Australia’s journey toward interoperable digital health depends on how well states and territories can align their distinct approaches. In this episode, it focuses on the realities of FHIR adoption in complex state-based systems, the practical challenges of scaling standards, and what needs to change to truly benefit patients and clinicians at every level.

Guests:

Andrew Aho, Peter Sprivulis & Marc Belej

Key themes and takeaways:

• The critical role of state leadership - States are not just implementing national standards, they’re shaping how FHIR and interoperability are understood and operationalised at scale.
• Practical barriers to real-world interoperability - Budgeting, procurement processes, and legacy contracting can slow the adoption of standards despite wide support among clinicians and managers.
• Patient experience front and centre - True interoperability means fewer gaps, less repetition, and a better care experience as patients move across providers and settings.

This episode brings together strategy, technology, and policy insights to illustrate how state leadership and cooperation are key to a truly interoperable health system across Australia.