BCG+澳大利亚和新西兰的数字健康：下一步会是什么

Digital

HealthinAustraliaandNewZealand:What'snext?Introduction23TheCovid-19pandemicdeliveredagenerationofchangein

amatterofmonths.Digitalengagementwithhealthincreaseddramatically.

Careteamsinnovatedtomeettheneedsofpatients.Amongmany

changes,ideasandpilotswereturnedintofull-scalevirtualhospitals,electronicprescriptionsweredeliveredat

scale,anewwave

ofdigitalstart-upsemerged,and,in

NewZealand,clinicalinformationsystemsexpandedacrossallsettings.BCG’s

Digital

Health

in

Australia

and

New

Zealand:What’s

next?

describesthestateofandoutlookforthedigitalhealthlandscape.From

our

partnershipsacrossthehealthcarevaluechain,

andbasedonglobalexpertinsightsandaseriesofinterviewswithregionaldigitalhealthcareleaders,wepresentaclearviewoftheopportunitythat

digitalhealthrepresents.We

have

identifiedfiveleversforhowthepublicandprivatesectorscanmaximisethevalueofdigitalhealthandcontinuethetransformationofour

healthcaresystems.Despitethesetransformations,thehealthsectoris

stillalaggardin

itsuseofdigitaltechnology.Bothpatientandclinicianexperiencesremainfragmented,andhealthdatais

under-utilised.As

weemergefromthepandemic,thepaceofchangehasslowedsharply.

Thepotentialapplicationsofdigitalin

healthremain

massive–butfinding

thepathforwardfromhereremains

challenging.Thequestionsaskedherearepartofabroaderconversationtakingplaceacrossthesector:Howdowemakesure

changesintroducedduringthepandemicaresustainable?HowdowecontinuetheleaptodigitalandenrichcareforAustraliansandNewZealanderswithoutaglobalcrisisat

our

heels?The

opportunity

ahead

fordigital

health

in

Australia

andNew

Zealand45TRANSLATE

BEST

PRACTICE

TO

THEBEDSIDE•

Investtounderstandtheoutcomesthat

aredeliveredforindividuals,populationsegmentsandsystemicallyacrossthehealthcareindustry•

Studyvariationsandlearnfromwhat

worksclinicallyandoperationallytodemocratisebestpracticesContinuingtodigitiseour

healthsystemcouldsignificantlyimprove

experiencesandoutcomesforpatientsandhealthcareworkersin

AustraliaandNewZealand.Imagineif

our

healthsystemreallyworkedat

itsfullpotentialtoidentifytheneedforcareearly,

tosecureandexpandaccesstocare,tocoordinatecarewithandforpatients,andtotranslatebestpracticetothebedside.Successfuldigitaltransformationscantaketheseopportunitiesandconvertthemtoreality:•Empowerpatientswiththeknowledgeoflikely

benefitsandrisksofeachproceduregiventheirunique

situation•Bringtogetherresearchers,clinicaltrials,industry,andthecaredeliverynetworktosolvethemajorclinicalandoperationalissuesfacingour

systems•

Connectreal-world-evidencesourcessuchas

registriesandElectronicMedicalRecordstounderstandtheoutcomesofproductsandservicesin

realpatientsIDENTIFY

THE

NEED

FOR

CARE

EARLY•

Predictthehealthneedsofsegmentsofour

populationbeforetheybecomeurgent,particularlyforthosemostat

risksuchas

children

andtheelderly•

Developfocused,proactiveandpreventativeservicesratherthanwaitingforpatientstodecidewhentheyneedcareorexperienceahealthemergency•

Supportindividualstounderstandtheirownriskfactorsandtakestepstoprotecttheirownhealthwh

en

i

f

inished

medical

school

,

dat

a

was

for

met

o

manage

my

pat

ient

s.

t

hen

wh

en

i

jo

ined

a

gr

ouppr

act

ice

it

was

our

dat

a

t

o

t

r

eat

our

pat

ient

s,

andfor

spec

ial

ist

s

t

o

t

r

eat

our

shar

ed

pat

ient

s.

