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Medicare Local eHealth

Medicare Locals are independent organizations focused on improving primary health care delivery and addressing local health care needs. IEMML's main objective is to enhance community health through initiatives in after-hours care, aged care services, mental health, and population health planning. We support Residential Aged Care Facilities in hosting Telehealth consultations to bridge gaps in specialist access for elderly residents. By analyzing data from general practitioners and emergency departments, we aim to make informed health care decisions and foster collaboration across health sectors, ultimately leading to better health outcomes.

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Medicare Local eHealth

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  1. Medicare Local eHealth Adam McLeod

  2. What are Medicare Locals? • Medicare Locals are primary health care organisations responsible for coordinating primary health care delivery and tackling local health care needs and service gaps. • While government funded, Medicare Locals are independent organisations, not government bodies. • Our approach is to actively build on our GP and primary health care provider strengths, expertise and knowledge.

  3. Our objectives • IEMML’s main objective is to improve primary health care in our community. • Our four key areas of focus are: • after hours care • aged care services • mental health • population health planning • eHealth

  4. Support from IEMML

  5. Telehealth in Aged Care

  6. Telehealth Program Overview • Support Residential Aged Care Facilities (RACF) in hosting Telehealth consultations between residents and specialists, both supported and unsupported • Chances of a specialist visiting a RACF are (almost) zero. • Specialist visits can often take a full day for residents, particularly if ambulance transportation is required • Transport costs can be expensive and taxis are difficult if you’re frail • Elderly people are frequently dependent on family members or RACF staff/volunteers for transport to specialists

  7. How are IEMML doing it? FOCUS is not on the technology. • Contact RACF • Conduct technical audit and site visit • Get the RACF visiting GP list • Contact the GPs • Get the specialist list from the GP • Get in touch with the specialists • Get the consultations happening.

  8. Telehealth Issues • RACF - Very large buildings /multiple wings • No NBN • Limited 4G • High contention • Specialists • Keen but too busy • Not computer literate • Unaware • Confusion about billing • Regardless…. Working now

  9. ML Data

  10. ML Data

  11. How we use our data? Service planning • After hours • Informed decisions regarding which clinics to fund • ED data • Used ED data to target reduction programs / avoidance, Asthma more of an issue than Diabetes. • GP Data • Used GP data to look at effectiveness of interventions – back pain & opioids.

  12. ML Data Philosophy Is about: • Collaboration • Partnership • Sharing • Learning • An evolving solution Outcomes: • Better services & outcomes for our communities • Working together cooperating for the greater good.

  13. PCEHR

  14. eHealth record: Information sources

  15. PCEHR Key roles of MLs: Awareness  Meaningful Use • Signed up practitioners 125 GP practices / 750 GPs 28 Pharmacies 20 Physio Practices • Recruit patients 30,000 consumers recruited. • Secure Messaging 98 practices connected, Healthlink, Argus. • Electronic Transfer Prescriptions 125 practices turned on

  16. Allied eHealth

  17. IEMML Allied Health Engagement Two streams of work: • Broad Allied Health Awareness Raising - multidisciplinary • eHealth for Allied Health Project – pilot with physiotherapists

  18. eHealth for Allied Health Project Pilot project Aim for 20 private physiotherapy practices (70 clinicians) Two cohorts: • 14 are “paper-based” • 4 are “computerised”, meaning they already use electronic clinical notes Paper Based  Get them using a clinical system. Computerised  PACS, Secure Messaging, Telehealth All  Signed up for PCEHR, HSD / HealthDirect.

  19. eHealth for Allied Health Project Results: All 18 practices started using a clinical system 90% continuing All signed up for PCEHR 4 started using PACS Successful using ‘Basecamp’ as a ‘social support program’ Positive evaluation Now looking at replication across other disciplines.

  20. Discharge and Referral

  21. Discharge and Referral • Acute – Eastern Health, discharge summaries for about 5 years. • ‘Rapid Integration Project’ – CDA Discharge summaries - PCEHR. • Referrals into Eastern Health – Almost happening…

  22. Future

  23. Where to next… • Embed PCEHR • Across sectors • Referral and Discharge – CDA. • Health Pathways / Decision Support • Predictive software for primary health … open to ideas…

  24. ThankyouAdam McLeodamcleod@iemml.org.au

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