A3.0 Health Challenge 2017:
Once again the Australia 3.0 team challenge the ICT industry to address the key issues facing our country in meeting our digital potential. As part of a new partnership with ANDHealth we are collaborating in a roundtable as of the Digital Innovation Festival Thought Leaders series. Online roundtables will be online in August to September in the MindHive community signup or let us know and we will send you an invite once the roundtables open. Deep Dive Discussions will run as part of The DIF Showcase @ Hub with sessions 2.30-4pm from 28 August to 6 September.
What should Australia’s health care system look like in 2050- a view from the healthcare consumer?
- Where should the balance of payment and responsibility lie with respect to preventative health and readmissions? (We have seen a recent trend towards hospitals and insurers being potentially held responsible for readmissions, and what about the patient? Digital health is very active in prevention/ wellness and follow up, but who will pay?).
- Ethics around health data storage and patient empowerment (What is unique about Australia’s data storage laws which favour the patient and how can they be used to Australia’s advantage?)
- To what extent should patients be able to choose which technologies are used in their health care- especially considering the current lack of appreciation for evidence and the fact that >50% of Australians are Health Illiterate. If >50% of patients are ‘health illiterate’ what do we plan do to to decrease this proportion?
Can the current structure and processes of disease identification and management as well as the daily advice and service given to the population at large stand the test of time? What sort of health system will we see in 2050? What innovations are going to naturally take a controlling position and how can Australia capitalize on its unique geographical and population mix to become leaders in this sector on a world-wide scale?
Our technology economy is in defecit and dominated by large overseas companies that have long recognised Australia as a good test market and a place to ship technologies for incremental revenue. Australia has developed some significant software skills and also shown its capability to punch above its weight in a number of segments with leading research and innovation.
Our climate, education system and the lifestyle of a geographically challenged island have all contributed to an innovation drive that in the past has seen intellectual property acquired cheaply by the overseas giants through acquisition. Our challenge is to remodel Australia with smart businesses that can show real value in the transformation of the health sector. To do this we need to vision our children’s world in 2050 and develop the partnerships that will position us as leaders, not followers.
Too often such debates result in a focus on what federal government needs to do, but as technologists we need to focus on what we can show we can do and how the value will be created. We need to create the challenge or we will be consumed in a market of high priced external technologies that our economy may not be able to afford, resulting in a spiraling down of healthcare delivery and upwards in cost.
Over the past fifty years the healthcare sector has demonstrated how it can incrementally discover new ways to deal with all manner of conditions and yet the structure has changed little. Today the emphasis is on the citizen who needs to take responsibility for their Health. It is happening in some sectors but must become a cultural imperative with supporting structures to be successful.
Coupled with the maturity of smart machines, robotics, artificial intelligence, data mining, biologics, organ and now limb replacement, we have a unique opportunity to create the partnering structures that will bring the best minds to work on new innovations to change our healthcare system for all Australians. Let’s stop trying to play catch-up and use our industrial knowledge across all sectors to identify the segments in which we can lead the world and make ‘Leapfrog’ discoveries.
Denis Tebbutt – A3.0 Health Lead
A3.0 Health Challenge 2014: What happens when the patient is in charge?
Objective: establish a forum for a new approach to marrying innovative stakeholders into a Health Innovation Hub that can create sustainable new ways in delivering healthcare.
In 2014 Australia 3.0 Health is moving on from traditional approaches and invites participants to actively take part in a bold new venture. We call those stakeholders that have realized that the only way forward is to collaborate and partner on the development of new ways to deliver patient centered care. That is care where the patient understands that they can be engaged in the management of their condition and development of a care plan that works for them and their family and carer. This year Australia 3.0 is:
Not a talkfest that re-aligns the deckchairs so that we all feel our observations of the healthcare system are aligned:
- We know about the ageing population
- We know about cost growth over GDP growth
- We know that the system is transaction based
- We know about the complexity of structure and management
- We know about the cost and failures of IT
- We know about the growth of chronic disease
Not a forum that believes other healthcare systems have to show us the way forward
- The US is not the leader in the field
- Australia is in the ascendency as conference speakers
- The rest of the world recognize our healthcare innovators
Not a place simply for the IT industry to show new ways of administering the current system
- It is no longer about mechanizing the process
- Technology is there to sustain new ways of delivering healthcare
- No one knows who designed the system we have or why it is this shape
It’s the birth of a new way of realizing and proving innovation in healthcare
- This is not an industry that is slow to innovate-just look at the last 50years of healthcare developments
- The IT industry just isn’t aligned to work with and sustain changes
- Who leads innovation? The provider/The supplier/The Patient, advocacy groups?
The tsunami of technology that is supporting the new social engagement is impacting everyone’s life, but in healthcare to be effective it must meet many more ‘Value Propositions’ for a variety of stakeholders in the continuum of care; and therefore it needs only the best thinkers to recognize that at a systems level we have already solved many of the problems in other industries. Technology is not the problem, it’s the grinding way that we expect stakeholders to want to work together and then wonder why we are disappointed. Australia has a great capability in innovation and creative adoption of new ways to solve problems; we have a great research knowledge base and recognition worldwide. What we don’t have is a way to experience and prove in the home market that this combination of capability can meet the multiple stakeholders and their relevant value propositions.
