Digital Health Strat Vision
Digital Health Strategic Vision for Queensland 2026Published by the State of Queensland (Queensland Health), March 2017This document is licensed under a Creative Commons Attribution 3.0 Australialicence. To view a copy of this licence, visit creativecommons.org/licenses/by/3.0/au State of Queensland (Queensland Health) 2017You are free to copy, communicate and adapt the work, as long as you attribute theState of Queensland (Queensland Health).Digital Strategy Branch eHealth Queensland, Department of Health, GPO Box 48,Brisbane QLD 4001Disclaimer:The content presented in this publication is distributed by the Queensland Government as an informationsource only. The State of Queensland makes no statements, representations or warranties about theaccuracy, completeness or reliability of any information contained in this publication. The State ofQueensland disclaims all responsibility and all liability (including without limitation for liability innegligence) for all expenses, losses, damages and costs you might incur as a result of the informationbeing inaccurate or incomplete in any way, and for any reason reliance was placed on such information.2Digital Health Strategic Vision for Queensland 2026
ContentsMessage from our stakeholders4Message from the Minister6Message from the Director-General81 Introduction102 The role of digital in our health system123 How healthcare in Queensland will be different144 Delivering health services in Queensland185 Health challenges206 Considerations for a digital health system227 Our eight principles of digital health disruption248 Ten year vision for digital health in Queensland269 Our strategic goals2810 Outcomes of a digital health system3011 Strategic opportunities in a digital world3612 Where to from here?44References46Glossary47Digital Health Strategic Vision for Queensland 20263
Message from ourstakeholders‘Digital healthcare is one of the most important revolutions in healthcare. Ourdigital hospitals and other digital healthcare capabilities not only relieve someof the pressures of public hospital infrastructure but are also providing highlyconnected and interactive models of care that support personalised, precise andwell informed treatment of patients across care settings and care teams. Thismeans improved safety, quality of care and faster treatment for patients.’Dr Richard AshbyChief Executive, eHealth Queensland‘Digital transformation is imperative for our future to enable QueenslandHealth to improve the delivery of healthcare to our communities. The sharing ofinformation and the interoperable nature of new technologies will enable ourconsumers to move seamlessly through a system where their information iseasily accessible by all. This, and the interconnectivity of information that willenable the use of data to drive healthcare improvements, is a truly exciting futurefor all Queenslanders.’Sue McKeeChief Executive, West Moreton Hospital and Health ServiceICT Portfolio Lead, Health Service Chief Executive (HSCE) Forum‘Delivering health services to rural and remote communities is challengingwith relatively small populations spread across very large geographic areas.Digital transformation of the health system will provide opportunities to enableconnected care across service providers and overcome issues of distance andisolation to improve services and provide better outcomes in rural and remotecommunities.’Glynis SchultzChief Executive, South West Hospital and Health Service4Digital Health Strategic Vision for Queensland 2026
‘People want to take advantage of the opportunities that new technologies offer.Many patients want to be more informed and involved with their own care andlearn how to prevent illness and improve wellbeing. Clinicians and carers wantto be able to securely share information so they can provide safe, high qualityservices that are better coordinated around a person’s needs. We look forwardto partnering with Queensland Health on driving the innovation needed to makethis a reality for all Queenslanders.’Tim KelseyChief Executive Officer, Australian Digital Health Agency‘I commend Queensland Health on the Digital Health Strategic Vision 2026 andits focus on delivering technological advances that will aim to provide the bestcare in the best place for Queensland health consumers. Its focus on greaterpatient access to services and self-management is welcomed as is the ability forconsumers to be proactively engaged in co-designing digital solutions that allowthem to be a partner in their own healthcare.’Mark Tucker-EvansBoard Chair, Health Consumers QueenslandChair, Queensland Health Consumers Collaborative‘Digital transformation is much more than just swapping paper charts forcomputer screens. We have a fantastic opportunity to engage with consumersand clinicians and embrace digital technologies to find ways to do thingsdifferently to do things better.’David RosengrenChair, Queensland Clinical SenateDigital Health Strategic Vision for Queensland 20265