now

t

hedat

a

n

eeds

t

o

be

ava

il

abl

e

t

o

t

he

pat

ient

for

t

h

eir

sel

f-management

–

t

hat

is

our

n

ext

t

hr

eshol

d.SECURE

AND

EXPAND

ACCESS

TO

CARE–DRSTEVE

HAMBLETON,

AUSTRALIANDIGITALHEALTH

AGENCYCHIEF

CLINICALADVISER•Improve

theeffectivenessofour

workforcebyusingdigitaltoolstoprioritisepatientsandconductpassivemonitoring•

Automate

whateverpossibletoeasetheburdenofmenial

tasksonour

workforce•

Improve

equityandaccessforpatientsin

regionalareasandthosewithlimitedtime,bringingthebestclinicalcaretoanyonewhoneedsitby

designing

a

‘digital

human’

(a

digital

mo

del

of

humanphysiol

ogy)

we’r

e

mapping

t

he

compl

ex

int

er

act

ionsbet

w

een

or

gans,

fr

om

a

biol

ogical

,

ch

emical

andphysical

per

spec

t

ive.

by

buil

ding

mor

e

det

ail

ed

andaccur

at

e

mo

del

s,

we

can

r

un

r

esea

r

ch

on

vir

t

ual

mo

del

sr

at

her

t

han

exper

iment

s

on

l

ive

or

gans–

gr

eat

lyincr

easing

t

he

speed

of

init

ial

phase

r

esea

r

ch.

t

h

esemo

del

s

can

al

so

be

individual

ised

for

pr

ecision

medicineappl

icat

ions

in

diagnosis,

management

and

t

h

era

peut

ics.COORDINATE

CARE

WITH

AND

FORPATIENTS•

Smooththepatientjourneyacrossour

highly

fragmentedsystembyputtingthepatientat

thecentreofour

planninganddeliveryofcare•

Supportpatientsthat

wanttobe

engagedin

theirhealthcareandbuildtheirdigitalliteracytoquickly

adoptandadapttodigitalcare•

Acceleratethetransitiontopatient-preferredhome-basedcarewithqualityandconfidence,whetherthroughhospital-in-the-home,aging-in-place,ordisabilitysupport–DR

DIANA

SIEW,

AUCKLANDBIOENGINEERINGINSTITUTE,

STRATEGIC

PARTNERSHIPS

LEAD

AND

CO-CHAIR

OF

THECONSORTIUMFORMEDICALDEVICESHow

will

our

digital

healthsystem

e

volve?67covid-19

sh

owed

us

what

n

ew

mo

del

s

of

car

e

coul

d

l

ook

l

ike.we

kn

ew

t

he

digital

t

echnol

ogies

coul

d

wor

k,

but

t

h

eyonlymade

sense

once

we

coul

d

do

t

hem

at

t

his

scal

e.–PROFESSORMARY

FOLEYAM,

FORMERMANAGINGDIRECTOR,TELSTRAHEALTHBasedonour

expertiseandworkwithindustryleadersacrossthepublicandprivatesectorswehave

identifiedfiveleverstodrivesuccessandrealiseemergingvaluein

AustraliaandNewZealandovercoming

years:covid-19

was

awakeup

cal

l

for

t

hegover

nment

t

o

l

if

tbar

r

i

er

s

t

o

t

el

eheal

t

h.1.

Usedigitaltoolstointegratefragmenteddelivery2.

Unlock

digitally-enabledhealthsurveillanceandprevention3.

Liberatethevalueofdata4.

Driveforscalabilityandpatientexperience5.

Build

onstrongrelationships–DR

REZAJARRAL,

NZGENERAL

PRACTITIONERAND

CLINICALDIRECTOROFCAREHQ,

CLINICALDIRECTORFOREQUITYAT

PROCARE1:

USE

DIGITAL

TOOLS

TO

INTEGRATEFRAGMENTED

DELIVERYTheterm‘patientjourneys’is

opreventablehospitalisations.Telehealth

in

ruralAustraliahadbeenfundedbygovernmentforoveradecade,including,

forexample,throughsuccessfulstroketelemedicineprogramsin

somestates.However,

remotevirtualcareonly

reachedscaleas

thepandemicrequiredit

tobecomeavailablenationally.

