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1 HIC 2011

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The transformative power of innovation 2

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3 HIC 2011

tablE of contEnts


tablE of contEnts

5 HIC 2011

chair wElcomE

Strategic Advisory Committee

Mr Tam Shepherd, Chair HIC 2011 Organising Committee (Queensland Health)

Dr David Hansen, Co-Chair HIC 2011 Scientific Program Committee (Australian E-Health Research Centre CSIRO)

Prof Anthony Maeder, Co-Chair HIC 2011 Scientific Program Committee (University of Western Sydney)

Ms Katerina Andronis, Deloitte Consulting

Dr Paul Cullen, Cairns and Hinterland Health Service District

Ms Marian Linnane, Queensland Health

Mr Gary Morgan, Australian E-Health Research Centre CSIRO

Mr Jeff Parker, JP Consulting

Mr David Rowlands, Direkt Consulting

Mr Paul Russell, Department of Employment, Economic Development & Innovation

Dr Louise Schaper, Health Informatics Society of Australia

Ms Glynda Summers, James Cook University


confErEncE program

Tuesday 2 August 20117.30am Registration opens. Exhibitors move in 7.30am – 10.00am

9.00am

Workshop 1 Workshop 2 Workshop 3 Workshop 4

The future of clinical information systems

Jon Patrick

The good, the bad and everything in between

to consider Katerina Andronis

Partnering with health practitioners when developing and

evaluating innovations Moyez Jiwa

Educational directions in health informatics Anthony Maeder

AGPN’s E-Health

Conference10.30am Morning Tea and Exhibition Opening Aged Care Informatics Games for Health

11.00am

Workshop 5 Workshop 6 Workshop 7 Workshop 8

Critical success factors in clinical transformation

Judy van Norman

Traditional Chinese medicine health infor-

matics issues Athula Ginige

Innovation and adoption in e-health

Peter Kambouris

Getting to go; implementing SNOMED

CT Michael Lawley

12.30pm Lunch and Exhibition

1.30pm

Workshop 9 Workshop 10 Workshop 11

State CIOs (briefings on the Learning Exchange stage)

HISA’s Introduction to health informatics David Rowlands

Accelerating successful KPI-driven HIT

implementations Steve Shaha

Images on demand: The next generation of

medical imaging Derek Danois

3.00pm Afternoon tea and Exhibition

3.30pm

Conference Opening

Plenary 1 - Innovation Information and Technology

Welcome to country Introduction and welcome – David Rowlands HISA Chair and Tam Shepherd HIC 2011 Conference Chair Official opening – The Hon Paul Lucas Deputy Premier of Queensland (TBC), Hon Geoff Wilson MP Minister for Health, Queensland (TBC)

4.00pm Mike Walsh, author & authority on the digital future

4.30pm

HISA Q&A Panel with Tony Jones - Are we good at innovating in e-health?

Brad Howarth (journalist), Prof Enrico Coiera, University of NSW, Mike Walsh, author, the Hon. David Davis, Minister for Health VIC (TBC), the Hon. Paul Lucas, MP, Deputy Premier QLD (TBC)

5.30pm Day 1 Concludes

5.30 – 7.00pm Networking Reception and Exhibition

Monday 1 August 20117.00am Exhibition Build (HIC) and HealthBeyond open

7.30am Registration opens

9.00am Nursing Informatics Conference Digital Hospital Design Conference Indigenous Informatics Conference AGPN’s E-Health Conference

3.00pm Exhibitors move in (HIC)

4.30pm Conferences close

5.30pm Nursing Informatics Conference Cocktails | HealthBeyond private function | HISA State Branch private function | HISA Board private function

11.59pm Exhibition build close

7 HIC 2011

1.30pm

Concurrent 1 Concurrent 2 Concurrent 3 Concurrent 4 Concurrent 5 E 01Health Leaders Stream Scientific Stream Scientific Stream Industry Stream Industry Stream Learning ExchangeSustaining Innovation & Change

Innovation, Information & Technology in Healthcare

Over the Horizon: Novel Technologies in Health

Realising Benefits from E-Health

Experiences Implementing Electronic Health Systems

U-turn in healthcare information technology (HIT) Tony Sahama

Improving the Australian medicines terminology - version 3 Andrew Patterson

Using SNOMED-CT in an eMR - putting a toe in the water Rosemary Allen

Design considerations in the development of a proposal for an area-wide IHE XDS-I based imaging information system at Southern Health, Clayton, Victoria Bernard Crowe

Six things hospitals need to know about replacing pagers with smartphones Arthur Haycraft

Using standards to facilitate GP laboratory ordering Edwin Ng

Adam Powick Mukesh Haikerwal (TBC) Change & Adoption Part-ner (TBC)

A logical approach to semantic interoperability in healthcare Linda Bird

Impact of admission and discharge peak times on hospital overcrowding Sankalp Khanna

Assessment of pathology ordering protocols in emergency departments using HDI technology Amol Wagholikar

Automatic extraction of cancer characteristics from free-text pathology reports for cancer notifications Anthony Nguyen

Vision-based detection of unusual patient activity Paulo Borges

Interactive visualisation with user perspective for biological data analysis Quang Vinh Nguyen

Development of an automated activity classification application for mobile phones Ying Xia

Building an advanced wireless end to end emergency medical system Basema Saddik

Ripple effects: technology-enabled best acute care yields community benefits Steven Shaha

Using web-based technology to improve awareness and facilitate uptake of assistive technology for independent living Tony Baird

With existing technology and a simple idea we reduced the queues and cured the patient flow blues Kristy Brown

The electronic patient journey boards Susan Moller

Clinician-led use of outcome data to ensure quality in clinical practice Russell Brighouse

eMMS implementation at St. Vincent’s Hospital, Sydney Silvia Fazekas

Removing paper from a hospital outpatient service: experiences in managing a hybrid medical record Stewart Sandon

Cradle coast electronic health information exchange Colleen Cheek

3.15pm Afternoon Tea and Exhibition

4.00pmPlenary 4 - Diffusion of Change and Human Factors

Professor Johanna Westbrook University of New South Wales | Dr Michael Bainbridge Clinical Architect and Managing Consultant, ASE Consulting UK Ltd

5.30pm Day 2 Concludes

7.00pm - 11.30pm HIC 2011 - Dinner Plaza Terrace

confErEncE program

Wednesday 3 August 20117.30 - 8.45am HISA AGM


9.00am

Plenary 2 - Innovation Information and Technology & Over the HorizonDr Ilkka Kornhonen, (mobile health) Finland

A ‘big ideas’ session – a panel made up of Gartner’s top 4 innovation companies (speakers TBC)10.30am Morning Tea and Exhibition

11.00am

Plenary 3 - E-Health and Change Peter Fleming, National E-Health Transition Authority

Professor Enrico Coiera University of New South Wales

12.30pm Lunch and Exhibition | State CIOs presenting in Learning Exchange



9.00amPlenary 5 - Over the Horizon

Mr Eric Dishman Intel (USA) Changing Practices: From mainframe to personal healthcare through disruptive technologies Ms Liesl Capper CEO MyCyberTwin.Com (Aust) The use of conversational robots in customer support and companionship

10.30am Morning Tea and Exhibition

11.00am

Concurrent 6 Health Leaders Stream Looking Forward

Concurrent 7 Scientific Stream Innovation, Information and Technology: Secondary Use

Concurrent 8 Scientific Stream Diffusing Innovation and Sustaining Change

Concurrent 9 Industry Stream E-Health Implementation Challenges

Concurrent 10 Industry Stream Insights from Experi-ence

E 02 Learning ExchangeClinical data integration approach using SAS clinical data integration server (CDI) tools Saliya Nugawela

Why are you doing this? - getting it together in the sticks Colleen Cheek

Technology successfully applied in a healthcare education delivery environment for joint replacement patients: where to from here? Karren Ekberg

Referral writer: evidence for the value of comprehensive referral letters Moyez Jiwa

Model to overcome the tyranny of distance Tony Baird

Electronic medication management in residential aged care David Lyle

Understanding the foundational role of supply chain and its relationship to improved patient care initiatives Tania Snioch

Telehealthcare: the solution for independence and health in the home and community care setting Lisa Capamagian

Verifying and using pulsoximeter values in security protocols

Paul Madden CIO, Deena Schiff Telstra, Carol Bennett, Consumers’ Health Forum

BioGrid Australia and GRHANITE™ privacy-protecting subject matching Douglas Boyle

On selecting a clinical trial management system for large scale, multi-centre, multi-modal clinical research study Hugo Leroux

A pilot study supporting the development of advanced prostate cancer patient journey browser Amol Wagholikar

Electronic medical record information system for patient consultations in Chinese medicine Heidi Bjering

Mapping the Queensland Health iPharmacy medication file to the Australian medicines terminology using Snapper Michael Lawley & Amy Chu

How accurate is the Electronic Health Record? - A pilot study evaluating information accuracy in a primary care setting Wenjun You

Health informatics competencies - underpinning safe e-health Heather Grain

Patient Journey Modelling: Using students as a vehicle for diffusion of innovation Joanne Curry

Better, sooner, more convenient healthcare - technology enabled healthcare reform Tom Bowden

The generative clinical information management system (GCIMS) Jon Patrick

Improving health service delivery through telehealth expansion in Queensland Andrew Bryett

Standardising healthcare information Bo Dagnall

Loaves and fishes - how to make more from less in the far west Emma Hossack

Benefits and challenges of information loss protection in healthcare Neil Readshaw

‘All implementations great and small’: Scalability of implementation models for Healthcare IT India Hardy & Craig Smith

DIY electronic case report form system? Tactical lessons from the clinical trial front lines Chris Stanbridge

Thursday 4 August 2011

12.30pm Lunch and Exhibition

1.45pm

Concurrent 11 Concurrent 12 Concurrent 13 Concurrent 14 Concurrent 15 E 03Health Leaders Stream Scientific Stream Scientific Stream Industry Stream Industry Stream Learning ExchangeEncouraging E-Health Innovation

Over the Horizon: Health Information Portals and Social Media

Human Factors in Health Information and Technol-ogy

Success From the Qld Health E-Health Program

E-Health Contributions from National Programs

David Butt Bruce Barraclough Don Newsham

Synchronised integrated online e-health profiles Jian LiangHealthy Connections: Online social networks and their potential for peer support Bridianne O’DeaMachine intelligence for health information: capturing concepts & trends in social media via query expansion Xing Yu SuUse of an electronic clinical experience portal for the education of nurses in a critical care unit Maureen Farrell

A student-centred electronic health record system for clinical education Kristine ElliotSocial isolation for the aged Anthony MaederIs the biggest security threat to medical information simply a lack of understanding? Patricia WilliamsPiloting a logic-based framework for understanding organisational change process for a health IT implementation Kieren Diment

Queensland Health and tele-radiology David AndersonHealthcare information standardisation framework Bo DagnallAn insight into the practical health informatician Louise HayesDelivering a world class hospital in an analog world Anitia Hansen, Rudi Meyer & Garrick Peisley

Medicare Australia’s experience and contribution to the e-health reform agenda TBAViewing cancer patient data across organisations over the Internet Marianne HibbertProcessing and reporting of medical image analysis on the cloud Olivier SalvadoA technology procurement framework for the primary care sector Brendon Wickham

Towards a data extraction algorithm for mining stepwise survival curves from the biomedical literature Frank Lin Make better life for clinicians, patients and it developers through user-centric design James TanWorkforce definition at e-health Queensland Tracey Cocciolone

3.15pm Afternoon Tea and Exhibition

4.00pm

Plenary 6 - The National E-Health Agenda and National Health Reform – Will we only intensify information silos?

Panel discussion on what we’ve heard, and the implications for Australia’s national program Peter Fleming, Mike Bainbridge, David Butt, Paul Madden, Dave RobertsConference Summary - Dr Louise Schaper, CEO HISAHISA Business - David Rowlands, Chair, HISA

5.30pm Conference concludes

confErEncE program

9 HIC 2011

transformative power of innovation 10

kEynotE speakers

11 HIC 2011

kEynotE spEakErsAdjunct Professor Clinical Informatics, University of British Columbia, Canada; Clinical Architect and Managing Consultant, ASE Consulting UK Ltd

Mike has been a leading figure in Clinical Informatics for 25 years working both for both Government and Industry. He has designed and brought to market Clinical Computer Systems for Primary Care. He recently led the Clinical Architecture and Assistive Technology teams at NHS Connecting for Health (NHS CFH UK) delivering innovations in hardware design, clinical interface design and interfaces for the both professionals and citizens to the electronic medical record. He continues to ‘evangelise’ safety and usability from Open Common Interface Components in both his consulting and academic roles.

No Heading

Wednesday 3 August 2011, 4pm - Plenary 4

“It’s time for a radical change in the way healthcare is delivered. Usability is the only way it’s going to happen”

Mike Bainbridge

CEO, MyCyberTwin.Com

Capper has extensive international business experience as a CEO. She has been managing growth businesses for over 15 years. Liesl has helped lead MCT from a research and development company, to a market leader in the provision of high-end customer support solutions to clients like NAB, HP, NASA, Westpac and others.

Before MyCyberTwin, Capper was founder and CEO of Mooter. Mooter is a stock-exchange listed company specializing in search and behavioral targeting. While leading Mooter, she raised millions in venture capital, created patents and defensible technology, managed the expansion into US and Asian markets, secured deals with major clients including Yahoo! and Fairfax; and prepared the company for listing.

The use of conversational robots in customer support and companionship

Thursday 4 August 2011, 9am - Plenary 5

“Can you foresee a future where companion robots fill the carer gap?”Liesl Capper-Beilby

Foundation Chair, Medical Informatics, Faculty of Medicine, University of NSW

Professor Coiera is the Foundation Chair in Medical Informatics within the Faculty of Medicine at the University of NSW. He is the Director of the Centre for Health Informatics, a part of the newly formed Australian Institute for Health Innovation at UNSW. Professor Coiera’s research is concerned with advancing the safety and quality of health care through the use of information technology. He has recently broadened his interest to supporting consumers in making decisions about their health care, as well as focusing on the broader challenges of health system redesign.

Seven Informatics Heresies - Changing practices: from mainframe to personal health care through disruptive technologies

Wednesday 3 August 2011, 11am - Plenary 3

“It is time to challenge the orthodoxies of our discipline”Enrico Coiera


kEynotE spEakErsDirector of Health Innovation Intel USA

Eric Dishman is an Intel Fellow and Director of Health Innovation in the Intel Architecture Group, responsible for driving Intel’s cross-business strategy, research, and policy initiatives for healthcare information technologies. He founded Intel’s first Health Research & Innovation Lab in 1999 and was a founding member of Intel’s Digital Health Group in 2005, which recently formed a joint venture called “Care Innovations-An Intel GE Company” (www.careinnovations.com) where Eric is also the Director of Health Policy. In 2007, Dishman was named an Intel Fellow, one of only 55 Intel executives awarded this designation in recognition of industry leadership in science, technology and innovation.

Technologies

Thursday 4 August 2011, 9am - Plenary 5

CEO, National E-Health Transition Authority

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No Heading


Professor, Information Technology for Healthcare, Dept of Biomedical Engineering, Tampere University of Technology, Tampere, Finland

Mike Walsh, author of Futuretainment and CEO of innovation research agency Tomorrow is a leading authority on the digital future. A dynamic keynote speaker and experienced trend tracker, Mike helps prepare businesses and their leaders for what’s next. With a combination of high impact visuals, unique consumer case studies and high definition video, Mike’s presentations transport his audiences into ‘Tom morrow land’. Rather than showing you a world decades into the future, Mike provides a unique glimpse into idea viruses that are already here, and rapidly spreading as they transform your world.

No Heading

Wednesday 3 August 2011, 9am - Plenary 2

Eric Dishman

Peter Fleming

Ilkka Korhonen

“We can—and must—take healthcare home again, through innovative care models and technologies”

“No Quote”

“E-health is mHealth – it’s all about participatory health management”

13 HIC 2011

kEynotE spEakErsDirector, CHSSR, AIHI, Faculty of Medicine, University of New South Wales

Professor Westbrook is Director of the Centre for Health Systems and Safety Research (CHSSR), Australian Institute of Health Innovation (AIHI), Faculty of Medicine, University of New South Wales. Her research expertise centres on the design and execution of complex multi-method evaluations in the health sector with a particular focus on the effective use of information and communication technologies. Professor Westbrook has an extensive publication record which includes over 200 refereed publications. She has attracted in excess of $26M in research funding and won several awards for her research.

