1.
VHA Annual Conference The Australian Digital Health Journey -where are we at?
Richard Royle
Partner – National Digital Helath Lead, PwC
August 2018

2. The National Australian Digital Health Journey so far
2005
2013
2015/16
2019
NEHTA established
Royle Review of PCEHR
PA Hospital and RCH Melbourne – go fully digital
My HR Opt Out
1990’s
2007
2014
2016
Practice Incentive Payments instituted by Federal Govt. for GP’s
IHI legislation passed
First fully integrated digital hospital opens
- St Stephen, Hervey Bay
Australian Digital Health Agency established

3. Main obstacles to successful growth in digital health in Australia
Cost
Short term versus long term benefits
Political will
Leadership
Interoperability

4. Future of Digital Health
Increasingly consumer driven
MyHR
Personalised health information – including lifestyle health records, wearable devices, retail purchases and health club data
Integrated data sets that connect our fragmented system
Robotics, Artificial Intelligence, Augmented reality
Predictive analytics/genomic sequencing
Community and home based healthcare via remote monitoring, IOT’s and increasingly accurate health apps

5. At PwC, we have defined what we refer to as the New Health Economy
The traditional healthcare delivery model continues to evolve into an ecosystem of collaborators with interrelated value drivers “
New Health Economy
PwC Health Research Institute
In the New Health Economy, “patients” will be “consumers” first, with both the freedom and responsibility that come with making more decisions and spending their own money. These consumers will demand a continuum of well-being, rewarding the trusted advisers that can help achieve that. “
The healthcare industry has been slow to deliver customer-centered value. But the ground is shifting rapidly. “

6. Traditional Healthcare Model
An increasing focus on the consumer will transform the traditional healthcare delivery model
Volume
Driven
Quality Driven
Value Drivers
Fee-for-Service
Value Based
Care
Traditional Healthcare Model
New Health Economy
Financial Model
Highly siloed players
Interconnected
Ecosystem
Ecosystem

7. The health industry shift from business-to-business to business-to-consumer
2017 PwC Health Research Institute Survey of US health industry executives in health systems, health insurance, medtech and pharma found that:
49%
81%
66%
of provider executives said revamping the customer experience is one of the top 3 priorities over the next 5 years
of insurers are investing in technology to improve the member experience
of pharma and medtech executives see remote monitoring and smart devices as the greatest opportunity to improve customer experience

8. Coming from the National Digital Health Strategy Consultation
People are most interested in using a computer, tablet or smart phone for these purposes
People are most interested in using a computer, tablet or smart phone to:
Request refills for their prescriptions,
Manage their medications, and
Track aspects of their own health,
Communicate with health professionals 3 4 2 1
No Answer
I don't use and don't have any interest in using a computer, smartphone, or tablet
I currently use a computer, smart phone, or tablet
I don't use but would be interested in using a computer, smart phone, or tablet

9. Healthcare professionals want digital health services
Top 5 activities health professionals want to use digital technologies to help better support them to deliver health services
Activity
Currently using a computer, smart phone or tablet %
Not using, but interested in using a computer, smart phone or tablet %
Not interested in using a computer, smart phone or tablet for this activity %
Sharing health records with my patients 25 59 7
Transferring prescriptions to the pharmacy 56 8
Providing interactive decision-making support 32 53 6
Communicating with patients before or after consultations 33 49
Sharing health records with other practitioners 43 45 4

10. “When using medical devices or healthcare mobile apps, I most value…”
From security to trust
Security
Trust
“When using medical devices or healthcare mobile apps, I most value…”
38%
62%
…functionality and ease of use
…knowing my health data is secure
PwC HRI Consumer Survey 2015

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