Thedramaticallyincreaseduptakeprovidedthecatalystforclinicalpracticechange,technologicalinvestmentandoperationalredesign.describehowpeoplemovethroughandinteractwiththehealthsystem,butformany

patientsthejourneyis

anythingbutsmooth.Theproblemisexperiencedbyindividualsseekingcareacrossdifferentgeographies,providers,facilities,orprofessions,whooarestartingfromscratchin

everyinteraction.Theproblemis

particularlyacuteformany

ofthe5million

Australiansand1million

NewZealanderslivingwithtwoormorechronic

conditions,whomayreceiveamixofdisease-specifictreatmentsthatdon’t

considerco-morbidities.In

additiontoovercomingaccesschallenges,virtualcarecanofferasystem-wideapproachtoimprovingcarecoordinationandbettermeetingpatientneeds.It

allowspatientstobe

connectedwiththeprofessionalsandservicesmostsuitedtothem,ratherthanwhat

is

physicallyavailable.Virtualcareconferencesallowmultiple

healthprofessionalsacrossacuteandprimarysectorstocometogetherandmakejoint

decisionswithpatients,whichis

impracticalforin-personmeetings.Highlyspecialisedpractitionersat

acutetertiaryfacilitiescanlendtheirexpertisetopatientdiagnosis,managementandcarefromtheothersideofthecity,countryorworld.As

modelsofvirtualcareandremotemonitoringcontinuetogrowinsophistication,virtualcarecanalsoofferpatientsanalternativetotherevolvingdoorofhospitals,outpatientclinics,GP

rooms,andotherproviders.Virtualcarehasthepotentialtoovercomethisfragmentationanddeliverunifiedcaretoapatientwhereandwhentheyneedit.Virtualcareincludesanydigitalandtelecommunicationstechnologythat

connectsphysicallyremotepatientswithhealthcareservicesandcareteams,suchastelehealthconsultations.It

offersprovenbenefitsinpatientsatisfaction,access,convenienceandcost-effectivenesscomparedtomany

formsofin-personcare.covid-19

was

afor

cing

funct

ion

t

o

do

vir

t

ual

car

e,

but

mostdidn’t

do

it

ver

y

wel

l

…

it

was

a

sur

vival

mech

anism,

r

at

hert

han

good

user

exper

ience

for

pat

ient

s

or

cl

inicians.For

AustraliansandNewZealanderslivinginruralandremoteareas,theneedtotravellongdistancesforin-personservicesdriveslowerratesofcancerscreeningandhigherratesofpotentially–CHRISYOUNG,

FORMERVICE

PRESIDENT

OFNEW

VIRTUALMARKETDEVELOPMENTANDINCUBATIONSAT

ASCENSION89WHERE

TO

FROM

HERE?TO

DELIVER

THE

FULL

POTENTIAL

OF

INTEGRATEDwe

n

eed

t

o

move

beyo

n

d

shar

ing

cur

at

ed

dat

a

anddocument

s,

t

owar

ds

shar

ing

cl

inical

dat

a

in

or

der

t

o

t

el

l

aful

l

er

st

or

y.DIGITAL

HEALTH

–

INCLUDING

VIRTUAL

CARE–

PATIENTS,PRACTITIONERS

AND

POLICYMAKERS

WILL

NEED

TO

ESTABLISHAND

CHAMPION

THESE

FOUNDATIONAL

COMPONENTS.–DANIEL

MCCABE,

FIRST

ASSISTANT

SECRETARY

DIGITALHEALTH,

COMMONWEALTH

DEPARTMENTOFHEALTHDigitaltoolsandcommunication

needto

beintuitive

and

easyto

usefor

clinicians

andpatients.Ideally,

digitalhealthtoolsshouldusepatients’existingmobiledevices.Morecomplicatedplatformsshouldonly

