Research and Innovation in Rural and Remote Health Services
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1 Research and Innovation in Rural and Remote Health Services Dr David Hansen CEO, Australian e-health Research Centre July 2014 DIGITAL PRODUCTIVITY AND SERVICES FLAGSHIP
2 Our track record: top inventions 2. POLYMER BANKNOTES 3. RELENZA FLU VACCINE 4. EXTENDED WEAR CONTACTS 1. Fast WLAN Wireless Local Area Network 5. AEROGARD 6. TOTAL WELLBEING DIET 7. RAFT POLYMERISATION 8. BARLEYMAX 9. SELF TWISTING YARN 10. SOFTLY WASHING LIQUID 4th Rural and Remote Health Scientific Symposium - David Hansen
3 ehealth: improving productivity across healthcare with the use of digital technology Health Informatics What: Improving patient outcomes, health system performance & productivity from electronic health data How: Meaningful data interoperability and analysis for decision support, analytics, modelling and reporting Health Services What: Improving access to services & management of chronic diseases How: Service delivery using ICT, such as models utilising telehealth, mobile health & remote monitoring Diagnostics What: Faster, more accurate, diagnosis and treatment How: Bio-imaging, biostatistics and bioinformatics for personalisation of diagnosis and treatment Clinically partnered, digitally enabled, services focussed Australian e-health Research Centre
4 Patient-centric Data possibilities beyond paper Australian e-health Research Centre
5 Secondary data re-use Australian e-health Research Centre
6 Applying Medtex to the Real World Checking radiology reports to prevent missed fractures Department of Emergency Medicine, RBWH and GCH Abnormality detection from limb radiology reports (F-measure = 92.3%) Reconciliation of radiology findings with EDIS Outcome Interpretation Action Red Discrepancy between radiology report & doctor diagnosis, possibility of: Patient records need to be 1) A missed fracture (false negative) or retrieved & 2) Unnecessary treatment of a no fracture (false positive) reviewed Amber Possibility of a discrepancy (see above) Patient records need to be retrieved & reviewed Green No discrepancy No action required Australian e-health Research Centre
7 Making data interoperable Australian e-health CSIRO. Research Mapping Centre legacy termsets to SNOMED CT: Experiences and outcomes, tools and guidance
8 Tele-Eye Care for the Under Served Using Broadband Services 4th Rural and Remote Health Scientific Symposium - David Hansen
9 Tele-eyecare trial Qld: Thursday Island Badu Island Bamaga WA: Laverton Leonora Norseman Ravensthorpe
10 Tele-EyeCare Trial Key Results Over 900 patients screened 800 in WA 300 in Qld 344 of them are Aboriginal people 82 cases with diabetic retinopathy (10%) 8 of them with severe or sight threatening DR Preliminary cost benefit analysis In WA - $28,000/ month savings In QLD $22,000/ month savings
11 Automated Reading & New Service model no fee for reading available & not many ophthalmologists Primary care providers, Nurses Image quality (pass/no pass) Patient (referral/no referral) Auto-grading Image graders, Ophthalmologists Color fundus images (2 images per eye) Level of Diabetic Retinopathy (DR) Level of Diabetic macular edema (DME) Quantitative information of pathologies
12 Early Diagnosis of Alzheimer s disease 4th Rural and Remote Health Scientific Symposium - David Hansen
13 Satellite based tele-health Satellite Telehealth Australian e-health Research Centre
14 Re-inventing Community Services 4th Rural and Remote Health Scientific Symposium - David Hansen
15 Digital Solution: Mobile Cardiac Rehabilitation Heart Attack treated in hospital Alternative to clinic based rehabilitation with mobile phone program Phone software + service provider + community care team Electronic data upload from anywhere Weekly mentor phone call SMS and videos (education, motivation) Longer maintenance of health and wellbeing In-Hospital Rehabilitation 1 week Outpatient Rehabilitation program 6-8 weeks Mobile phone Sustain Healthy Lifestyle 4th Rural and Remote Health Scientific Symposium - David Hansen
16 MoTER Mobile App Smart phone application Web portal application iawards 2014 Marlien Varnfield, David Hansen Page 16
17 Percentage Primary outcomes * Participation in Cardiac Rehabilitation * Uptake Adherence Completion * CAP Intervention Centre-based CR * p < th Rural and Remote Health Scientific Symposium - David Hansen
18 iawards 2014 Marlien Varnfield, David Hansen Page 18
19 Bringing home the virtual world: Community Care through Smarter Safer Homes Platform: Consumer-driven Daily living Community and family Sensors in the home 4th Rural and Remote Health Scientific Symposium - David Hansen
20 CSIRO Multidisciplinary Team Sensor Network User Interface design & Interaction ICT in Health & Biomedical Engineering Psychology & Perception 4th Rural and Remote Health Scientific Symposium - David Hansen
21 Motion sensor Power meter Temperature Humidity Accelerometer Reed switch Acoustic sensor 4th Rural and Remote Health Scientific Symposium - David Hansen
22 4th Rural and Remote Health Scientific Symposium - David Hansen
23 Demo 4th Rural and Remote Health Scientific Symposium - David Hansen
24 4th Rural and Remote Health Scientific Symposium - David Hansen
25 4th Rural and Remote Health Scientific Symposium - David Hansen
26 SSH Solution Family/Relative Portal SSH Tablet App Clinical Portal 4th Rural and Remote Health Scientific Symposium - David Hansen
27 Evaluation: Pilot Study 14 independent living homes (regional NSW) Usability & Acceptability Psychological and physiological well-being Quality of Life 4th Rural and Remote Health Scientific Symposium - David Hansen
28 Further reading A Digitally-Enabled Health System 4th Rural and Remote Health Scientific Symposium - David Hansen
29 David Hansen E-Health Research Director Digital Productivity and Services Flagship t e david.hansen@csiro.au w Thank you DIGITAL PRODUCTIVITY AND SERVICES FLAGSHIP
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