Tuesday, May 23, 2017

Is This An Admission That The myHR is Not An Really Ideal Tool For Care-Coordination?

This release appeared last week:
Media Release – 15/05/17

cdmNet takes on central role in Health Care Homes reform

Precedence Health Care has been selected to provide crucial enabling technology for the Australian Government’s new Health Care Homes initiative, a major health system reform proposed by the Primary Health Care Advisory Group’s Report into “Better Outcomes for People with Chronic and Complex Health Conditions”.
Precedence will provide the risk stratification tool used by all Health Care Homes from October 2017 onwards, including general practices and Aboriginal Community Controlled Health Services.
The solution, which uses Precedence’s cloud-based coordinated care platform, cdmNet, will determine an individual patient’s eligibility for the Health Care Home.  It will identify and stratify patients based on their disease complexity and other factors so that health care services can be targeted accordingly.
The Prime Minister, the Hon. Malcolm Turnbull MP, described the implementation of Health Care Homes as one of the biggest health system reforms since the introduction of Medicare. 
The new model of care targets the millions of Australians with chronic and complex conditions – aiming to keep them out of hospital and living happier and healthier lives at home.
Professor Michael Georgeff, CEO of Precedence Health Care, said: “The cloud-based solution we proposed is revolutionary.   The choice of this approach shows that the Commonwealth is now well ahead in moving to agile digital technologies for improving the health of Australians.
“Our tool will make it easier for general practice to incorporate the Health Care Home into their traditional practice and will lead to greater efficiencies in the system.”
The first stage of the stratification process uses a Predictive Risk Model (PRM) running on cdmNet to identify and automatically target populations based on practice data.  The Precedence solution enables the PRM to be run on the entire practice population or whenever an individual patient visits their GP. 
If the PRM algorithm identifies the patient as potentially eligible for the Health Care Home, an alert will pop up to the GP or practice nurse who, with a single click, can proceed to the second stage of the enrolment process.
The second stage automatically creates a questionnaire using Precedence smart forms, pre-filled with clinical and other data obtained from the practice and other sources.  Non-clinical information, such as data on psycho-social factors, is added to the questionnaire during conversations with patients, family members, carers and providers.  
These smart forms automatically check for consistency and then calculate a risk score based on an eligibility algorithm. This enables patients to be positively identified for enrolment while determining a risk stratum for optimising treatment.
The solution is highly secure, using smart encryption techniques to ensure no personal health information is stored in the cdmNet cloud.
The use of the cdmNet platform enables a Health Care Home to include the risk stratification and eligibility checking into their existing practice workflows while at the same time off-loading all the management overheads to the cloud.
CSIRO will be engaged by Precedence to validate and re-calibrate the PRM algorithm for Australian conditions.
About Precedence Health Care
Precedence Health Care Pty Ltd (Precedence Health Care) is an Australian software company providing advanced digital healthcare technologies for connecting healthcare professionals and patients and facilitating the coordination of care. It was established in Australia in 2007 and acquired by Sonic Clinical Services, the primary care division of Sonic Health Care, in late 2015.
Precedence is also behind the recent launch to health professionals of a breakthrough app, MediTracker, which runs on a patient’s smartphone and displays their medical summary so that after hours, or in an emergency, they can be treated safely.
Dr Michael Georgeff is Founder and Chief Executive Officer of Precedence Health Care and Professor in the Faculty of Medicine, Nursing and Health Sciences at Monash University.  He has been at the forefront of software innovation and commercialisation in the USA and Australia for over 30 years.
About Precedence’s Coordinated Care Platform
Precedence’s Coordinated Care Platform (cdmNet) is an established cloud-based system for connecting and coordinating teams of health care providers across the full continuum of care.
The cdmNet platform currently coordinates the care of over 100,000 patients involving over 30,000 registered health care professionals, including General Practitioners, nurses, allied health professionals, pharmacists and specialists.
The platform is also being used in a trial of the patient-centred medical home by the Sydney North Health Network.  It provides an end-to-end solution involving risk stratification, electronic shared care plans, care coordination, patient engagement, and care monitoring.  These capabilities have been identified as the key elements of the Health Care Home by the Commonwealth’s Primary Health Care Advisory Group.
The cdmNet platform links to Precedence’s MediTracker mobile app and the Commonwealth’s My Health Record.  It is the only care management system endorsed by the RACGP for supporting quality improvement in general practice. 
(Ends)
Here is the link:
Bottom line, this is already a way better tool for care co-ordination, is proven in Australia, is commercially backed and is being improved.
The myHR is a joke in comparison in the Health Care Home arena.
I wonder where the ADHA is in all this – or did the DoH do this all on their own. Will be fun to watch!
David.

