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Australian Government Perspective on eHealth in Aged Care National Aged Care Assessment Program Conference 20 May 2010. Janine Bevan Director Clinical Communications Section, e Health Strategy Branch Primary and Ambulatory Care Division. Agenda. What drives Government?
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Australian Government Perspective on eHealth in Aged Care National Aged Care Assessment Program Conference20 May 2010 Janine Bevan Director Clinical Communications Section, eHealth Strategy Branch Primary and Ambulatory Care Division
Agenda What drives Government? Recent announcements on health reform National eHealth Strategy and eHealth directions Implications for Aged Care and Aged Care Assessment Teams Personally Controlled Electronic Health records Aged Care Case Studies
WhatdrivesGovernment? Population factors – ageing, incidence of chronic disease Health outcomes – equity issues, consumer expectations Safety & quality – areas for improvement & innovation Workforce – mix, supply & distribution Costs – meeting demand & technological advances
Health Reform Process COAG meeting in Canberra on 19-20 April 2010
Health Reform Process On 11 May 2010, the Australian Government released “A National Health and Hospital Network for Australia’s Future - Delivering Better Health and Better Hospitals” which outlines the reforms agreed by COAG on 19-20 April 2010 and announced as part of the 2010-11 Federal Budget.
New governance functions at the local level: Local Hospital Networks (LHNs) de-centralise public hospital management increase local accountability to drive improvements in performance commence from 1 July 2011 Medicare Locals better integration of GP and primary care, so more responsive to the needs of patients and communities integral to the incorporation of state funded primary care into a new cohesive system first Medicare Locals to commence from 1 July 2011 Governance reform to implement change
Government announced $467 million over 2 years from July 2010 to establish a personally controlled electronic health record (PCEHR) The system will be available from 2012-13 for all Australians who choose to participate The Department will consult with Aged Care Providers and Healthcare professionals, consumers and clinicians as we progress the PCEHR Personally Controlled Electronic Health Records
The vision for E-Health “E-Health will enable a safer, higher quality, more equitable and sustainable health system for all Australians by transforming the way information is used to plan, manage and deliver health care services.” National E-Health Strategy, 2008
established in 2005 by the Commonwealth and state and territory governments to progress the development of critical eHealth foundations including healthcare identifiers, authentication and common language, and technical standards. web address: http://www.nehta.gov.au NationaleHealth Transition Authority (NEHTA)
Healthcare Identifiers are key foundations to support development of national eHealth initiatives Healthcare Identifiers Bill introduced February 2010 - subject to passage of Bills in the Senate during winter 2010 Healthcare Identifiers
Potential eHealth Benefits for Aged Care Improvements in care – better access to client information, improvements in care planning, reductions in medication errors, better monitoring of chronic disease conditions etc Improvements in efficiency – simplified, less time consuming administrative processes, improved documentation, access to evidence based information at point of care, supply chain solutions
How will all this affect Aged Care Assessment Teams? Incremental introduction of the eHealth foundations and solutions Unique Healthcare Identifiers Access to consumers electronic health record with their consent
Available on Department of Health and Ageing website Integrated Hands-free Communications at Samarinda Lodge Baptist Community Services Aged Friendly Home Case Studies
Case study 1: Integrated hands-free communications at Samarinda Lodge aged care home in Melbourne Wireless voice activated devices and IP telephony for residents achieved staff time efficiencies of almost 10%
Case study 2: Age Friendly Home Marsfield Sydney A unique innovative project which demonstrates how integrated future focused technologies will enable major improvements in how aged care services are provided
Further information on Case Studies http://www.health.gov.au/internet/main/publishing.nsf/Content/ageing-rescare-clinitfly-casestudy.htm
In summary • National Health and Hospitals Reform Commission recommends uptake of eHealth by aged care providers by 2013 • National eHealth Strategy provides a guide for eHealth activity for the next ten years • The Department is committed to promoting the use of technology in aged care • Aged Care peak bodies are strategically and actively involved with NEHTA • Department will be working closely with key representatives for Aged Care in the future