Military health leaders from Australia, Singapore & the UK came together at the inaugural International Military Health ITplenary at HIMSS AsiaPac 18 in Brisbane to discuss the key challenges in their respective military health systems. Setting the context regarding military health systems for the broad audience who may not have direct experience with them or understand how they work, Dr Charles Alessi, Chief Clinical Officer, HIMSS, who is also the moderator of the IMHIT panel on Day Two of the conference, explained that the populations in military health systems are not necessarily very old compared to civilian ones and not necessarily multi-morbid.There are a unique set of circumstances firstly, there are the occupational health requirements in military health which are really very different to what you expect to find in civilian life. Secondly, care often has to be delivered in small, isolated communities and that in itself poses some significant challenges, often associated with clinical governors ensuring that clinicians that look after that population are in the right system and are really following guidance in the appropriate way.When military personnel go to places on their own, they need systems of governance which are really quite robust, said Dr Alessi.He also added that are very unique challenges in terms of information exchange for military personnel and military systems. One of them is the fact that interoperability is as much of a problem in military health as it is within civilian life. Secondly, integration is a significant issue, such as integrating information back into civilian registers. The last challenge is cybersecurity, given the dangers associated with people being able to see the information and operating in environments where the Internet infrastructure may not be optimal.

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