be

usedwhenthecaredemandsit,andideallyshouldhave

interoperablestandardstoavoid

asecondwave

offragmentationas

developersandinnovatorscompetetoestablishseparatevirtualcareplatformsanduse-case-specificvirtualcareapps.TheAustralianDigitalHealthAgency’smy

health

appis

asolidstepin

thisdirection,presentinganopportunityforfurtherworktoensure

itsofferingis

comprehensiveandbroadlyadoptable.aredesignedtoputdatain

thehandsofpatientstoshare

withtheircareproviders.Theyofferanobviousstartingpointformakingvirtualcareconsultsefficient,effectiveandmachine-readableforallparties.Clinical

governance

and

careprotocolsneedtopave

theway

for

ongoing

virtualcareat

scale.It

mustbe

straightforwardforcareteamstoworkin

avirtualcontextwhenthis

presentsthepatientwiththebestoutcomes.Mechanismsthat

protectpatientsin

physicalsettingsmustbe

extendedandenhancedtoprotectpatientsin

mixedmodalityandfully

virtualcare.Dataneedsto

becollectedandintegratedfrom

acrossthesystemto

supportcross-cuttingservices.

Thehealthcaresystemis

notshortofdataoropportunitiestobetterserveclinicalstaffandpatientsthroughnewwaysofintegratinginformation.In

additiontoexistinghealthrecordsandactivitytrackingfromprimarytotertiarycare,newformsofdatainclude

patient-reportedsymptom-tracking,remotemonitoringanddiagnosticdevices.While

userexperienceiskey,

virtualcarewillmissabiggeropportunityif

itonly

focusesonfacilitatingaconversationbetweencliniciansandpatients.Byintegratingtheseotherformsofdata,technologycanextendcare–forexample,devicessendingpromptsandreminderstopatientstotakemedications.Virtualcareneedsto

berewardedbypolicymakersand

payers

withstrongfinancialincentives.Thevalueofimprovedclinicalandpatientoutcomes,reducedoverallcosts,andgreatercollaborationbetweenhospitalspecialists,communityGPs,andmembersofmultidisciplinarycareteamsneedstobe

recognised.All

areasofAustralia

and

New

Zealandneedhigh-speed,affordable

internet

to

accessvirtualcare.Largepartsofbothcountriesdon’t

have

reliableinternetaccessdue

tocostornetworkcoverage.Modelsofcareneedtobeadaptabletopatients’digitalaccessandliteracy,withtheflexibilitytousevideo-enabledcareandasynchronoustelehealth.Thedigitaldividebetweenmetro,regionalandremotecommunitiesneedstobe

closedsothat

healthinequitiesdonotincreaseas

virtualcareexpands.Datathat

flowsbetweenpatientsandcareteams

needsbesecureandprotected,withoutplacingaburden

on

small-scaleproviders.TheStrengtheningMedicareTaskforce

Reporthasidentifieddataanddigitaltechnologiesascriticalforimprovingprimarycareoutcomesandsupportingmulti-disciplinaryteams.Australia’s

MyHealthRecordandNewZealand’sHira

systemsTheseactionswillmoveAustraliaandNewZealandclosertoachievingahealthsystemthat

connectspatientswiththecareandsupportstheyneed,whenandwheretheyneedthem.10112:

UNLOCK

DIGITALLY-ENABLED

HEALTH

SURVEILLANCEAND

PREVENTIONThroughthepandemic,AustraliansandNewZealandersbecameexperiencedparticipantsinwidespreaddigitalhealthsurveillance,includingQR

codesign-ins,self-reportingofantigentestresultsanddaily

trackingofsuburb-levelinfectionsandvaccinations.Corepublichealthsystemsarenowlinkedin

near-real-time,withpathologyresultsfeedingdirectlyinto

notifiablediseaseregistriesandvaccinationevidenceavailableonnationalhealthrecordswithinminutes.Morethan65%oftheAustralianssurveyedin

