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Implementing an innovative clinical decision support system into an Aboriginal health service

Tracks
Waterfront Room 3
Thursday, October 24, 2024
1:00 PM - 2:05 PM
Waterfront Room 3

Details

Stream: First Nations Health


Speaker

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Dr Debbie-Ann (Debbie) Gillon
Registrar
Wurli-Wurlinjang Health Service

Implementing an innovative clinical decision support system into an Aboriginal health service

Abstract Overview

Territory Kidney Care (TKC) is a clinical decision support system (CDSS) that integrates data from primary and tertiary care to streamline clinician workflows. TKC is unique as a CDSS tool through its validated dynamic, algorithm-based phenotyping. It utilises a service-oriented architecture to connect to pre-existing participating health platforms, automatically and securely transferring clinical data. TKC is an important tool for clinicians due to its ability to classify individuals by CKD risk and activate surveillance for timely intervention. It has been validated not only for CKD but also for adaptability to T2DM, hypertension, and CVD, with detection exhibiting high diagnostic accuracy, surpassing traditional administrative codes in identifying chronic disease.

This evaluation focuses on its implementation at an Aboriginal Community Controlled Health Service (ACCHS) in the Northern Territory (NT), capturing challenges related to electronic systems and uptake. This study underscores the importance of integrating decision support systems into workflows and allocating resources for implementation. Lessons from TKC's implementation can inform the rollout of similar tools in diverse healthcare settings.

During this presentation a demonstration of TKC will be provided to those in attendance.

Biography

Dr. Debbie-Ann (Debbie) Gillon, a dedicated rural doctor, has devoted her career to improving healthcare in remote Australian communities, particularly for Aboriginal and Torres Strait Islander (ATSI) populations. With roots in regional Australia, she pursued advanced training in Rural General Practice and ATSI health, recognising the urgent need to address health disparities. Dr. Gillon collaborates closely with community leaders, Indigenous healthcare workers, and government agencies to develop culturally sensitive healthcare solutions. Beyond clinical practice, she engages in health promotion, education, and policy advocacy. Dr. Gillon's compassion and commitment drive her mission to close the life expectancy gap and ensure equitable healthcare access for all Australians.
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Mr Paul Kamler
Clinical Nurse Consultant
Territory Kidney Care Project - Clinical Support Unit NT Health

Co-presenter

Biography

Paul is a registered nurse and midwife with experience in both the primary and tertiary health care sectors as well as the eHealth arena. He has worked as a primary health care manager in an Aboriginal Community Controlled Health Service as well as gaining valuable experience working within Renal Services (Ward 7A) at the Royal Darwin Hospital. His hands-on clinical experience has been translated more recently into the role of eHealth business analyst where he managed various primary health care and renal portfolios for the Primary Care Information System (PCIS) and East Arnhem Communicare System (EACS). His current role as clinical nurse consultant (health informatics) within the Territory Kidney Care (TKC) team, enables him to contribute to the operational and developmental aspects of this new system to support both renal and primary care providers.
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