NZ Vision For Health Technology

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Transcription Vision for HealthTechnologyThe Vision for Health Technology outlines how we seetechnology shaping the way New Zealanders ‘live well, staywell and get well’ in 2026. Vision for HealthTechnologyThe world of technology is advancing rapidly and affecting many aspects of ourdaily lives such as the way we shop, bank and travel. Health services are also beingtransformed by emerging technologies, changing what, how, where and whenservices are provided, as well as who provides them.Technology is revolutionising health systems. Robots and other automatedsystems are carrying out repetitive and predictable processes, advancedanalytics are providing new insights into complex health problems, andresearch breakthroughs in human science are making ‘personalisedmedicine’ a reality for more and more people.New ZealandHealth StrategyThe Vision for Health Technologyunderpins the New Zealand HealthStrategy 2016, which sets thedirection our health and disabilityservices need to take into the future.The Vision outlines how we seetechnology shaping the way NewZealanders ‘live well, stay well andget well’ in 2026. ofthe VisionThe Vision for Health Technology hasbeen developed with engagement frommore than 70 health professionals andconsumers. Workshops were held inAuckland, Wellington and Christchurchover four weeks in April 2017, supportedby online discussions. Content for thevision was then created and themes weredefined.This is a ‘living’ Vision that will be refinedand adapted over time in response tochanging needs and emerging technology,as well as feedback from stakeholders.The Vision will guide the development ofthe Ministry’s Digital Health Strategy andtechnology strategies by the sector.The Vision: Nine Themes centredTechnology empowers people to flourish by fully participating in their health care.New Zealanders are ‘health smart’ - they haveaccess to, and understand, all the health informationthey need.Health (traditional and non-traditional), social and other support services and information are integratedwith a person’s circle of care.People connect with health services in a way thatfits in best with their day-to-day lives. choicePeople make informed choices about the health and social services that work bestfor them and have access to information to help them make those choices.People have full access to their own healthinformation and control over who else can access it.People can choose services based onconvenience and cost.Health services are more convenientwith ‘virtual’ options available to allNew Zealanders through a range oftechnologies. to meCare is provided closer to where people live, learn, work and play.Investment in health services does not createinequity for those who use them.Better accessBetter access to technology removesisolation as people and communitiesare more connected.ConfidenceNew Zealanders have confidence that they canaccess the best value care and technology. change &innovationWe take advantage of opportunities offered by new and emerging technologies.These technologies are improving the health services available and enabling NewZealanders to live well.A digitally capable and enabled workforce isembracing the use of technology which impactspositively on the way people live, work and play.The sector is enabled and has incentive to:Support different and flexible healthservices.Maximise the use of technology.We discover, develop and shareeffective innovations across thesystem.Technology change is consideredin a New Zealand context so it addsvalue to our health services and issustainable. for NZTechnology is improving people’s experience of care, health status and best-valueuse of resources.Value is measured and information is used to openlydrive learning and decision-making that will lead tobetter performance.Investment targets inequities inknowledge and education, serviceaccess, connectivity and access totechnology.Social determinants of health outcomes - such asincome, housing and education - inform investmentdecisions and support proactive and predictiveintervention. careHealth services, social and support services, whānau, communities and technologyoperate as a team in a high-trust system that works together with the person at thecentre of care.Use of technology optimises people’s navigation ofthe collaborative care system and the choices theymake.Technology removes geographical and socialboundaries., predictive,personalisedTechnology responds proactively to changing needs, knows a person’s preferencesand anticipates their needs.Individuals participate as full partners in their ownhealth.Data to personaliseservicesData about individuals and theirlives is used to personalise and tailorhealth services in a way that suitseach unique individual.Technology and real-time data drives rapidimprovement and change. insightsData and technology improves evidence-based decisions. Health data fromindividuals and communities is used to inform health planning and policy andaddress inequities.Real-time data from multiple health, consumer andsocial sources informs action, proactive monitoring,and interventions for individuals and populations.Proactive monitoring and dataanalysis drives continuousimprovement and supports a cultureof learning within health services. trustedinformationHealth information is secure, reliable, accurate and accessible when, where and inthe form it is needed.People have full access to their own healthinformation and can provide, or prohibit, access toothers.Choice of technologyA choice of technologies are available for people to access, use andcontribute information in the waythey want to.Standards allow sharing ofinformationStandards allow technology to work together and allow us to makechanges easily and efficiently. Standards allow sharing of informationand drive action based on access