Topics Health Market Space & Economics of Healthcare Life Care Centre of Excellence (COE) Workflow

1. Topics • Health Market Space & Economics of Healthcare • Life Care Centre of Excellence (COE) • Workflow • Workforce • Education • Social Health Network • Medical Devices & Equipment • Architecture • Technology • Steps Forward

2. Health Market Space Australian Health Perspective • Significant differences between the health outcomes for advantaged and disadvantaged, particularly indigenous, Australians • Increasing Ageing population • Increased demand for all health services • Chronic Diseases • Ageing Population • Increasing consumer demand for more costly, complex and technologically advanced procedures • Ageing workforce • The supply and distribution of skilled health sector workers • Old Systems & Infrastructure • Functional Centric Applications – Silos of Information

3. Health Market Space - Australia • Soaring Health costs, if left unchecked, will dominate the economy and swamp government budgets. By 2040 the total South Australian State budget will be consumed by hospital care alone! • Australian Focus: • E-Health solutions with focus on quality health information • Focus on Quality outcomes and Safety – best practice care • Shift to Primary Health Care and Prevention • Population Health monitoring & trends • Redesign of Health care services / delivery • Process re-engineering & Workforce retraining • Team care / delegation – more patients per doctor • Telemedicine – Virtual Doctors & Clinics • Identity Management & Smart Cards • Novel Data Capture systems @ point of care

4. Health Market Space - US • Soaring Health costs, if left unchecked, will dominate the economy and swamp government budgets. • Obama solution for USA: ( Time, March 2009) • Massive investment in Health Information technology • Track Health care dollars across America • Monitor Treatment outcomes for least dollar investment • Translate this into consistent best practice • Medicare reimbursement (payment system) structured

5. Health Market Space – South Australian Hospital Trend

6. Aging Populations - World Trend

7. Health Market Space Workforce Migration Source – National Geographic

8. World Health Trends

9. The Economics of Healthcare

10. Life Care Centre of Excellence (COE) “Life Care –Anything Health, Any Place, Any Time” • The Next Generation - Health Care without Boarders • Bringing Together through Information, Process & Technology: • The Individual • Community • Health Care Service Providers • Life Care Service Providers • Social Health Network • Self Organised & Organic – Self & Community

11. Lifecare Centre of Excellence (COE) Key Components Individual Community Lifecare COE Key Components Workflow Process Teamcare Orchestration Service Delivery Workforce COE Health Care Service Providers People Resource Training Education COE Life Care Service Providers Workforce Providers Individualss Social Health Network External Health Care Service Providers Workforce Providers Individualss Architecture External Life Care Service Providers Technology Process Education Technology Hospitals & Government Health Services Information Devices Integration Networks

12. Lifecare Centre of Excellence (COE) Funding Lifecare COE Key Components Service Delivery 1 Workflow 7 COE Health Care Service Providers 1.1 1.2 1.3 Process Teamcare Orchestration 2 Workforce COE Life Care Service Providers 8 2.1 2.2 2.3 People Resource Training Education 3 3.1 3.2 3.3 Workforce Providers Individualss 4 Social Health Network 4.1 4.2 4.3 Workforce Providers Individualss 5 Architecture 5.1 5.2 5.3 Technology Process Education Technology 6 6.1 6.2 6.3 Information Devices Integration Networks

13. Lifecare Centre of Excellence (COE) Responsibilities Lifecare COE Key Components Service Delivery 1 Workflow 7 COE Health Care Service Providers 1.1 1.2 1.3 Process Teamcare Orchestration 2 Workforce COE Life Care Service Providers 8 2.1 2.2 2.3 People Resource Training Education 3 3.1 3.2 3.3 Workforce Providers Individualss 4 Social Health Network 4.1 4.2 4.3 Workforce Providers Individualss 5 Architecture 5.1 5.2 5.3 Technology Process Education Technology 6 6.1 6.2 6.3 Information Devices Integration Networks

14. Medical Devices & Equipment Multi Parameter Medical Peripheral (MPMP) Attachments High Resolution Video/Still Camera PDA Touch Screen Device Tablet Touch Screen Device Spirometry Box Touch Screen Device Stethoscope Patient Monitor Touch Screen Device Medical/Dental High Resolution Video/Still Camera Kiosk Touch Screen Device Body Area Network Sensors Body Area Network Device