Message from theMinisterDigital technologies are disrupting everyindustry and healthcare is not immune.To deliver on our 10 year vision for health, My health,Queensland’s future: Advancing health 2026, we need toembrace digital technology and innovation.The Digital Health Strategic Vision for Queensland 2026is our vision for system-wide digital solutions, servicesand digital innovation.Our digital vision builds on the strategic investmentpriorities outlined in the eHealth Investment Strategy toenable world class hospitals and facilities.The goal is a personalised and integrated health systemacross all providers, both public and private, workingtogether to make Queenslanders among the healthiestpeople in the world.It has been developed in close consultation withconsumers, staff, industry and the broader healthecosystem.It sets out clear goals for the future – a future where thepatient is engaged in their own healthcare, clinicianscan access patient information and knowledge thatenhances their clinical practice, and the health systemis integrated and high performing, delivering on theAdvancing Health 2026 vision.This is an important milestone in Queensland’s digitalhealth journey to provide Queenslanders with thedigitally enabled health system they deserve.Over the next 10 years we want Queensland Healthto be recognised as a leader in health innovation,revolutionising the healthcare experience for ourconsumers, clinicians and the community.The Hon. Cameron Dick MPMinister for HealthMinister for Ambulance Services6Digital Health Strategic Vision for Queensland 2026
Our vision‘Advancing healthcare forour consumers, cliniciansand the communitythrough digital innovation’Digital Health Strategic Vision for Queensland 20267
Message from theDirector-GeneralWe’ve started the digital journey at Queensland Health.We’re embarking on an ambitious program of healthcare transformation —harnessing the power of data and technology for improved quality of care, patientsafety and productivity.The patient clinician relationship is changing – enhanced by digital innovation.Technology is now the third person in the room.Consumers want greater control over their healthcare and clinicians wantaccess to the right information where and when they need it.Over the next 10 years we will see the health system move from digitalready to digital by default.To deliver on our plan we need to work closely with stakeholders acrossthe health system and beyond.From digital hospitals to patient portals and apps — the future ofhealthcare is exciting.Michael WalshDirector-GeneralDepartment of Health8Digital Health Strategic Vision for Queensland 2026
Digital Health Strategic Vision for Queensland 20269
1IntroductionThe Digital Health Strategic Vision forQueensland 2026 will set QueenslandHealth on a journey to become a leader inhealth innovation, by seeding the digitaltransformation of healthcare that is inevitableover the next decade.The vision includes goals for health system stakeholderswhen planning for a digitally enabled healthcare system.What is digital health?Digital health includes the use of information andcommunication technologies (ICT) for health includingtreating patients, conducting research, educating thehealth workforce, tracking diseases and monitoringpublic health (World Health Organisation, 2016).Digital disruption refers to changes enabled byemerging technologies that reinvent traditional serviceofferings and models of care, putting consumers at thecentre of service design.Why is digital health soimportant?The advancements of both healthcare and digitaltechnology are driving innovation at an acceleratedpace. This has led to the reinvention of healthcarethrough disruptive technologies and innovation.A culture of continual improvement and innovationwill be underpinned by increased access, sharingand analysis of information from the community,healthcare consumers, researchers, the healthcaresystem and global sources. This will enable predictivehealth delivery where the demand is needed most andultimately personalised medicine and genomics.For healthcare consumers and the community: Increase patient engagement Provide safer and faster healthcare services10Digital Health Strategic Vision for Queensland 2026 Improved access to specialist care Provide a co-ordinated and connected healthsystem Allow consumers to actively participate in their ownhealthcare Provide support via tools and applications to helpconsumers make choices about their healthcarepathways and healthy lifestyle choices Allow greater control over where, when — and bywhom — the required care is provided.For clinicians: Quality healthcare supported by improved clinicaldecision making Increased access to patient health informationwherever care is provided.For the health system: Systematic and high quality care Continuous improvement Rapid translation of research and innovation intosystem-wide practice.Who are our partners on thisdigital journey?The Digital Health Strategic Vision for Queensland 2026will be delivered through commitment, collaborationand consultation between healthcare consumers,clinicians, the community, the Department of Health, theHospital and Health Services, and other system partnersincluding: Queensland Clinical Senate Australian Digital Health Agency (ADHA) Australian eHealth Research Centre (AEHRC) Primary Health Networks (PHNs) Private sector healthcare partners Technology partners and innovators.
