Will there be a more preventative healthcare system for me in the future? Picture the Future: Australia 2030 Healthcare. Innovation for generations.

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1 Will there be a more preventative healthcare system for me in the future? Picture the Future: Australia 2030 Healthcare Innovation for generations.

2 Water Availability Energy Sustainability Picture thefutu Environment Preservation Healthcare Prevention Productivity Competitiveness Mobility Accessibility Safety Assurance Security Protection 2

3 re where no Australian has to wait for a hospital bed where Australia is the healthiest nation where the highest quality healthcare is accessible anywhere, anytime where age is no barrier to a complete state of physical and mental wellbeing 3

4 The future starts now. Join us on a journey into the future of healthcare in Australia. In this century, the greatest challenges are caused by four global megatrends; climate change, demographic change, urbanisation and globalisation. These four megatrends are changing our world. As Charles Darwin said, it is not the strongest of the species that survives, nor the most intelligent, but the one most responsive to change. To create an Australia where an accessible, high quality and preventative healthcare system exists, we need to change our ways. Our future is our choice. 4

5 How can I stay young at heart? Opportunities for a bright and positive future. In the midst of our most pressing challenges caused by the global megatrends, technology is providing us with new opportunities for a better future. As the provider of technology-based solutions in eight of the most pressing areas of concern for Australia being water, energy, environment, healthcare, productivity, mobility, safety and security we at Siemens, have embarked on a unique project to present our vision of the future through a technology blueprint to What challenges do we face now? What solutions currently exist? What kind of future would we have if we implemented these solutions today? Picture the Future: Australia Healthcare Combining our global expertise and local market knowledge, our research presents a technology blueprint to tackle Australia s most pressing issues. This research is supported by our local presence in Australia and New Zealand of nearly 140 years, our R&D investment of over $5 billion (2010) and over 30,000 R&D employees in 150 locations worldwide. How can we create a healthcare system where no Australian has to wait for a hospital bed? What can we do to prepare our healthcare system for the future? Together we need it to transform from a system that is focused on sick care to one that embraces complete wellbeing including, prevention and promotion, early detection, diagnosis, treatment and care. Commit to creating an efficient and integrated healthcare system by continually developing and implementing current and emerging technologies. Focus on working together to achieve an accessible, high quality and preventative healthcare system for current and future generations. 5

6 Why do we have these healthcare challenges? Australia s ageing demographic, increasing population and obesity trend are the key contributors to the pressures on the current healthcare system. The number of people over 65 will double from 2010 to resulting in an estimated six million individuals who are twice as likely to require healthcare services. Growing obesity trends could result in approximately 75 percent of the population being obese or overweight 2 by These two trends combined will drive up healthcare costs due to the increase in chronic diseases. Rapid growth of chronic diseases is expected particularly in the areas of diabetes, mental illness, joint disorders, cardiovascular disease and cancer. Due to the nature of chronic disease, treatment is costly and the diseases require long term management. Our current healthcare system has been designed to accommodate acute events and infectious disease as opposed to managing chronic diseases. Further to this, Australia s rapidly increasing population is expected to grow from 22 million in 2010 to 29 million by , with 18 million living in our capital cities which will increase demand on our healthcare services. The combination of all these factors and a current healthcare system designed around a different population demographic means Australia faces challenging issues in healthcare today and in the future Healthcare challenges What are our healthcare challenges? Our current healthcare system is designed around a demographic of a bygone era and is unable to keep up with today s increased demands. With an ageing population and an increase in chronic diseases, Australia needs a healthcare system that is: accessible, high quality, addresses all aspects of healthcare, and, efficient. 6

7 Australia s population structure in 1971 Percentage of population by age and sex Population (thousands) Males Population (thousands) Females Australia s population structure in 2010 Percentage of population by age and sex Population (thousands) Males Population (thousands) Females Australia s population structure in 2030 Percentage of population by age and sex Population (thousands) Males Population (thousands) Females Source: Source:? Australian Bureau of Statistics Population Pyramid, <www.abs.gov.au/websitedbs/d nsf/home/ Population%20Pyramid%20-%20Australia> 1 Australian Government The Treasury, 2010, Intergenerational Report National Preventative Health Taskforce, 2009, Australia: the healthiest country by 2020 National Preventative Health Strategy the roadmap for action 7

