Integrating virtual models of care through infrastructure innovation in healthcare facility design
Reema Harrison
A * , Robyn Clay-Williams A and Alexander Cardenas B
A Australian Institute of Health Innovation, North Ryde, Macquarie University, Sydney, NSW 2109, Australia.
B Cardenas Consulting Group, Sydney, NSW 2000, Australia.
Australian Health Review 46(2) 185-187 https://doi.org/10.1071/AH21335
Submitted: 11 November 2021 Accepted: 18 December 2021 Published: 3 March 2022
© 2022 The Author(s) (or their employer(s)). Published by CSIRO Publishing on behalf of AHHA.
Abstract
The coronavirus disease 2019 (COVID-19) pandemic has highlighted the potential value of virtual models of care to support more efficient and accessible healthcare delivery at reduced cost. In order to achieve this, the healthcare services and facilities must be designed to integrate virtual care. To date, incremental approaches have been used to accommodate virtual care innovations within existing systems and services. Infrastructure innovation is now critical to fully realise the benefits of virtual and hybrid models of care for population health and health system efficiency. With record capital expenditure on healthcare infrastructure across Australian jurisdictions, we are in a critical period for making transformative changes to the design of healthcare facilities to ensure the relevance of future facilities and redevelopments. We examine the value proposition posed by our current healthcare infrastructure approach and how system-wide planning for the integration of virtual models of care may optimise the ability of the Australian health system to meet emerging and future health needs.
Keywords: health facility design, infrastructure, patient safety, virtual care.
References
[1] Figueroa CA, Harrison R, Chauhan A, Meyer L. Priorities and challenges for health leadership and workforce management globally: a rapid review. BMC Health Serv Res 2019; 19 239| Priorities and challenges for health leadership and workforce management globally: a rapid review.Crossref | GoogleScholarGoogle Scholar | 31014349PubMed |
[2] Bürklea T, Deneckea K, Lehmanna M, Zetzb E, Holma J, editors. Integrated care processes designed for the future healthcare system. MEDINFO 2017: Precision Healthcare Through Informatics: Proceedings of the 16th World Congress on Medical and Health Informatics; 21 August 2017; Hangzhour, China. IOS Press; 2018. Available at https://www.audit.nsw.gov.au/our-work/reports/health-2020
[3]
[4] Audit Office of New South Wales. Health capital works. 2020.
[5] Ostermann M, Vincent J-L. How much centralization of critical care services in the era of telemedicine? Springer; 2019.
[6] ABC News Media. New Royal Adelaide Hospital: All you need to know about the delayed high-tech project. ABC; 2017. Available at https://www.abc.net.au/news/2017-01-24/new-royal-adelaide-hospital-all-you-need-to-know/8206416
[7] Independent Hospital Pricing Authority (IHPA). National Hospital Cost Data Collection Report: Public Sector, Round 22. IHPA; 2020.
[8] Sutherland K, Chessman J, Zhao J, Sara G, Shetty A, Smith S, et al. Impact of COVID-19 on healthcare activity in NSW, Australia. Public Health Res Pract 2020; 30 e3042030
| Impact of COVID-19 on healthcare activity in NSW, Australia.Crossref | GoogleScholarGoogle Scholar |
[9] Fisk M, Livingstone A, Pit SW. Telehealth in the Context of COVID-19: Changing Perspectives in Australia, the United Kingdom, and the United States. J Med Internet Res 2020; 22 e19264
| Telehealth in the Context of COVID-19: Changing Perspectives in Australia, the United Kingdom, and the United States.Crossref | GoogleScholarGoogle Scholar | 32463377PubMed |
[10] Menvielle L, Audrain-Pontevia A-F, Menvielle W. The digitization of healthcare: new challenges and opportunities. Springer; 2017.
[11] Hutchings OR, Dearing C, Jagers D, Shaw MJ, Raffan F, Jones A, et al. Virtual health care for community management of patients with COVID-19 in Australia: observational cohort study. J Med Internet Res 2021; 23 e21064
| Virtual health care for community management of patients with COVID-19 in Australia: observational cohort study.Crossref | GoogleScholarGoogle Scholar | 35227008PubMed |
[12] Clinical Oncology Society of Australia. Australasian Tele-Trial Model: A National Guide to Implementation. 2016. Available at https://www.cosa.org.au/media/332325/cosa-teletrial-model-final-19sep16.pdf
[13] Almathami HKY, Win KT, Vlahu-Gjorgievska E. Barriers and facilitators that influence telemedicine-based, real-time, online consultation at patients’ homes: systematic literature review. J Med Internet Res 2020; 22 e16407
| Barriers and facilitators that influence telemedicine-based, real-time, online consultation at patients’ homes: systematic literature review.Crossref | GoogleScholarGoogle Scholar | 32130131PubMed |
[14] Schwamm LH, Estrada J, Erskine A, Licurse A. Virtual care: new models of caring for our patients and workforce. The Lancet Digital Health 2020; 2 e282–e5.
| Virtual care: new models of caring for our patients and workforce.Crossref | GoogleScholarGoogle Scholar | 32382724PubMed |
[15] Shaw J, Brewer L, Veinot T. Health equity and virtual care: A narrative review of recommendations arising from the COVID-19 pandemic. JMIR Formative Research 2021; 5 e23233
| Health equity and virtual care: A narrative review of recommendations arising from the COVID-19 pandemic.Crossref | GoogleScholarGoogle Scholar | 33739931PubMed |
[16] Astier A, Carlet J, Hoppe-Tichy T, Jacklin A, Jeanes A, McManus S, et al. What is the role of technology in improving patient safety? A French, German and UK healthcare professional perspective. J Patient Saf Risk Manag 2020; 25 219–24.
| What is the role of technology in improving patient safety? A French, German and UK healthcare professional perspective.Crossref | GoogleScholarGoogle Scholar |
[17] New South Wales Health. 20-Year Health Infrastructure Strategy. Sydney: NSW Health; 2021.
[18] Wade V, Soar J, Gray L. Uptake of telehealth services funded by Medicare in Australia. Aust Health Rev 2014; 38 528–32.
| Uptake of telehealth services funded by Medicare in Australia.Crossref | GoogleScholarGoogle Scholar | 25219655PubMed |
[19] Jolly R. The ehealth revolution - easier said than done. Parliament of Australia; 2011. Available at https://www.aph.gov.au/about_parliament/parliamentary_departments/parliamentary_library/pubs/rp/rp1112/12rp03#_Toc309206414