Digital Health Strategic Vision for Queensland 202611
2The role of digital in ourhealth systemBy 2026 Queenslanders will be among the healthiest people in the world.My health, Queensland’s future: Advancing health 2026 was released in 2016 and outlines a vision for healthcare inQueensland, underpinned by four strategic directions:Promoting wellbeingImproving the health of Queenslanders, through concerted action to promote healthybehaviours, prevent injury and illness and address the social determinants of health.Delivering healthcareThe core business of the health system and improving equitable access to quality andsafe healthcare in its different forms and settings.Connecting healthcareMaking the health system work better for consumers, their families and communitiesby tackling funding, policy and delivery barriers.Pursuing innovationDeveloping and capitalising on evidence and models that work, promoting researchand translating it into better practice and care.12Digital Health Strategic Vision for Queensland 2026
Digital technology and innovations are crucial toadvancing health.This vision clearly articulates the role of digital healthin supporting the achievement of the 10 year vision forhealth.The goals are linked to outcomes that describethe transitional changes arising as technology andsupporting systems move healthcare delivery in linewith emerging trends and consumer and communityexpectations.It includes three horizons and eight strategic goalsfor health system stakeholders to aspire to whenconsidering digital health in their planning.Digital Health Strategic Vision for Queensland 202613
3How healthcare in Queenslandwill be differentHealthcare consumersCurrent experience I rely on my health service providers to informme about my health information. Accessing the healthcare services I needis difficult due to distance, travel time andcosts. I am constantly repeating my personal detailsand health information to each new clinicianI see.Required transformation A complete picture of my health information, accessibleoutside of hospital. I can choose to share healthinformation with other health service providers.Healthcare information is presented to me, my familyand my carers in a way that we understand and isculturally sensitive. I receive treatment and care when I need it throughaccess to healthcare services such as telehealth andremote monitoring closer to or in the home. If I needtreatment that requires travel, my appointments arecoordinated to ensure they occur in the one visit.Digital future for Queenslanders I am a partner in my own healthcare. I amable to manage my health information,interact with my care team and interactthrough a single patient portal across all ofmy health service providers. I can access healthcare services includingmedical specialists from my home or caresetting of my choice, even after hours. I canschedule my appointments at times thatsuit me. Where I live is no longer a barrier toaccessing healthcare services. More time is spent with my clinicians ontreatment and care rather than trying to piecetogether and verify my personal details andhealth information.14Digital Health Strategic Vision for Queensland 2026 My health service providers work as a coordinatedteam regardless of setting. With my consent theyeffectively communicate with each other and sharerelevant information about me.