BCG’s

DigitalGovernmentCitizen

Surveyin

2022hadaccessedtheirhealthrecordsonline

andhealthrecordshadthesecondhighestsatisfactionofanydigitalgovernmentservice

(ainfectionsanddiseases,fromrespiratoryinfectionstoSTIs.Tests

willbe

conductedat

homemoreotoallowHIV

self-teststobe

purchasedoverthecounter.2

Similar

trendsareemerginggloballyforotherdiseases.3EXHIBIT1:Wearables

andnearablescanmonitor

patientsfor

always-oncareSomenon-communicablediseases,suchasallergiesandweather-inducedasthma,couldalsobe

observedandaddressedearlierbyusingphysicaltestsandnovelsurveillancetoolssuchas

GoogleSearchpatternsorchangedpurchasingpatternswithdataprivacyprotectionsin

place.Wearablesandnearables(Exhibit1)

continuetoincreasein

capability,trackingawiderrangeofphysical,emotionalandmentalindicators.Theyarelikely

tobecomeastandardtoolofcare,particularlyforat-riskgroups.As

digitalsurveillanceofpopulationhealthexpands,sodoesthehealthcaresystem’s

abilitytoidentify,respondto,andpreventdiseasetransmission,movingus

towardsasystemthat

is

betterequippedtoproactivelypreventdisease.Patientswillbe

empoweredwithgreatervisibilityoftheirhealth,andcareteamswillbe

betterinformed.Thehealthsystemis

likely

tomoveclosertocontinuouspublichealthsurveillance,as

demonstratedbypre-symptomaticdetectionofCOVID-19casesusingsmartwatchdata,4

andprovideinformationtomakepreventativeandproactivecaredecisionsforindividualpatientneeds.Current

trackingofnotifiableinfectionsin

AustraliaandNewZealandreflectsonly

10%ofalldeathsandhospitalisationsfromcommunicablediseases.1Ubiquitous,pathogen-specificdiseasetesting(likelyin

theformofself-reportedantigentestsin

thenearterm)

couldgreatlyexpandour

trackingofThehealthsystemcanalsousemonitoringandsurveillancetoidentifywhichsegmentsofthepopulationmightbe

at

riskofdiseaseandwhichinterventionscouldmakethebiggestdifference,withmorenuancedwarningtosupportself-management.Consequently,

healthsystemswillhave

clearerinsightinto

howtoallocateservicesandresources.Atanindividualpatientlevel,predictingdiseaseearlywillsupportthedesignanddeliveryoftargetedprimaryandsecondarypreventionstoslowdeteriorationandmaintain

healthforlonger.t

her

e

is

a

massive

oppor

t

unit

y

t

o

expa

n

d

t

he

r

ange

ofava

il

abl

e

at

-home

diagnost

ics,

incl

uding

for

st

is,

if

t

he

t

gais

suppor

t

ive.–DAREN

MCKENNAY,PARTNER,

CRESENT

CAPITAL

PARTNERS1.

Infectiousandcommunicablediseases-AustralianInstituteofHealthandWelfare(.au)2.

HIV

self-testsavailablein

Australia|TherapeuticGoodsAdministration(TGA)3.Hometestingforsyphilis

gains

supportin

wakeofCOVID

()4.WearabledevicesforthedetectionofCOVID-1912WHERE

TO

FROM

HERE?Voluntary

digitalhealth

surveillanceneedsto

beon

an

opt-inbasisandprovideclearvalue

for

individualsandsociety.BCG’s

TrustImperativeReport3.0foundthat

53%ofAustraliansandNewZealandersarewillingtoshare

datawithgovernmenttoreceivemorepersonalisedgovernmentservices.Thisfigurehasdeclinedfrom70%in

2

02

1.Thehealthsystemneedstoreflectpatients’attitudesandconcerns,andindustryleadershave

anopportunitytobuildmomentum

forchange.Regulatorsmustneithermovetooslowly(jeopardisingtrustin

systemsafety),nortooquickly(riskingunnecessaryrestrictionsoninnovation).Unlocking

thevalue

ofwearables,nearablesand

otherobservationaltechnologiesrequireshealth

careprovidersto

build

modelsofcarearound

their

inputs.