No Heading


Author

Mike Walsh, author of Futuretainment and CEO of innovation research agency To-morrow is a leading authority on the digital future. A dynamic keynote speaker and experienced trend tracker, Mike helps prepare businesses and their leaders for what’s next. With a combination of high impact visuals, unique consumer case studies and high definition video, Mike’s presentations transport his audiences into ‘Tom morrow land’. Rather than showing you a world decades into the future, Mike provides a unique glimpse into idea viruses that are already here, and rapidly spreading as they trans-form your world. Constantly traveling the world looking for the best ideas, consumer innovations and disruptive technologies.

Tomorrow is a leading authority on the digital future

Tuesday 2 August 2011, 3.30pm - Plenary 1

Johanna Westbrook

Mike Walsh

“If we don’t measure it maybe no one will notice we have a problem”

“Are you prepared for when the waves of change reach your shore?”


workshops

15 HIC 2011

getting to go - implementing snomed ct

Learning Objectives: Where to start, initial techniques and methods for implementing SNOMED CT. Discover the structure of SNOMED CT and how this provides utility for applications and implementations. Learn where else to go for information and help.

AbstractClinical Terminology is a key foundation stone of interoperability between electronic health records and clinical information systems. However the use of clinical terminology is currently woefully inadequate.

This workshop will address the key questions:what is the clinical terminology how do I get it into my system in a user friendly manner how do I use the information once it is stored in these systems. These three things have implications for implementer work programs, development/build, investment, compliance and success. Planned Duration: 90 minutes

Outline of workshopWhat is the clinical terminology? Structural and design features which distinguish SNOMED CT How do I get it into my system in a user friendly manner? Basic specifications and methods; search algorithms and constraints How do I use the information once it is stored in these systems? Retrieval, reporting, upgrade and version management

Panel Q&A sessionIntended audience and content level The intended audience for this workshop is those people involved in Building or upgrading an application to deploy SNOMED CT Rolling out SNOMED CT in an application (purchased off the shelf) Using SNOMED CT-enabled data downstream

Michael LawleyMichael Lawley, Principal Research Scientist, Australian E-Health Research Centre, CSIRO ICT Centre Dr Michael Lawley is a Principal Research Scientist at the CSIRO’s Australian e-Health Research Centre where he leads the work on the use, querying and semantics of Clinical Terminologies.

Donna TruranDonna Truran, Clinical Terminologist, Australian E-Health Research Centre, CSIRO ICT Centre Donna Truran is one of the clinical terminologists at the CSIRO’s Australian e-Health Research Centre. She is the Australian representative to the IHTSDO (SNOMED CT) Content Committee.

workshops


the good, the bad and everything in between to consider before automating chemical pathology – is technology the silver bullet?Katerina Andronis Director, Consulting Deloitte Touche Tohmatsu [email protected]

What should you consider before considering automation? Is technology the answer to efficiencies, cost savings, staff satisfaction? This paper will explore the pros and cons of laboratory automation and the impact of people, business and technology.

We will explore what the scope of automation should be, the benefits, risks, wins and losses. What initiatives should be considered? We will explore case studies on successful and not successful implementations and what impacts technology had on these outcomes. As the pathology community is facing a shortage of clinical professionals, automation is being considered as a viable option to replace the mundane tasks of performing laboratory tests leaving the scientist to analyse the results. We will discuss the change processes that are involved in adopting this technology and whether the benefits are realised in the continuum of care for the patient. We will also discuss whether technology is an enabler or a hindrance in providing improvements in the delivery of health care services.

This information will be relayed through the experiences the presenter has gained, over many years, in working in pathology and will focus on a recent case study and the lessons learned from that experience, from the perspective of the pathologists, clinical staff and technical staff.

Learning ObjectivesHow can clinical and technical staff work together in delivering clinical systems into the workplace? What are the key challenges (a tool kit will be provided on how they can be resolved)? What does change management really mean? How do clinical and business processes influence the success of technology in to the clinical environment? What is the best way to implement technology? Who is responsible / what clinical governance is required to be successful? What impact does it have to staff, patients and visitors in a health care environment? Case studies will be discussed on what were the lessons learned from implementing technology in a clinical setting

Target audienceClinical staff who are involved in the implementation and adoption of technology in the clinical setting Clinical staff who are about to embark on clinical system implementation Health IT staff who have implemented systems and can share their journey Health information managers Technologists

Workshop 2 Tuesday 2nd August, 9.00-10.30am

Katerina AndronisKaterina Andronis is a proven and respected senior IT and change management, Health CIO professional. Katerina has led organisations as an industry advisor and consultant in the development and delivery of leading edge, multi-million dollar business and process initiatives. Her experience extends across IT, patient and clinical management and developing road maps for innovative organisational change.

workshops

17 HIC 2011

images on demand: the next generation of medical imagingDerek Danois Partner, Health Practice & Global Medical Imaging Practice Lead Accenture [email protected]

A common problem throughout Australia, as with other nations, is that medical imaging cannot be shared easily among providers. The current system is hobbled by time spent transferring images by mail or courier and by duplication of effort. Patient experiences suffer as a result. Under the current system, data is housed deep within the closed confines of individual hospitals and other provider institutions. Data can’t be easily shared because it resides in proprietary IT systems. Fortunately, an innovation is on the way to improve the patient experience, time to care, free-up much needed funds and clinician time by removing duplication and providing integration between departments such as radiology, pathology, cardiology and oncology. Cloud computing models will enable providers to gain easy access to medical imaging data from virtually anywhere with broadband access. This is an evolutionary process that will take time to implement, and the models are still in the formative stage. By the end of 2011, several pilot programs will be up and running in Australia, Brazil and the United States.

Cost savings and higher-quality care are bound to follow. By sending medical images digitally, far fewer hospitals would need to buy and maintain expensive scanners, which require trained specialists to operate. Electronic image transfer would allow hospitals to keep pace with growing volumes of data and with new applications. When patients receive care in one location, it would be easy to transfer their image data to another. It also will be easier to deliver timely care to patients. Re-imaging, where a patient with images residing at one institution must get another set of images taken for use by another institution, would no longer be an unnecessary impact on patient health and experience. Web imaging transfer is ideally suited to Australia, with its widely distributed population served by a forward-thinking health system - a trusted doctor in Brisbane could quickly summon images on a patient visiting from Sydney. Smaller, regional providers of picture archiving and communications systems (PACS), are among the first to adopt a secure, cloud-based system. Once the cloud concept is widespread, and strong security safeguards are put in place to ensure patient privacy, it will be viewed as trustworthy, effective, and efficient. While cloud infrastructure is built for use by many client hospitals and clinics, these care providers still have control over what is disseminated. They have the choice to share data or have it managed in isolation from other institutions. Data rests with the client, and the client could maintain its own cloud, or join one that has other users as well. Only authorised recipients, approved by the sender, can share data, so privacy can be ensured. And to comply with official policy, the infrastructure would be managed in Australia.

A next generation approach toward a shared medical imaging platform, an inevitable evolution for global healthcare, brings with it significant benefits for our clinicians, administrators and ultimately the patient.

Learning ObjectivesUsing cloud computing models to deliver any image, anywhere, any time. Allowing medical imaging to be shared digitally among integrated health providers through the Web is ideal for Australia; with it spread-out population centres Improve patient experience by using fast, secure and efficient methods to transfer data and images Lower costs will result Institutions control what data is shared and who with

Derek Danois Mr Danois oversees Accenture’s service offerings in the medical imaging market, as well as helping to shape Accenture’s strategies in various markets around the world. Mr Danois has over 20 years of experience in the Healthcare IT industry with the last 12 years focused on the medical imaging industry in all major markets around the globe. Prior to joining Accenture, Mr Danois was the CEO for a US based medical imaging data analytics company that provided the first nationally available medical imaging services GRID. Mr Danois attended Temple University School of Law and Temple University School of Medicine.

workshops


Athula GinigeProfessor Athula Ginige is Professor in Information Technology at University of Western Sydney and past Head of School. His research covers Web Engineering, eTransformation and telehealthcare.

Anthony MaederProfessor Anthony Maeder is Professor of Health Informatics at University of Western Sydney. He is a Fellow of the Institution of Engineers Australia, founding President of the Australian Pattern Recognition Society, Chair of the Standards Australia IT-14-12 Telehealth Subcommittee and an IT-14 Health Informatics Committee Australian delegate to ISO/CEN meetings.

workshopstraditional chinese medicine health informatics issuesAthula Ginige Anthony Maeder Heidi Bjering

Heidi Bjering is a lecturer in the School of Computing and Mathematics at the University of Western Sydney. She is a Systems Analysis and Design specialist and has been strongly involved in developing and delivering the UWS Health Informatics program

Prof. Athula Ginige School of Computing and Mathematics, University of Western Sydney [email protected]

Traditional Chinese Medicine, based on a holistic approach to diagnosis of physical disorders and embracing a range of medicinal (e.g. herbs, patent medicines, tablets, natural remedies) and manipulation (e.g. acupuncture, acupressure, cupping, massage) treatments used widely in the East Asian region, has been somewhat isolated from many of the recent advances in Health Informatics associated with orthodox Western Medicine. This situation merits closer attention due to growing international interest in combining complementary therapies with Western Medicine, requiring support of the resulting Integrative Medicine practices through combined information systems. The ability to capture and process patient data in such an environment will lead to better and safer delivery (e.g. by monitoring for herb-drug interactions), assisting with clinical decision support (e.g. by providing weighted options for diagnosis), and in establishing a stronger evidence-base for complementary therapies and Integrative Medicine (e.g. by providing access to large volumes of patient data for analysis and data mining). These considerations have encouraged recent strategic and research trends in Australia and elsewhere [1], but as yet there is not an internationally coordinated and planned approach to the adoption of Information Technology in Traditional Chinese Medicine. This session would seek to stimulate interest and interaction between parties who have an interest in promoting and advancing that cause.

The session presentations will cover three topics:

a) Electronic Medical Records – recording consultation/treatment processes including capturing pattern/syndrome indicators, planned and actual treatment sequences, links to standardised information representation environments; b) Terminologies and Ontologies – standardised medical terms, standardised herbal substances and formulas, standardised acupuncture descriptions, links to other established terminologies and ontologies; c) Clinical Decision Support – herb-herb and herb-drug interaction checking, diagnosis assistance tools, patient treatment timeline/journey representation, tracking patient characteristic similarities, incorporating genetic and phenotype information.

Each topic will be presented with a 15 minute talk covering the following points:

i) overview of current practice and recent progress for that topic, in the field of Traditional Chinese Medicine internationally, with examples;

ii) key information technology and health informatics concepts relevant to

19 HIC 2011

getting to go: implementing snomed ctMichael Lawley Donna Truran

Dr Michael Lawley Principal Research Scientist, Australian E-Health Research Centre, CSIRO ICT Centre [email protected]

Clinical Terminology is a key foundation stone of interoperability between electronic health records and clinical information systems. However the use of clinical terminology is currently woefully inadequate. This workshop will address the key questions: • whatistheclinicalterminology • howdoIgetitintomysysteminauserfriendlymanner • howdoIusetheinformationonceitisstoredinthesesystems. These three things have implications for implementer work programs, development/build, investment, compliance and success.

Outline of workshopWhat is the clinical terminology? Structural and design features which distinguish SNOMED CT How do I get it into my system in a user friendly manner? Basic specifications and methods; search algorithms and constraints How do I use the information once it is stored in these systems? Retrieval, reporting, upgrade and version management Panel Q&A session

Learning Objectives: Where to start, initial techniques and methods for implementing SNOMED CT. Discover the structure of SNOMED CT and how this provides utility for applications and implementations. Learn where else to go for information and help.

Target audienceThose people involved in: Building or upgrading an application to deploy SNOMED CT Rolling out SNOMED CT in an application (purchased off the shelf) Using SNOMED CT-enabled data downstream

Workshop 8 Tuesday 2nd August, 11.00-12.30pm

Dr Michael Lawley Dr Michael Lawley leads the work on the use, querying and semantics of Clinical Terminologies. Results from this work include: the Snorocket reasoner, used in the IHTSDO’s Workbench; Minnow, a free SNOMED CT and AMT browsing and visualisation tool, and; the semantic mapping tool Snapper. Michael is a member of the IHTSDO Technical Committee and the Australia Clinical Terminology User Group.

Anthony MaederDonna Truran is one of the clinical terminologists at the CSIRO’s Australian E-Health Research Centre. She is the Australian representative to the IHTSDO (SNOMED CT) Content Committee. Donna has worked with SNOMED CT, health information systems and clinical data for over ten years. She has experience in migrating local termsets to SNOMED CT, and in using patient data, encoded in SNOEMD CT for secondary uses.

workshops


Moyes Jiwa Prof Jiwa qualified as a general practitioner in 1991 and has 20 years of clinical experience in a variety of international clinical settings. After arriving in Australia in 2006 he was appointed as the Director of the WA Centre for Cancer and Palliative Care in 2006. In addition to his clinical practice, Prof Jiwa also is the inaugural Chair of Health Innovation, Curtin University, Perth WA.

workshopspartnering with health practitioners when developing and evaluating innovations Moyes Jiwa GP & Professor of Health Innovation Curtin Health Innovation Research Institute [email protected]

Jeff Hughes Head of School of Pharmacy, Curtin University Oksana Burford Pharmacist, lecturer and PhD student

Aliki Christou Research Coordinator- the Referral Writer study Devesh Oberoi Innovator, Medical Practitioner and PhD student

A major challenge in developing innovations to improve outcomes in primary care is to generate outputs that are readily accepted in practice. The route from completed bench top innovation to practice has seven stages: the innovation should be familiar to the practitioner; its value should be accepted; the patients to whom the innovation may be helpful should be readily identified; the innovation must fit within the routines of practice; the innovation must be readily available; the patient and the practitioner should agree that the innovation is of value and finally the innovation needs to be deployed. If 80% is achieved at each stage only 1 in 5 patients who might benefit from the innovation will receive it.

Learning ObjectiveThis workshop will increase understanding of the process of developing and evaluating innovations in partnership with practitioners in primary care.

MethodsThe paradigm in primary care will be outlined with reference to Bayes’ theorem and to the ecology of care both of which predict that patients who consult in primary care are unlikely to have major pathology and yet the symptoms

that lead to ordering of tests and specialist referral are relatively common. The complexity of the doctor-patient consultation in general practice will be emphasised as will the commercial imperative in community pharmacy.

The team will review the route from innovation to practice with reference to experience with three major innovations: 1. Software to demonstrate the impact of smoking on facial appearance as a motivational aid for smoking cessation and 2. Software to improve the flow of information between primary care and specialists at the point of referral. 3. An instrument to help triage patients who present with bowel symptoms to community pharmacies. The challenge to developing the innovations so that do not disrupt workflow in practice will be outlined. Our experience includes standardised patient consultations; recruitment of practitioners as key partners in research; redesign of randomised control trials using web based opportunities to participate.

The workshop will include the opportunity to discuss these and other approaches to health innovation. Strong participant engagement will be encouraged and an output of the workshop will be the publication of a report based on the discussion for wider dissemination.


21 HIC 2011

innovation and adoption in e-healthPeter Kambouris Damien Hine

Peter Kambouris Australian E-Health Research Centre, CSIRO ICT Centre [email protected]

As with many other mature sectors, the introduction of innovation into healthcare is difficult, however the complexity of the value chain (where organisations that bear the costs are not always the same as those that reap the benefits of improvements in care) and the ubiquity of funding policies add an extra level of complexity to the uptake of innovation. By their nature, e-health business models need to be quite novel and there is high degree of uncertainly as to the global scalability of such emerging models. Furthermore, Australia is an emerging provider of underlying e-health research to the global community, and early validation of possible business models will improve the likelihood of significant impact from the investment of public funds into e-health research. The objective of the workshop is to formally introduce innovation and value chain concepts and explore how these core elements would optimise the impact of e-health across the healthcare value chain

MethodsSolid business models are required for developing and implementing value-creating and sustainable innovative products and services. In particular, the business models need to map all key supporting activities, value chain relationships and dependencies impacted by the introduction of a research solution into the market place. Because the solutions provided by e-health research are very early in the healthcare value chains, successful implementation of developed solutions requires the crafting of business models which achieve strong senior level buy-in, throughout the entire healthcare

value chain.