Our cliniciansCurrent experience I rely on my patient to give me accurateinformation about the health services theyare accessing and outcomes which may affecttheir treatment plan. Difficulty in sharing information outside thehospital inhibits my ability to make informeddecisions about my patient’s care and toprovide advice to colleagues. I am isolated from my clinical network andspecialist advice when working in rural orremote locations. I rely on passive aids suchas online or printed guidelines to supportclinical decision making. I have to audit paper charts or wait weeks forincomplete data to improve my patient’scare.Required transformation Real-time access, wherever and whenever I need it, torelevant patient health information. I have the tools towork collaboratively with other health service providersto provide coordinated patient care. Given the appropriate consent, I can reliably andsecurely share patient information across care settings,including public and private providers. Access to real-time information, advice and guidancenot only from ICT systems, but also from my clinicalnetwork and specialists who use and contribute to realtime information systems.Digital future for Queenslanders I can view information about the care andtreatment my patient is receiving. Thisimproves my clinical decision making andreduces delays and unnecessary duplicationof tests. All patient data is in the electronic medical recordand accessible from a data warehouse using businessintelligence tools. I can easily access data to improvethe quality and efficiency of patient care. I can access the information I need whenworking outside the hospital. I can share mypatient’s information, given the appropriateconsent, with relevant clinicians across thepublic health system. This enhances thequality of care I deliver and results in betterpatient outcomes. I am empowered by ICT systems to makeinformed, evidence-based decisions. Therisk of errors in diagnosis and medicationadministration is reduced. Predictive analytics and precision medicineare improving patient care.Digital Health Strategic Vision for Queensland 202615
Our healthcare partnersCurrent experience There are differing levels of technologicalcapability to support health service deliveryin metropolitan, rural and remote areas. Care is fragmented, leading to inconsistentquality of care across the system. Data for system improvement is siloed withinconsistent definitions applied. Auditingpaper charts and local databases is a majorcomponent of health service improvement.Required transformation All Hospital and Health Services have a base level ofcapability that meets local needs. Information is shared and used across the systemto facilitate clinical decision making and driveimprovement in the quality of care. System focus is oninformation exchange and interoperability allowing forinnovation across care providers and with industry. System improvements founded on evidence fromrich, consistent data from various clinical and patientadministration systems, integrated from a range ofstatewide and local data sources.Digital future for Queenslanders All Queenslanders, irrespective of location,have equitable access to healthcare servicesacross public and private care settings. Information is shared seamlessly across thesystem, enabling connected care. Systemwide issues are identified quickly throughactive data analysis based on a Queenslandwide view, enabling more consistent andproactive patient care. The system is constantly improving patientcare through the intelligent use of data andanalysis to deliver a learning healthcaresystem.16Digital Health Strategic Vision for Queensland 2026
Our staffCurrent experience Going to work in the hospital, clinic or othersupport areas is like going back 10 years intime technology wise. I have to work withoutdated systems or paper-based processes,which means I am less productive or efficient. The pace at which we adopt new technologiesis slow. Technology is perceived as simplya tool, rather than something that cantransform the way I do my job.Required transformation Access to contemporary tools and systems that help medeliver timely, quality care. I feel more engaged at workthan I did three years ago. Contemporary desktop tools, technology devices andbusiness solutions that offer increased automation,workflow and workforce mobility.Digital future for Queenslanders I enjoy working with modern devicesand applications that support my work,regardless of setting. I can choose mypreferred device and level of technologicalsupport. I am empowered to stay at the forefront oftechnological developments. I constantlythink of ways that digital innovation andtechnology can streamline processes,increase productivity and improve the overallconsumer experience.Digital Health Strategic Vision for Queensland 202617
4Delivering health servicesin QueenslandIn Queensland, healthcare consumers and patients are at the centre of an interconnecting network ofpublic and private healthcare services.18Digital Health Strategic Vision for Queensland 2026
Digital Health Strategic Vision for Queensland 202619
5HealthchallengesBoth within Australia and internationally thereis a changing focus in the healthcare sectortowards technology enabled outcomes that canbe achieved through digital health.Digital health is a key enabler for the delivery of betterhealthcare to achieve improved health outcomes andassist in addressing the health system challengesQueensland is facing.Globally, health systems are under increasing pressureto improve health access, equity and quality, reducecosts of services, and provide services to the communitythat ultimately reduce hospitalisation and improvecommunity health outcomes.A series of trends present significant challenges for thehealth system in Queensland including:20Digital Health Strategic Vision for Queensland 2026
Social health challenges in Queensland include:Digital Health Strategic Vision for Queensland 202621
6Considerationsfor a digital health systemDigital healthcare options open up new possibilities for healthcare accessibility and delivery.Transformation is required as healthcare service delivery models change from provider-focused models to consumercentric models. In order to enable this transformation, a number of challenges need to be considered.Digital readinessThe need to support a ‘digital ready’ ecosystem andhaving the appropriate level of underlying infrastructureand executive and clinical leadership is essential inenabling digital transformation. This includes havinga base level of connectivity, devices and integration tosupport the digital footprint of services being delivered.EquityWhile digital healthcare options open up newpossibilities for the ways that healthcare is accessedand delivered, they are not the only considerations. In aconsumer-centric healthcare system thought will need tobe given to consumer preferences as to how they want toaccess and receive healthcare services.22Digital Health Strategic Vision for Queensland 2026EngagementCollaboration, creative thinking and co-design withhealthcare consumers, clinicians and communities isvital. In a healthcare consumer-centric system we needto understand how consumers want to access and usehealth services, information and devices.Service redesignThe health system must also be prepared to redesign theway it delivers services rather than simply apply digitaltechnology to existing practices.
