eHealth in Australia

Leif HanlenDirector Health @ NICTA

Who is NICTA?• Australia’s ICT research center of excellence

– “Use inspired research”• Making fundamental advances in ICT that can underpin the

development of globally competitive products, processes and services.

• Building innovative ICT companies.• Contributing skills and outcomes that are changing the profile

of our ICT industry.– 700 people (300 research staff)– 5 laboratories

2

What is eHealth @ NICTA?

Making sense of health data

Change-management to promote adoption

ICT health projects of

national significance

Res

earc

h ou

tcom

es le

ad to

nat

iona

l im

pact

engagement

Demonstrate technology

Build community

Australia?

• 22million people• Fed. Gov’t

– 8 states• Health

– 75% public– 25% private– Medicare

– 60/40 Fed/state

– Aged care• Mixed between federal & state

and many programs

eHealth in Australia: Federal spend

• Over $1.2billion (€1billion) in new public funding– $400m (€310m) subsidized tele-health services– $467m (€360m) for new health records– $487m (€370m) improved aged care facilities– Of total $59.8trillion (€45tr) Federal Health budget

Health 16%

Social Security & Welfare 33%

Total 2011-12 Federal budget

Aligned forces

Care

Dept. Broadband

Dept. Health

Productivity Commissio

n

$42b NBN

$1.2b eHealth

Ageing in place

“choice”For aged

care spend

Clear benefits

E-Health

• Complete E.H.R for all citizens by Jul 2012• Currently in first-stage roll-out

PCEHR

Broadband (100+ Mbps Fibre to home)

• $42b (€32billion) fibre to 93% of homes• Currently in first-stage roll-out• By 2020

NBNPCEHR

Telehealth/ smart home services

• Dominated by pilot projects• More than 600 active sites• Some homes

• Open std’s

NBNPCEHR

home

How the “health market” works

• Many independent fixed fee for service• Little/no funding for infrastructure• Medicare Benefits Schedule

– Some people are “bulk billed” (no cost customer)– Most pay “upfront”

• New incentives:– 1.5x factor on GP payments if “tele” used.– No equivalent (yet) for home care

Australian Health (IT) market

Now 2050

People over 65 years(44% live by themselves)

1:7 1:4

People over 80 Years 400,000 1,800,000

Informal Carers Availability willIncrease by 60%

Demand will increase by 160%

Workforce(People of working age to those over 65 years)

5: 1 2.7:1

Funding Last 10 years – increase in community care funding rates 18% compared to wage increases of 38%

Trends in Australia

$ 10 per week data and website$ 25 per week monitoring $ 15 per week equipment

$ 50 per week

Average Cost

TelehealthResidential Care Bed

Acute Hospital Bed

Per Day $7 $130 $967

Business case

SMART HOME TECHNOLOGY

Feros Care has 137 smart homes installed

Smart homes in Queensland

• Large research project with 3 areas:– Preventative Health and Communities of Care– Independent Living– Design

Telehealth Research & Innovation Lab

• University of Western Sydney• ICT methods supporting new models of Health

care in areas such as aged care & independent living, chronic disease management– Data Management and Analysis– Software/Hardware for Telehealth/eHealth– Intelligent Automated Systems and Human

Factors

An altogether different kind of market

Japan (Miyagi)

• March earthquake & tsunami

• Northern Japan

• Red line shows flooded areas more than 25km inland

• Miyagi prefecture had flooding 16.5m deep

Japan (Miyagi)

Main hospital

Japan (Miyagi)

Conclusion

• Australian market– Growing, and being activated– Highly regulated, but not impossible

• Similar market behaviours in Taiwan & Singapore– Different scale

• Disaster recovery