The workshop will introduce the concepts of innovation and value chain within the health care context especially from the point of origin of technology development, e-health research outcomes. The workshop will be divided into 3 segments; Adoption of innovation (40 minutes) Health value chains (20 minutes), Principles for an e_health value chain in the Australian context (20min), Consolidation and Discussion (10 min) In summary, the workshop will provide an introduction to innovation processes with which attendees can start to establish a formal approach with which to secure the incorporation of e-health research outcomes into global suppliers and customers along the healthcare value chain. In essence, it will establish guiding principals for engagement with the segments of the Australian healthcare value chain that will benefit most from the e-health research solutions.

Learning Objectives: Pathways to adoption of innovation in mature industries, such as health care Understanding the e-health value chain Identification of leading indicators affecting the adoption of nformatics solutions in the health care value chain

Target AudienceThe workshop will be addressed to meet the spectrum of the Health Informatics community. In particular, the content will be at an introductory to intermediate level and be design to be of utility to attendees from the research, government and private sector health IT entities and organisations.


Peter Kambouris Dr Peter Kambouris has over 15 years of experience in strategic and applied research across a raft of sectors including biotechnology, nanotechnology, mining and ICT. Dr Kambouris was awarded a Masters of Technology and Innovation Management, with Deans Honours, from The University of Queensland and is a founder and director of the Australian Nanotechnology Alliance. He also has extensive experience in the capture, protection and commercial exploitation of intellectual property.

workshops


Anthony Maeder Prof Jiwa qualified as a general practitioner in 1991 and has 20 years of clinical experience in a variety of international clinical settings. After arriving in Australia in 2006 he was appointed as the Director of the WA Centre for Cancer and Palliative Care in 2006. In addition to his clinical practice, Prof Jiwa also is the inaugural Chair of Health Innovation, Curtin University, Perth WA.

workshopseducational directions in health informaticsAnthony Maeder David Rowlands

Prof Anthony Maeder School of Computing & Mathematics, University of Western Sydney [email protected]

(MISSING abstract)


23 HIC 2011

critical success factors in clinical transformation Judy Van Norman Cerner Corporation Email

The clinical transformation framework combines elements of clinical systems technology, evidence based best practices, process redesign and culture change, across all stakeholders in the patient care experience, to achieve an optimal health outcome. This workshop will orient attendees to that framework and enable them to understand the critical success factors in the development and implementation of an organisation-wide clinical transformation initiative. The implementation of an electronic medical record (EMR) and other clinical system technologies hold much promise for the improvement of healthcare delivery. However, without the tools and structures to include and align other aspects of clinical transformation, projects often fail or fail to achieve expected benefits. Tools to successfully organise and implement technology enabled improvements will also be discussed. A case study from Banner Health in the US will provide examples of how such tools were used to mitigate risks associated with clinical transformation. Some of the tools to be discussed are the project charter, guiding principles, benefits realisation programme, and governance structure. The workshop will enable participants to understand the rationale for and use of each tool to identify and mitigate risks associated with clinical transformation programmes.

Banner Health, based in Phoenix, Arisona is a non-profit healthcare system with 22 hospitals in 7 US states. As part of a strategic plan developed in 2002, Banner Health identified implementation of an EHR as a key strategy to achievement of its goals related to clinical excellence, patient safety and operating efficiency. The clinical transformation framework

formed the basis for the initiative which, over the period from 2003 to 2011, resulted in the successful implementation of an acute care EMR in all 22 Banner hospitals. The application of tools and structures which were critical factors to the success of that initiative will be discussed. This workshop will also describe the evolution and development of the clinical informatics department at Banner Health which accompanied and supported the clinical transformation initiative. The workshop will highlight the fact that while clinical transformation is challenging to achieve, the effort is worthwhile as it can produce measurable benefits. The workshop will base the discussion of potential benefits on a Banner Health benefits realisation study which was published in 2008:A major focus of a clinical transformation initiative is on the human aspects of the changes introduced during the implementation of an EMR. The workshop will address those changes under the heading of

“culture” and include discussions of education, communication and change management. Alignment of culture changes with the overall mission, vision and strategic priorities of an organisation can be achieved by applying the concepts, structures and tools associated with clinical transformation.

Learning Objectives:Attendees will know the key elements of a clinical transformation framework and understand the need for and basic structure of each. Attendees will be able to identify the critical success factors for implementation of a clinical transformation programme. Attendees will be able to identify and understand the purposes of several tools and structures which are used to achieve successful implementations and measurable benefits with clinical transformation programmes.

Judy Van Norman Judy Van Norman is a Client Results Executive with Cerner Corporation and is based in Brisbane. Prior to joining Cerner in October, 2010, Judy was the Sr. Director of Clinical Informatics with Banner Health in the US. She has over 25 years of healthcare IT experience.

workshops


Professor Jon Patrick Professor Jon Patrick, PhD—Holds the Chair of Language Technology at the University of Sydney. After winning the Eureka prise in 2005 he began applying his language technology to clinical notes and has a built a range of technology for use in hospitals. At the moment he is researching the process of embedding language technology inside generative clinical information systems.

workshopsthe future of clinical information systems and health reformProf Jon Patrick University of Sydney [email protected]

Dr Paul Barach, MD, MPH, board certified cardiac anesthesiologist with fellowship training in critical care medicine at Massachusetts General Hospital and Harvard Medical School. He is visiting Professor at Utrecht University Medical Center, Netherlands, and head NSW Health Hospital Procurement Improvement Project.

Dr Tony Sara has qualifications and experience in medicine (MB BS), management (MBA) and computer science (BSc). He has spent the last 12 years as a staff specialist focusing exclusively on clinical informatics.

Dr Sally McCarthy MBA, FACEM, specialist emergency medicine physician, appointed Medical Director of the NSW Emergency Care Institute in March 2011. She is current President of the Australasian College for Emergency Medicine.

Health reform is pressuring hospitals, health systems, and physician groups to demonstrate value, and align with the federal and state drivers for quality and safety. This renewed focus means that the procurement and implementation of CIS cannot just be about generating more volume and that IT improvement has to be seen as part of that drive. To meet this challenge, all members of the care team will need to break down silos and collaborate more closely than ever before.

Building trust with IT services is essential, but at the same time this will not occur without IT staff becoming committed to primarily clinical objectives. Success will require the enthusiastic engagement of physicians through the use of sophisticated CIS in quality improvement — and not just on

isolated projects.

This next level of interdependence and collaboration — known as clinical integration — is vital to any enterprise seeking improved quality, patient safety, and value. The panel will review recent case studies including the deployment of Firstnet in NSW Emergency Departments from the viewpoints of ED Directors, systems analysts and software engineers. The panel will discuss the growing pressure to create minimal standards for procurement and best in breed deployment strategies. The discussion will frame these issues in the context of the national health reform and the understanding that better guidelines are not developed then the promise of the gains of the IT age for clinical care could be squandered.

Learning ObjectivesIdentify the barriers that contribute to patient harm in state and national inquiries and learn to appreciate the important influence of external political pressures on CIS deployment. Review the professional commitment - across the professions represented by royal colleges, academic medical centers, and professional unions - to protect patients and how this supports successful CIS procurement and deployment.

• Understandtheconsequencesthat a culture of blame can affect patient safety in healthcare systems and how they manifest in CIS procurement.

• Utilisethebusinesscasefortheuse of proactive risk assessment tools prior to CIS procurement and inform the development of CIS design and deployment strategies that minimise patient harm.

Target AudienceThe target audience physicians,

25 HIC 2011

hisa’s introduction to health informaticsDavid Rowlands Anthony Maeder Louise Schaper

Are you relatively new to the field of health informatics? Have you been involved in health informatics for a while but still find yourself struggling to explain the breadth of health informatics to your colleagues, friends and family?

Are you concerned about the workforce shortages and the deficit in a health workforce that is knowledgeable on all things health informatics?

Attend HISA’s Introduction to Health Informatics Workshop and impress your colleagues and employers with your new-found knowledge and understanding.

HISA [email protected]


Louise Schaper Judy Van Norman is a Client Results Executive with Cerner Corporation and is based in Brisbane. Prior to joining Cerner in October, 2010, Judy was the Sr. Director of Clinical Informatics with Banner Health in the US. She has over 25 years of healthcare IT experience.

workshops


Steve Shaha Professor Jon Patrick, PhD—Holds the Chair of Language Technology at the University of Sydney. After winning the Eureka prise in 2005 he began applying his language technology to clinical notes and has a built a range of technology for use in hospitals. At the moment he is researching the process of embedding language technology inside generative clinical information systems.

workshopsaccelerating successful kpi-driven hit implementations: improved clinical, efficiency and performance outcomesSteve Shaha Steve Shaha Harvard University, University of Utah & Eclipsys [email protected]

All healthcare information technology (HIT) implementations are not equally successful. The key to success is establishing quantitative markers for guiding implementation, monitoring progress, identifying and remediating challenges, and proving eventual return on investment. Those same quantitative markers persist after implementation for perpetual improvement of HIT investments, and this workshop illustrates the innovation, experience and learnings from over 50 HIT implementations and projects. It will equip or enhance participants to leverage the science and art of key performance indicators (KPIs) for maximising the success of HIT implementations, and their impact in perpetuity. The workshop will be conducted by seasoned HIT implementers and continuous improvement experts. Content will leverage specific examples from recent implementations as illustrations of principles and techniques.

This workshop will review the five types or classes of KPIs for HIT, including clinical outcomes and safety, efficiency and operational smoothness, financial and cost-per-case, satisfaction, and technology adoption. Methods for displaying KPI data in the most actionable and interpretable formats will be reviewed, including graphic and tabular. Examples of success will be shared from healthcare organisations and HIT implementations to illustrate how metrics/KPIs guide success and maximise performance. Examples shared will include international

public and private hospitals, large and small, specialty and general.

The workshop will illustrate statistically significant improvements in all KPI types, including methods for reflecting all or most types within single success recaps. Successes reviewed will be selected in alignment with many of the most pressing issues for healthcare organisations, including reductions in DVT through improved prophylaxis, better inpatient and outpatient outcomes through improved Stroke care, and elimination of specific nosocomial infections and untoward events (e.g. falls, medication errors, adverse drug events and decubidi).

Learning Objectives As a result of this workshop, participants will be able to: Identify optimal processes and personnel for achieving KPI-driven success in HIT Describe the process for defining key objectives and functionalities for which HIT is being implemented and for converting those to KPIs Define commonplace and universal KPIs for HIT implementation, as well as best methods for adding locally relevant KPIs. Teach and/or lead within their respective organisations in measurement, improvement and organisational performance (i.e. KPIs) Describe studies and success stories from the industry as illustrations

Target audience:All within healthcare or healthcare IT Physicians and physician leaders, such as quality, improvement, CMO, CMIO, etc. Other clinical leaders, such as nursing, respiratory, etc. C-suite members, meaning organisational leaders, such as CEO,

27 HIC 2011


abstracts

29 HIC 2011

a logical approach to semantic interoperability in healthcareLinda Bird Colleen Brooks Yu Chye Cheong Nwe Ni Tun

Singapore is in the process of rolling out a number of national e-health initiatives, including the National Electronic Health Record (NEHR). A critical enabler in the journey towards semantic interoperability is a Logical Information Model (LIM) that harmonises the semantics of the information structure with the terminology. The Singapore LIM uses a combination of international standards, including ISO 13606-1 (a reference model for electronic health record communication), ISO 21090 (healthcare datatypes), and SNOMED CT (healthcare terminology). The LIM is accompanied by a logical design approach, used to generate interoperability artifacts, and incorporates mechanisms for achieving unidirectional and bidirectional semantic interoperability.

Keywordslogical information model, terminology, semantic interoperability, healthcare standards, messaging

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ContactDr Linda Bird MOH Holdings Pte Ltd Singapore [email protected]

BioDr Linda Bird has 20 years of experience in the IT industry, 15 of which she has specialised in e-health. For the past 2+ years, she has consulted as an information architect to Ministry of Health Holdings in Singapore. Prior to that, she worked as an information architect at NEHTA (for 4 years), a leader of an EHR interoperability project at DSTC, and data modelling consultant at the National Archives of Australia, Asymetrix Corporation in Seattle, and Anderson Consulting.


BioDr Linda Bird has 20 years of experience in the IT industry, 15 of which she has specialised in e-health. For the past 2+ years, she has consulted as an information architect to Ministry of Health Holdings in Singapore. Prior to that, she worked as an information architect at NEHTA (for 4 years), a leader of an EHR interoperability project at DSTC, and data modelling consultant at the National Archives of Australia, Asymetrix Corporation in Seattle, and Anderson Consulting.

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electronic medical record information system for patient consultations in chinese medicineHeidi Bjering Athula Ginige Anthony Maeder Alan Bensoussan Xiaoshu Zhu Charles Lattuca c

School of Computing and Mathematics, University of Western Sydney, NSW, Australia Center for Complementary Medicine Research, University of Western Sydney, NSW, Australia Surity Pty Ltd, Sydney, NSW, Australia

Currently there are no widely used systems to electronically record individual patient consultations with Traditional Chinese Medicine (TCM) practitioners. As TCM practice differs significantly from western medicine both in diagnosis and treatment, using information systems created for western medicine is not suitable. There is a need for information systems developed specifically for TCM practitioners to manage patient consultation and treatments. Such system should be designed to facilitate safe and effective practice by providing decision support, utilising existing knowledge such as known herb-drug interactions to signal safety risks. Utilising current and developing standards and vocabularies such as those developed by the World Health Organisation (WHO) is important to facilitate interoperability with other systems. To facilitate continued growth in consumer demand, this type of system should be compatible with the needs of the individual electronic health records and other medical systems, and provide interfaces to external systems such as Medicare, pathology and radiology systems, and insurance systems. This paper presents the high level design of a patient consultation system for TCM practitioners that addresses the individual practitioner’s needs for health records entry, storage, retrieval, display and support in managing health care delivery to patients and be part of Australia’s emerging e-health system.

Keywordstraditional Chinese medicine, electronic medical record, information systems, clinical decision support systems

ContactHeidi Bjering School of Computing and Mathematics, University of Western Sydney [email protected]

31 HIC 2011

BioDr Paulo Borges is an electronic engineer working as a research scientist in the Autonomous System Laboratory at CSIRO, located in Brisbane, Australia. His current research topics are visual-based tracking, event detection, robot tracking and localisation.

vision-based detection of unusual patient activityPaulo Vinicius Koerich Borges Navid Nourani-Vatani

Automated patient monitoring in hospital environments has gained increased attention in the last decade. An important problem is that of behaviour analysis of psychiatric patients, where adequate monitoring can minimise the risk of harm to hospital staff, property and to the patients themselves. For this task, we perform a preliminary investigation on visual-based patient monitoring using surveillance cameras. The proposed method uses statistics of optical flow vectors extracted from the patient movements to identify dangerous behaviour. In addition, the method also performs foreground segmentation followed by blob tracking in order to extract shape and temporal characteristics of blobs. Dangerous behaviour includes attempting to break out of safe-rooms, self-harm and fighting. The features considered include a temporal and multi-resolution analysis of blob coarseness, blob area, movement speed and position in the room. This information can also be used to normalise the other features according to estimated position of the patient in the room. In this preliminary study, experiments in a real hospital scenario illustrate the potential applicability of the method.

Keywordspatient monitoring, computer vision

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ContactDr Paulo Borges CSIRO ICT Centre & University of Queensland [email protected]


biogrid australia and grhaniretm: privacy-protecting subject matchingDouglas Iain Ross Boyle Naomi Rafael

University of Melbourne Rural Health Academic Centre, Shepparton, VIC BioGrid Australia, Melbourne, VIC

BioGrid Australia provide infrastructure for research currently spanning 16 hospital-based clinical institutions and 50 databases across Victoria, Australia. To-date BioGrid have utilised a probabilistic record linkage engine (Sun Oracle Java CAPS eIndex) that utilises patient identifiers (albeit in a secure manner) during record linkage. BioGrid are now incorporating privacy-protecting record linkage technology from the University of Melbourne Rural Health Academic Centre (GRHANITE™). For the first time in Australia, the GRHANITE™ technology is allowing primary care data linkage projects to happen on a large scale (70 sites, 200 planned to date). By utilizing GRHANITE™ privacy-protecting record linkage technologies, BioGrid are now able to overcome the privacy issues inherent in linking data across national jurisdictional boundaries. By utilising GRHANITE™ privacy-protecting record linkage technologies all inter-jurisdictional public health and hospital clinical data collected by BioGrid can be systematically linked to primary care data for research for the first time. This paper describes the architecture of the combined BioGrid and GRHANITE™ systems, provides evidence of the efficacy of the linkage technologies and heralds the start of a new era in privacy-protected, record linked research in Australia.