Balancing technologicaladvancement with innovationRapid innovation, accompanied by constanttechnological advancements, will require a bimodalapproach to the management of ICT — one function thatrenews the core ICT platforms and another that focuseson innovation.Funding and regulationAs the integration of healthcare increases, changes tothe way the healthcare system is regulated and fundedwill also be required. This includes models for howsome HHSs are funded for the ongoing support of digitalsystems and infrastructure.Change management andtrainingCyber security and privacyIncreased access to and sharing of information byhealthcare consumers, clinicians and researchers willalso require new approaches and policies relatingto how information and data is governed, accessed,used, secured and managed. A continued focus oncyber security and regulation will ensure the securityand privacy of personal healthcare information.Digital literacyBehavioural, cultural and socioeconomic factors havethe ability to both inhibit or accelerate the use of digitaltechnology and therefore overall digital literacy. Theshift in the health consumer’s role is driving greaterawareness of personal wellbeing, promoting ownershipover personal health and shared decision making.This will require improvements to the overall healthliteracy across the system, including the sharing ofclinical information in a way that is easily understood byhealthcare consumers.As the adoption of digital technology increases,additional technical support and improved digitalliteracy will be required across the workforce.Digital Health Strategic Vision for Queensland 202623
7Our eight principlesof digital health disruptionAll digital health initiatives in Queensland will be underpinned by principles. These principlesreflect the desire to transform healthcare through increased health consumer participation andempowerment, innovation, research and agility. The aim is that new and disruptive technologies canbe embraced and embedded quickly across the health system in a managed and sustainable way.Co-designed healthcareA culture of design thinking where consumers, clinicians and the community arealways at the centre of the evolving health system.Empowered workforceContemporary tools and streamlined workflows support an empowered workforce.Innovation focusedBuild the foundations for change to capitalise on opportunities and remove barriers toinnovation.CollaborationBuild strong and meaningful partnerships with stakeholders across the health systemto realise digital solutions and innovation opportunites.24Digital Health Strategic Vision for Queensland 2026
Empowered healthcare consumersShift to as-a-service provisioning using digital solutions where appropriate to enablegreater consumer participation in the provision and support of healthcare.Research into actionImprove system and patient outcomes as a result of focused research.Effective governanceLean, agile and fit for purpose governance and funding models, which providecertainty in the investment pipeline.SustainabilityApproaches and solutions will be selected based on the ongoing sustainability ofdigital solutions in terms of cost, risk, impacts on the workforce and ongoing support.Digital Health Strategic Vision for Queensland 202625
8Ten year visionfor digital health in QueenslandThe vision for advancing healthcare throughdisruptive innovation will be implementedacross three horizons. The horizons are notlinear and will overlap, recognising thatdifferent stakeholders will be at different pointsalong the digital journey. They will not all be onthe same pathway at the same time.The horizons provide a guide for stakeholders to aligntheir own strategies and plans. They provide broadobjectives for staging digital transformation within anorganisation and across the system.Horizon 1 (within three years)Buildingconsistent and sustainablecapabilityThe focus of the first horizon is oncontinually improving and seedingthe necessary capability to supportinnovation and a digital future.This includes a focus on investingin systems, infrastructure, andenabling tools as well as establishingthe frameworks, standards andgovernance required to supportgreater sharing and linkage of trustedinformation. This horizon will focuson understanding how technology candisrupt or facilitate healthcare andcapitalise on immediate opportunitiesto build momentum.26Digital Health Strategic Vision for Queensland 2026
