Telehealth: Where to from here? - HISA · CRICOS code 00025B Telehealth consultations rebated by Medicare July 2011 –June 2017 0 2000 4000 6000 8000 10000 12000 14000 July 2011

CRICOS code 00025B

Telehealth: Where to from here? Professor Len Gray

April 2019

Access

Efficiency Health outcomes

The 3 goals of telemedicine…

CRICOS code 00025B

Telehealth consultations rebated by MedicareJuly 2011 – June 2017

0

2000

4000

6000

8000

10000

12000

14000

No

. vid

eo

co

nsu

lta

tio

ns

July 2011 - Jun 2017

Specialist Support Linear (Specialist) Linear (Support)

CRICOS code 00025B

Proportion of Specialist Telehealth Consultations in all Consultations [Q3, 2011 – Q2, 2017]

0.00%

0.50%

1.00%

1.50%

2.00%

2.50%

3.00%

Q3,2011

Q4,2011

Q1,2012

Q2,2012

Q3,2012

Q4,2012

Q1,2013

Q2,2013

Q3,2013

Q4,2013

Q1,2014

Q2,2014

Q3,2014

Q4,2014

Q1,2015

Q2,2015

Q3,2015

Q4,2015

Q1,2016

Q2,2016

Q3,2016

Q4,2016

Q1,2017

Q2,2017

Psychiatry

Geriatric medicine

CRICOS code 00025B

Per capita telehealth uptake across statesJuly 2011 – June 2017

0

500

1000

1500

2000

2500

3000

3500

4000

4500

NSW VIC QLD SA WA TAS ACT NT Australia

Vid

eo c

onsultations p

er

100 0

00 p

eople

July 2011 - June 2017

CRICOS code 00025B

Mobile-based REMOTE Monitoring system

PA HOSPITAL

CRICOS code 00025B

Do I really need to go to the clinic?

Virtual

clinicRBG profile

Patient input[Email / self-report]

Labs

Text

email

Telephone

Video-conference

In person HbA1c: 1% reduction

Visits: 25% reduction

CRICOS code 00025B

A diabetes management ecosystem

Service balance that reflects cost & complexity of care needs

Specialist to Patient VC

(Medium expense; moderate health care need)

Specialist office visit

(High Expense; most complex situations)

Specialist via Online System

(Least Expensive; advice to doctor caring

for patient)

SERVICE

CRICOS code 00025BCRICOS code 00025B

“The rise of telemedicine & lower costs”

“The virtual doctor will see you now”

“Virtual doctors = real savings”

Kaiser Permanente

CRICOS code 00025BCRICOS code 00025B[Presentation Title] | [Date] 10

[Entity Name]

CRICOS code 00025BCRICOS code 00025B[Presentation Title] | [Date] 11

[Entity Name]

CRICOS code 00025BCRICOS code 00025B

Sub-optimal and patchy uptake of VC

Minimal store-forward uptake

Patchy use of remote monitoring

Communication predominantly via conventional office visits

Minimal use of telehealth in metropolitan settings

Room for improvement?

[Presentation Title] | [Date] 12

Centre for Health Services Research

CRICOS code 00025BCRICOS code 00025B

Integrated clinical information systems

Awareness, training

Appropriate reward systems for health practitioners

Targeted time-limited incentives for change

Even more research

Policy review: A new strategy for telehealth?

Steps forward…?

[Presentation Title] | [Date] 13

[Entity Name]

CRICOS code 00025B

28 HDR student enrolled

8 completions

230 publications 340 presentations

> $ 40M grant funding47 public forums

The Telehealth CRE by numbers

CRICOS code 00025B

Thank you