Keywordsrecord linkage, privacy protecting, confidentiality, hospital, general practice

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ContactDr Douglas Boyle University of Melbourne Rural Health Academic Centre [email protected]

BioDr Douglas Boyle is a Senior Research Fellow in Health Informatics at the University of Melbourne. His research area is the development of tools for the systematic provision of data for research. He is the designer of the GRHANITE™ technologies.

33 HIC 2011

patient journey modelling: using students as a vehicle for the diffusion of innovationJ M Curry J A Fitzgerald K Eljiz

University of Western Sydney, New South Wales, Australia Deakin University, Victoria, Australia

This paper describes a case study involving 3rd-year undergraduate computing students and their conduct of a patient journey modelling project for the Ambulatory Care department of a Regional Hospital in New South Wales, Australia. The goal of the research was to determine if students, given minimal training in an emerging patient journey modeling tool known as Essomenic, could be an effective vehicle for the diffusion of innovation to operational staff involved in a healthcare improvement project. Under academic supervision, students interacted directly with staff to develop models of the current system of care from GP referral to the completion of the patient consultation. The methodology also included model validation, identification of opportunities for improvement, investigation of alternative solutions and solution recommendations. Outcomes of the project, conducted over a 14 week semester, demonstrate that the students found the technique quick and easy to learn and that they could transfer their new found knowledge of this innovation to healthcare staff for the purposes of developing true and accurate representations of the current state patient journey. Staff were then able to interact directly with the student team, using the models as a communication medium, to identify opportunities for improvement and understand more deeply, how changes would impact their daily tasks and increase patient satisfaction in service delivery.

Keywordsdiffusion of innovation, patient journey modelling, ambulatory care


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ContactDr Joanne Curry School of Computing and Mathematics, University of Western Sydney [email protected]


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ContactDr Ping Yu School of Information Systems, Faculty of Informatics, University of Wollongong [email protected]

piloting a logic-based framework for understanding organisational change process for a health it implementationKieren Diment Karin Garrety Ping Yu

School of Information Systems, Faculty of Informatics, University of Wollongong, NSW, Australia School of Management and Marketing, University of Wollongong, NSW, Australia

This paper describes how a method for evaluating organisational change based on the theory of logical types can be used for classifying organisational change processes to understand change after the implementation of an electronic documentation system in a residential aged care facility. In this instance we assess the organisational change reflected by care staff’s perceptions of the benefits of the new documentation system at one site, at pre-implementation, and at 12 months post-implementation. The results show how a coherent view from the staff as a whole of the personal benefits, the benefits for others and the benefits for the organisation create a situation of positive feedback leading to embeddedness of the documentation system into the site, and a broader appreciation of the potential capabilities of the electronic documentation system.

Keywordsorganisational change, nursing informatics

35 HIC 2011

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BioDr Douglas Boyle is a Senior Research Fellow in Health Informatics at the University of Melbourne. His research area is the development of tools for the systematic provision of data for research. He is the designer of the GRHANITE™ technologies.

a student-centred electronic health record system for clinical educationKristine Elliott Terry Judd Geoff Mccoll

Introduction. Electronic Health Record (EHR) systems are an increasingly important feature of the national healthcare system [1]. However, little research has investigated the impact this will have on medical students’ learning. As part of an innovative technology platform for a new masters level program in medicine, we are developing a student centred EHR system for clinical education. A prototype was trialed with medical students over several weeks during 2010. This paper reports on the findings of the trial, which had the overall aim of assisting our understanding of how trainee doctors might use an EHR system for learning and communication in a clinical setting. Background. In primary care and hospital settings, EHR systems offer potential benefits to medical students’ learning: Longitudinal tracking of clinical progress towards established learning objectives; Capacity to search across a substantial body of records; Integration with online medical databases [3]; Development of expertise in creating, accessing and managing high quality EHRs [4]. While concerns have been raised that EHR systems may alter the interaction between teachers and students [3], and may negatively influence physician-patient communication [6], there is general consensus that the EHR is changing the current practice environment and teaching practice needs to respond. Methods.

Final year medical students on clinical placement at a large university teaching hospital were recruited for the trial. Following a four-week period of use, semistructured interviews were conducted with 10 participants. Audio-recorded interviews were transcribed and data analysed for emerging themes. Study participants were also surveyed about the importance of EHR systems in general, their familiarity with them, and general perceptions of sharing patient records. Conclusions. Medical students in this pilot study identified a number of educational, practical and administrative advantages that the student-centred EHR system offered over their existing ad-hoc procedures for recording patient encounters. Findings from this preliminary study point to the need to introduce and instruct students’ on the use of EHR systems from their earliest clinical encounters, and to closely integrate learning activities based on the EHR system with established learning objectives. Further research is required to evaluate the impact of student-centred EHR systems on learning outcomes.

Keywordselectronic health record system, medical education, student perceptions

ContactDr Kristine Elliott Medical Education Unit, Melbourne Medical School, The University of Melbourne [email protected]


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ContactMaureen Farrell School of Nursing and Midwifery, Victoria University [email protected]

use of an electronic clinical experience portal for the education of nurses in a critical care unitMaureen Farrell Ian Baldwin Nigel Fealy

School of Nursing and Midwifery, Victoria University Austin Health, Victoria Australia

This paper examines a clinical experience portal (CEP) that was developed for critical care nurses to access on a personal digital assistant (PDA) while undertaking a 12-month postgraduate program. The increasing complexity of care provided to patients in intensive care units (ICU) in Australia and overseas requires that health care practitioners working in this area are competent and highly skilled, to prevent errors and adverse events. The CEP – unlike the traditional approach which is often lacking, antiquated or encompassed in paper records – provides opportunity for collaborative activities to occur between the learner and the teacher in an auditable environment to enhance the quality of the education provided. The CEP provided a method for the nurses to record their competencies and access educational material within the framework of a postgraduate program. The benefits of using the CEP for the education of all healthcare professionals’ are also discussed.

Keywordsclinical experience portal, critical care, competencies, nursing, education and training

37 HIC 2011

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health informatics competencies underpinning safe e-healthHeather Grain Evelyn Hovenga

There is a widespread consensus that we have an urgent need to improve our workforce capacity in all aspects associated with the skills and knowledge required for successful e-health and Health Informatics developments, associated change management and systems implementation strategies. Such activities aim to support various health reform policy initiatives. This paper considers the work being undertaken by many researchers around the globe to define the range of skills and knowledge requirements to suit this purpose. A number of requirements and areas of specialisation are detailed. This is followed by descriptions for competencies in general and more specifically descriptions of a set of high level agreed Health Informatics competencies. Collectively these competencies provide a suitable framework useful for the formal recognition of Health Informatics, including e-health, as a nationally recognised study discipline. Nationally agreed competencies for this discipline enables all education and training efforts to be consistently implemented and to fit with the Australian Qualifications Framework covering both the Vocational Education and Training (VET) and Higher Education sectors.

Keywordseducation, workforce, health information technology, competency based education

BioHeather is a senior health informatician with more than 30 years experience, having designed and implemented systems for national health information system infrastructure in Australia and overseas for governments, hospitals, community health, district nursing and general practice and she is an active health consumer representative.

ContactHeather Grain eHealth Education Pty Ltd [email protected]


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ContactDr Sankalp Khanna CSIRO Australian E-Health Research Centre [email protected]

impact of admission and discharge peak times on hospital overcrowdingSankalp Khanna Justin Boyle Norm Good James Lind

The CSIRO Australian E-Health Research Centre CSIRO Mathematical and Information Sciences/Australian E-Health Research Centre Gold Coast Hospital, Queensland Health

AbstractThe ability of hospital staff to get a patient to the right bed at the right time is dependent on bed occupancy, and is a key issue in all acute hospitals. This paper seeks to identify the impact of admission and discharge timing on hospital occupancy with reference to the peak in daily admissions and discharges. Patient admissions data from 23 Queensland public hospitals was classified into categories based on the relative timing of daily admission and discharge curves. We found statistically significant differences in mean and peak occupancy and patient length of stay between categories (one-way univariate ANOVA p<0.0001). The results support early patient discharge initiatives to reduce hospital occupancy rates.

Keywordsbed occupancy, hospital bed capacity, crowding.

BioSankalp completed a PhD in 2010 looking at intelligent techniques to model and optimise the distributed scheduling of Elective Surgery. He is currently a Postdoc at the Australian E-Health Research Centre. His research interests include Prediction and Forecasting, Planning and Scheduling, Multi Agent Systems, and Decision Making under Uncertainty.

39 HIC 2011

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on selecting a clinical trial management system for large scale, multi-centre, multi-modal clinical research studyHugo Leroux Simon McBride Simon Gibson

AbstractClinical research studies offer many challenges for their supporting information systems. AIBL assembled 1112 participants who volunteered crucial information for a comprehensive study on neurodegenerative diseases. This paper discusses the shortcomings of the clinical trial management system chosen to record the results of the study. A set of guidelines was devised and a critique of five systems ensued. OpenClinica was selected as the most appropriate option. The main contribution of this paper is: (i) proposing a set of guidelines to determine the appropriateness of Clinical Trial Management Systems (CTMS) solution; (ii) providing a brief critique of existing commercial and open-sourced CTMS; and (iii) alluding to some data migration issues and providing cues on how to address them. We conclude that open-source CTMS are viable alternatives to the more expensive commercial systems to conduct, record and manage clinical studies.

Keywordsclinical trial management systems, clinical study, case report form

ContactDr Hugo Leroux The Australian E-Health Research Centre [email protected]


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ContactJian Liang Computer Science Discipline, Faculty of Science and Technology, Queensland University of Technology (QUT) [email protected]

synchronised integrated online e-health profilesJian Liang Renato Iannell Tony Sahama

Computer Science Discipline, Faculty of Science and Technology Queensland University of Technology (QUT), Brisbane, Australia Semantic Identity, Brisbane, Australia

Web-based social networking applications have become increasingly important in recent years. The current applications in the healthcare sphere can support the health management, but to date there is no patient-controlled integrator. This paper proposes a platform called Multiple Profile Manager (MPM) that enables a user to create and manage an integrated profile that can be shared across numerous social network sites. Moreover, it is able to facilitate the collection of personal healthcare data, which makes a contribution to the development of public health informatics. Here we want to illustrate how patients and physicians can be benefited from enabling the platform for online social network sites. The MPM simplifies the management of patients’ profiles and allows health professionals to obtain a more complete picture of the patients’ background so that they can provide better health care. To do so, we demonstrate a prototype of the platform and describe its protocol specification, which is an XMPP (Extensible Messaging and Presence Protocol) [1] extension, for sharing and synchronising profile data (vCard1) between different social networks.

Keywordssocial networks, online profile manager, e-health, profile synchronisation, integrated profile, multiple profile manager, healthcare social networks, OneSocialWeb

41 HIC 2011

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ict-based visual interventions addressing social isolation for the agedCynthia Duong Anthony Maeder Esther Chang

School of Computing & Mathematics, University of Western Sydney School of Nursing & Midwifery, University of Western Sydney

This paper describes an approach of “visual interventions” to address the effects of social isolation imposed by independent living on the aged. This approach might be effective in situations where it is not possible to provide enough human contact or interaction to stimulate and sustain a positive outlook by the aged person. Two ICT-based visual interventions using this approach are described: a virtual “picture album” concept which can serve as a basis for positive reminiscence, and a virtual “daily assistant” concept to provide advice and reminders on health aspects encountered during daily living. A methodological approach for validating these concepts is also described.

Keywordsaged care, independent living, social isolation, reminiscence therapy, medication management, virtual presence, assistive technology, smart environment

ContactProf Anthony Maeder School of Computing & Mathematics, University of Western Sydney [email protected]


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ContactDr Michael Lawley The Australian E-Health Research Centre [email protected]

mapping the queensland health ipharmacy medication file to the australian medicines terminology using snapperJude Michel Michael J Lawley Amy Chu John Barned

Clinical Information Management, Queensland Health, Brisbane, Australia The Australian E-Health Research Centre, CSIRO ICT Centre, Brisbane, Australia Medication Services Queensland, Queensland Health, Brisbane, Australia National E-Health Transition Authority, Sydney, Australia

An exploratory exercise in mapping approximately 8,000 medication terms from the Queensland Health iPharmacy Medication File to the Australian Medicines Terminology (AMT) was carried out to determine coverage, build specialist knowledge, and inform future clinical terminology strategies. Snapper was the mapping tool selected for this exercise. The Automap function of the tool mapped 39.2% of the items that were successfully mapped, and the remainder were manually mapped. A total of 51.8% of the sample items were mapped to a semantically equivalent AMT concept with 50.0% of terms being mapped to a satisfactory fully specified term, and 1.8% of terms being mapped to a fully specified term that was considered unsuitable for QH clinical purposes. Rules and guidelines on how to deal with the emerging differences between the two terminologies were developed during the course of the project. Snapper was found to be an appropriate tool for this exercise; its functionality is being constantly refined to assist users. As a result, this exercise will provide NEHTA with input for the national scope and content for AMT, and QH will endeavour to prepare the iPharmacy Medication File for future interfaces with other terminologies.

Keywordsclinical terminology, medicines, mapping

43 HIC 2011

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automatic extraction of cancer characteristics from free-text pathology reports for cancer notificationsAnthony Nguyen Julie Moore Michael Lawley David Hansen Shoni Colquist

The Australian E-Health Research Centre, CSIRO ICT Centre, Brisbane, Australia Queensland Cancer Control Analysis Team, Queensland Health, Brisbane, Australia

Objective: To develop a system for the automatic classification of Cancer Registry notifications data from free-text pathology reports. Method: The underlying technology used for the extraction of cancer notification items is based on the symbolic rule-based classification methodology, whereby formal semantics are used to reason with the systematised nomenclature of medicine – clinical terms (SNOMED CT) concepts identified in the free text. Business rules for cancer notifications used by Cancer Registry coding staff were also incorporated with the aim to mimic Cancer Registry processes. Results: The system was developed on a corpus of 239 histology and cytology reports (with 60% notifiable reports), and then evaluated on an independent set of 300 reports (with 20% notifiable reports). Results show that the system can reliably classify notifiable reports with 96% and 100% specificity, and achieve an overall accuracy of 82% and 74% for classifying notification items from notifiable reports at a unit record level from the development and evaluation set, respectively. Conclusion: Cancer Registries collect a multitude of data that requires manual review, slowing down the flow of information. Extracting and providing an automatically coded cancer pathology notification for review can lessen the reliance on expert clinical staff, improving the efficiency and availability of cancer information.

Keywordsautomatic data processing, data mining, disease notification, neoplasm, SNOMED CT, systematised nomenclature of medicine

BioDr Anthony Nguyen is a research scientist in the area of health informatics at the CSIRO Australian E-Health Research Centre. He is leading the research on the Cancer Information Processing and Reporting (CIPAR) project. His research interests include multimedia processing and mining, information retrieval, ontology use, pattern recognition and machine learning.

ContactDr Anthony Nguyen The Australian E-Health Research Centre, CSIRO ICT Centre [email protected]


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ContactDr Anthony Nguyen The Australian E-Health Research Centre, CSIRO ICT Centre [email protected]

interactive visualisation with user perspective for biological data analysisQuang Vinh Nguyen Simeon Simoff Daniel Catchpoole

School of computing and Mathematics, University of Western Sydney, Australia The Kids Research Institute, Children’s Hospital at Westmead Australia

With an astonishing amount of genomic data generated for processing in medical field, it is essential to provide an effective methodology for understanding, reasoning and supporting decision making of large information spaces. This paper presents an interactive interface that provides a mechanism to analyse large scale biological and clinical data. This aims to provide a much greater flexibility and control for the domain experts to interactively customise the visualisation according to their preferences.