15. Device - Multi Parameter Medical Peripheral Concept - Internal Only Multi Parameter Medical Peripheral (MPMP) PIE Health Service Provider Application (Web Based & Mobile) Medical Parameter Peripheral Modules Communication Module (USB, BT, TCPIP & Wireless) Application Module Integration Modules HL7 & XML SPO2 USB WEB Services, SSL & Web Server FTP Patient Information Exchange (PIE) NIBP Bluetooth (Class 1 & 2) Remote Management SOA & Integration Module WEB 2.0 Private/Public Key Encryption XML ECG Heart Rate/ Pulse Rate TCPIP Ethernet Imbedded Peripheral Application HL7 FTP Database P/PKey Encryption Security & Other ID Management Respiration Rate TCPIP WIFI Audio Visual (BetaVista, Mobile Phone, Landline, Peer to Peer ) MAC Address BPEL Web Services Beta Vista Zserver & Database Temperature Zigbee Private/Public Key Encryption Audio Spirometry GSM, EDGE, CDMS, 3G & POTS Biometric Security Video Health Service Provider Local Health Patient Management System Offline Data Storage Stethoscope AV Inputs & Outputs GPS/GPRS Location

16. Patient Information Exchange (PIE) Integration Architecture - Internal Only Device (Client) Health Service Provider (Host Medical Service) Remote Clinic Mobile Clinic Emergency Services Mobile Doctor Commercial Occupational Health & Safety Wellbeing Centre of Excellence (WCE) Health Helpline Chronic Disease Management (CDM) Home Use (Helpline & Support) Home Care & Monitoring Mobile Nurse Public Health Kiosk Monitoring Hospital Hospital Emergency Department Patient Information Exchange (PIE) Third Party Data Dicom/PAC Pathology Lab PIE Health Service Provider Application (Web Based & Mobile) SOA & Integration Module WEB 2.0 Doctors Clinic XML HL7 FTP Monitoring Clinic Database RSA Encryption Point of Care Testing Systems ID Management BPEL Web Services Alternative Health & Lifestyle Services Beta Vista Zserver & Database Hospital/Clinic Local Patient/Client Management System

17. Patient Information Exchange (PIE) Integration Architecture – Internal Only Device (Client) Health Service Provider (Host Medical Service) • Device • Network (MAC) • Authentication 2. RSA Encryption Key Exchange 3. User Authentication (Password/ Biometric) 4. Message Service Provider 5. Initiate Medical Data Flow Wellbeing Centre of Excellence (WCE) Health Helpline Monitoring Hospital Hospital Emergency Department Patient Information Exchange (PIE) PIE Health Service Provider Application (Web Based & Mobile) SOA & Integration Module WEB 2.0 Doctors Clinic XML HL7 FTP Monitoring Clinic Database RSA Encryption ID Management BPEL Web Services Alternative Health & Lifestyle Services Beta Vista Zserver & Database Hospital/Clinic Local Patient/Client Management System

18. ePatient Record Patient Information Exchange BUS Compliance & Certification Data Structures Secure Messaging SNOMED Data Warehousing NEHTA SOA TGA HL7 ITIL SAI Data Sharing Data Mining Associative Relational Hardware Device IO eLearning & Information Document Management Health Support Groups Image, Video & Audio Test Results Record Future Applications Treatment Record Alternative Health Diabetes Control Hospital Record Referral System Asthma Control Self Monitoring Cardio Control Doctor Record Collaboration Device Feeds Allied Health Scheduling Education Pharmacy Lifestyle Costing Billing RFID Diet Web2.0 to 3.0 (Semantic Web) Middleware – Web Services Portal – Web2.0 to 3.0 Identity Management Alternative Health Allied Health Secure Messaging Education Specialist Services Lifestyle Hospital Patient Doctor Internet or Private Network ePatient Record Telemedicine • Wellbeing Online Doctor Record Mental Health Pharmacy Pharmacy

19. Integrated Health Service Delivery – Australia & India India Australia Indian Clinics Australian Regional Clinics Internal Health Service Provision Internal Health Service Provision Doctors & Health Professionals CRG Clinics Rural CRG Clinics Rural Clinics Tele Health Services Tele Health Services Capability Capability Doctors Health Professionals Networkable Medical Devices Point of Care Testing Devices Software Development Architectures & Systems Training Web Based Mobile Solutions Foundations Networkable Medical Devices & Point of Care Testing Devices Patient Information Exchange (PIE) Architecture & Wellbeing Online