Telehealth: Where to from here? Professor Len Gray April 2019 - PowerPoint PPT Presentation

Telehealth: Where to from here? Professor Len Gray April 2019 CRICOS code 00025B

The 3 goals of telemedicine… Access Efficiency Health outcomes

Telehealth consultations rebated by Medicare July 2011 – June 2017 Specialist Support Linear (Specialist) Linear (Support) 14000 12000 No. video consultations 10000 8000 6000 4000 2000 0 July 2011 - Jun 2017 CRICOS code 00025B

Proportion of Specialist Telehealth Consultations in all Consultations [Q3, 2011 – Q2, 2017] 3.00% Psychiatry 2.50% 2.00% Geriatric medicine 1.50% 1.00% 0.50% 0.00% Q3, Q4, Q1, Q2, Q3, Q4, Q1, Q2, Q3, Q4, Q1, Q2, Q3, Q4, Q1, Q2, Q3, Q4, Q1, Q2, Q3, Q4, Q1, Q2, 2011 2011 2012 2012 2012 2012 2013 2013 2013 2013 2014 2014 2014 2014 2015 2015 2015 2015 2016 2016 2016 2016 2017 2017 CRICOS code 00025B

Per capita telehealth uptake across states July 2011 – June 2017 4500 4000 Video consultations per 100 000 people 3500 3000 2500 2000 1500 1000 500 0 NSW VIC QLD SA WA TAS ACT NT Australia July 2011 - June 2017 CRICOS code 00025B

Mobile-based REMOTE Monitoring system PA H OSPITAL CRICOS code 00025B

Do I really need to go to the clinic? Text Patient input [Email / self-report] email Virtual Labs Telephone clinic RBG profile Video-conference HbA1c: 1% reduction In person Visits: 25% reduction CRICOS code 00025B

A diabetes management ecosystem Service balance that reflects cost & complexity of care needs Specialist office visit (High Expense; most complex situations) Specialist to Patient VC SERVICE (Medium expense; moderate health care need) Specialist via Online System (Least Expensive; advice to doctor caring for patient) CRICOS code 00025B

Kaiser Permanente “The rise of telemedicine & lower costs” “The virtual doctor will see you now” “Virtual doctors = real savings” CRICOS code 00025B CRICOS code 00025B

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Centre for Health Services Research Room for improvement? 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 [Presentation Title] | [Date] CRICOS code 00025B CRICOS code 00025B 12

[Entity Name] Steps forward…? 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? [Presentation Title] | [Date] CRICOS code 00025B CRICOS code 00025B 13

The Telehealth CRE by numbers 28 HDR student enrolled 230 publications 340 presentations 8 completions > $ 40M grant funding 47 public forums CRICOS code 00025B

Thank you CRICOS code 00025B