Keywordsinteractive visualisation, visual analytics, microarray, gene expression


45 HIC 2011

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healthy connections: 0nline social networks and their potential for peer supportBridianne O’Dea Dr Andrew Campbell Abstract

Social and professional support for mental health is lacking in many rural areas – highlighting the need for innovative ways to improve access to services. This study explores the potential of online social networking as an avenue for peer support. Using a cross sectional survey, 74 secondary students answered questions relating to internet use, online social network use and perceptions of mental health support. Over half of the sample had experienced a need for mental health support with 53% of participants turning to the internet. Results indicate that online social networking sites were used regularly by 82% of the sample and 47% believed these sites could help with mental health problems. The study concluded that online social networking sites may be able to link young people together with others in similar situations. The popularity and frequency of use may allow these sites to provide information, advice and direction for those seeking help.

Keywordsadolescents, mental health, online social networking

ContactBridianne O’Dea The University of Sydney [email protected]


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building an advanced wireless end to end emergency medical systemBasema Saddik, PhD Samir El-Masri, PhD

College of Public Health and Health Informatics, King Saud Bin AbdulAziz University for Health Sciences, Saudi Arabia College of Computer and Information Systems, King Saud University, Saudi Arabia

BioDr Basema Saddik has a background in Health Information Management and Public Health. She worked as an academic in Health Informatics at the University of Sydney for many years and is currently working at the King Saud bin Abdulaziz University for Health Sciences, College of Public Health and Health Informatics in Saudi Arabia.

AbstractEffective communication in healthcare is important and especially critical in emergency situations. In this paper we propose a new comprehensive emergency system which will facilitate the communication process in emergency cases from ambulance dispatch to the patient’s arrival and handover in the hospital. The proposed system has been designed to facilitate and computerise all the processes involved in an accident from finding the nearest ambulance through to accessing a patient’s online health record which can assist in pre-hospital treatments. The proposed system will also locate the nearest hospital specialising in the patient’s condition and will communicate patient identification to the emergency department. The components of the proposed system and the technologies used in building this system are outlined in this paper as well as the challenges expected and proposed solutions to these challenges.

Keywordsemergency; online health record; ambulance; mobile web services; GPS

ContactDr Basema Saddik King Saud Bin AbdulAziz University for Health Sciences [email protected]

47 HIC 2011

machine intelligence for health information: capturing concepts and trends in social media via query expansionXing Yu Su Hanna Suominen Leif Hanlen

NICTA, National ICT Australia, Canberra Research Laboratory, Australia Australian National University, College of Engineering and Computer Science, Australia

Introduction. We aim to improve retrieval of health information from Twitter. Background. The popularity of social media and micro-blogs has emphasised their potential for knowledge discovery and trend building. However, capturing and relating concepts in these short-spoken and lexically extensive sources of information requires search engines with increasing intelligence. Methods. Our approach uses query expansion techniques to associate query terms with the most similar Twitter terms to capture trends in the gamut of information. Results. We demonstrated the value, defined as improved precision, of our search engine by considering three search tasks and two independent annotators. We also showed the stability of the engine with an increasing number of tweets; this is crucial as large data sets are needed for capturing trends with high confidence. These results encourage us to continue developing the engine for discovering trends in health information available at Twitter.

Keywordsblogging, decision support techniques, health information technology, information retrieval, search engine

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ContactXing Yu Su NICTA, National ICT Australia [email protected]


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how accurate is the electronic health record? a pilot study evaluating information accuracy in a primary care settingJustin Tse Wenjun You

Royal Melbourne Hospital Clinical School, The University of Melbourne, Parkville, Victoria Medical Student, Royal Melbourne Hospital, The University of Melbourne, Parkville, Victoria

Background: Electronic health records (EHR) are increasingly used for both administrative and clinical tasks with major implications for patient safety and quality of care. This study aims to determine a baseline EHR level of accuracy present on measurable information fields within an Australian general practice. Methods: Quantitative and descriptive pilot study of patients attending a private general practice. Patients who consented to participate in the study had their patient records reviewed to determine how many items were correct, incorrect or not recorded in each EHR information field. Statistical analysis was performed on the data collected. Results: A total of 33 patients gave consent to participate in this study. High levels of accuracy were found in the area of demographic details (94%). Moderately high levels of accuracy were reported for allergies (61%) but also a considerable percentage of non recorded information was present (36%). Inaccuracies in medication lists were reported in 51% of records reviewed with 32.1% of all medications being inaccurately recorded. While over 91% of participants had a history summary with eight or less items present, omissions were reported for one in every five participants.

There were no significant associations present between inaccurate data and frequency of practice visits or those with more than five past medical conditions listed in the EHR. Conclusion: The study has confirmed that errors and inaccuracies exist in EHR in our Australian pilot study. The pilot study has also allowed us to complete a trial ensuring that a study of this type can be done safely and with correct methodology. As health informatics plays an increasingly important role in health care, studies of this type will better inform practitioners/researchers in designing systems to ensure quality electronic patient information.

Keywordselectronic health records, general practice, information mastery

BioJustin Tse is Clinical Subdean and Director of Programs at Royal Melbourne Hospital Clinical School. He is a lead member in using the electronic health record as a learning tool as part of the new MD medical course at The University of Melbourne. He still retains clinical sessions in private general practice in Melbourne.

ContactDr Justin Tse The University of Melbourne [email protected]

49 HIC 2011

a pilot study on understanding the journey of advanced prostate cancer patientsAmol Wagholikar Maggie Fung Colleen Nelson

The Australian E-Health Research Centre, CSIRO ICT Centre, Brisbane, Australia The Australian Prostate Cancer Research Centre-Queensland, IHBI, Queensland University of Technology, Brisbane, Australia

To understand the journey of advanced prostate cancer patients for supporting development of an innovative patient journey browser. Background: Prostate cancer is one of the common cancers in Australia. Due to the chronic nature of the disease, it is important to have effective disease management strategy and care model. Multi-disciplinary care is a well-proven approach for chronic disease management. The multi-disciplinary team (MDT) can function more effectively if all the required information is available for the clinical decision support. The development of innovative technology relies on an accurate understanding of the advanced prostate cancer patient’s journey over a prolonged period. This need arises from the fact that advanced prostate cancer patients may follow various treatment paths and change their care providers. As a result of this, it is difficult to understand the actual sources of patient’s clinical records and their treatment patterns. The aim of the research is to understand variable sources of clinical records, treatment patterns, alternative therapies, over the counter (OTC) medications of advanced prostate cancer patients. This study provides better and holistic understanding of advanced prostate cancer journey. Methods: The study was conducted through an on-line survey developed to seek and analyse the responses from the participants. The on-line questionnaire was carefully developed through consultations with the clinical researchers at the Australian Prostate Cancer Research Centre-Queensland, prostate cancer support group representatives and health informaticians at the Australian E-Health Research Centre. The non-identifying questionnaire was distributed to the patients through prostate cancer support groups in Queensland, Australia. The pilot study was carried out between August 2010 and December 2010. Results: The research made important observations about the advanced prostate cancer journey. It showed that General Practitioner (GP) was the common source of patient’s clinical records (41%) followed by Urologist (14%) and other clinicians (14%). The data analysis also showed that selenium was the common complementary supplement (55%) used by the patients and about 48% patients did not use any OTC drugs. The most common OTC used by the patients was Paracetamol (about 45%). Conclusion: The results have provided a foundation to the architecture of the proposed technology solution. The outcomes of this study are incorporated in design of the proposed patient journey browser system. A basic version of the system is currently being used at the advanced prostate cancer MDT meetings.

Keywordshealth information systems, emergency department, pathology ordering, HDI

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BioDr Amol Wagholikar is working in the area of health data semantics and clinical decision support systems. He has applied the research in the area of health informatics for various health information system projects. His current research focus is on information retrieval and semantic analysis of clinical data.

ContactDr Amol Wagholikar The Australian E-Health Research Centre, CSIRO ICT Centre [email protected]


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observing effectiveness of pathology ordering controls in emergency departments Amol Wagholikar a John O’Dwyer a David Hansen a Kevin Chu b

The Australian E-Health Research Centre, CSIRO ICT Centre, Brisbane, Australia Department of Emergency Medicine, Royal Brisbane and Women’s Hospital, Brisbane, Australia

Objective: To demonstrate application of data integration technology for observing the effectiveness of interventions to control pathology orders in Emergency Departments. Background: Doctors frequently need to order blood tests in the Emergency Departments as a part of diagnostic set up in Emergency Departments. However, pathology test ordering is excessive and often unnecessary. The excessive ordering of blood test places a significant financial burden on our health care system. It also causes undue discomfort and worry to the patients. There are many interventions employed to control pathology ordering in Emergency Departments. The analysis of effectiveness of interventions is required for improving clinical practices in Emergency Departments. However, the collection and extraction of data on the effects of intervention can be very costly and time consuming. Therefore, there is a need of a technology-based solution to access, query and analyse data residing across different sources. Methods: The research aims to determine efficacy of an intervention called the “Traffic Light System” through a pathology request form used to control the pathology ordering in one adult hospital emergency department. Health Data Integration (HDI) technology was implemented to link and query the data residing at different source systems i.e., pathology and ED information system. The data was extracted from the Emergency Department Information System at an adult tertiary hospital in Queensland. Twenty weeks of pre-intervention data was collected. Twenty weeks of post-intervention data was collected after 32-week transition interval. The data for pre-intervention, transition and post-intervention period was analysed to assess the effectiveness of the intervention in reducing commonly ordered pathology tests such as Full Blood Counts (FBC) and Erythrocyte Sedimentation Rate (ESR). Results: The total number of FBC tests ordered in the pre-intervention period fell slightly in the post-intervention period (mean 42.3 Vs 38.1 per 100 patients). The total number Erythrocyte Sedimentation Rate tests showed a significant declining trend as a result of ED intervention ((2.5 Vs 1.4 per 100 patients, p=0.001). HDI completed the task of data extraction, manipulation and querying in seconds. A manual check of a sample of 200 pathology test orders shows 95.5% sensitivity, which is considered accurate enough for this purpose. Conclusion: Pathology ordering can be reduced using sustainable protocols. This work has demonstrated HDI capability to extract and link pathology data efficiently to evaluate an ED intervention.

Keywordshealth information systems, emergency department, pathology ordering, HDI


ContactDr Amol Wagholikar The Australian E-Health Research Centre, CSIRO ICT Centre [email protected]

51 HIC 2011

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is the biggest security threat to medical information simply a lack of understanding?Patricia A. H. Williams

Connecting Australian health services and the e-health initiative is a major focus in the current health environment. Many issues are presented as key to its success including solving issues with confidentiality and privacy. However, the main problem may not be these issues in sharing information but the fact that the point of origin of such records is still relatively insecure. This paper highlights why this may be the case. Research into the security of medical information has shown that many primary healthcare providers are unable to create an environment with effective information security. Numerous factors contribute to this complex situation including a trustful environment, the resultant security culture and the capability of individual healthcare organisations. Further, the growing importance of new directions in the use of patient information is considered. This paper discusses these issues and positions them within the complex environment that is healthcare. In our current health system infrastructure, the points of origin of patient information are our most vulnerable. This entwined with progressively new uses of this information expose additional security concerns, such as re-identification of information, that require attention.

Keywordsmedical information security, electronic medical records, e-health, reidentification

ContactDr Patricia Williams SECAU – Security Research Centre, School of Computer and Security Science, Edith Cowan University [email protected]


development of an automated physical activity classification application for mobile phonesYing Xia Vivian Cheung Elsa Garcia Hang Ding Mohan Karunaithi

The Australian E-Health Research Centre, CSIRO ICT Centre, Brisbane, Australia University of Queensland, Brisbane, Australia

Background. Physical activity classification is an objective approach to assess levels of physical activity, and indicates an individual’s degree of functional ability. It is significant for a number of the disciplines, such as behavioural sciences, physiotherapy, etc. Accelerometry is found to be a practical and low cost method for activity classification that could provide an objective and efficient measurement of people’s daily activities. Methods. This paper utilises a mobile phone with a built-in tri-axial accelerometer sensor to automatically classify normal physical activities. A rule-based activity classification model, which can recognise 4 common daily activities (lying, walking, sitting, and standing) and 6 transitions between postural orientations, is introduced here. In this model, three types of statuses (walking/transition, lying, and sitting/standing) are first classified based on the kinetic energy and upright angle. Transitions are then separated from walking and assigned to the corresponding type using upright angle algorithm. To evaluate the performance of this developed application, a trial is designed with 8 healthy adult subjects, who are required to perform a 6-minute activity routine with an iPhone fixed at the waist position. Results. Based on the evaluation result, our application measures the length of time of each activity accurately and the achieved sensitivity of each activity classification exceeds 90% while the achieved specificity exceeds 96%. Meanwhile, regarding the transition identification, the sensitivities are high in stand-to-sit (80%) and low in sit-to-stand (56%).

Keywordsactivities of daily living, classification, cellular phone.

ContactDr Hang Ding The Australian E-Health Research Centre, CSIRO ICT Centre [email protected]

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BioJustin Tse is Clinical Subdean and Director of Programs at Royal Melbourne Hospital Clinical School. He is a lead member in using the electronic health record as a learning tool as part of the new MD medical course at The University of Melbourne. He still retains clinical sessions in private general practice in Melbourne.

53 HIC 2011

Michael Lawley, Principal Research Scientist, Australian E-Health Research Centre, CSIRO ICT Centre

Donna Truran, Clinical Terminologist, Australian E-Health Research Centre, CSIRO ICT Centre

Learning Objectives: •Where to start, initial techniques and methods for implementing SNOMED CT.

•Discover the structure of SNOMED CT and how this provides utility for applications and implementations.

•Learn where else to go for information and help.

AbstractClinical Terminology is a key foundation stone of interoperability between electronic health records and clinical information systems. However the use of clinical terminology is currently woefully inadequate. This workshop will address the key questions:

-what is the clinical terminology

-how do I get it into my system in a user friendly manner

-how do I use the information once it is stored in these systems.

These three things have implications for implementer work programs, development/build, investment, compliance and success.

Planned Duration: 90 minutes

Outline of workshop1.What is the clinical terminology?

oStructural and design features which distinguish SNOMED CT

2.How do I get it into my system in a user friendly manner?

oBasic specifications and methods; search algorithms and constraints

3.How do I use the information once it is stored in these systems?

oRetrieval, reporting, upgrade and version management

4.Panel Q&A session

Intended audience and content level

The intended audience for this workshop is those people involved in -Building or upgrading an application to deploy SNOMED CT

-Rolling out SNOMED CT in an application (purchased off the shelf)

-Using SNOMED CT-enabled data downstream

Short biographies of presentersDr Michael Lawley is a Principal Research Scientist at the CSIRO’s Australian e-Health Research Centre where he leads the work on the use, querying and semantics of Clinical Terminologies. Results from this work include:

-the Snorocket reasoner, used in the IHTSDO’s Workbench,

-Minnow, a free SNOMED CT and AMT browsing and visualisation tool, and

-the semantic mapping tool Snapper.

In addition, Michael is a member of the IHTSDO Technical Committee and the standing committee of the Australia Clinical Terminology User Group.

Donna Truran is one of the clinical terminologists at the CSIRO’s Australian e-Health Research Centre. She is the Australian representative to the IHTSDO (SNOMED CT) Content Committee. Donna has worked with SNOMED CT, health information systems and clinical data for over ten years. She has experience in migrating local termsets to SNOMED CT, and in using patient data, encoded in SNOEMD CT for secondary uses.

gEtting to go - implEmEnting snomEd ct


industry

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Nursing Informatics ConferenceInnovation - desirable, possible, viable…Case studies and industry-based initiatives

Papers encompassing the theme and describing the latest progress in nursing informatics

As Australia’s only dedicated one-day national nursing informatics conference, the 2011 program will include invited presentations and peer-reviewed presentations.

A special twilight NIA session will be held between 5:30pm and 7:00pm on the same day.

The session topics include Clinical Knowledge Manager (CKM), Archetypes and Personally Controlled Electronic Health Record (PCEHR) development.

This very special session is free for attendees, but you must bring your laptop and your booking is essential (limited spaces are available).

NIA is known for the quality and relevancy of conference programming and we encourage you to make sure your work (ideas, research, case-study) is part of this event and contributes to our national nursing dialogue.

