Cloud-based eHealth Solutions
Innovation in Health Information Management
Smart Health - an innovative choice
Smart Health Solutions is a provider of cloud-based outpatient and ambulatory care solutions that combine an extensible clinical information system with aggregated clinical data across points of care. Smart Health Solutions is an Australian company that supports cross-sector eHealth programs across Australia. Our focus is on integrated and specialised clinical information management solutions including Cancer, Renal Medicine, Infectious Diseases, Community Care and more. The solution can be accessed by all of a patient’s authorised healthcare providers, across practices and across jurisdictions.
Smart Health offers a range of off-the-shelf outpatient and ambulatory care clinical information management solutions, integrated with a nationally scalable clinical data repository that is strongly eHealth standards compliant and which interoperates with other private and public eHealth systems.
The Smart Health Clinical Information and EHR Repository solution implements the highest possible security, privacy, authentication and consent management.
Smart Health provides a range of chronic disease and other health management modules that support detailed point-of-care clinical information management. Our solution is readily extensible to support new chronic disease and health program data sets. On-line forms to capture program specific data can be developed and deployed quickly to meet new clinical information management requirements.
Smart Health specialist chronic disease and other health management modules provide detailed clinical data specific to the clinical cohort that "fill the gaps" for clinical data management of hospital EMR systems. At the same time Smart Health modules interoperate with EMR systems to ensure Smart Health data is available to all clinicians in a health service.
Smart Health’s cloud-based Electronic Health Record Repository operates from an ISO27001 secure data centre located in Australia. Smart Health's clinical information system and repository services support interfaces to other information systems and to national eHealth infrastructure services. Smart Health services support interfaces to health service and hospital patient administration systems, EMRs, clinical systems, diagnostic services and dispensing systems. Smart Health Services also support interfaces with private diagnostic services and the sending of patient clinical records to GPs and private specialists using Secure Messaging Services.
Our cloud-based solutions are focused on shared care and managed health programs, including outpatient and ambulatory care (chronic disease and patient condition management), shared Electronic Health Records (EHRs), repository solutions, reporting databases and other solutions. Our services support delivery of these and other innovative solutions.
Smart Health develops, implements and manages its eHealth solutions and services with Australian-based, highly experienced in-house resources.
Smart Health Renal is an off-the-shelf, secure cloud-based clinical information management solution for renal medicine. It is a mature solution that supports all aspects of renal medicine.
Smart Health Renal offers the following features that differentiate it from other renal information solutions:
Proven multi-site, multi-health service deployment
Low cost service fees & simple procurement processes
Responsive development & implementation model, with customisation to meet new requirements
Direct reporting of clinical data to ANZDATA without user intervention
Smart Health Renal is a detailed, specialist point of care clinical information system that provides secure access to patient-centric clinical records by authorised clinicians at any practice, on any network, on demand.
Smart Health Renal was designed by Australian renal clinicians for use by Australian renal teams, including physicians, nurses, physiotherapists, dietitians, social workers and other allied healthcare providers. This cross-sector and cross-jurisdictional capability offers significant benefits for patient mobility, patient safety and clinical efficiency.
Smart Health Renal is continually evolving to maintain currency with Renal Medicine best practice. It has an active and enthusiastic User Group that provides input into our three-times-a-year product release program.
Multidisciplinary Team Meeting Management
Smart Health's Multidisciplinary Team Meeting Management System (MDT MMS) was developed to support integrated management and care for cancer patients in multiple tumour streams across multi-site public health services. It also supports multidisciplinary meetings for other clinical programs.
Our MDT MMS is the only commercially available cloud-based, cross-sector MDT MMS available in Australia. Being cloud-based, it can be deployed in any location, using standard Internet connectivity, anywhere in the world. It currently supports three metropolitan Melbourne health services with around 20 tumour streams across five hospital sites. It also support participating by regional sites, where participating clinicians are able to add patients to metropolitan hospital meetings and participate in those meetings. As part of an implementation in NSW, Smart Health support for cancer programs has been extended to include surgical interventions in cancer care, including detailed clinical data management for operations, complications, follow-ups and recurrent cancers.
Core functions include:
Integration of patient administrative and clinical data in patient-centric, longitudinal health records
Capture of diagnostic, morphology and staging data, including support for international staging schemes
Meeting management, including automated patient agendas, healthcare provider management and preparation lists for pathologists and radiologists
Patient MDT Review records, including clinical assessments, diagnoses, staging details, MDT discussions, treatment recommendations and referrals
Automated post-meeting communication for meeting attendees and referring clinicians
Automated interfaces that send patients’ MDT Reviews to hospital EMRs and to general practice and private specialist EMRs
The MDT MMS, like other Smart Health modules, includes reporting databases that contain each practice's clinical and administrative data, plus activity logs and other audit data. The reporting database includes all imported clinical records, as well as all of the clinical records created by users. All of the data in the reporting database can be queried and reported at field level.
The MDT MMS has a continuing development program, with three upgrades a year to implement new features and remain current with best practice in cancer care. A keen and enthusiastic User Group ensures continuing development of the solution.
