A More Unified Health & Disability System


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Chai Chuah
National Director, National Health Board

Graeme Osborne
Director, National Health IT Board

(3/11/10, Illott, 9.00)

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  • In particular I would like to acknowledge the leadership of Paul Cressey and the most recent work of HISAC. As you can see on the right hand side of the slide, there have been a number of successful initiatives completed over the last 18 months including: development of standards by sector working groups; challenging and advising the Ministry of Health on their Key Directions and National systems development programme; and, increasing the uptake of the secure health network which has 1200 registered users now. Registered users and health organisations wanting to provide online health services, now have a choice of three providers: Telecom/Gen-i, TlestraClear and Health Link. In addition, the secure health network will migrate to the next generation Connected Health solution without any impact.
  • A More Unified Health & Disability System

    1. 4. Health Leadership Structure
    2. 5. Enabling an Integrated Healthcare Model Graeme Osborne, Director - National Health IT Board 3 November 2010, HINZ Conference 2010 www.ithealthboard.health.nz
    3. 6. E-Health, where are we heading?
    4. 7. eHealth Vision To achieve high quality health care and improve patient safety , by 2014 New Zealanders will have a core set of personal health information available electronically to them and their treatment providers regardless of the setting as they access health services.
    5. 8. National Health IT Plan
    6. 9. Benefits of Achieving the Plan <ul><li>Improved health outcomes </li></ul><ul><li>Improved quality of healthcare </li></ul><ul><li>Cost efficiencies/productivity improvements/risk management </li></ul><ul><li>Improved employee engagement </li></ul><ul><li>Increases patient self care </li></ul>
    7. 10. Governance National Health IT Board National Information Clinical Leaders Group Consumer Forum Work with: Holds Accountable DHB CEOs and CIOs Health Information Standards (HISO) Health IT Cluster Sponsor Owner Prog/Proj Manager Sponsor Owner Prog/Proj Manager Sponsor Owner Prog/Proj Manager Local Regional National Invest Define/ Operate Delivery Patients First DHB CEO Information Group Ministry Major Projects Group Groups the Board will work with and hold accountable for achieving the plan National Programmes
    8. 11. <ul><li>Clinicians agree there is value in sharing health information </li></ul><ul><li>Patient access to information (audit access) </li></ul><ul><li>Support for multi-disciplined care team and integrated care </li></ul><ul><li>Separate from individuals Personal Health Record (PHR) </li></ul>Shared Care Records Dr Janine Bycroft
    9. 12. Achievements - Primary Healthcare <ul><li>GP2GP </li></ul><ul><ul><li>Testing will be completed in November </li></ul></ul><ul><ul><li>Rollout in the new year </li></ul></ul><ul><li>National e-discharges, e-referrals </li></ul><ul><ul><li>2011 implementation </li></ul></ul><ul><li>PMS Requirements Review </li></ul><ul><ul><li>Validation reporting by Mid-2011 </li></ul></ul><ul><li>Better, Sooner, More Convenient (BSMC) initiatives: </li></ul><ul><ul><li>Wairarapa </li></ul></ul><ul><ul><li>Christchurch </li></ul></ul>
    10. 13. Achievements – DHBs / Ministry of Health <ul><li>DHB Regional Plans: </li></ul><ul><ul><li>4 Regional IT Implementation Plans received (a part of the initial Regional Services Plans) </li></ul></ul><ul><ul><li>Focus is on readiness for the 2011/2012 year </li></ul></ul><ul><li>Ministry of Health Projects: </li></ul><ul><ul><li>Health Identity </li></ul></ul><ul><ul><li>Sector Services </li></ul></ul><ul><ul><li>Connected Health </li></ul></ul>NHITB, MoH ELT, CIC, and NHB Cabinet Approval in November Three suppliers with six products have received certification NHITB joint funding of the CRISP Stage 1
    11. 14. Achievements - National Programmes <ul><li>Shared Care </li></ul><ul><ul><li>Chronic Conditions </li></ul></ul><ul><ul><li>Maternity </li></ul></ul><ul><li>End to end Medications Management </li></ul><ul><ul><li>Taranaki – end to end inpatient medications management </li></ul></ul><ul><ul><li>Counties Manakau – Medicines reconciliation and dispensing information loaded into Test Safe - North </li></ul></ul><ul><ul><li>Otago – Inpatient e-prescribing </li></ul></ul><ul><ul><li>Community e-prescribing service (Patients First) </li></ul></ul>Active Procurement - HSA Global Malcolm Pollock - NIHI Active Procurement - Simpl NHITB supported end to end project
    12. 15. National Health IT Plan Phase 2 Identity Connected Health Clinical Data Repository
    13. 16. National Health IT Plan Phase 2 Primary – Community Secondary – Tertiary Shared Care
    14. 17. Key Annoucement <ul><li>National Health IT Board, subcommittee to the National Health Board, established Dec 2009 </li></ul><ul><li>National Health IT Plan </li></ul><ul><ul><li>Released 31 July 2010 </li></ul></ul><ul><ul><li>Approved for release Nov 2010 </li></ul></ul><ul><ul><li>www.ithealthboard.health.nz </li></ul></ul><ul><li>Minister of Health, Committees and consumer feedback in support of the Plan </li></ul><ul><li>DHB Regional IT Plans submitted to Board 30 Sept align with the implementation of the Plan </li></ul>
    15. 18. National Health IT Board Dr Murray Milner, Independent ICT Consultant (Chair) Dr Harry Pert, General Practitioner, Rotorua Elizabeth Plant, Pharmacist, Taranaki District Health Board Dr Chris Hendry, Executive Director, Midwifery and Maternity Provider Organisation Tony Foulkes, CEO, Taranaki District Health Board Nigel Millar, CMO, Canterbury District Health Board Robyn Kamira, Business Owner and Academic Chai Chuah, National Director, National Health Board (expert appointment) Graeme Osborne, Director of the National Health IT Board