Monday August 1st 20110815 - 0845 Registration

0815 - 0845 Welcome - Lis Herbert – NIA Chair

0850 - 0900 Conference Opening - Tam Shepherd – Queensland Health Senior Director for eHealth

Session One Chair: Lis Herbert

0900 - 0945Shaping ICT Enabled Care – Possible, Viable, Desirable Nursing Invited Speaker: Janette Bennett - Clinical Director Asia Pac, BT Global Services

0945 - 1030Creating Order from Chaos: Dreams, Desires and Opportunities Major Sponsor: Trend Care Systems Pty Ltd Cherie Lowe, Director

1030 - 1100 Morning Tea

Session Two Chair: Sharon Downman

1100 - 1130 Clinical Systems that Work for Nursing not IT Sponsor: Emerging Health Solutions Elizabeth English

1130 - 1150 NeHTA Update National eHealth Transition Authority, Speaker: Kathy Dallest

1150 - 1210 eNursing Governance Competency Standards Evelyn Hovenga – eHealth Education

1230 - 1315 Lunch

Session Three Chair: Jo Foster NIA Executive

1315 - 1400 Topic: TBA Invited Speaker: Anthony Fanning, Director Healthe Pty Ltd

1400 - 1420Midwives and Perinatal Data Entry: An Analytical Approach to Understanding Process Alison Craswell, Registered Nurse, PhD student QLD Health Nambour Hospital Nambour Hospital

1420 - 1440It is all about the journey... An Introduction to Electronic Patient Boards within QLD Susan Moller, Centre for Healthcare Improvement, Queensland Health

1445 - 1515 Afternoon Tea

Session Four Chair: Marian Linnane

1515 - 1545Critical Success Factors in Clinical Transformation Judy Van Norman, Registered Nurse

1555 - 1600Summary and Closing Remarks – NIA Chair Lucky registration draw

1600 - 1730 NIA Annual General Meeting - all members welcome (drinks /nibbles)

1730 - 1900Post Conference Twilight Session – free entry Clinical knowledge management, archetypes, PCEHR Bring your own laptop. Registration is essential Register online www.hisa.org.au/hic2011events_nursing


associatEd EvEntsDigital Hospital DesignDesigning the Next Generation Emergency DepartmentArchitects, engineers, designers, IT professionals and clinicians will converge together at the Digital Hospital Design Workshop, being held as part of HIC, Australia’s largest e-health conference. The DHD Workshop premiered in Australia in 2010 and on the back of the success of this event, this year’s DHD event will have a specific focus on the emergency department of hospitals.

Health services are facing increasing challenges with a growing ageing population. Providing high quality, equitable and affordable health is a major challenge for all societies. The Digital Hospital Design workshop is an opportunity for clinicians, IT and facility planners to consider the issues and generate ideas to address the challenges of healthcare delivery.

An innovative ‘Mash Up’ approach is being taken to the program for this one-day event. The Digital Hospital Design Mash Up is a multidisciplinary approach to rapidly consider the challenges of improving health care by focussing on the Emergency Department as a microcosm of the health service challenge. The Mash Up will engage clinicians, change managers, IT professionals, architects and engineers in a workshop approach to consider the challenges and current approaches to improving health services.

We will discuss how to physically design a space and engage information technology that empowers and

choreographs the complex process of emergency care. We will do this not only by providing leading industry speakers in the fields of architecture, engineering and information technology, but we will also enable the audience to directly engage in the modelling of new emergency department designs. This audience will be able to share their insights in ways that will provide deeper understanding of the issues and best approaches for solutions in the Australian hospital eco system.

As the gateway into acute care, the emergency department is under siege. There is a widening and often reported gap between rising demand and the ability of our healthcare system to meet expectations and deliver timely, high quality healthcare services.

How to address the increase in demand in ways that will deliver both high quality and equitable care is a major national challenge. It will require innovative, multidisciplinary solutions that can start from before a hospital is built. This event will bring together leading clinical, architectural and health IT expertise to examine how to deliver these solutions.

The Digital Hospital Design Mash Up runs on Monday 1 August 2011 at the Brisbane Convention and Exhibition Centre in association with HIC.

Provisional ProgramTime Speaker Title

8:30-8:40 Brendan Lovelock Welcome and Program Overview

8:40-9:20 Sally McCarthy The Challenges in Australian ED’s

9:20-10:00 Johanna Westbrook The Way Clinicians Interact in Emergency Departments10:00-10:20 Morning Break

10:20-11:00 Paul Barach Clinical Safey and Design in the ED

11:00-11:40 Ian Forbes Built Environment and its impact on Hospital Performance

11:40-12:20 David Hansen Modelling of ED Demand. The Predictive Patient Analysis Tool

12:20-1:00 Katerina Andronis, Debbie Neilsen and Gayle Smith Emergency Department Journey in the new world

1:00-2:00 Lunch

2:00-2:40 Ian Gibson Modeling the ED Processes in Australian Hospitals

2:40-3:30 Brendan Lovelock (workshop chair) Facillitated Design Workshop

3:30-3:45 Afternoon Break

3:45-4:30 Brendan Lovelock (workshop chair) Facillitated Design Workshop

4:30-5:30 John Zelcer (Panel chair) Panel Discussion of workshop outputs

Next Day Release of workshop outputs and online discusison

Designing the Next Generation Emergency Department

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G4H Games for HealthThere is growing recognition of the serious side of videogame play. ‘Games for Health’ is an important and internationally recognised field of medical and health researchers who apply videogame technologies to clinical issues. They work within the health and research system and collaborate with game developers and gaming console designers and manufacturers.

The aim of this event is to highlight the ways in which health researchers are working with videogame technology and to bring together people who are working in or have an interest in the development and

application of gaming technology in the health sector.

The program includes leading edge researchers, an interactive demonstration of different game solutions and a panel discussion between game developers and health researchers to explore the key issues for building a Games for Health community in Australia.


Indigenous Informatics ConferenceThis Roundtable Meeting will explore the potential and challenges of using e-health technologies and data analytics to improve health services for, and the health of, Australia’s indigenous people. It will describe the current ‘state of the art’, identify areas for improvement and articulate barriers to be overcome. Current strategies and developments in Australia will be outlined and compared with those in New Zealand and Canada. As well as providing participants with a clear view of Australia’s indigenous informatics landscape, the Roundtable will generate recommendations on practical actions that can be taken to improve indigenous health via contemporary informatics strategies.

Confirmed speakers include:

Teresa Wall - Deputy Director General, Maori Health, Ministry of Health NZ

Don Newsham (Canada), developer of the national e-health strategy for the First Nations and aboriginal communities of Canada.

Selwyn Button - Chief Executive Officer, Queens land Aboriginal and Islander Health Council

Monday 1st August 0800 -1730 Preliminary ProgramDate and Time Agenda Item Comments

8.00 – 9.00 Registrations Open

9.00 – 9.15 Welcome to Country

9.15 – 9.30 Opening address form workshop chair Tam Shepherd ( until alternative identified)

9.30 – 10.15 Laying the challenge- what is the current state and where are the issues. Invite Selwyn Button QAIHC

10.15 – 11.00 Facilitated discussion to identify barriers Chair to facilitate

11.00 – 11.20 Morning Tea

11.20 – 12.30 The international experience Canada and New Zealand

12.30 – 1.10 Lunch

1.10 – 2.30 Local experience NT and QLD

2.30 – 3.30 Strategy Areas – Panel discussion on the key focus areas for an indigenous strategy Facillitated Design Workshop

3.30 – 5.30 Action plan within strategy areas. Small Group session Chair to facilitate

Next Day

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associatEd EvEnts

Aged Care Informatics2011 Aged Care Informatics Conference will be an important occasion to celebrate our achievements, our people, our systems, and our world-class aged care informatics, research developments and implementations.

The conference is for the e-health and aged care informatics community to share and network with peers and be part of the movement to support health reform for Australia and the region.

The conference will have a busy program. Eric Dishman, Director, Health Innovation and Policy, Intel Corporation, the world leader in the field, will present the current status of IT innovation in home care.

There are also plenary speakers, presentations, panel discussions and workshops on local, state, and international experiences, programs and research.It will highlight advancements in the field where we are at, what is needed and where we are going.

The 2011 Aged Care Informatics Conference welcomes all people with an interest in aged care and the application in the sector to join them for this event.

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hic 2011 Exhibition

Booth Organization12 3M Australia Pty. Limited 48 Meridian Health Informatics Pty Ltd

51 Advantech Australia 75 Microsoft Pty Ltd

7 Barcode Dynamics Pty Ltd 7 Mondelio Worldwide

29 BigHand Software 2 Motorola Solutions

4 Care Innovations 46 National E-Health Transition Authority (NEHTA)

35 Cerner Corporation Pty Limited 54, 55 Object Consulting

52 Charm Health 28 Orion Health

67 Cyberscience Corporation 33 Pen Computer Systems Pty Ltd, RACGP Oxygen

8 and 9 Database Consultants Australia 21,22,23,24 Price water house Coopers

71,72,73,74

Department of Employment Economic Development and

innovation DEEDI

25 Queensland Health

69 Surgical Multimedia Services

32 Department of Health and Ageing 76 Surity

43 DH Technology 30 Te.Com

10 Emerging Health Solutions 28 The Australian e-Health Research Centre

38,39,40,41 Epic 68 The Improvement Foundation (sharing RACGP Oxygen Booth)

45 Epson Australia Pty Ltd 56 TrendCare

6 Health IQ Pty Ltd 3 Tunstall Healthcare

26 IBM 59 Wi Protect Pty Ltd

50 InterSystems Winscribe

5 IP Health Pty Ltd


associatEd EvEnts

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hic 2011 Exhibitiors3M Australia Pty. Limited Booth 12

Contact: Gail Harris - Marketing Co-ordinator 950 Pacific Highway, Pymble NSW 2073 t: +61 2 9498 9499 e: [email protected] w: www.3M.com/HIS

3M Health Information Systems(HIS) is a leading provider of software solutions and services that assist healthcare organisations capture, classify and utilise data accurately and efficiently. Built on a foundation of over 27 years of Health Information Management, 3M works as a trusted and stable business partner to provide reliable implementation, training and support services. We help our customers solve their healthcare challenges in documentation, coding and reimbursement, and electronic record management. Our core capabilities include: Coding, Grouping and Reimbursement - 3M Codefinder software is a comprehensive package of coding and grouping tools contains sophisticated, clinically-driven logic paths that can help coders find the specificity in the documentation. 3M Core Grouping Software allows the grouping of all ICD-10-AM based classifications into any version of Australian Refined Diagnosis Related Groups (AR-DRG). Patient episodes can be grouped interactively one at a time, or in a batch. Document Management and Scanning - 3M HIS Document Management and Scanning products and services empower healthcare organisations increase the usability of their patient data while increasing efficiency and reducing risk exposure ... all with a lower cost of ownership. Dictation and Transcription- Our 3M Dictation and Transcription products enable healthcare organisations to enhance existing workflows and provides clinicians’ the flexibility of being able to dictate anytime, anywhere. We offer a unified enterprise solution to dictate, transcribe, sign, and distribute efficiently.

Advantech Australia Booth 51

Contact: Brad Waters NSW, Lindsay Brown VIC Key Account Manager PO Box 328, Dingley Village VIC 3172 | 1/3 Southpark Close, Keysborough VIC 3173 t: +61 3 9797 0100 e: [email protected] w: www.advantech.net.au

Medical, clinical and healthcare settings have unique requirements for electronic products in terms of sealed units, thermal and acoustic properties, electromagnetic interference control, longevity, certification, and adherence to strict rules and regulations. Certifications such as UL60601-1, EN60601-1, and ISO 13485, ensure the quality of design and manufacturing of medical devices. Advantech is a leader in providing a wide range of certified computing systems and services for the world’s largest medical technology providers. We have a full range of medical products to fit all application, R&D teams dedicated to medical technology research and implementation, extensive customisation capabilities, and a global sales and service organisation that guarantees rapid time-to-market and dedicated local support. Our medical range includes: Nursing Care - In the nursing care process, Advantech provides Mobile Clinical Assistants (MCA) and Point-of-Care Terminals integrated with nursing carts to increase data recording accuracy and prevent medication errors. Patient Infotainment - The all-in-one bedside terminal providing multimedia entertainment and communication choices. The terminal also benefits staff by providing secure access to electronic patient data remotely with an optimised hospital workflow as a professional diagnosis aid.Patient Monitoring - Sophisticated information technologies are required to monitor patients’ vital signs, manage clinical information and support informed decision-making. Medical Imaging - There is a need for high-quality image display products for x-ray, ultrasound, surgery monitoring systems, and endoscope visualisation, as well as a variety of PACS and DICOM applications.

BigHand Software Booth 29

Contact: Alan Leung - Sales and Account Management Assistant Level 14, 309 Kent Street, Sydney NSW 2000 t: +61 2 9994 8933 e: [email protected] w: www.bighand.com

The BigHand for healthcare solution replaces tape and paper based systems used in medical dictation, transcription and transmission. Designed for Clinicians, Medical Secretaries and Service Level Managers who are all provided with an intuitive, easy to use interface enabling them to easily create, track, transcribe and manage workloads, as well as allowing them to leverage additional options such as Speech Recognition, Outsourcing or smartphone-based dictation. Record, edit and send digital voice files, dictations or verbal memos-to-self. Prioritise urgent work or set alerts to ensure important items get expedited. Attach documents or important links to dictations. Use limitless and configurable workflows. Track the live progress of work you have assigned to individuals or teams. Mobilise clinical staff by using BigHand for BlackBerry, iPhone, Android or Windows Mobile Share dictations with central admin resources, maximising internal capacity. Reduce training barriers with the Speech Recognition Pre-enrolment Tool Send profiled dictations with a single click with Clinic Builder Outsource dictation securely to a transcription agency .With an Asia-Pacific HQ in Sydney, BigHand enables medical professionals to get more done in their hospital or practice using their voice. With over 135,000 users of our digital dictation software and 1,300 customer organisations, including 26 hospitals in the UK’s NHS, BigHand is a global leader in developing dictation and speech technologies that deliver efficiency gains and cost savings.


hic 2011 ExhibitiorsCare Innovations Booth 4

Contact: Dr George Margelis – Managing Director Care Innovations An Intel GE Company t: +61 4 09744351 e: [email protected] w: www.careinnovations.com Shaping the future with new care models

Intel-GE Care Innovations™ is a new company aimed at being a catalyst for changing health care models. To do so, we create technology-based solutions that give people confidence to live independently.Care Innovations has been formed from a combination of GE Healthcare’s Home Health Division and Intel’s Digital Health Group. We’re proud to carry with us a legacy of product excellence, leadership in health care solutions and advocacy, and world-class innovation. Our customers are our driving force. We are committed to collaborating with you to deliver human-centred solutions that people will use. Today, we deliver products and services to support current and future care models in three core areas: disease management, independent living and assistive technologies. These products support healthy, independent living at home and in senior housing communities around the world. Moving forward, we envision our family of products working together seamlessly via a unified technology platform with interoperable components. The possibilities in transforming health care inspire us. We’ll continue to leverage the innovative research led by our parent companies, Intel and GE on improving care in clinical environments, advancing personal health technologies for the home, identifying new care models and work practices, and promoting standards and policies that enable innovation and interoperability across the health care ecosystem.

Cerner Corporation Pty Limited Booth 35

Contact: Michelle Davis - Marketing Manager, Asia Pacific Level 14, 1 Pacific Highway, North Sydney NSW 2060 t: +61 2 9900 4800 e: [email protected] w: www.cerner.com

As a global leader in the healthcare information technology industry, Cerner is changing the face of healthcare as you know it today. Celebrating more than 30 years globally and nearly 20 years in Australia, Cerner continues to be at the ‘Frontier of Health Informatics.’ Building on our high-quality solutions, we continue to push boundaries by ushering in a new generation of intelligent medical devices and leveraging clinical and pharmaceutical data for new discoveries. Cerner Millennium®, the first person-centric, unified information architecture, is grounded in a Role- Venue-Condition universal design framework that enables clinician workflow to seamlessly span role and venue. Equally important, Cerner provides 24x7x365 support and offers innovative monitoring capabilities that allow clients to proactively address issues before they arise. Be sure to stop by Cerner booth 35 on the exhibition floor for a demonstration of the Cerner Smart Room, an innovative hospital room that improves patient care and clinician efficiency.