The MDT MMS is currently the subject of procurement processes in Europe and New Zealand.
Smart Health Cystic Fibrosis (CF) is a comprehensive, off-the-shelf, secure cloud-based clinical information management solution for CF. It is one of our oldest and most mature applications and includes multi-state implementation in major public hospitals.
Smart Health CF is a specialised, detailed clinical information system designed by Australian CF clinicians for use by Australian CF teams, including physicians, nurses, physiotherapists, dietitians, social workers and other allied healthcare providers.
Detailed support for CF clinical data includes:
A broad range of clinical forms for paediatric and adult patients:
Dietitian, Gastroenterologist, Nurse, Occupational Therapist, Physiotherapist, Psychologist, Psychiatrist, Respiratory Physician and Social Worker Clinic notes
Paediatric Mental Health, Physician, Physiotherapist, Psychologist, Social Worker and Transplant Assessments
Action, Admission and Discharge care plans
MDT Meeting management and patient notes
Automated importing of lung function data, including summary and graphed views, with selectable timeframes
Automated reporting of patient data to user teams and the CF Australia Data Registry
The development of the CF clinical information system is guided by a user group that includes CF Services in multiple states.
"This system is fantastic! Thanks I really appreciate it." Clinical Services Coordinator, Australian public hospital Cystic Fibrosis Service
"Smart Health CF has been in use at the Royal Adelaide Hospital for many years. I introduced Smart Health CF to our hospital. The application suits our clinical data management requirements well and the Smart Health team is responsive to our changing needs." Dr Hugh Greville, Royal Adelaide Hospital Adult Cystic Fibrosis Service
Other and Bespoke Solutions
Smart Health is continually maintaining and improving its existing clinical modules in addition to developing support for new clinical programs, with new patient cohorts and new data management requirements.
One recent new development is our Patient Watch module. Smart Health's Patient Watch solution supports Monash Watch, a community health program that reduces avoidable hospitalisations and visits to emergency departments. It is a Victorian Department of Health supported program that is operated by Monash Health Service. It is focused on identifying at risk patients in the community, communicating with and supporting those patients regularly and keeping them out of hospital. The Monash Watch program is based on new paradigms of healthcare. It uses Smart Health and other innovative clinical decision support technologies to support its activities and is demonstrating success at improving the quality of patients’ lives and reducing the burden on tertiary healthcare services and associated costs.
The Monash Watch team plays a critical role in patient care and includes telecare guides and health coaches. The team works with the patient, the patient's GP, council services, community health services and the hospital to make the patient’s healthcare experience simpler, easier and lower cost.
Smart Health provides patient-centric health records and integration with health service IT systems. Smart Health is currently in the planning phase of integration with Monash Watch's clinical decision support and machine learning solution.
"We looked at a number of possible solutions and vendors to provide the core application for our program. We chose Smart Health as its staff are easy and flexible to deal with, while providing value for money and speed to market. We also had in mind that we needed eHealth technologies that could scale statewide and Smart Health's cloud-based architecture provides this capability." Keith Stockman, Manager Monash Watch, Monash Health
“Integrated care is a subject we take very seriously and we plan to use the clinical information sharing capabilities of the Smart Health cloud systems to develop Monash Watch further as an integrated care leader and model for Australia.”
Professor Don Campbell, Professor of Medicine at Monash University and Head of the Division of General Medicine at Monash Health, Victoria.
“We have found Smart Health to be professional, knowledgeable and very easy to work with. One of Smart Health’s strengths in our tender process was its existing cross-practice, multi-disciplinary clinical information and repository solution, that can be readily customised to meet the requirements of new managed health programs, particularly programs that operate across multiple health practices and health services.”
Tracey Tobias, Manager, Southern Melbourne Integrated Cancer Service (SMICS), Victoria
“St Vincent’s and Mater Health has partnered for several years with Smart Health. Together we implemented Australia’s first online diabetes clinical information management solution. We have extended to renal and soon to our chronic care services and outpatient clinics. Smart Health is an Australian leader in chronic disease health record capability and has a team of ICT experts that continues to interpret and deliver on user requirements.”
David Roffe, CIO, St Vincent’s and Mater Health, NSW
"During my years working with Smart Health I have found them highly professional, reliable and value for money. Smart Health also has unique EHR capability and I thoroughly recommend them to others considering eHealth and EHR programs."
Professor John Wilson, Head Adult Cystic Fibrosis Service, Alfred Health, Victoria
The Smart Health Story
Smart Health was established in 2000 by Peter Flower and Jon Hughes. Smart Health is a health information technology provider that specialises in secure cloud-based eHealth solutions.
Our solutions are focused on shared care and managed health programs, including outpatient and ambulatory care Clinical Information Systems (CIS) for chronic disease), shared Electronic Health Records (EHR), repository solutions, conformance with eHealth standards, reporting databases and other solutions including integrated care. Smart Health is a long term innovator and pioneer in Australian eHealth solutions.
