Conversation Capture - Greater SpringfieldThis creates a proactive journey to peoples survival rates, rather than reactive. I wish… We were further ahead in the genomics area –specifically

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Conversation Capture

Executive Summary

The second bi-annual Shifting Health by Design Symposium held 5 June 2018 continued to provoke innovate thinking and co-creation to shift health from illness towards wellness and explore the future possibility of a better health system.

The Shifting Health by Design series has been pioneered by Health City Springfield Central, facilitated by Aurecon, and in partnership with Mater Misericordiae Ltd., Aveo Group and Springfield City Group.

The day commenced with an Opening Address from Charis Mullen MP, Context and Scene Setting by Susie Pearn (Aurecon), then into four topics with a keynote presentation and panel discussion, a ‘Where to From Here’ session and finally followed by the Closing Address from Raynuha Sinnathamby.

Attending by invitation, delegates included health professionals, executives, academics, researchers, scientists, planners, digital & technology leaders, architects and thought leaders.

Attendees shared their ideas, thoughts, questions and feedback throughout the day using Slido in the format of ‘I like’, ‘I wish’ and ‘What if’? Responses to these from each of the keynote speakers are available as separate documents.

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Executive Summary

What next?

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Key themes

A number of future explorations have been identified for further consideration:1. Community engagement around population health and genomic testing2. Development of key metrics that can be used to evaluate community

wellness3. Research/exploration on building an insurance product/model that

incentivises good decisions and behavioural change

Stay tuned for how you can remain involved in taking the co-creations of #shiftinghealth2018 forward to shape a better healthcare future.

Accessibility

Affordability, funding and

sustainability

Preventative health & wellness

Community engagement

Empowerment & ownership in

one’s own health

Personalised care

Consumer at the centre

Incentivising good decisions &

behavioural change

Technology as an enabler

Update to the Shifting Health by Design Manifesto will be completed

IndexIntroductions 5

Context and Scene Setting 6

Topic 1: Genomics and Precision Healthcare – The Coming Revolution in Medicine 8

Topic 2: Engaging the Ageing Population and the Future of Ageing 13

Topic 3: Mater’s Clinical Service Plan 18

Topic 4: Creating Health Cities – A Placemaking Perspective 23

Where To From Here 28

Introductions

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Facilitator: Susie Pearn

Aurecon’s Health & Education Client Director facilitated the symposium, setting the scene and context for where the Shifting Health by Design series started and its accomplishments to date.

Welcome to Country:

Opening address: Charis Mullen MP

Charis Mullen MP opened the symposium acknowledging the importance of health and wellness and the innovative approach and opportunity that Springfield and the Shifting Health by Design series brings to the health sector.

Jamarlah Bonner from HymbaYumba performed a welcome to country.

Words from Springfield City Group’s Chairman: MahaSinnathamby

Maha Sinnathamby reconveyed the Health City partners commitment to its vision and to shifting health, diving innovation and movement towards our co-created future health paradigm. Springfield City Group’s Chairman stressed Health City’s unique and favourable environment for integration and collaboration between education, research and industry. “Shifting Health by Design is our offering to the nation”. The aim is to build a world leading health and wellness community whilst supporting the community to reach their health and wellness aspirations.

“We want to push health to its limits”

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Context and Scene Setting

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Context and Scene Setting

Opening Address by Charis Mullen MPRepresenting the Minister for Health

There is no better place than Springfield for discovering health. The Shifting Health by Design Symposium is a fantastic example of the innovative approach to health. Health is like no other, it impacts all of us. Healthier people are more productive people. There are tangible benefits for the state with better health of our citizens. It is about funding the right care, at the right place, at the right time. Our vision for 2026 for Queenslanders is to be amongst the healthiest people in the world. We want to pursue innovation and have health access that is equitable and about outstanding quality. We want to shift the focus towards health, this is a challenge for demand. How to transform and grow. What infrastructure do we need to grow? Chronic illness decreases as we shift health by design supported by policy. Central to planning, more healthy choices for the community and personalised care.

Ben Lundie

Principal Scientist

Genome.One

Topic 1: Genomics and Precision Healthcare –The Coming Revolution in Medicine

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Ben LundiePrincipal ScientistGenome.One

Topic 1: Genomics and Precision Healthcare –The Coming Revolution in Medicine

Panel

Justin GreenwellDirector Mater Private Hospital

Springfield

Mary-Anne YoungGenetic Counsellor and Head of Clinical ServicesGenome.One

Donna BonneyCEOMater Education

Facilitated by:

Terry KearneyCEO – Education, Health and Smart City EnterprisesSpringfield City Group

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Genomics and Precision Healthcare: The Coming Revolution in Medicine

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Genomics and Precision Healthcare: The Coming Revolution in Medicine

Audience Poll –

Would you consider partaking in Gene Testing?

