A M ULTIMODALITY T ELEHEALTH S YSTEM A PPROACH T O T HE M ULTIDISCIPLINARY (MDT) M EETING Ranjan Thilagarajah MS FRCS @ContextHealthAU
MY BACKGROUND • NHS UK Consultant Surgeon since 2003 • Royal Marsden Hospital, London (Hon.) • CHIA accreditation - 2015 • Director of CONTEXT Health PTY Ltd
WHAT IS MDT? A multidisciplinary approach involves drawing appropriately from multiple disciplines to explore and reach solutions based on an understanding of complex situations. To reduce health inequalities in access and outcomes of healthcare services.
MDT Discussion Best Practice Outcome The PATIENT Guidance Data Cancer Registry Data
AUSTRALIAN CANCER STATISTICS • Australian Cancer Database (ACD) 1982 • Australian Association of Cancer Registries (AACR) 1982 • Australian Institute of Health and Welfare (AIHW) 1982 • National Cancer Statistics Clearing House (NCSCH) 1986 to co-ordinate national cancer statistics
STATE CANCER REPORTS • Mandatory requirement (2005) • Submissions from • Pathology laboratories • Hospitals • Aged Care facilities • New cancers and mortalities
AUSTRALIA - HOSPITAL DISTRIBUTION Hospitals by State Public Private NSW 226 173 Victoria 150 161 Queensland 170 106 Western Australia 95 55 South Australia 80 56 Tasmania 24 8 ACT 3 12 Northern Territory 5 2
CANCER AUSTRALIA “Improving quality of life through systematic implementation of evidence- based strategies” “Despite the overall high cancer survival rates in Australia, there are ongoing challenges regarding disparity in the distribution of outcomes across populations and tumour groups”
“ECOSYSTEM” PLANNING • End-to-end care with completion of the healthcare cycle • Patient - GP • GP - Specialist • Specialist - Specialist (MDT) • Cancer Registry Data collection
BUSINESS INTEGRATION • Recent acquisition of Melbourne-based company • Secures the start of the patient journey • A local service for patients, wherever they are: “See your own GP”
CONTEXT GP System
CONTEXT GP • Deployment in city, regional and remote areas across Australia & UK • “Concierge - led”, creating a personalised service for patients • Simple to set up and use • Waiting Room function • Patients see their own GP
How much does this cost?
FROST & SULLIVAN MARKET REPORT Analysis of Healthcare IT spending in Australia, 2015 • 9.7% of Australia GDP (16-20% by 2045) • 323,000 Private Providers via 140,000 Private Practices • Only 2-3% are offering an online appointment booking system • The addressable online bookings market is AUD$256 million • 87% of adults aged 18-64 now are using a smartphone
CONTEXT MDT SOLUTION • HD teleconferencing solution • Live data viewing and consensus decision making • Peer to Peer secure environment • Case discussion record archiving and retrieval • Patent pending
Edgbaston, UK July 2015
Australia Mobile Phone Coverage (2011)
The World in Context
WHY NOT USE SKYPE? • Use the right tool for the job • Built for Healthcare from the ground up? • Skype not bound by the Telecoms Act (Belgium case)
MADE FOR THE JOB
YES, IT WILL DO THE JOB…
CONTEXT CANCER REGISTRY • To be built into the CONTEXT MDT System • Patient demographic data • Live submission of cancer data as part of the MDT process • Reconcile with current Australian national cancer data • Metrics / benchmarking of data against the central ACD
TREATMENT OUTCOMES DATA? • Early days! • Use the MDT process as the “data gateway” • National benchmarking becomes possible • Sustainable improved patient care
SUMMARY • Look at the whole system, not the parts in isolation • Don’t be disruptive for the sake of it • In Healthcare, disruptive may be keeping the norm without noticing the changes introduced!
“The only people who have anything to fear are the mediocre” George Brandis Federal Arts Minister and Attorney General
‘OUR JOURNEYS’ Jordan Lovergrove, Ngarrindjeri Dreamtime Public Relations
Thank You @ContextHealthAU
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