Charm Health Booth 52

Contact: Dr Danielle Stowasser – CEO Suite 13, 65 MacGregor Terrace, Bardon QLD t: +61 7 3512 5300 e: [email protected] w: www.charmhealth.com.au

charmhealth is a specialist health information management company providing unique and creative solutions to support the clinical and business operations of healthcare providers. charmhealth develops workflow enhancing software systems to support multi-disciplinary teams involved with the care of patients in the specialist areas of cancer, radiotherapy, acute management and chronic diseases such as renal, diabetes and cardiac disease. Our solutions include oncology information management, electronic medicines management (eMM) and electronic medical records (EMR). Our mission is simple – create information solutions that maximise patient safety and enable healthcare providers to focus on their direct patient care activities. We do this by supporting clinicians with tools that improve communication and that automate repetitive and time consuming tasks. At the same time, we preserve an individualised approach to care within the complex clinical requirements of specialist care. Our solutions are developed by and in consultation with clinicians. Driven by the latest Microsoft technologies, (.Net and Silverlight) they offer the clinician a rich and visually intuitive experience for patient centric decision support. CHI-Datum is built in this environment and underpinned by a sophisticated platform founded on more than ten years of industry experience through another of the company’s products: CHARM Oncology Information Management System.

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Cyberscience Corporation Booth 67

Contact: Keith Brady - Business Development Level 2, Building 2, 20 Bridge Street, Pymble NSW 2073 t: +61 2 9988 4800 e: [email protected] w: www.cyberscience.com

Cyberscience bridges the gap between Health Providers and the information they need to perform effectively. Our reporting solution, Enterprise Cyberquery (eCQ) can link multiple applications and databases, providing unparalleled access to information and reports not provided by core business applications. eCQ has been adopted by Health Providers using business systems such as iSOFT and Cerner to enhance productivity and reduce costs. The result of over 30 year’s development, eCQ is easy-to-use, powerful and fast. Couple this with Cyberscience staff’s experience in the needs of Health Professionals, and you have a winning solution to a major problem. eCQ supports applications in the area of Patient Administration, Finance, Supply & Inventory, Aged Care, Community, HR and many more. eCQ supports many different databases, some of the better known are Oracle, SQL Server, Progress, DB2, MY SQL, Informix, C-ISAM and there are many others. Are you having problems getting the reports and forms you need? Or maybe you’d like to link data from your Time and Attendance, Finance application or budget details from your Excel spreadsheet to your PAS? You may be a candidate for our free Test Drive, where eCQ is installed and configured to work real time, in your Production environment. Give it a try. You will be delighted.

Database Consultants Australia Booth 8 & 9

Level 5 355 Spencer Street, West Melbourne VIC 3003 t: +61 3 9320 9000 e: [email protected] w: www.data.com.au

Database Consultants Australia (DCA) is an innovative database development, data management and software development company. We specialise in providing business critical systems for a range of health and community services organisations. Our flagship product tcm7 is used by over 200 organisations throughout Australia in a variety of settings to support the delivery of aged care, community care, disability services and mental health. tcm meets the needs of a variety of government based reporting formats to comply with federal and state requirements, as well as sophisticated facilities to manage staff rostering, client assessment and care planning. The Human Services Directory (HSD) developed in partnership with the Department of Health Victoria provides a state-wide repository of service provider information by organisation, site and Individual practitioner. Using our highly acclaimed Argus and Connectingcare e-health products DCA provides secure messaging, online templating, interoperability, and e-referral specifically developed to meet the existing and emerging standards in Australia. DCA is well known for the provision of custom development, data quality, large system data migration and data hosting services for large corporate and government organisations.

Department of Employment Economic Development and Innovation (DEEDI) Booth 71-74

MacroHealth Solutions

MacroHealth Solutions provides Geographical Information Systems (GIS) services and products primarily to the health market, enabling clients to improve utilisation of their health care expenditure through increased bed utilisation, advanced forward planning and research tools. Customers vary from Bed Managers and Hospital Management to Health Researchers and Community Care teams.

Totalcare

Founded in 1994 Totalcare has engineered and successfully delivered solutions from small practitioners, globally distributed groups, specialists, day and overnight hospitals. Offering a fully integrated Administrative and Clinical software system with a focus on modularity, workflow and connectivity, Totalcare is designed to improve the efficiency and effectiveness of a medical environment.

i.on my Care by THOUGHTWARE

Provide aged care, community care and acute hospitals with the appropriate tools to help address Governance, Risk Management, Compliance and Accreditation requirements. i.on my Care will contribute to good daily practices by continually striving to standardise policies, procedures and practices and streamlining delivery with a focus on continuous improvement.

Extensia Pty Ltd

Extensia provides hosted Shared Electronic Health Records and intuitive Referral and Directory Systems. There are no hardware costs and the systems can be branded for your business. There is a one-click integration with clinical desktop systems. Explore PCEHR technology with us.

hic 2011 Exhibitiors


Department of Health and Ageing Booth 32

Gold Sponsor

w: www.health.gov.au

The Australian Government Department of Health and Ageing promotes better health and healthier ageing for all Australians through a world-class health system that meets people’s needs through their life. The Department also aims to improve safety, quality and efficiency of health care through better management of health information.

The Department of Health and Ageing eHealth Division is responsible for implementing the Australian Government aspects of the National E-Health Strategy, including the Personally Controlled Electronic Health Record System, national privacy and regulatory frameworks for e-health, and working with states, territories and stakeholders in a collaborative approach to growing sector-wide e-health capability.

DH Technology Booth 43

Contact: Warwick Dennett - National Business Manager - Healthcare 39 Leighton Place, Hornsby NSW 2077 t: 1300 DH TECH e: [email protected] w: www.dh4healthcare.com

DH4Healthcare is the healthcare division for Australia’s leading specialist IT hardware distributor, DH Technology.As part of this division, DH4Healthcare.com provides product information and resources to the Australian healthcare and aged care community, including the latest healthcare-specific hardware devices. All products are carefully selected to ensure they are best-of-breed, purpose-designed, purpose-built, and purpose-fit for acute and community healthcare. DH4Healthcare.com also provides information about devices being used by specific software suppliers, including Cerner, iSoft, Ascribe, ISOH, CHARM, and others, providing users with valuable insight into the industry’s best practices in the deployment of these applications in their specific environments. Ergotron healthcare solutions, a key product range of DH4Healthcare, offer smart point-of-care mounting and mobility solutions for your entire facility. Ergotron allows computer systems to be easily and ergonomically positioned—minimising space requirements and maximising efficiency for users, and brings patient data wherever you need it—connecting you, your patients and their information. Since 1982, Ergotron has been providing ergonomic computer mounting and mobility products, has the lowest total cost of ownership in the industry, and is compliant with industry safety standards. DH4Healthcare products are available via a select network of IT resellers, including all of the major healthcare system integrators.

Emerging Health Solutions Booth 10

Contact: Richard Hutchinson - Director – Business PO Box 6828 Baulkham Hills DC SYDNEY NSW 2153 t: +61 2 8853 4700 e: [email protected] w: www.emerging.com.au

Winner of the 2010 NSW State iAwards for e-health - Emerging Health Solutions (EHS) is a web based Clinical Information System for the Hospital and Human Services Sector. Our EHS product has been used by our valued clients to provide the multi-disciplinary team with a unique tool set, based around customisable patient care guides. An incorporated rules engine allows the client to optimise their clinical workflow.The focus of EHS is to provide automated support for everything that happens in a Hospital ward or Healthcare Service including:Patient Assessments, including Pre-Admission,Allergies & Alerts Care Planning, Clinical Documentation, Orders & Reporting, Discharge Summary, Specialist Department Systems. Our prestigious list of clients includes:- South Australian Government Department of Health - enterprise-wide solution for all South Australian Public Hospitals. Sydney St Vincent’s Private Hospital, Sydney St Vincent’s Public Hospital, Mater Hospital, Sydney, EHS modules work seamlessly with your systems via our integrated interface engine which accepts HL7 and other accepted Health IT standard protocols complying with the Australian Technical Specification: ATS 5822:2010 – eHealth Secure Message Delivery.


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Epic Systems Corporation Booth 8,39,40,41

Platinum Sponsor

Contact: Terri Leigh Rhody - Director of Marketing e: [email protected] w: www.epic.com

Epic software is the information backbone for a relatively small number of large, highly respected healthcare organisations. Physicians using Epic software care for more than 100 million patients worldwide. Because a single system holds the entire hospital, clinic and home record, organisations can improve quality and safety while lowering costs.

TOO SHORT??

Epson Australia Pty Ltd Booth 45

MISSING

Health IQ Pty Ltd Booth 6

Contact: Paul Hirst - CEO 7/663 Victoria Street, Abbotsford VIC 3067 t: +61 3 9425 8000 e: [email protected] w: www.healthiq.com.au

Health IQ has a track record of over 10 years in Data Warehousing, Patient Flow, Event Notification, Integration (including Java CAPS, HL7 messaging), Business Intelligence, Report Development and bespoke application development for public and private hospitals throughout Australia. Depth and breadth of health and technical knowledge has enabled Health IQ to successfully deliver solutions to some of Australia’s largest hospitals. The Health Central data warehouse enables analysis of information from a single source. With a proven record of robustness and reliability at large Health Organisations, Health Central aggregates data from multiple sources, making information available to business users. Patient Flow Manager enables staff throughout a health organisation to quickly assess and manage capacity and demand across a ward, a hospital or across multiple hospitals. Messenger collates information for transmission as Event Notifications from hospitals to primary carers. Health IQ provides end to end integration services, using flexible architecture for rapid and reliable deployment. Services include interface development, HL7 transformations, and a comprehensive Managed Service which includes 24 x 7 support. Closing the loop between data capture and business decision making, Health IQ also offers Business Intelligence and Report Development services to extract and present information from complex health systems.



Health Informatics Society of Australia (HISA) Booth

Contact: Dr Louise Schaper, CEO 1A / 21 Vale Street, North Melbourne VIC 3051 t: +61 3 9326 3311 e: [email protected] w: www.hisa.org.au

The Health Informatics Society of Australia (HISA) is a membership based not-for-profit organisation which has been supporting and representing Australia’s health informatics and e-health community for almost 20 years – that’s right, before the Internet was invented!

HISA aims to improve Australian healthcare through the use of technology and information.

We provide a national focus for e-health, health informatics, its practitioners, industry and a broad range of stakeholders

Support, promote and advocate on behalf of our members

Provide opportunities for networking, learning and professional development

Are effective champions for the value of health informatics

HISA members are part of a national network of people and organisations building a healthcare future enabled by e-health. Our membership base includes technology companies, ranging from start-ups to mature multinationals, government, healthcare organisations, research institutes and universities, clinicians, health informaticians, specialist service professionals, corporate, individual and student members from Australia and overseas.

HISA has representation across Australia, providing a national network to support members and promote our industry. Our structure is a not-for-profit limited guarantee company managed by a Board elected by members in line with the HISA Constitution.

HISA, Australia’s national health informatics and e-health organisation since 1993, manages the national Health Informatics Conference (HIC) annually.

HISA events are industry events. They are led by and for you. HISA events support Australia’s health informatics and e-health community.

HISA membership is open to individuals and organisations with an interest in health informatics and e-health. Join the growing community of organisations and individuals who are committed to, and passionate about, health reform enabled by e-health.


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IBM Booth 26

Contact: Megan Kennedy - Senior Advisory Marketing Lead - Health & Education t: 13 24 26 e: [email protected] w: ibm.com/healthcare/au

IBM is a global technology and innovation company that stands for progress. With operations in over 170 countries, IBMers around the world invent and integrate hardware, software and services to help forward-thinking enterprises, institutions and people everywhere succeed in building a smarter planet. With a 78 year history in Australia, IBM has been applying its expertise, global scope and creativity to help Australia compete in the global digital economy. We also lead the market in exporting $A592 million of software, services and human capital to the Asia Pacific region. By working with major government departments, large Australian companies and equipping a legion of entrepreneurs, IBM makes a significant contribution to the Australian economy. Each year, IBM creates high value jobs by investing in research and development both in metropolitan and regional Australia. In 2009, IBM Australia Limited generated revenues of $A4.17 billion, and a profit of $240 million. Widely recognized as an employer of choice, IBM holds numerous awards for its industry-leading employment practices and policies.

InterSystems Booth 50

Silver Sponsor

Contact: Lindsay Kiley, Marketing Director, Asia Pacific Level 12, 383 Kent Street, Sydney NSW 2000 t: +61 2 9380 7111 e: [email protected] w: www.InterSystems.com.au

InterSystems Corporation is the worldwide leader in Breakthrough Solutions for Connected Care. With headquarters in Cambridge, Massachusetts, and offices in 23 countries, InterSystems provides advanced software technologies for breakthrough applications. InterSystems TrakCare™ is a Web-based healthcare information system that rapidly delivers the benefits of an Electronic Patient Record. InterSystems Ensemble® is a seamless platform for integration and the development of connectable applications. InterSystems HealthShare™ is a platform that enables the fastest creation of an Electronic Health Record for regional or national health information exchange. InterSystems DeepSee™ is software that makes it possible to embed real-time business intelligence capabilities in transactional applications. InterSystems CACHÉ® is a high performance object database that makes applications faster and more scalable. For more information, visit InterSystems.com.

IP Health Pty Ltd Booth 47

Contact details

IP Health Pty Ltd (IP Health) provides a suite of products that offer a clinical workbench for hospital based clinicians and a path from a paper based patient record system to a unified view of patient information from anywhere, whether that be from a desktop PC or a mobile device. The suite of products is known as Verdi. Verdi stands for Virtual Electronic Data Integrator. Verdi is an Australian product, born and bred for the Australian clinical environment. The founder of Verdi spent over 26 years working for a large hospital and research centre in Victoria, Australia, where the prototype for Verdi was conceived at the grass-roots level with clinicians for clinicians. The commercialisation of Verdi brought with it radical advancements in its architecture, allowing it to make its offering to all hospitals in Australia, regardless of size or specialty. The valuable insights and experiences of Verdi’s original founder remain in-house at IP Health, ensuring ongoing development and growth of a wholesome and complete product, with the needs of the hospital and the clinician at its core.



Meridian Health Informatics Pty Ltd Booth 5

Contact: Dr M Barnet – Director 302/55 Holt Street Surry Hills NSW 2010 t: +61 2 9212 6055 e: [email protected] w: www.meridianhi.com

Meridian Health Informatics is a leader in provision of clinical and health data collection software to the public and private health sectors. Our award winning software Clinixian, has been successfully used to develop healthcare systems for obstetric and perinatal care, drug & alcohol and sub-acute/non-acute data collection systems. Clinixian technology enables users to build a system to meet their unique requirements. Fully integrated systems can be created rapidly and at much less cost and risk than by using a conventional software development approach. The maternity and perinatal care solutions are widely used in NSW, QLD and Tasmania by both public and private health sectors, recording over 70,000 births last year. A clinical assessment and cost weighting solution using Clinixian has been implemented across NSW for use by rehabilitation, palliative care and psychogeriatric care facilities. Clinixian uses an archetype based technology that enables the customer to encapsulate clinical knowledge in the form of terminology, constraints and rules. This knowledge database, referred to as a clinical ‘model’ is tightly coupled to the patient browser application and regulates functionality and behavior of the user interface. This approach accommowwdates the evolving nature of clinical meta-data and enables the development of data collection systems that are fundamental to evidence based medicine.

Microsoft Australia Pty Ltd Booth 48

Gold Sponsor

Contact: Renee Cathcart - Public Sector Marketing Manager t: +61 2 9870 2157 e: [email protected] w: http://www.microsoft.com/en/au

Microsoft is committed to improving health around the world through software innovation. Over the past 13 years, Microsoft has steadily increased its investments in health with a focus on addressing the challenges of health providers, health and social services organisations, payers, consumers and life sciences companies worldwide. Microsoft closely collaborates with a broad ecosystem of partners and delivers its own powerful health solutions, such as Amalga, HealthVault, and a portfolio of identity and access management technologies acquired from Sentillion Inc. in 2010. Together, Microsoft and its industry partners are working to deliver health solutions for the way people aspire to work and live.

Mondelio Worldwide Booth 75

MISSING

Mondelio is an Australian based Information Technology (IT) product company that has been operating for the past 20 years building modelling tools in the Health, Mining, Local Government and Utilities sectors. Mondelio combines a fully functional relational database and proprietary modelling solution as an integrated business tool. The application offers time effective, accurate and secure information for real- time corporate planning and forecasting, giving organisations greater control of the company’s future. Mondelio solves business challenges by simultaneously managing a combination of historical and predictive data. Our models for the Health industry include but are not limited to Patient Management System, Security Scenario Management, Workflow Analysis, Capital Expenditure Model, Labour Model, Revenue Model. Mondelio is a multi-user corporate modelling solution designed to simulate and forecast future financial performance from historical data. Mondelio provides sophisticated analytics for all types of organisations. The complex structure of modern-day corporations demands the need for sophisticated analytics. Mondelio’s strengths are in building ‘What if?’ scenarios and models that apply applications that address the increasing pressures and meet the most challenging demands of all types of organisations. It eliminates the need to slice and dice data to obtain the required result as matrices and vectors provide extremely rapid calculation and consolidation. The quality of the Mondelio solution and the company’s policy to deliver on promises means a high return on investment (ROI).