70% of attendees said Yes

30% of attendees said they would need more information

0% of attendees said No

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‘I like…’▪ Combining the data to make better choices for all.▪ Helping consumers to be empowered and take better care of their health.▪ If this does get embedded this will aid in more successful medical decision-making.▪ We are having a conversation as to how genomics are having a positive impact in Springfield.

‘What if…’

What if – genome sequencing was done in early childhood for everyone?▪ I think it would have obvious advantages and disadvantages. The advantage would be for a

better understanding of a particular disorder and the patient’s predisposition to a disorder, however children with rare diseases end up having numerous testing undertaken.

▪ There doesn’t necessarily have to be a medical treatment - clinical utility to personal utility – if they know they have a muscular disease instead of buying a two-storey house they will buy a one-storey.

▪ We are reassured. There are social and ethical implications, however the benefits to the health & wellbeing for a patient are tremendous. A holistic-view can be provided to show us where we should focus our attention.

▪ This creates a proactive journey to people’s survival rates, rather than reactive.

‘I wish…’

▪ We were further ahead in the genomics area – specifically in education & training. To allow doctors to better understand and read test results and to allow for a more comprehensive discussion with their patients.

▪ We had more genetic-literate health professionals and community. That we approach genetics & genomics as “it has benefits” rather than “it has harm”. Genomics has many positive & proactive aspects and therefore wish that the myths are dispelled.

▪ The health funding model will shift – this needs to happen and is fundamental.

“It’s not genomics that causes distress or psychological harm, it’s the manifestation of the disease that causes this.”

Jason Eldering

Executive General

Manager, Integrated

Retirement Communities,

Aveo Group

Topic 2: Engaging the Ageing Population and the Future of Ageing

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Engaging the Ageing Population and the Future-of-Ageing

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Jason ElderingExecutive General Manager, Integrated Retirement CommunitiesAveo Group

Topic 2: Engaging the Ageing Population and the Future of Ageing

Panel

Professor Laurie BuysProfessor and Theme Leader, Institute for Future EnvironmentQueensland University of

Technology

Darryl GrundyCEOUQ Healthcare

David WaldieManaging Director Frontier Networks

Facilitated by:

Susie PearnClient Director – Health & EducationAurecon

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‘I like…’

▪ Isolation kills and therefore it is important to have a sense of community; this is a whole new paradigm and I like when I read about “this is about longevity” as well as the communities that come with it.

▪ I liked the idea of purpose – a reason to get up everyday and a sense of community & belonging. Community is the connection between people both familiar and unfamiliar. Technology is a facilitator and if you only connect with technology than you will be isolated. Health is also an enabler. The end game is participation and having an engaged life.

▪ That shared philosophy of the individual and understanding their want & need. “What do the residents want?” – To access all the healthcare professionals they need whilst not being in a stigma facility. We have an advantage of tapping into student programs and research institutions which provides a more economic solution that aligns with residents’ budgets.

‘What if…’

▪ What if we had all of our own medical data and the information and resources to know what to do with them? How would that change how we deliver our health services? – Every services sector is changing and health care is far from immune to that.

▪ What if we change the expectations of how we age (i.e. retire at age 65)?▪ What if we disrupt ageing?▪ What if there was more priority on preventative health? What if there were incentives for

preventative health?▪ What if we created a dedicated funding stream?▪ What if communities were full of love so that no one has to feel lonely or that they do not

belong?

“Health is not an end game.The end game is being able to stay active and do something meaningful that we really want to do. It is important to connect everyone in the community to avoid isolation. Health is an enabler and we must have places that facilitate this.”

Sean Hubbard

Chief Executive Officer,

Mater Health Services

Topic 3: Mater’s Clinical Services Review

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Mater’s Clinical Services Review

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Sean HubbardCEOMater Health Services

Panel

Justin GreenwellDirector Mater Private Hospital

Springfield

Dr. Clare MorganChief Medical Officer Mater Group

Charis Mullen MPMember for Jordan

Topic 3: Mater’s Clinical Services Review

Facilitated by:


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‘I like…’

▪ That people are being treated locally as well as Mater are challenging the health system to become more innovative.

▪ That Mater have local staff.▪ I’m really excited about our OneView initiative – able to interact and design a

system that is more interactive between the care team and patient▪ Providing both private and public care from one facility.

‘What if…’▪ What if we focused more on the families and loved ones of our patients? How

would this make an impact? What if we were to provide health care to our patients as if they were our own?

▪ What if we could develop and promote policy for a period greater than a 3-4 election period?

