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After a short break for school holidays our free eHealthNews Live Webinar series is back on Wed 5 Aug, focusing on Cloud transformation in the health sector, exploring the challenges and benefits with Russell Craig, Michael Dreyer, Leon Sayers and Ken Kirkland
Thanks for letting us know. I’m so glad you’ve moved it to Wednesday. The Thursday lunch time and early evening time didn’t work for me as I have regular repeat commitments at those times. Looking forward to this webinar – looks very interesting.
@RMcBeth, I’ve edited your post and made it an actual ‘Event’. I’ve also written a how-to so that it is clear how to do so:
https://ehealthforum.nz/t/new-feature-events-in-the-digital-health-networks/14069
Thanks to everyone who watched the live webinar today, here is the on demand link https://webcast.hinz.nz/Mediasite/Showcase/ehn_live2020/Presentation/e90b33eaf1414ff08ce7eed9f5a603401d
There were some great questions we didn’t get time for, further discussion welcome via this forum. Thanks to Ken Kirkland at SA Health for providing some answers.
A lot of consumers are actually asking for in person consultations again! … we still need to work on this.
What about digital identity management? Realme? With the massive shift in digital engagement, how do we determine digital identity? Particularly those people who are transient by nature - no fixed abode?
From Ken Kirland SA Health
Identity management and information management are key. SAH have a lot of work to still do in this area but we use 2 factor authentication where trusted devices are part of that authentication. amongst other software to prove identify where not using a SAH device. Information management has become central when looking at Data Analytics and creating datalakes.
When you talk about the organizational journey, there is the implicit and somewhat unspoken aspect regarding roles changes; especially in the IT department, how do you deal with that, given the constraints of government contracts, did you get internal help?
From Ken Kirkland SA Health
We identified roles would change very early on in our cloud training program. Communication early to the ICT resources discussing the need for change, meet the societies health care objectives and how that was in their best interests. EG employment, personal benefits as a citizen receiving health care, part of the team to make the changes EG Hot skill in cloud skilled resources that can move and maintain cloud operations from a traditional legacy ICT environment. Opportunities in cyber security and data analytics. Explaining the vision and getting the teams to see their future in it.
Could Michael give a quick update on the current status of National Health Information Platform (nHIP). Is there somewhere we can find more info on the roadmap etc.
Are people you are involved with using Teams Channels to it’s fullest extent? I note that many people are only touching the surface of the utility of Teams and its cloud based Collaboration advantages. Rolling out without specific training is a an issue.
From Ken Kirkland SA Health
SAH have received great training via M/soft at no additional cost. Multiple sessions running on repeated time slots daily. we also gained the help by various champions within the business who were motivated and interested in being part of the change. Once access to TEAMS was enabled we found the business used it beyond what we thought to full extent.
Really interesting to hear the SA comments on work from home. My experience in NZ is one of quite a draconian and low trust culture. There are some working from home well but many where their managers really show their lack of trust in not letting them work from home much at all and sometimes not at all.
From Ken Kirkland SA Health
happy to talk to anyone of the benefits SAH employee’s and employer have tangibility seen. We through system measurement and trends see remote accesses after hours, weekends and extending working hours. TEAMS data and WebEx. We know more about our people and challenges due to having to communicate the try to stay connected in other ways. We see the teams conducting social virtual TEAMS drinks and coffee catch ups. From a Business point of view, not needing meeting rooms, being able to connect quicker, a future where real-estate can be given up and 100’s of 000’s of dollars. Savings on travel and transport for our staff, 1 estimate approx. $2000 for every day, per person ,working from home over a year. Our people are gaining up to 10 hours personal time back each week. It is an employer of choice differential .
for Ken - where were you at with exchange online for your mail accounts prior to covid, and immediately prior to your one weekend teams deployement, and now, did this have any implications?
From Ken Kirkland SA Health
We will be moving to exchange online next June. SAH are currently part of the SA Govt whole of government central tenancy. Our E3 licences included TEAMS but we had only rolled out to limited business units and there are some security controls to be addressed. EG TEAMS sites default is public. This means a security rating of Official information only status was insufficient. This makes is difficult when sensitive medical information needs to be stored in documents or recordings. The security classification we had to achieve has been uplifted to Sensitive Medical. We had to make the change across govt to setting default to private as default, amongst other treatments.
Hi from Waikato. Amongst the Choosing Wisely community of practice, we have been discussing the need for benchmarking lab and rad ordering between DHBs. This would be great for comparing rates of testing, identifying tests/investigations that could be reduced and assisting in identifying inequities experienced by high needs populations. I was thinking this could be done using a Cloud solution, similar to what is utilised for COVID? The HealthRoundtable group is wanting to establish a similar project, however from what I am aware the MoH are already using Qlik. This would obviously require cross DHB collaboration and for one solution (health roundtable or an alternative be recommended for DHBs to use).
for Leon do you have any examples of businesses that DID do the people/culture part of the adoption really well and what did they do right that made them winners in that space
I don’t think that is a problem - for many consultations this is the best way. Also, for many consultations, telemedicine is the best way. We need to support both to the hilt and ensure that they are real options where possible.
I would want an in-person consultation too if all I was offered is phone!! We do need to do better to give patients choice and the option shouldn’t be telephone or in-person. I think we will continue to see improvement here though with MoH encouragement.
Just like the different ways we use smart phones, messaging, talk phone calls, video and email, telehealth should be part of the mix of how people access and use health services. It’s a lot about personal style and about the best way to access a service, e.g. if a person has to take unpaid leave to see a doctor, it’s better for them to use video on their phone while at work (unless they need a physical examination and/or some tests). The same applies to the style of the provider and the two (provider and patient) should agree on what works best for them both. The options should be available. I wouldn’t assume that if patients prefer in-person appointments that the telehealth endeavour is lost.
From Ken Kirkland at SA Health re consumers wanting face to face consults
‘This is the SAH experience as well. Most people like the face to face contact with the care provider. However, we have a large remote regional population, Telehealth has provided quick remote care where doctors and medical staff may be limited in regional South Australia and well as time and cost savings to people not having to travel great distance to health care services.’