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Motorola Solutions & Barcode Dynamics Pty Ltd Booth 7

Contact:

In healthcare, safety, accuracy and speed are vital. Using technology to improve the precision and efficiency of patient care can reduce liability and save lives. Motorola offers rugged, sealed mobile devices that are easily cleaned to maintain a safe and sterile environment. Our mobile solutions help healthcare providers offer optimum patient care, while reducing the risk of human errors in the hospital, laboratory, pharmacy or donor center. Wireless technology can connect physician offices with doctors, patients with nurses, and supplies can be readily available. The result is increased safety while limiting risk, without adding more resources.

Barcode Dynamics Pty Ltd is an Australian company specialising in the design and development of work force mobility solutions for our clients. Partnerships with several international vendors such as Motorola, Zebra Technologies and Motion Computing, combined with in-house software development and application deployment, enable the company to provide end to end solutions encompassing mobile computing, wireless networks, bespoke software development and integration for multi-site organisations.

Barcode Dynamics has an established relationship with Queensland Health, on a number of projects. Current projects include the Patient Automated Arrival application for greater efficiency and queue management at the admissions stage. We supply the FAMMIS stock take solution, integrating into SAP for materials and asset management. Existing GITC compliance and Standing Offer Arrangements with Queensland Health add to Barcode Dynamics’ ability to support work force mobility solutions with the organisation.

National E-Health Transition Authority (NEHTA) Booth 2

Platinum Sponsor

Level 25, 56 Pitt St, Sydney NSW 2000 t: +61 2 8298 2600 e: [email protected] w: www.nehta.gov.au

NEHTA was established by the Australian Commonwealth, State and Territory governments in 2005. It aims to develop better ways of electronically collecting and securely exchanging health information, to: improve the quality of healthcare services, allowing clinicians to more easily access accurate and complete information about their patients; streamline the care of people with long term illness, who need to be looked after by many different health professionals, by enabling seamless handovers of care through for example electronic referrals and discharge summaries; improve clinical and administrative efficiency, by standardising certain types of healthcare information to be recorded in electronic systems; uniquely identifying patients, healthcare providers and medical products; and reforming the purchasing process for medical products; while maintaining high standards of patient privacy and information security.

Object Consulting Booth 46

Contact:

InfoMedix is Australia’s largest medical records scanning system provider, with more live sites than any other vendor. We provide an Australian solution backed by considerable local resources that understand the needs of Australian hospitals. With an active local User Group, our clients benefit from each others’ experiences in terms of and business case development, planning, implementation and integration with other systems. The solution is designed to help health services better manage their patient medical records and includes the following major optional features:Scanning, Clinical Viewing, Electronic Results Electronic Forms Management, HIS Management, Security and System Management. The system can be seen as “the home of the medical record” to make it easier for Health Information Services to manage the record and perform functions such as record exports for FOI and other purposes. Over time, more and more paper forms in the paper record will be replaced by (InfoMedix or other) electronic forms and specialist clinical systems. In this way, the scanned record is a transitional step toward a full electronic medical record in the future. It can be easily linked to clinical systems for easy access to the scanned component of the record. In this way, the scanned record is a transitional step toward a full electronic medical record in the future. The InfoMedix system can be easily linked to clinical systems for immediate access to the scanned component of the record.



Orion Health Booth 54, 55

Suite 2, Level 2, 25 Cooper Street, Sydney NSW 2010 t: +61 2 8096 0000 e: [email protected] w: www.orionhealth.com

Orion Health has been providing solutions to the global healthcare market for over 17 years. More than 480 employees provide products and services to over 1,000 healthcare customers in 30 countries worldwide. Every day over 300,000 clinicians use our solutions to improve clinical workflow, decision-making, and most importantly patient care. Our easy-to-use solutions enable the exchange of healthcare information among disparate systems and provide integrated health data in a single, unified view, this electronic health record can be securely accessed by both authorised clinicians and patients. A perfect answer to Australia’s national e-health infrastructure needs. Rhapsody Integration Engine is the number one healthcare-dedicated integration engine. Rhapsody easily enables the fast, accurate and real time exchange of electronic data. Rhapsody customers have reported exchanging up to 24 million messages per day. Orion Health Electronic Health Record (EHR) is an information exchange that allows healthcare professionals to exchange clinical information between organisations and across regions. This provides caregivers with access to patient information from across the care continuum, regardless of where the care was provided. Orion Health Options allow an organisation to address their changing needs as and when required, option include: Patient Portal, Case Management, Orders, Problem list and Breast Screening.

Danish – these 3 profiles need to fit in the space dedicated to 1 profile, as they are sharing a booth.

RACGP Oxygen, Pen Computer Systems Pty Ltd, The Improvement Foundation Booth 28

Contact: Level 6, 10-14 Smith St Parramatta NSW 2150 t: +61 2 9635 8955 e: [email protected]

RACGP Oxygen is solely owned by the Royal Australian College of General Practitioners (RACGP) with the purpose to market and deploy a number of primary care clinical, business, change management and consumer products and services. RACGP Oxygen is undertaking activities to deliver and enable change within the profession. With the changing face of the health sector, a number of services need to be delivered to general practices, practice teams, patients and organisations who wish to effect change management with all these groups. It is has been highlighted that general practice led primary health care needs to be effectively enhanced and made sustainable, as well as being efficient and responsive to patient and community needs. The profession has an ambition to bring a defined range of services and products that are valued by general practice and meet their needs and purpose, it is expected that RACGP Oxygen will be the catalysis and distribution channel for quality products and services.RACGP Oxygen is a key part of the future of general practice, empowering general practice to deliver better health outcomes for our communities by giving general practice the evidence, tools and resources to deliver the best care. The Improvement Foundation (IF) provides expertise in the development and delivery of quality improvement programs, using Collaborative methodology, to bring about small and large system change. We support our clients’ improvement work by providing leading edge IT systems that enable robust measurement, and specialist change management advice to help them realise effective change.

PricewaterhouseCoopers Booth 33

Gold Sponsor

Contact:

PwC’s National Health Advisory Practice works with our clients on a range of e-health and technology projects, from rigorous policy and strategy development through to implementation. On any given day, at least half of our team of over 175 health specialists is working on the ground within a health organisation in Australia. We have diverse backgrounds, including doctors, nurses, hospital administrators, as well as actuaries and experts in the implementation of speciality systems. We have worked with our clients to perform a feasibility study for an electronic Request For Admission solution, implement specialty systems, such as electronic Medical Record, Enterprise Discharge Summary and Automated Anaesthetic Record Keeping, and to perform an integrated clinical information requirements specification and market scan. Our Australian team brings experience from the US, UK, Germany, Canada, Netherlands and Singapore and we have ready access to the accumulated knowledge of PwC’s Global Health Team.

RACGP


73 HIC 2011

Queensland Health Booth 21,22,23,24

Principal Sponsor

Contact:

Queensland Health is a dynamic organisation committed to providing a range of services aimed at achieving good health and well-being for all Queenslanders. Through a network of 15 Health Service Districts and the Mater Hospitals, Queensland Health delivers a range of integrated services including hospital inpatient, outpatient and emergency services, community and mental health services, aged care services and public health and health promotion programs. Queensland Health values the health and well-being of all Queenslanders. The Department actively works with communities to create healthy environments in addition to supporting behaviours that protect and promote health, reduce health risk factors, and improve health outcomes for people living with long-term health conditions. With a state investment of $243 million over four years to progress e-health initiatives across the State, Queensland Health is committed to delivering a service that allows clinicians the ability to access information about the right patient, at the right place, at the right time to support a patient focused health system. Queensland Health is proud to be a principal sponsor for the 2011 Health Informatics Conference and working with industry partners towards empowering the health community through innovation, education and support.

Surgical Multimedia Services Booth 25

Contact:

Surgical Multimedia is a medical animation production company specialising in validated multimedia content for patient and clinical education.Communication is a key factor in the delivery of high quality patient care and overall patient satisfaction. Surgical Multimedia products and services extend the reach of health information and knowledge within the healthcare community and beyond. The Inviza patient education product range was developed in partnership with clinical experts and specific patient populations. It is designed as an adjunct to the surgical informed consent process and to facilitate doctor-patient communication. Inviza online complements patient education in a variety of healthcare settings. It provides an evidence-based, standardised, accessible information resource for patients, their families, carers and healthcare providers.The information is presented in plain language, as screen text, illustrated or demonstrated with animation and explained by a voiceover to support a range of learning styles. Research undertaken to assess the efficacy of the multimedia material as a patient education tool indicates a consistently positive response to the narrative presentation. Higher rates of recall and retention of information presented in the multimedia format has been demonstrated when compared to conventional methods of information delivery.

Surity Booth 69

Contact: Charles Lattuca - Director Suite 706, 275 Alfred Street, North Sydney NSW 2060 t: +61 2 9925 0111 e: [email protected] w: www.surity.net

Surity has been providing information management solutions to the Health sector for over 10 years. HIMS, our health information management solution addresses some of the major challenges faced by healthcare organisations today, such as, paper to electronic records migration, aggregating information of various formats across different systems, coping with increasing volumes and adherence to regulatory requirements. Built on Microsoft SharePoint, HIMS provides a simple intuitive interface reflecting the way clinicians access patient information and features document and records management functionality, with the ability to Scan, Index and Manage paper-based Patient and Medical Records as well as electronic records. Designed to manage the entire document lifecycle, including workflow distribution, HIMS streamlines and improves processes that are paper bound, reducing duplication and errors caused by incomplete or inaccessible records. A scalable solution with intuitive design, HIMS integrates seamlessly with existing systems to provide a comprehensive patient view, optimise workflows and streamline processes with greater security of sensitive data. HIMS can be deployed as a standalone or integrated environment, department or enterprise-wide.



Te.Com Booth 76

Contact:

TE Connectivity is a worldwide leader in structured network cabling for communications, data and video. Our optical fiber and copper cabling systems suit all applications, from analogue telephony to 10 GBit Ethernet. Our reliable end-to-end system solutions are scalable for networks of all sizes, from small office cabling requirements to multi-building campus networks with thousands of users, while meeting the stringent demands of all appropriate regional and international standards. Hospitals rely upon TE systems to support business critical applications, as do airports, financial institutions, hospitals, governments and schools.

The Australian e-Health Research Centre Booth 30

Contact: Marion O’Connor - Office Manager Level 5 - UQ Health Sciences Building, Royal Brisbane and Womens Hospital, Herston Qld 4006 t: +61 7 3253 3600 e: [email protected] w: www.aehrc.com

Established in 2003, the Australian e-Health Research Centre (AEHRC) is an unincorporated joint venture between the CSIRO and State of Queensland (acting through Queensland Health and Department of Tourism, Regional Development and Industry).A leading national research facility in ICT for healthcare innovations, AEHRC conducts high quality, applied research that aims to improve the quality and safety of health care for individuals and communities through a research program focused on applied outcomes and active adoption by the health system. With its head office located in Brisbane and nodes in Sydney, Melbourne, Perth and Adelaide, the Centre brings together research, technology and people. The Centre consists of a multi-disciplinary team of researchers, software engineers and PhD students. AEHRC’s vision is to develop and deploy leading-edge ICT innovations in the health care domain to improve service delivery in health care systems, generate commercialisation revenue and increase e-health expertise in Australia.The Centre assists health organisations and clinicians in delivering their services through the development of software tools for: processing, querying and understanding health and medical data;- analysis and creation of valuable new information from medical images; creation of new clinical knowledge on physiological signal patterns, exercise, diet, lifestyle and behaviour of chronic disease patients.

TrendCare Booth 68

Contact: Cherrie Lowe – CEO or Kerilee - PA to CEO Unit 19, 93 Rivergate Place, Bridgemark Centre, Murarrie, Qld, 4172 t: +61 7 3390 5399 e: [email protected] w: www.trendcare.com.au

TrendCare is a clinical, decision support and workload management solution widely used in public and private hospitals across Australia, New Zealand and Asia. TrendCare revolutionises the way healthcare organisations collect and utilise their information to measure, monitor, project and plan patient acuity, throughput and hospital resource utilisation. TrendCare was honoured to receive the Queensland ICT Award for service delivery & training from ACS in 2010 & ICT Exporter of the Year & E-Health iAward from AIIA in 2008. TrendCare’s success results from a philosophy of continuous quality improvement, sound research and development, and excellent customer service.TrendCare is aiding in the provision of high quality, efficient healthcare services in many hospitals, including some of the world’s largest tertiary hospitals, and is extensively used in all clinical specialties, procedural areas, critical care and non-clinical departments.TrendCare:Measures patient acuity, clinical workload, efficiency, bed utilisation, discharge analysis. Projects patient flow. Collates clinical information including clinical outcomes and variance through multidisciplinary clinical pathways, care plans and patient assessments. Tracks staff work profiles including hours worked, absenteeism, training, competencies, qualifications, conference attendance and staff health profiles. Provides rostering, medical and nursing handovers, and diet ordering solutions.


75 HIC 2011

Tunstall Healthcare Booth 56

Contact: Kirsty Skene - Marketing Coordinator Unit 1, 56 Lavarack Avenue Eagle Farm, QLD Australia 4009 t: 1800 603 377 e: [email protected] w: www.tunstallhealthcare.com.au

Established in the UK in 1957, Tunstall is the world’s leading provider of telecare and telehealth solutions. Operating in 30 countries and employing over 1000 people, Tunstall supports 2.5m people around the world. Tunstall established its Australian office in 1992 and opened a Brisbane based national emergency response centre in May 2001. In 2002 Tunstall opened a response centre in Tauranga New Zealand and is now one of the country’s largest response services. Tunstall provides support 24 hours a day, seven days a week, 365 days a year. In an emergency or distress situation the user activates an alarm call either via the personal alarm installed next to their phone, or using a personal radio trigger that they keep with them while at home. Tunstall is instrumental in the introduction of telehealth around the world. This solution is designed to support those living with single or multiple long term conditions, to help them continue living independently and better understand their healthcare, therefore improving their health and lifestyle. Tunstall’s philosophy is simple; protect, support and care for people, by providing healthcare technology and services that enable anyone requiring support and reassurance, such as older people or those with long term needs, to lead an independent life.

Wi Protect Pty Ltd Booth 3

Contact: Martina Spalova - Marketing & Professional Services Unit 3/1 Skyline Place, Frenchs Forest NSW 2086 t: +61 2 9454 4244 e: [email protected] w: www.wiprotect.com

Wi Protect delivers business improvements through Patient and Equipment Tracking systems that provide real time information on patients & equipment. Besides advanced Search options our tools provide Patient Journey flow, Hand Hygiene compliance, Temperature Monitoring and Equipment Utilisation. This information is providing Management with Evidence based decision making tools, delivering an exceptional Return on Investment. Our Real Time Location Solution (RTLS) includes a real-time awareness platform, firmware, RFID tags, sensors, bridges and tags; Equipment, Patient, Temperature Monitoring and Sterilisable. It collects raw sensor data and transforms that data into high-value positioning information that can be used to add RTLS awareness to a variety of healthcare and business applications.

Wi Protect is a specialist innovator focusing on Automatic Identification and Asset Management Technologies for the Healthcare industry, using Active / Passive RFID, Web- & Cloud-based software, wireless sensor networks (Zigbee) and mobility platforms including GPRS/3G/4G, WLAN & Satellite.

Winscribe Booth 59

Contact: Arnah Pearson - Asia Pacific Sales Manager t: +61 2 9258 1090 e: [email protected] w: www.winscribe.com

WinScribe is a world-leading digital dictation and workflow management system, which has been developed specifically for improving productivity and reducing transcription costs within the medical profession. With robust security, open architecture, integrated speech recognition and seamless integration with medical enterprise systems such as PACS and RIS, WinScribe is the ideal solution for managing the dictation and transcription workflow within healthcare enterprise.

Using a PC, touch-tone telephone,, mobile device, hand-held digital recorders, or the Internet, the system enables healthcare professionals to record their dictation when required from wherever they are.


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