10 comments:

Anonymous said...

Certainly adds weight to this weeks poll. Interesting, a special advisor to the ADHA must be feeling very conflicted.

Anonymous said...

The GovHR is a shackle, they are unable to move forward with it so handing it to ADHA was a good move, hopefully Government is realising building and operating large national Health labelled systems is not good for business. However, they need to embrace people who understand complex systems and are able to work across the spectrum from standards to implementations engaging both on the ground folk and those pulling the purse strings and making policy. ADHA is killing that off quickly and silently.

If it stays far from the ADOHA the better, the GovHR has become a nice but dim cliche forever linked to failure of those who pretend to be leaders in eHealth

Trevor3130 said...

From https://aushealthit.blogspot.com.au/2007/07/david-agrees-with-dr-ian-reinecke.html

"I am afraid Professor Georgeff – the director of the one man e-health unit of the Monash Institute of Health Services Research - simply does not appreciate the complexity of dealing with, communicating and safely processing health information."

A lot can happen in 10 years.

From a 2013 Precedence flyer
"For GPs on the front line who have adopted cdmNet as a patient management tool, the results speak for themselves. Dr Tim Denton, GP in Anglesea, Victoria and chair of the Barwon Medicare Local, said: "Since using cdmNet for ensuring quality of care, we have not had any amputations, strokes or progressive retinopathy in our patients with diabetes. People have fewer complications, are living better lives and living longer." "

How have claims like that been assessed?
Why would the software be better than the standard Care Plan?

Anonymous said...

As a concerned citizen, how the Blazers am I know suppose to get track of all this information stored in so many places and accessed by so many apps and good knows who is accessing what. This is fast becoming a nightmare. I was better off with posted notes. What about my basic rights and dignity. If these people are so enthroned with technology and flashing screens Bugger of to Silicon Valley, and leave me and my care workers alone.

Anonymous said...

Anon 8:02 PM, I understand your frustration, it is unfortunately a result of a complete disconnect between sales and design, or more importantly an utter breakdown of informatics, architect and the computer sciences whose purpose is to rationalise, optimise the national and local systems so that they can work together in some degree of inter-working, cost effectly and efficiently. Yes this not all about computer systems, however that is a reality and a large component, the lack of technical leadership is why we are facing a complete melt down. As you are seeing it's a lot of stuff being done randomly.

Yes tax payers we pick up the bill but get no say in the matter.

Anonymous said...

Anon 10:18 PM, do not agree with your observation that the ADHA has no technical leadership, the Executives and their respective General Managers have all been in Digital Health for many years, we are also lead by a visionary from the UK, with obvious deep understanding of data and the application and value of health information. It is not more techno babbling people, over engineering what has proved to be an overwhelming social and economic benefit in other industries that have embraced digital transformation, what we need is more enthusiastic and communication driven real people like the ADHA has in place currently.

It is not the My Health Record system or the ADHA leadership that is holding us as a nation back and risking our world leadership position.

Anonymous said...

Trevor, that just a marketing statement, we all get asked them and generally over state the product or service if it has not been less than useful. But like the GovHR survey results, albeit most of those are probably driven by, "will say whatever you want just stop talking to me and go away".

Anonymous said...

I am more intrigued in those we are not hearing from, Mukesh revealed himself but then disappeared like a well orchestrated shot across the bow. Some one somewhere has to start pulling the ADHA back toward something of meaningful purpose

Anonymous said...

Having stopped in on a booth and a few talks at CeBIT this week I did not come away with a sense anything significant is going to happen and there will be no WOW factors )even for bland health information), from the ADHA. All very pleasant but so devoid of true passion or a deep understanding beyond what is becoming a very rehearsed show, data is good, data will revolutionise, look an app that accesses stuff through a API, hardly mainstream technology at the forefront of healthcare transformation. Against the CeBiT backdrop it did cross my mind a few times if ADHA gets invited because it's the polite thing to do rather than star attractions.

Anonymous said...

ADHA would have paid to appear at CeBIT. They are having to pay people to do just about everything to do with MyHR, eg ePIP etc.