To

realisethefull

benefitsofdigitallyenabledhealthsurveillance,theindustryneedstointegratetechnologyandcare,andsetnewsocialandregulatorynorms.For

example,at

present,atypicalGP

appointmentis

unlikelytoinvolve

reviewingpatient-generateddataotherthanretrospectiveverbalself-reports.In

thefuture,monitoringdeviceswillbe

sufficientlyubiquitousandaccuratetointegrateas

astandardofcare.we

n

eed

a

r

adical

ly

dif

f

er

en

t

appr

oach

t

o

dat

a

management

.r

eal

-t

ime

access

t

o

dat

a

in

a

pa

n

demic

is

cr

it

ical

lyimpor

tant

for

pol

icy.

we

can't

just

r

el

y

on

dat

a

fr

omot

her

count

r

ies.–PROFESSORSHARON

LEWIN,

DIRECTOR,

DOHERTY

INSTITUTE14153:

LIBERATE

THE

VALUE

OF

DATAThehealthcareindustryhasalwaysbeendatarich,andis

nowbelievedtobe

thefastestgrowingindustrywhenit

comestodata.Despitethis,theindustryis

yettounlock

thepowerofthis

dataduetofragmentedsystemsbetweenoperations,clinicalsettings,andpopulationhealth.Thesedatasystemsarenotevenclosetocapturingthefull

end-to-endpatientjourney,

whichis

neededtounderstandandimplement

preventativeandtreatmentpathways.Ethics.Howdoweensure

healthdatais

usedfortherightreasons,andwithconsent?Privacy.

Howdoweprotecttheindividuals’righttotheirhealthdata,andtheirrighttomaintainitsconfidentiality?Resilience.Howdoweassuretheveracityandavailabilityofthedatasoit

canbe

usedreliablytomakedecisions–byhumans

ormachines?Collectingandconnectingnewtypesofhealthdatatoexistingdatasetswilladdtotheindustry’sunderstandingofhealth.Newtypesofhealthdataarebeinggeneratedfromconsumerdevices(suchas

wearables),genomicsequencing,andpreviouslyinaccessiblehealthdatalockedin

scannednotesandimages.Theindustrycanharnessthepowerofthis

datatobetterunderstandpatientsandtheirinteractionswithinthehealthsystem.Security.Howtoensure

responsestotheabovechallengesareunderpinnedbyrobustdatastorageandprotectionagainstmaliciousactors?AustraliaandNewZealandhave

solidfoundationsofrichnationalandbinationalregistries,partiallylinkednationaldatacollections,anduniquepersonalidentifiersforbothprovidersandpatients.Thechallengenowis

totranslatethis

dataintoinformationandactionusingquick

andsafeexchangesandsystematicanalyticsofoutcomesandperformance.Beingtrustedwithhealthdatacreatescyberanddigitalchallenges:ethics,privacy,resilience,andsecurity.Government,technologyproviders,andpractitionersmustbe

abletoanswerthesequestions:w

e,

in

heal

t

h

syst

emsincl

uding

t

he

pr

ivat

e

sec

t

or

,n

eed

t

o

l

ay

t

he

foundat

ionbuil

ding

bl

ocks

for

dat

a

anddigital

ena

bl

ement

,

l

inking

itt

o

wh

er

e

consumer

s

r

ec

eivecar

e

t

hat

dr

ives

equ

it

y

andsocial

just

ic

e.covid

accel

er

at

eddist

r

ibut

ed

car

e

amongindigenous

communit

ies.t

he

māor

i

communit

yuseof

wear

abl

es

t

o

measur

ephysiol

ogical

funct

ionand

act

ivit

yis

communit

y-l

ed,

r

ecognising

sel

f-aust

r

al

ia

n

eeds

nat

ional

infr

ast

r

uct

ur

e

t

o

ena

bl

eint

er

o

per

abil

it

y

for

heal

t

h

car

e.

