Gavin Wright Fraame Solutions

1. Aged Care
in the Community
May 25th 2007
The challenge
Many of the key community health
challenges being faced today have
developed from basic changes in societal
structure and behavior
Ageing population and workforce changes
Insatiable demand and limited supply
Emergence of new (and old) diseases
1

2. Supporting societal trends
Communities are tolerant of
behaviors and “life style”
style”
changes that are driving
huge increased in chronic
diseases such as:
Diabetes
Cardiovascular disease
Respiratory illness
Supporting an aging population
Current levels of
infrastructure and service
profiles cannot cope
effectively with the
dramatic increase in life
expectancy
Compliance and
regulatory frameworks
are also increasing
complexity and cost
(Retirement Villages Act – May 2007)
2

3. The integration of care and effects
on technology
Governments are
transitioning healthcare
services to effect
“prevention” rather than
prevention”
“cure”. Which is best
cure”
achieved in the
community and at home
Integration of care
Standardisation of care
Technology to support our communities-
it’s not new!
The first community
based tablet
handheld!
3000+BC,
Mesopotamia
3

4. What is new?
The NHS National Programme for IT
eSAP Briefing Workshop
An introduction for Suppliers
17th October 2006
The Met Hotel, Leeds
NPfIT Architecture (simplified)
“Existing System Providers” (ESPs)
Existin Existin Commun
Choose g Independ
and g ity Social
NHS NHS Pharmac ent
Book Care
GP Sector (TBC)
(CAB) PAS (CAB, ETP
y (CAB, SUS)
(CAB) (ETP)
Atos/Cerner GP2GP)
SSB PDS SUS LRS PSIS
Spine
Security
Personal
Demographics
“Spine” Secondary
Uses
Legitimate
Relationship
Summary
Patient
(BT) s
Broker Service Service Record
Service
North
NE LSP Eastern West/ London Southern
CSC/
iSOFT)
LSP West LSP LSP “Local
(CSC/ (BT CCA/ (Fujitsu/ Service
Lorenzo CRS
iSOFT)
Lorenzo CRS
Mids Cerner) Cerner) Providers”
(CSC/ Millennium Millennium (LSPs)
Lorenzo CRS
iSOFT) CRS CRS
Agfa PACS Agfa PACS GE PACS Philips PACS GE PACS
(Delivered by Accenture)
4

5. But - Our approach
Somewhat more
modest…
modest…
Service provision profiles
Key service provision in
aged care and home or
community focused care
is typically delivered by
the non government and
not for profit providers
In Australia of the 3000
aged care facilities
offering 140,000 beds 2/3
are not for profit providers
5

6. Ability to deliver
These organisations
are being challenged
with increasing
demand, reduction in
skilled resource and
increased compliance
Whilst operating on
low margins, with
often modest
technology capability
The case for transition
The use of technology
that compliments the
current client
management process
A “step” change
step”
rather than a “sea”
sea”
change
Demonstrable “return
on the technology
investment”
investment”
6

7. Information Handling Costs
The average document is copied 19 times
Documents cost about $20 each to file
1 out of 20 enterprise documents are lost
$120 in labor searching for lost document
25 hours to recreate
400 hours per year searching for lost files
PricewaterhouseCoopers Study.
Programmes that support and:
Integrate the
electronic and manual
document mediums
Enables co-existence
co-
with standard tools,
(Outlook, Word, web
services)
Embraces the internet
and mobility
7

8. Embrace technology and evolve
Move along the
continuum of
technology
Automate business
processes that derive
the greatest value:
Funding agreements
Human resources
Client information
Solutions that
incorporate
features from
digital imaging, Document
Management
Imaging
document
management, Search
workflow and
relationship
Relationship Workflow
management… Management
8

9. To then empower staff to
Access key data
Share relevant data
Report
In a cost effective and
timely manner
9

10. Demonstrable Benefits
Increase in 20-30%
20-
productivity
Savings on document 20-40%
20-
handling
Improvements in 20-40%
20-
cycle time
Improvement in client
satisfaction 30-50%
30-
AWV
Future goals in health delivery
E-enablement
Access when and
where information is
required
E-forms
Assessment
Compliance
Contracting
Integration
10

11. Example: e-form aged care
assessment
This is essential due to the rise in the
power of the health consumer
Access to relevant
health information
about our care
Booking of time and
resources
Alignment of care
provision between
providers
Assessment of need
11

12. More Information
Visit: www.fraame.com
Contact: gavin.wright@fraame.com
Phone: 03 377 7632
Thank you!
12