Training Sessions▪ April ‘Super Summit’▪ Four-Cornered Round Table (TBC)

▪ 3-5, APNA National Conference▪ 6-10, RACS Annual Scientific Congress▪ 6-9, RACP Health Congress▪ 25-27, AMA NationalConference▪ 1-3- MHC truck in Launceston, TAS▪ 8-10- MHC truck in Hobart, TAS▪ 16-18- MHC truck in Greater Western Sydney▪ 23-25- MHC truck in St Vincent’s, NSW▪ 30-1 June- MHC truck in Newcastle, NSW▪ 3 and 5- AAPM Roadshow in Darwin▪ 4- AAPM Roadshow in Alice Springs, NT▪ 11- AAPM Roadshow in Newcastle, NSW▪ 12- AAPM Roadshow in Sydney▪ 17- AAPM Roadshow in Toowoomba, QLD▪ 18- AAPM Roadshow in Brisbane▪ 19- AAPM Roadshow in Sunshine Coast, QLD

▪ 31, NATSIHWA AGM▪ PCEHR: End-to-End (incl. NIP

Model Communitydemonstration)

NEHTA Events

� 6-8- MHC truck in Brisbane North� 11-13- MHC truck in Brisbane South� 20-22- MHC truck in Darwin, NT� 27-29- MHC truck in NT� 2- AAPM Roadshow in Hobart� 21- AAPM Roadshow in Perth� 23- AAPM Roadshow in Port

Hedland, WA

▪ 21, Australian Computer Society▪ 21 NASH PPMA▪ 21 Vendor Webinar▪ 21 PCEHR CIS BUC Tiger team▪ 26 NESAF methodology workshop