Horizon 3 (within 10 years)TransformingHorizon 2 (within five years)Optimisingintegrating, growing andexpanding digital health anddigital workforce capabilitiesThe second horizon will build on thefoundations and apply the technologyrequired to integrate, optimise, growand expand digital health and digitalworkforce capabilities. This focuswill shift capabilities to the creationof the next generation of digitalhealth solutions including integratedtechnologies, devices and workflowsand the integration of big data toenhance decision support, healthsystem planning and performancereporting.scaled digital healthThe focus of the third horizon is onscaled digital transformation acrossthe health system. It will enable newand alternative models of healthcare,delivering treatment outcomes thatare beyond the current realms ofpossibility. It promotes taking fulladvantage of technology and buildingcapability to change the way thatpatients access care, where that care isprovided, and the manner in which careis centred on patients.All stakeholders in the healthecosystem will play a role in thedigital transformation of healthcare inQueensland. While some system-widecapability will be delivered throughthe targeted investment outlined inthe eHealth Investment Strategy, otherlocalised investment will be requiredby our HHSs and healthcare partners.The vision will play a key role towardlifting digital capability across thesystem so that all Queenslanders haveaccess to similar services and similarstandards of care.Digital Health Strategic Vision for Queensland 202627
9Our strategicgoalsStrategic goals provide a target for the health system stakeholders to aspire to when consideringtheir digital health initiatives and investments over the next three to 10 years. These goals will enablea digital health system that will deliver on the vision of My health, Queensland’s future: Advancinghealth 2026 as well as achieving the desired digital health outcomes.The digital health goals have been aligned to specific measures in the Advancing health vision. These goals provide thefoundations for lifting overall digital health capability across the health system in Queensland.Our eight goals for digital health disruptionPromoting wellbeing1. Greater patient engagementthrough patient involvement and selfmanaged devices and applications.3. More productive and targeted careusing real-time patient monitoring, analyticsand genomics.2. Healthier and safer communitiesby harnessing information about peopleand their communities to inform planning,improved emergency response, wellnesscampaigns, population health policy andpopulation health considerations such aswater, nutrition and food safety.Delivering healthcare4. More systematic, high qualityand safer care through optimisedworkflows, information decision supportand knowledge management.28Digital Health Strategic Vision for Queensland 20265. Improved resource managementthrough streamlined workflows and theability to match demand with capacity.
Connecting healthcare6. Better coordinated care throughincreased collaboration, digitally enabledcare pathways across care settings and thesecure sharing of information.7. Improved access to expertknowledge more easily, anywhere and inreal-time, enabled by technology.Pursuing innovation8. Continuous system improvementand learning with a combination ofanalytics, science, digital innovation,organisational development and a learningculture (Nuffield Trust, 2016).Digital Health Strategic Vision for Queensland 202629
10Direction30of a digital health systemPromoting wellbeingGoal 1:Greater patientengagementGoal 2:Healthier and safercommunitiesGoal 3:More productive andtargeted care Healthcare consumers have access to Queensland Health endorsed digital tools andinformation to help make healthy choices. Information can be shared by all people and relevant organisations to ensure healthy and safecommunities.Horizon 2five year outcomes Healthcare consumers are proactively engaged in co-designing digital solutions that allowthem to be a p
6 Digital Health Strategic Vision for Queensland 2026 Digital technologies are disrupting every industry and healthcare is not immune. To deliver on our 10 year vision for health, My health, Queensland's future: Advancing health 2026, we need to embrace digital technology and innovation. The Digital Health Strategic Vision for Queensland 2026
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