Smart Health’s existing cross-practice CIS solution is a product of innovation as is our secure cloud repository; we are leaders in innovative eHealth including:
Australia’s first cloud-based shared EHR repository
Australia’s first cross-jurisdiction, shared repository-based chronic disease information management solution
Australia’s first implementation of PKI-based authentication for access to cross-practice clinical systems
Australia’s first integration of a shared EHR repository, home tele-monitoring systems, tele-consulting and mobile access for patients
Australia’s first cloud-based shared EHR repository-based solution for multi-disciplinary care of cancer patients across multiple health services
Our approach is to:
Work closely with clinical champions and users to develop solutions
Deliver solutions which are fit for purpose, user friendly and offer value for money
Provide customers with sustained support , solution upgrades and enhancements that keep our applications current with best eHealth and clinical practice
Smart Health has been successfully pioneering and delivering eHealth programs since 2000, with a particular focus on the development and implementation of “Shared Care Information Management Systems” for multidisciplinary teams and integrated care.
Our beginnings were very humble. We started with a vision for shared patient clinical data based on requirements developed from our collaboration with far-sighted Australian clinicians. Early analysis showed that there was no efficient means of sharing clinical data within the Australian sector. These were the days when the Internet was mainstream in other industries but not yet accepted or understood by healthcare. These were also the days where dial-up Internet was the norm in private practices.
In early 2000, after gaining support from the then CEO of Brisbane Waters Private Hospital on the Central Coast of NSW, Graham McGuinness, Smart Health Solutions formed partnerships and engaged sponsors to begin Australia’s first shared Electronic Health Record project. Partners and sponsors in the project included Sun Microsystems, Schlumberger, Macquarie Bank, Cable and Wireless and the Central Coast Division of General Practice. In May 2000, the Commonwealth Government through the Information Technology On Line (ITOL) program, granted Smart Health funding to accelerate the development of the program. In 2002 an enhanced Smart Health-led consortium, now including the Commonwealth Department of Veterans’ Affairs and Commonwealth Department of Health and Ageing, received a supplementary ITOL grant to further develop the program. It was on the basis of these programs that Smart Health has evolved to where it is today.
This humble work had many firsts including:
A secure, private cloud client/server eHealth implementation
Use of PKI and smartcard technology to authenticate users and secure data
An “opt-in” consent model based on Commonwealth Government approved terms and conditions
The appetite for shared EHR programs within Australian government healthcare authorities, despite enthusiastic beginnings, waned until bursting to life with the PCEHR program around 2009. In between times Smart Health maintained the vision but shifted its focus to supporting chronic disease patients in outpatient departments and other healthcare programs that required shared access to clinical data.
Smart Health, together with some leading Australian clinicians, pioneered the following eHealth firsts:
In 2004, Australia's first online solution for Renal Medicine was launched in NSW Health for the (then) New England Area Health Service. This solution has evolved and been enhanced to support other sites in NSW and Victoria.
In 2005, funded by the South Australian Health Department, Smart Health was implemented at the Royal Adelaide Hospital. This implementation enabled South Australian patients with Cystic Fibrosis who were referred to The Alfred Hospital in Melbourne for transplant services to have their healthcare histories available online to interstate clinicians.
In 2007, the Commonwealth Department of Health and Ageing awarded Alfred Health in Victoria funding to implement Australian first state-wide shared EHR to support chronic disease. The program focused on Cystic Fibrosis patients with the potential to support all chronic diseases.
Along the way Smart Health, in partnership with Australian clinical champions, has developed and implemented support for other health management programs including Community Care, Infectious Diseases and HIV, Cancer and surgical interventions.
Innovation and pioneering continues at Smart Health and our footprint continues to grow as health services and governments begin to grasp the commercial and shared care benefits of secure, cloud-based eHealth solutions. Smart Health is now supporting managed health care programs in most states of Australia and is currently involved in procurement processes in Europe and New Zealand.
The requirement for security and privacy of patient clinical and other health information derives principally from:
The Australian Privacy Principles
Various state privacy legislation
Ethical business practice
Smart Health has been committed to the security, privacy and ethical use of patient health information since it commenced the development and live operation of secure on-line information management solutions for patient healthcare in 2000.
Our approach includes:
Voluntary participation by patients and healthcare providers
All patients and healthcare providers participating in managed health programs supported by Smart Health do so a voluntary (opt-in) basis.
Informed consent to participate by patients
All patients participating in our programs must provide informed consent by acknowledging terms and conditions provided as part of the enrollment documentation.
Authenticating healthcare provider access to patient information
Healthcare provider access to patient information is authenticated using two factor authentication.
Authenticating administrative access to patient information
Healthcare administrator access to patient information is authenticated using two factor authentication.
Patient authorisation of provider access to patient information
Healthcare providers only gain access to patient information when their healthcare practices are explicitly authorised to access health records by the patient.
Access to patient information is strictly based on existing healthcare practice information management arrangements
Health service providers are assigned roles and permissions that determine access rights to patient information.
Securing repositories of patient and provider information
Smart Health’s servers and data repositories are hosted by secure, accredited data centre operators.
Smart Health is committed to the use of national and international standards in eHealth programs.