8 To achieve an accessible, high quality and preventative healthcare system, Australia must aim to: Reduce the demand on healthcare resources by focusing on disease prevention Increase technology s role in early detection and diagnosis for improved results Implement an electronic health system to reduce medical errors and improve quality of care Embrace personalised treatment for better outcomes and reduced side effects Alleviate pressures on hospitals by shifting appropriate procedures and care into our community Quality healthcare, available for future generations As a consequence of an increasing and ageing population along with the obesity epidemic, a tsunami of chronic illnesses will increase pressures on our existing healthcare system. Transitioning from an acutely-focused healthcare model to one which caters for both acute and chronic care is vital for our future. This can be achieved through technology, along with behavioural, process and legislative changes. How do we tackle the increasing future demands on our healthcare system? The adoption of current technologies and the continuous development of emerging innovations can reduce the demands on our healthcare system, making it more sustainable and efficient. This includes technologies in the areas of: 8

9 Prevention Virtual human modelling e-health Personally tailored treatment Intelligent community care 9

10 Healthcare Key findings To date, Australia s Healthcare system has delivered one of the best life expectancies per health dollar spent 1 despite a fragmented and inefficient system. Australia needs a fully integrated healthcare system to ensure it is sustainable for our future generations. By 2030, 75 percent of Australians are expected to be overweight or obese 2. Australia needs to prevent obesity as it is driving up the cost of healthcare. Australia s population is ageing and increasing. The number of people aged over 65 will double between 2010 and 2030 to 6 million and they are twice as likely to access healthcare services 3. Transforming the healthcare system from an acute events and infectious disease focused model to one that addresses acute and chronic illnesses is necessary, given the rising incidence of obesity and a growing ageing population. Only two percent of Australia s healthcare expenditure is directed towards prevention and promotion, indicating a focus on sick care not well care. To achieve a more sustainable system this expenditure needs to increase to tackle chronic diseases. Reform is required to move away from an episodic and incident-based approach to a system that enables a holistic and outcomebased perspective. The onset of diabetes can and must be prevented, given that an estimated two million Australians are currently at risk of developing this burdensome disease Nearly 10 percent of hospital admissions are avoidable 5 and there is an average wait time of eight hours in emergency for a hospital bed 6. Current and future technologies can help reallocate appropriate and avoidable admissions into structured community care programs, improving access to hospital beds. Australia has a healthcare workforce shortage. In addition, over 25 percent of workers are currently aged over In order to deliver adequate levels of care healthcare workers must become multidisciplinary and adopt new technologies and processes. There is a quality and accessibility gap in healthcare service between rural and urban communities. In order to assist in bridging this gap, an e-health system providing comprehensive patient information to all healthcare professionals is essential. Healthcare consumerism is gaining momentum whereby Australians take personal responsibility for their lifestyles and are actively involved in the management of their own health. If existing technologies are applied across all aspects of healthcare, Australia could: a) Reduce pressures in our hospitals and improve accessibility b) Avoid the full impact of diseases through early detection c) Benefit from less invasive treatment d) Provide a high quality of care within our communities 10

11 11 1 OECD and The CIA World Factbook National Preventative Health Taskforce, 2009, Australia: the healthiest country by 2020 National Preventative Health Strategy the roadmap for action 3 Australian Government - The Treasury, 2010, Intergenerational Report n.d., viewed 3 November 2010, <www.diabetesvic.org.au> 5 National Health and Hospitals Reform Commission, 2010, A National Health and Hospitals Network for Australia s Future Delivering Better Health and Better Hospitals 6 Australian Medical Association, 2009, Public Hospital Report Card Australian Institute of Health and Welfare, 2010, Australia s Health 2010