Over two days in Melbourne 28-29 August as part of the iAwards participants will congregate at MCEC.
- In the morning on Day 1 we will stimulate a ‘Barrier Staging’ discussion about how other industries have learnt ‘What Works’ in getting a wicked problem solved and define ways to remove the barriers. Let’s develop the ingredients of a new approach.
- In the afternoon of Day 1 we will break into groups and thrash out the individual components and bring them back together to see how we would utilize the ‘Bright Ideas’.
- Day 2 we will finalise the potential models for the Health Innovation Hub and share the outcomes in the A3.0 Wrap Up session with all other streams.
If we have been successful in identifying a new approach to execute the innovative capability in Australia to build new ways of delivering healthcare with stakeholder engagement then we should look to identify partners and how to engage them. This is about reaching a new way to execute so that we maximize talent and commercial opportunity that stakeholders feel compelled to engage in as it will be a safe environment to prove in clinical terms what works and what doesn’t. Sharing a common interest to explore the potential of what a new entity would look and operate like the outcome will scope the initial development of Australian Health Innovation Hub.
Australia 3.0 will bring together prominent leaders and advocates engaged in the healthcare industry and these are some of those who’ve been involved over the last few months.
- Dr David Hansen Australian e-Health Research Centre, CSIRO
- Professor John Wilson, Head, Cystic Fibrosis Service, Alfred Hospital, Monash University
- Branko Celler Principal Scientist at CSIRO Computational Informatics
- Professor Jon Patrick, CEO Health Language Analytics
- Dr Paul Cooper Chair AIIA Health SIG, SMS Management & Technology
- David Johnston, former Executive Director and CIO, eHealth Systems, Department of Health, SA
- Louise Shaper HISA CEO – Health Informatics Society of Australia
- Suzanne Roche General Manager – Government Relations and Policy AIIA
In addition we need innovators, visionary and leading thinkers from other industries that have scaled problems that fit the definition of ‘Wicked’. Seeking those who have engaged in the health sector and those whose approach cuts directly to the source of the problem. Leaders in Australia’s health system are invited to participate including: Clinicians and practitioners; Health insurance providers; Government agencies; Hospital executives; Heath technology leaders; Health in the Home ; Wellbeing advocates; Community associations; Patient advocate networks; Social sector organisations ; Policy makers ; Researchers; Designers; Innovators ; Entrepreneurs; Focusing on the most critical element of any transformation process is the change and adoption that has been one of the greatest barriers. This will be our challenge but we’re sure it will be a rewarding experience for all who come to the table with an open mind and a commitment to change. Register your interest to participate in Australia 3.0 Register now for Australia 3.0 Forum 28-29 August in Melbourne
How Australia’s data opportunity can underpin better health services delivery
Future health systems will be influenced by a number of factors outside the control of health system leaders. Recent research identified six critical uncertainties that might significantly reshape the context in which health systems form and operate in were identified:
- Attitudes towards solidarity
- Origins of governance
- Organization of the health innovation system
- Access to health information
- Influence over lifestyles
- Health culture
This year’s Australia 3.0 Health stream will focus on the organization of the health innovation system within the country and do so from alignment with the key related uncertainties listed above. Industry leaders acknowledge that we need to discuss the Attitudes and Access to individual data, that governance is changing to be more aligned to local needs and that there is and will continue to be a growing gap between those that take control of their healthy living and those that do not. The question posed is how do we bring together in a ‘Collaboration Model’ the various industry groups so that we are able to create a ‘Australia Book’ of innovation and engage the operational side of the industry on how we maintain a dialogue of innovation from within and from outside. Can we create a ‘Health Innovation Hub’ as an industry driven capability? Australia 3.0 Health Stream Leader Denis Tebbutt firstname.lastname@example.org Register your interest to participate in Australia 3.0 and identify your area of interest via the Get Involved form Register for the Virtual Roundtable via email@example.com
2014 Stream Partners
Australia is increasingly facing a number of healthcare challenges. Continued population growth, demands for increased access to high-quality healthcare, an aging population, shortage of clinicians, and increasing budgetary pressures in healthcare institutions are just some of the issues faced by an already budget-constrained system. Both public and private healthcare providers are responding by increasing their investment in technology, including in remote device and mobile communications to better enable their workforces and deliver quality care where and when it is needed. In this context some of the key issues facing the healthcare industry include enhancing worker productivity, reducing human error, achieving quality healthcare outcomes and empowering patients to help manage their own health. The business of healthcare, whether at a doctor’s office, hospital, outpatient facility or long-term care facility, often depends upon a delicate balance between urgency, accuracy, privacy, compliance and technology. This can make solving issues in the healthcare industry seem like a daunting task, but with the right technology, significant improvements are easily within reach.”