The heart of our health system: Data for driving continuous - PowerPoint PPT Presentation

The heart of our health system: Data for driving continuous improvement in health service delivery and quality Health Data Analytics 2019 Conference Narelle Doss Chief Digital Strategy Officer eHealth Queensland

Meeting Queensland’s Healthcare Challenges Paper based Growing processes Consumer SERVICE ENABLERS Expectations Increasing Limited Burden of Budgets Disease Healthcare Ageing DEMAND SUPPLY Population Service (Drivers) (Constraints) Delivery Help to Help to improve reduce efficiency & demand Spread of DIGITAL ENABLERS quality of care Queensland (effectiveness) Population Robotics, AI Electronic Medical Records Connectivity Drones Anywhere Wearables, Remote Telemedicine Monitoring, mHealth Apps

Digital Transformation Agenda

Queensland’s Digital Health Landscape Fostering an intelligent healthcare enterprise Pursuing innovation  Innovation hub  Artificial Intelligence  Clinical and business intelligence and analytics  Innovation proof of concepts and pilots  Internet of Things (IOT)  Big Data Promoting wellbeing Delivering healthcare Connecting healthcare Digital consumer Enabling integrated healthcare High reliability healthcare organisation  Patient online portal   My Health Record Digital hospitals (integrated electronic Medical Records)  “Healthier. Happier.” website   The Viewer (Health provider portal) Electronic health record for regional primary and community care  mHealth applications strategy   Queensland Digital Children Redbook Telehealth (including virtual care)  Wearables   Digital pregnancy record Patient Administration System  Gamification   Integrated referrals management Rural and Remote digital health strategy   Mobile enabled Care (MeCare) Implantables and digestibles Population health   Information sharing project  Robotics Notifiable conditions system  Health literacy Diagnosis  Laboratory Information System Precision medicine  Digital medical imaging  Digital genomics strategy Digital Readiness Digital infrastructure Digital Foundations  Clinical and business intelligence platform   Digital worker Infrastructure maintenance & uplifts  Information interoperability   Digital Business systems Digital literacy Digital Collaboration (O365) 4  Identity access management    Financial systems renewal Cyber security Windows 10 Migration  Cloud computing    Integrated workforce Information Management Bring your own device  Network connectivity management Strategy and Roadmap  Follow Me Desktop

Our Digital Plan Horizon 2 - within 5 years Horizon 3 - within 10 years Horizon 1 - within 3 years Optimising Transforming Building integrating, growing and scaled digital health expanding digital health and consistent and sustainable capability digital workforce capabilities  Full electronic health record  Enhanced research and performance  Revitalised systems underway  Digital hospitals  Information interoperability  Portable diagnostics  Consumer decision support  Best of breed system integration  Optimised patient record and care  Diagnostic images anywhere  Secure health information planning  Wearables integration  Contemporary ICT platform  Digital therapies  Health informatics  Integrated electronic medical records  Enhanced business intelligence  Advanced analytics  Connected health pathways  Personalised mobile access  Digital literacy uplift  Personalised healthcare  Greater access to Telehealth

Towards a Learning and Knowledge based Health System “Virtuous Circle” Intelligence: business public health Clinical Research Intelligence Information and Knowledge Sophisticated Analysis Aggregated Data Adapted from Unleashing the benefits of data presentation , eHealth Expo 2018 Clinician - Patient

Health Informatics Strategy  Information Management Strategy and Roadmap o Outlines indicative program of work required across Queensland Health and Hospital and Health Services  Data Custodianship - data and application custodianship policy has been developed o Health Informatics Services working to identify and appoint Data and Application custodians  Digital Literacy and Capability o 4th cohort of the Certified Health Informatician Australasia (CHIA) program (funded by eHealth) is complete o Worked with Clinical Excellence Queensland to develop the Manage4Improvement program to develop leadership around digital innovation and change o Currently working on a Digital Readiness Strategy to support multiple upcoming programs

Information Management Strategy for Queensland Health The Queensland Health Information Management Strategy is guiding focus and action towards management of information as a strategic asset for Queensland Health. Digital Health Themes

Information Management Strategy Implementation Roadmap

Digital Genomics Strategy “ Providing underlying capability for Precision Medicine” A six year roadmap to provide the technology to empower clinicians to use genomic information  Strategy outlines how eHealth Queensland will provide digital tools and technology for: o ordering genomics tests o reporting on results o updating a patient’s electronic medical record o supporting analysis of data and clinical decision making  Strategy developed in collaboration with key Queensland Health and external stakeholders including Queensland Genomic Health Alliance, Genetic Health Queensland, Health Support Queensland and Clinical Excellence Queensland 10

Digital Strategy for Rural and Remote Healthcare in Queensland A digital strategy to support better health outcomes for Queensland’s rural and remote communities. VISION   Leveraging what’s already in place Patient centered, clinically led PRINCIPLES   Access to services a fundamental right: No-one left behind Clinicians are supported with the best digital tools   Delivering care closer to home Decision support at the point of care   Connected services, empowered communities Tell us once, regardless of provider STRATEGIES to address the healthcare challenges impacting Queensland’s rural and remote communities Digital Personalised Integrated Virtual Foundations Care Care Care FOCUS     Fast, secure and reliable Mobile health Telehealth Virtual Care Centre connectivity applications AREAS   Smart Referrals Virtual Critical Care  Reliable power and  to embrace and leverage Patient Online Portal digital infrastructure   Creating a longitudinal Digital point of care digital technologies to  Integrated systems at  Connected monitoring at record devices deliver better care today point of care (including home and into the future in rural EMRs)   Shared Care Planning Drone delivery and remote healthcare   Wearables Interoperability   Information sharing and Virtual Home-based Care  Mobile enabled  Digital Health Hub access  User friendly digital processes and the ability  Precision medicine and to use them genomics  Clinical & business intelligence  Rural & remote ICT support services

46,947 10.04 million unique users with improved access to patient records at instantaneous interactions with patient the point of care records that no longer requiring paper 344,785 chart requests from Medical Record Departments patients treated 318 million 5.50 million across Outpatient Visits, transactions recorded in Inpatient Admissions and the system Emergency Presentations orders across pharmacy, radiology, pathology and other diagnostic services A MONTH IN 75 seconds THE LIFE OF THE 221,313 to search for a patient record Outpatient Appointments integrated electronic 8.54 minutes 58,895 Inpatient Admission Medical Record (ieMR) average electronic documentation time 64,577 Emergency Presentations with structured clinical notes (Digital Hospitals) and pre populated templates 1.37 million The volume of data is medications administered to 46,286 patients which required 7 steps of growing at a rapid rate Positive Patient Identification at the point of care with the introduction of the patient allergies recorded Driving improved patient outcomes ieMR solution in 14 fully through reduced adverse drug and food digital hospitals coupled with events the information already being generated by the over 500 other information systems.

Clinical and Business Intelligence ”Better insights, better focus… better health for Queensland” Future Implementation of a State-wide Clinical and Business Intelligence Platform is progressively establishing a strong foundation for clinical data and analytics in Queensland. Today Statewide integrated data capability enabling:  Real-time decision support  Artificial Intelligence  Robotics & Machine Learning  Analytics: Predictive & Prescriptive  Research An entanglement of data