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CRICOS code 00025B Telehealth: Where to from here? Professor Len Gray April 2019
CRICOS code 00025B
Telehealth: Where to from here? Professor Len Gray
April 2019
Access
Efficiency Health outcomes
The 3 goals of telemedicine…
CRICOS code 00025B
Telehealth consultations rebated by MedicareJuly 2011 – June 2017
0
2000
4000
6000
8000
10000
12000
14000
No
. vid
eo
co
nsu
lta
tio
ns
July 2011 - Jun 2017
Specialist Support Linear (Specialist) Linear (Support)
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
CRICOS code 00025B
Per capita telehealth uptake across statesJuly 2011 – June 2017
0
500
1000
1500
2000
2500
3000
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
CRICOS code 00025B
Mobile-based REMOTE Monitoring system
PA HOSPITAL
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
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
CRICOS code 00025BCRICOS code 00025B
“The rise of telemedicine & lower costs”
“The virtual doctor will see you now”
“Virtual doctors = real savings”
Kaiser Permanente
CRICOS code 00025BCRICOS code 00025B[Presentation Title] | [Date] 10
[Entity Name]
CRICOS code 00025BCRICOS code 00025B[Presentation Title] | [Date] 11
[Entity Name]
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
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]
CRICOS code 00025B
28 HDR student enrolled
8 completions
230 publications 340 presentations
> $ 40M grant funding47 public forums
The Telehealth CRE by numbers
CRICOS code 00025B
Thank you