12 Picture the future of healthcare Story of the Jones family Australia is a developed country with a quality nationwide healthcare system for the entire population. The success of Australia s healthcare system in the future will depend on a number of factors. These include advances in medical and technological research, as well as their incorporation into Australia s future healthcare services. Jane Jones, mother of two, tells her family s journey through the changing healthcare system over the decades. She highlights her family s health issues as well as their experiences in the healthcare system. In 2010 Population: 22 million Population >65yrs: 3 million Population overweight/obese: Est 11 million Jane has had a busy year looking after her mother who has just been diagnosed with breast cancer and her husband who is overcoming treatment for heart disease. We are becoming more aware of how healthy lifestyles can prevent certain illnesses. My daughter has just started to learn about healthy living at school and as a family, we are hearing more about health and the prevention of diseases. My 63 year old mother has just been diagnosed with breast cancer. Thankfully, it was detected early due to her having regular mammograms which has given her a high chance of survival. I ve rearranged my work schedule so I can take her to hospital for treatment. She s had surgery, seven weeks of radiation and is now currently having six months of chemotherapy. results as they were not kept electronically. They had to repeat the scan the next day and we found out that he needed valve surgery. Fortunately, a non-invasive form of treatment performed on a sophisticated x-ray machine was available, which meant he didn t need open heart surgery. As this is not a standard procedure, we were put on the waiting list. Nevertheless, when he finally got his treatment he was out of hospital the next day. Last year I was diagnosed with Type 2 diabetes. I know I m carrying excess weight but I m not sure how to lose it. With a history of heart disease, my husband had a CAT scan performed recently. When he saw the specialist three weeks later, they were unable to track down his A few months ago my 15 year old son injured himself while playing soccer in a rural tournament. We took him to the emergency department as there were no GP s available at the time and I waited with him for eight long hours before he finally received the appropriate care. 12

13 In 2020 Population: 25 million Population >65yrs: 4 million Population overweight/obese: Est 17 million Ten years on, the Jones are keeping in good health, with the help of a health coach. Jane tells us about the ups and downs of the past year, from pregnancies to car accidents. Our health coach is helping us to lead healthier lives, preventing us from the possible onset of chronic diseases. My husband s work sees the benefit in making sure their employees are fit and healthy by providing health education and plans. My father was diagnosed with early signs of Alzheimer s. The routine home blood tests he started a few years ago with lab-on-a-chip technology detected early warning signs. This was then confirmed with a MRI scan and he is now on medication which has controlled the disease. Unfortunately, six months ago, my 25 year old son was involved in a car accident. As the emergency department has its own CAT scanner my son was imaged immediately. This led to the accurate diagnosis of his injuries which saved his life. Last year, my relaxing getaway with my husband was cut short after he developed chest pain. We ended up in hospital and he was seen in one hour well below the four hour average wait time. With the new electronic health system the doctor was able to access his medical records, through a hand held device including details of his allergies and his valve surgery ten years ago. Fantastic news! My sister is pregnant again. Despite living in a remote town, she has access to all the best care through virtual consultations. The best obstetricians in the city have been assessing her ultrasounds remotely and she feels like she is receiving the very best of care from afar. My mum, now 73, recently had a hip replaced but it was much more comfortable than the one she had years ago. Today, the standard treatment involves performing a 3D CAT scan, which is then used to make a customised hip to her exact requirements. My diabetes is under control and I now have one GP that I see regularly. It s reassuring to have the same doctor every time who is familiar with my personal management plan. On the other hand, my brother has not been able to control his diabetes and is now on dialysis. Thankfully he can be cared for at home and his evening dialysis doesn t interfere with his work. In 2030 Population: 29 million Population >65yrs: 6 million Population overweight/obese: Est 23 million Life sure has changed for the Jones. Jane s kids are all grown up and doing their own thing. Meanwhile, her 83 year old mother is still fit and healthy despite her age. I am now a grandmother! Like all children born these days, my grandson s DNA was mapped from birth and an individualised health program was created. All his health data has been automatically entered into his electronic health record. Given our history of breast cancer, my daughter has had her DNA mapped too, which estimate her risk in developing this disease. From this information, she s had a tailored prevention strategy and screening program developed. She now wears a small device that can monitor changes in her blood, which are indicators for breast cancer. Four years ago I was diagnosed with breast cancer. Thankfully it was detected early due to highly sensitive blood tests and the latest imaging devices. From the cancer s DNA, drugs tailored to my needs were developed, resulting in minimal side effects and shorter treatment time. The noninvasive radiation therapy treatment was highly focused on the cancer which allowed me to have treatment during my lunch breaks. Due to my husband s history of heart disease, he had all of his imaging and pathology results combined and loaded into a computer where a virtual 3D model of his heart was created. This model was used to simulate and diagnose future events. By knowing what may happen in the future he can act today to ward off the predicted heart attack. While travelling in the outback, my son, now 35, fell ill with some unusual symptoms. The doctors had never seen a case like this. They scanned the electronic medical databases and discovered there were other patients with similar symptoms. The doctors were able to diagnose the disease accurately and prescribe the right treatment. New technologies are allowing my mother to still live at home, despite her age. She s got a sensor in her earlobe that can detect changes in her body and wirelessly transmit this information to her electronic health record and the local hospital. Her home is aged-friendly, fitted with motion pressure sensors and GPS which are fully integrated into the healthcare network. 13