a

f

eder

at

ed

heal

t

h

syst

em,nat

ional

infr

ast

r

uct

ur

e

and

standar

ds

ar

e

cr

it

ical

t

o

gl

ueheal

t

h

car

e

t

oget

her

.–DR

REZA

JARRAL,

NZd

et

er

minat

ion

and

car

e.GENERAL

PRACTITIONER,CLINICAL

DIRECTOROFCAREHQ,

CLINICAL

DIRECTORFOREQUITY

AT

PROCARE–DANIEL

MCCABE,

FIRST

ASSISTANT

SECRETARY

DIGITALHEALTH,

COMMONWEALTH

DEPARTMENTOFHEALTH–DR

DIANA

SIEW,AUCKLANDBIOENGINEERING

INSTITUTE,STRATEGIC

PARTNERSHIPSLEAD

AND

CO-CHAIR

OFTHE

CONSORTIUMFORMEDICAL

DEVICES1617WHERE

TO

FROM

HERE?Interoperability

standardsare

neededtounlock

thepotentialofdata.HealthsystemscanbuildonlessonsfromCOVID-19andsmall

digitalhealthusecasestointegratedata-drivensystems.We

have

seenthis

cometolifeacrosstheworld,suchas

theconnectedsystemsbehindtheUKBiobank,theAllofUs

projectin

theUnited

States,andSweden’s

expansionofcancerregistriestoconnectwithothergovernmentdatabases.AustraliaandNewZealandcanfindmorewaystotreatandpreventdiseaseandsolvesignificanthealthcarechallenges,suchas

healthequityforindigenouscommunities,understandingcancersandrarediseases,andtheeffectsofbiology,lifestyleandenvironmentonhealth.Providerswillneedto

trustdata

anditsThe10-20-70

rule

canguide

investment

indigitalanddata.Big

datais

oorganisationsconsiderhowmuch

theirdigitalriskprofileshave

changedsincethepandemicbeganandas

theyrecoveraapplications.

Newapplicationsin

healthsuchas

AIdiagnosissupport,benchmarkingofcareoutcomesacrossproviders,andAI/MLvalidatedtreatmentpathwayswillnotbe

usedbyproviderswithoutfirstbuilding

trustthroughpilots.solelyfromatechnologicalperspectivebutgettingthemostoutofhealthcaredatarequiresateameffort.Aruleofthumb

is

that

datainvestmentoughttobe

10%aboutalgorithms,20%abouttechnology,and70%aboutthebusinesschangesneededtosystematicallymakeuseoftheinsightsgenerated.transformations.Thecriticalityofsuch

securitymeasureshasonly

beenunderscoredbyrecentlarge-scaleviolations,fromMedibanktoQIMRBerghofer.

Expect

thetimeforrecoverytobelimitedbyongoing

commercialcyberthreats–suchas

ransomwareordatatheFor

example,in

NewZealand,MercyRadiologysoughtbuy-infromradiologistswhenintroducingAIalgorithmstosupportclinicaldiagnosis.Nowas

theymovetowardsusingpredictivealgorithms,Mercyhasbeenmetwithhighengagementandenthusiasmfromtheirclinicians.Harnessingthepowerandpromiseofbigdatatodrivebettervalueforpatientsin

healthcarerequiresacollaborativeapproachbetweenallstakeholdersalongthepatientjourney.advantageofhealthdatadistributedin

complexecosystems.Leadingorganisationswillprioritisedefencesthat

protectcriticalsystemsandpatientoutcomes,including

networksegmentationandsegregationtominimise

theimpactofattacks,strictassetmanagementtoreduceunknownsin

theirecosystems,anddeploymentofwell-rehearsedresponseplans.Health

careorganisationsandgovernmentswillneedto

safeguarddata

from

emergingthreats.

COVID-19acceleratedtherapidgrowthofdigitalhealth.Now,

weexpectaperiodofretrospectivecyberanddigitalriskmanagementasat

t

he

beginning,

our

r

adiol

ogist

s

said

‘you’r

e

t

r

ying

t

or

epl

ace

me,’

but

our

second

r

ea

der

al

gor

it

hms

st

ar

t

ed

pickingup

one

cl

inical

ly

significant

fr

act

ur

e

a

day,

and

now,

wh

ent

he

al

gor

it

hm

is

down

for

maint

enanc

e,

i

g

et

t

ext

s

fr

omr

adiol

ogist

s

t

o

t

ur

n

it

back

on

r

ight

away!–DR

L