1. eHealth: making it happen HIMAA CONFERENCE 2010 Peter Fleming, NEHTA CEO

2. From the National E-Health Strategy eHealth is one of the most important opportunities to: Improve the quality and safety of healthcare Reduce waste and inefficiency Improve continuity and health outcomes for patients

3. Why we need eHealth Up to one in six (18%) of medical errors are due to inadequate patient information 1 Nearly one in three (30.4%) unplanned hospital admissions in patients over 75 years are associated with medication mistakes 2 1 Australian Institute of Health and Welfare, Australia’s Health 2002. 2 Chan. M, 2001, Internal Medicine Journal, Adverse drug events as a cause of hospital admission in the elderly; 31: 199–205.

4. Why we need eHealth Up to one in six pathology and diagnostic tests in hospitals are unnecessary duplicates, which cost up to $306 million annually 4 The lack of information sharing and care management for chronic disease sufferers costs the healthcare system up to $1.5 billion a year 5 4 2009 Australian Institute of Health and Welfare and the University of Sydney report, Clare Bayram. 5 Michael Georgeff, Director of e-health research, Monash University, “Technology stalls as worry over confidentiality grows,’ West Australian 11 November 2009.

5. Economic value of eHealth in 2020  Reduction of errors $2.8 billion  Enhanced adherence to best practices $2.3 billion  Improved workforce productivity $1.1 billion  Eliminating duplication of effort $600 million  Better use of infrastructure $600 million  Optimal use of pharmaceuticals $200 million Source: Booze & Company Global E-Health Investment Model

6. Personally Controlled Electronic Health Records (PCEHR) Personally Controlled Electronic Health Records (PCEHR) in a Federal Government budget announcement.

7. NEHTA’s purpose: establish the foundations for eHealth Lead the uptake of eHealth systems of national significance; and coordinate the progression and accelerate the adoption of eHealth by delivering urgently needed integration infrastructure and standards for health information.

9. How it’s happening Implementation will be a staged approach The HI Service is not “big bang” but incremental Lead sites announced by the Commonwealth will be first to use identifiers and personally controlled electronic health records Implementation projects underway in ACT, NT, Tasmania and Victoria Implementation planning has commenced with Primary Care, Private Hospitals and Aged Care sectors.

10. How it’s happening Fast followers strategy: To engage with providers including public and private hospitals, GPs, specialists, pharmacists and allied health. National deployment: With enabling legislation and functional support desk mechanisms.

11. Early adopter sites Brisbane Hunter Valley Melbourne East

12. eHealth brand

13. Thank you Questions

15. Software developers have begun implementing specifications for secure eHealth messaging

16. Box Hill Hospital, Melbourne goes live with eHealth terminology – sending electronic prescriptions and discharge summaries. 99% of Australian pharmaceutical products are now in electronic catalogue

17. Fewer transcription errors to improve safety

18. All pathology peak bodies agree to co-operate on standards

19. Agreement reached on a national format for an eDischarge Summary

20. Standardised eReferral templates developed

21. Tender released for the design, build and operations of a National Authentication Service for Health (NASH).