to data, common language andshared understanding. to the futureWhat could digital healthcare look like in 2026? How will peopleinteract with their doctor, nurse and other health professionals?What sort of devices and applications will be available toindividuals, health professionals, researchers and innovators? I feel supported to be in control of my own healthusing a variety of wearable and telehealth devices.My personal avatar can access all of my healthinformation. My health care is co-ordinated by a virtual teamof health professionals, all of whom have secureaccess to my health record. Access to my health information is controlledby me and audited to ensure privacy andconfidentiality. My monitoring device alerts me early to potentialhealth problems and the GP chatbot contacts meto discuss any abnormal readings. An appointmentis automatically booked for me at my preferredtime. My AI health care assistant provides some healthinformation translation, such as reminding me whyit is important for me to take medicine with food. If I am discharged from hospital, the communitysupports I need are automatically put in place bymy multi-agency care team, which is alerted inreal-time about my changing requirements. If I live remotely, my care is delivered virtually fromlarger centres, meaning I get the same level of careas any other New Zealander. Overall, I am healthier and I feel confident that myhealth problems are detected and addressed early. nurse My assistant AI recalls my schedule to me as I amdriven to my first appointment. This will includeany change requests from my clients. I narrate my patient assessments into my mobiledevice and this is automatically loaded to theindividual’s care plan for everyone within theircare team to see. Hospital specialists are alerted to my assessmentsby artificial intelligence software, whichrecommends a medication change for the patient.This is authorised by the specialist. Genetic testing is widespread and drives highlypersonalised care plans for my patients. Machine learning algorithms monitor my patientsvirtually via readings from their telemedicine andwearable devices. I am alerted to any abnormalreadings and presented with a range of possibleactions. Automated systems mean I have more time tospend with my patients. My day is spent guiding my patients throughvarious significant health events as their routinehealthcare needs are self-managed and providedvirtually at a time and place that suits them. Part of my day is spent in virtual clinics, whichare delivered via digital technology in a patient’shome, aged care facility, or elsewhere. My AI assistant helps me diagnose patientsaccording to their health record and currentreadings being relayed from their devices. I order tests and investigations through mywearable device and am notified of any test andprocedure results outside expected parameters. I prescribe via my wearable device. Prescriptionsare produced by 3D printer in a dispensing facilityand the medication delivered to the patient bydrone. I have multi-functional devices, such as a handheld imaging machine, to detect abnormalities.This information is relayed in real-time tospecialists to review if required. Consultation with specialists is often virtual via 3Dholograms which are shared with the patient andhealth care team. - developer I am directly connected with the consumers andproviders of healthcare and wellbeing servicesand can hear first-hand what they want fromtechnology. This gives greater market share tostart-ups like mine that are able to be agile andmake changes to suit their needs. My developers work in an open sourceenvironment where companies co-operate ratherthan compete. Health providers pay for thedelivery, customisation, management and hostingof my technologies, rather than software licenses. All systems use approved international standards.Only systems that are fully interoperable are activein the market. The app market is consumer-driven. Consumerscontrol their health information and can choosewhat systems or applications have access to theirdata for specific use cases. They can also choose tomake their information available to developers. Apps can securely access information from nonhealth systems and databases of people’s geneticinformation – either directly or via a system thatbrokers these connections. New apps are registered with an approved service,which automatically verifies that my app meetsagreed requirements. I have access to a wide range of anonymiseddatasets, with approval for research purposesgiven directly by the consumers who control theirown data. The consumer-led approach to data access givesme access to a range of ‘soft data’ via consumersapps, giving greater insight into a population’sfeelings and thoughts at any given time. Data is collected via joined up everyday devices inreal-time (e.g. cellphones, coffee makers, lampsand wearable devices), genomics, surveillanceequipment and clinical records. My research is targeted towards solving real worldproblems and feeds into clinical decision supportand risk stratification systems. With real-time data available from many sources,research is forward-looking, capturing trends andassessing their implications. Research projects involve creating dynamicmodels, rather than the old ‘static snapshots’. I work with vulnerable populations, looking atdata with them and deciding together on the bestinterventions.

Email:digitalhealth@moh.govt.nzAddress:Ministry of HealthPO Box 5013Wellington 6140 Ministry of Health - Manatū Hauora

New Zealand Health Strategy The Vision for Health Technology underpins the New Zealand Health Strategy 2016, which sets the direction our health and disability services need to take into the future. The Vision outlines how we see technology shaping the way New Zealanders 'live well, stay well and get well' in 2026.

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