‘I wish…’▪ We still need to understand how we can collect data in a more seamless way and

not attached to a screen to allow for more personal interaction with the patients.▪ We were able to use the data we get to ensure the health of the community.

Ed Baker

Director, Broadway

Malyan

Topic 4: Creating Health Cities – A Placemaking Perspective

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Creating Health Cities – A Placemaking Perspective

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Ed BakerDirectorBroadway Malyan

Panel

Dr. Richard Eden PSMExecutive General Manager, Education and Smart City Enterprises Springfield City Group

Simon TozePrincipal Senior Research Scientist, Liveable, Sustainable and Resilient CitiesCSIRO

Jacob LindsayGlobal Digital Advisory Leader Aurecon

Topic 4: Creating Health Cities – A Placemaking Perspective

Facilitated by:


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‘I like…’• That it is getting back to people and that’s what it should be. It is thinking about the

end-user and what they want. Interesting what you can also do with green-field science.

• The great connections going ahead – we traditionally do not use a systems approach and therefore do not establish any links or overall benefits. There is a greater connection across health, education and environment.

‘What if…’

• What if we are over-complicating things? We need to embrace technology but keep things simple.

• What if in 2050, we are living in automated cities – how can we be part of this process and shape how these algorithms are designed and developed?

• What if we have a high-tech future - are we prepared or should we strive for a more simple design?

• What if we play as a team and collaborate to deliver Health City?• What if it’s here in Springfield - are we prepared and have a voice?

“Artificial Intelligence is changing healthcare faster than we think and it’s already here.”

Deep learning software is becoming increasingly useful in healthcare and in particular in transforming diagnostic medicine, including screening for cancer at the individual cell level.

AI has the ability to use human created algorithms to recommend treatments. That is, using evidence based approaches.

Where to From Here

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Ed BakerDirectorBroadway Malyan

Panel

Where to From Here?

Facilitated by:


Ben LundiePrincipal ScientistGenome.One

Jason ElderingExecutive General Manager, Integrated Retirement CommunitiesAveo Group

Sean HubbardCEOMater Health Services


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Where to From Here?

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Where to from here?

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▪ I enjoyed the idea of “simplicity”, we have the tendency to over think and over complicate.▪ So much information is out there, it’s worthwhile to stop and evaluate. We must strive to build upon existing data

rather than solely contributing to the mass of information.▪ Thinking more regarding the additional medical services that need to be provided and how this can be

implemented. ▪ The idea of community and shared-learning.▪ The thought that isolation is what really harms individuals and how we can open up the community. It’s the

interpretation of data which can lead to better interactions with others and communities – therefore, we need to create shared space that can act as an incubator of innovation.

▪ When I think of the Mater Clinical Services Plan, one of the themes is wellness – we don’t want to wait to have these conversations, what are the things we can start to explore now.

▪ As the Master Planner it was great to hear from the two key stakeholders and catalysts of Health City, Mater and Aveo. It was great to hear that a sense of community and individual needs is an important pillar.

▪ This is a people’s initiative and the drive is to put the community member in the centre and focus. It is great to see that every speaker had that as an integral part of their design and Springfield’s overall narrative.

▪ We will continue to work with our partners and believe there is something outstanding about precision medicine & wellness. There are no pots of money that created Springfield; it is organisations like Mater & Aveo as well as researches who come and provide services that the community need – the demand doesn’t come it is already here.

▪ The future is in aged-care beds which is something we don’t have in Springfield. This is something that is important to the community and it turn important for us to provide.

▪ We are wanting to incorporate maternity, an emergency centre and ICU as a part Mater’s Stage 2 as these services are not currently provided.

▪ We must carefully consider structures, rigour and frameworks required to build successful programs, studies and research.

▪ How can we ensure ethics plays a key role going forward? Do ethics institutes build trust in the community and help to create a more literate population?

Key thoughts & takeaways

Thematic Analysis

Where to From Here?

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Key Themes:▪ Accessibility▪ Affordability, funding &

sustainability▪ Preventative health &

wellness▪ Community engagement▪ Empowerment & ownership

of one’s own health▪ Personalised care▪ Consumer at the centre▪ Incentivising good decisions

& behavioural change▪ Technology as an enabler

Future explorations for consideration

Where to From Here?

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1. Population Health and genomic testing• Community engagement to better

understand:• Sharing data, insurance, effects on

family, other ethical considerations, etc.• What education and information does

the community need?2. Wellness

• Community engagement. • Development of key metrics that can be used

to evaluate community wellness.3. Behavioural change

• Research/exploration on building an insurance product/model that incentivises good decisions.

Documents

Conversation Capture - Greater SpringfieldThis creates a proactive journey to peoples survival rates, rather than reactive. I wish… We were further ahead in the genomics area –specifically