Peter Sprivulis HINZ Seminar Series 8 July 2008

1. The Australian e-health Journey Peter Sprivulis

2. Australian healthcare is a complex machine

3. Complex funding and delivery mechanisms

4. Complex information flows: eg referral

5. Efforts to reform the information flows have not always been successful

6. NEHTA was formed to develop the building blocks needed for high quality information sharing

7. The trick is learning how to use these building blocks

8. Learning implies that a national e-health programme is a Journey rather than an Event

9. The path to success is not completely clear

10. Approach to the NEHTA’s Benefits Realisation Study AeHSSM Paths to Benefits Results Chains IBeS Diagrams

11. The investment required is ‘non-trivial’ yet ‘near-trivial’ in comparison to total healthcare expenditure

12. Findings: The major quantifiable benefit is improved effective, reliable utilisation Increased percentage of effective expenditure Increased reliability of service delivery 60% 50% 50% 90%

13. E-Referral

14. E-Prescribing and medication management

15. Supported self managed care

16. Shared care of complex disease

17. System surveillance and learning

18. Implement an information sharing platform to support ‘all this’

19. So, what is a shared electronic health record? From a benefits realisation perspective, a ‘shared EHR is really a compendium of information services for which a range of views are provided, according to specific needs and permissions, having due regard to health consumer privacy.