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16 How much will healthcare cost Australia in the future? Cost per person ($) 10,000 9,000 8,000 7,000 6,000 5,000 4,000 3,000 2,000 1, Total healthcare expenditure $270 billion $220 billion Without cost containment With cost containment Source: OECD projections 2006 and Intergenerational Report Will he be able to afford quality healthcare when he is my age? 16

17 Healthcare facts How much are we currently paying for healthcare? Currently the expenditure of Australia s healthcare is nine percent of Australia s gross domestic product. This equates to $112.8 billion averaging out to an expenditure of approximately $5,190 per person 1. By 2030, healthcare costs without cost containment is projected to be $270 billion or $9,300 per person. With cost containment, this figure will reduce to $220 billion or $7,500 per person. Just over two percent of our healthcare expenditure 1 is on prevention and promotion with 98 percent spent on treatment. What is preventative healthcare? Primary prevention is the ability to prevent a disease from occurring. Secondary prevention is the ability to prevent the disease from progressing therefore improving the outcomes of the disease. How can electronic health improve our health system? Electronic health is beneficial as it can assist in reducing costs. In Australia over $3 billion in cost is avoidable if patient data is available when required 2. Currently, 18 percent of medical errors occur because the right patient information was not available at the right time 2. Electronic health will be able to support a multi-disciplinary workforce. Denmark has currently implemented electronic health records and doctors have been able to save an average of 50 minutes per day which can equate to approximately three patient consultations 3. Why is it so difficult to access healthcare services today? Australia has 200 less general practitioners per million people compared to the Organisation of Economic Collaboration and Development (OECD) average 4 Hospital wait times average eight hours percent of hospital admissions are potentially preventable 6 The most common reason for hospitalisation is dialysis and this equates to 12.5 percent of all hospital admissions 7 Quality of healthcare subsides when a hospital s capacity exceeds 85 percent Australian Institute of Health and Welfare, 2010, Health Expenditure Australia National E-Health Transitional Authority, 2008, E-Health Strategy 3 Harrell, Eben, 2009, In Denmark s Electronic Health Records Program, a Lesson for the US TIME Magazine 4 OECD, 2010, Health Data 2010 How Does Australia Compare Resources in the Health Sector? 5 Australian Medical Association, 2009, Public Hospital Report Card National Health and Hospitals Reform Commission, 2010, A National Health and Hospitals Network for Australia s Future Delivering Better Health and Better Hospitals 7 Australian Institute of Health and Welfare, 2010, Australia s Health Australian Medical Association, 2008, Public Hospital Report Card 2008

18 A positive future for healthcare in Australia is now in our hands. As a diverse technology-based solutions provider, Siemens can support you with the latest innovations in technologies to help achieve Australia s goals for healthcare. We are committed to research and development to find solutions for a world with accessible, high quality and preventative healthcare. We will continually share our knowledge to empower you, the people of Australia, to help make the right decisions. What is left now is for all of us to take the next step. If we want to be supported by an accessible, high quality and preventative healthcare system, we need to start working together today. As Australians, it is time to take actions to address the challenges of the four global megatrends. It is now time to explore all the opportunities presented through current and emerging technologies, in order to create a better world for our future generations. Together, we can picture the future of a sustainable healthcare system for Australia. 18

19 Healthcare

20 About Siemens Our world is rapidly changing due to four global megatrends climate change, urbanisation, globalisation and demographic change. The pressures brought on by these four global megatrends can affect businesses and individuals significantly. Siemens has a portfolio of technology-based solutions to help tackle such challenges. Through our innovative offerings, we can help you find solutions in the areas of water, energy, environment, healthcare, productivity, mobility, safety and security. Siemens Ltd. Head Office Australia 885 Mountain Highway Bayswater VIC 3153 ABN: Telephone Facsimile Version Siemens Ltd. Web: Blog: Subject to change without prior notice. The information in this document contains general descriptions of the technical options available, which do not always have to be present in individual cases. The required features should therefore be specified in each individual case at the time of closing the contract. Printed in Australia.

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