Universal Telehealth in Australia Begins Today - Here's What You Need To Know

"Universal Telehealth" was announced by Australian Federal Health Minister Greg Hunt yesterday. That means from today, we're all eligible for bulk-billed Medicare telehealth consults in Australia.

Telehealth = over the phone, or over video call eg. Skype, FaceTime, Zoom, WhatsApp. This is really useful for things like appointments to follow up on blood results; counselling; referrals; anything that doesn't require a physical examination. You may be already using Telehealth, whether you’re a clinician practicing it for remote patients; or as a patient who’s received care online or over the phone.

You may still need to attend in person if the doctor needs to examine a lump, excise a melanoma, or other condition.

GPs, Specialists, Midwives, Psychologists, Aboriginal and Torres Strait Islander Health Workers, Social Workers- a range of providers are able to do this (if they choose to), saving you the visit to a clinic, and saving the healthcare worker the added exposures from them going to clinic or seeing more patients in person in an era when we're all social distancing and at risk of bringing #COVID19 home to our loved ones (and lacking Personal Protective Equipment to protect ourselves).

This also helps vulnerable healthcare workers #workfromhome or from other safe, protected premises so the 70-year-old specialist with diabetes for example could continue working safely if they wish.

The ABC has a great article for patients.

Many providers are also offering privately-billed Telehealth consults for those items that are not covered by Medicare, such as Physio and Dietitian consults for non-eating-disorder-related conditions. Your clinic or provider will be able to inform you.

Healthcare workers, check your indemnity covers Telehealth- it should. A phone call or visit to your indemnity provider's website will help.

Also, be aware of the privacy of free software. As mentioned on Avant: "The Department of Health has noted that free versions of these applications (i.e. non-commercial versions) may not meet applicable laws for security and privacy. You should check whether the platform you wish to use complies with Australian privacy and security laws. You can do this by asking the vendor or checking the vendor’s website."

Grateful to the Australian government and to EVERYONE who campaigned hard for this, including the Australian Medical Association​, RACGP, RACP, RACS and other colleges, and healthcare workers and community groups nationwide.

For insights from the Australian Telehealth Conference; read our post here!

For insights from New Zealand healthcare workers from telehealth, including Virtual Ward Rounds, read our article here.

Highlights from HiNZ, Successes and Failures in Telehealth, and the Global Telehealth Conference Day 1

First published November 1, 2016

We’re Tweeting live from #HiNZ2016 in Auckland this week. Follow us on Twitter @themedstartup and @journalmtm, the Journal of Mobile Technology in Medicine. We’re also on Instagram @themedicalstartup.
Virtual tickets with HiNZ membership are still available at
hinz.org.nz. 

What were some of today’s highlights?

1.Experiencing the Maori welcome ceremony. It was incredible seeing the haka and other traditional ceremonies performed to commence the event. Kia Ora!

 

kia ora welcome hinz.jpeg

Pic: The Medical Startup

2.Learning about New Zealand’s healthcare system. New Zealand’s DHBs (District Health Boards) manage the various hospital regions in the country of two islands, supported by the national Ministry of Health (MoH). With a large rural and regional population, their DHBs have managed to put together various digital health solutions to overcome the geographical, cultural and at times, linguistic barriers that occur. (We’ve written about what Australians are doing with telehealth here, and Dr Gregory Sam’s telepsychiatry service here.)

3. Discovering what sensor wearables can do for the elderly.
Professor Marjorie Skubic of the University of Missouri’s Computer and Electrical Engineering Department, has carried out extensive research into sensor wearables, inspired by her own journey to help her parents feel safe yet independent while living a considerable distance away from her. Gait analysis using Microsoft Kinect depth cameras; sensor mats in beds that measure respiration and heart rate; and other sensors embedded in the home environment are all part of her research, giving hope for the elderly to feel supported and independent while their children can continue work.

marjorie skubic wearables falls hinz.jpeg

Prof Marjorie Skubic discusses Eldertech at HiNZ2016. Pic: The Medical Startup

4. Experts acknowledging that technology is a means to a human-centred solution for healthcare. As Lord Nigel Crisp of the United Kingdom said below during his address:

The Medical Startup@themedstartup

"Healthcare is a human contact sport" - Lord Nigel Crisp quotes his friend at @HINZ_NZ #hinz2016 @nhsdigital

8:12 AM - Nov 1, 2016

See The Medical Startup's other Tweets

Twitter Ads info and privacy

Additionally, Homecare Medical, who won the tender for New Zealand’s National Telehealth Service, understand that citizens don’t expect healthcare to be limited by geographical boundary anymore.

The Medical Startup@themedstartup

"The Virtual world doesn't respect the boundaries of District Health Boards (&other local health systems)" Andrew Slater, Homecare Medical

9:27 AM - Nov 1, 2016

1See The Medical Startup's other Tweets

Twitter Ads info and privacy

This leads into the topic of Precision Medicine Personalised Medicine. As technology evolves, patients will feel more empowered to take control of their healthcare (as they already do by Googling symptoms and performing other forms of accessible research), and clinicians will have to evolve to understand their patients’ perspectives better. Patients will expect medicine doses and timing to be tailored; their leaflets or apps about their conditions will  be personalised; and more forms of personalisation to enable better living.

5. Learning what Clinicians think of Big Data. Big data is important, but what good is it if it’s of no use to you in future? With big data comes big responsibility, and collecting unnecessary data wastes valuable time and resources.

jMTM@journalmtm

"I thought Technology would be v important with all this,but it's actually Change ie.human behaviour-"Prof Chris Bladin @TheFlorey #Hinz2016

8:46 AM - Nov 1, 2016

1See jMTM's other Tweets

Twitter Ads info and privacy

– above quote from Prof Chris Bladin when presenting his journey as a neurologist with the Victorian Telestroke program, which has successfully treated rural and remote patients throughout the state. They’re now looking to expand to other States.

The Medical Startup@themedstartup

"Elective #surgery is a great target for #bigdata but you need #goodquality data"Dr Mark Fletcher #anaesthetics #registrar#hinz2016 #ehealth

11:11 AM - Nov 1, 2016

2See The Medical Startup's other Tweets

Twitter Ads info and privacy

6. Watching the Finalists of the Clinicians’ Challenge, supported by New Zealand’s Ministry of Health. It strikes a chord with us that a national government supports and empowers their clinical staff as innovators, being the ones at the coalface of medicine. Finalists include an Anaesthetic Fellow; a Pharmacist undertaking doctoral studies; a Public Health doctor; and a Junior Doctor working in Dunedin. Stay tuned for further details, as well as updates on last year’s Ophthalmology and Surgical winners.

For more information on HiNZ, visit hinz.org.nz.