(How) Can Safe Sharing of Health Information Transform the Health System? HINZ Seminar July 2009 Dr Zoran Bolevich Ministry of Health

Presentation Outline Where are we headed? Why is safe sharing of health information critical? What will accelerate progress? Why is interoperability inevitable? What is already happening in this space? What can you do about it?

Where are we headed?

Why is safe sharing of health information critical?

What will accelerate progress?

Why is interoperability inevitable?

What is already happening in this space?

What can you do about it?

Key Challenge: Living within Our Means

Strategic Direction: Better, Sooner, More Convenient Services

Goal of a Nationwide Health IT Effort Develop a sustainable and effective information management and technology environment… Which stimulates, enables and supports… Re-orienting the health system in a way that fosters quality, is person-centred, provider-friendly and increases productivity of the system as a whole Underpinning this are interoperable systems enabling seamless and safe sharing of health information

Develop a sustainable and effective information management and technology environment…

Which stimulates, enables and supports…

Re-orienting the health system in a way that

fosters quality,

is person-centred,

provider-friendly and

increases productivity of the system as a whole

Underpinning this are interoperable systems enabling seamless and safe sharing of health information

Safe Sharing of Health Information Increases productivity by reducing re-work and duplication freeing up clinician time for high value activities speeding up clinical decision making Improves safety by enabling safe hand-over of care closing information gaps enabling multi-disciplinary teamwork Enhances patient / citizen experience by engaging people in their own health care enhancing access and simplifying processes

Increases productivity by

reducing re-work and duplication

freeing up clinician time for high value activities

speeding up clinical decision making

Improves safety by

enabling safe hand-over of care

closing information gaps

enabling multi-disciplinary teamwork

Enhances patient / citizen experience by

engaging people in their own health care

enhancing access and simplifying processes

Catalysts Two emerging strategies and one trend will accelerate the safe sharing of health information 1. Broadband investment strategy 2. Primary health care implementation plan 3. Consumer driven health care

Two emerging strategies and one trend will accelerate the safe sharing of health information

1. Broadband investment strategy

2. Primary health care implementation plan

3. Consumer driven health care

Broadband Investment Fund (BIF) Background Government to invest $1.5 billion over 10 years in ultra-fast fibreoptic broadband network Intended to reach 75% of New Zealanders, with a focus on business, education and health Exploring options for connecting health providers outside 75% coverage footprint

Background

Government to invest $1.5 billion over 10 years in ultra-fast fibreoptic broadband network

Intended to reach 75% of New Zealanders, with a focus on business, education and health

Exploring options for connecting health providers outside 75% coverage footprint

Broadband Investment Fund (cont.) Key Opportunities for Health Enabling new models of care e.g. High definition videoconferencing High definition diagnostic imaging Home-based telecare Bio-sensing and telemetry  ‘sensor networks’ Challenges Agreed clinical guidelines, protocols & business models ‘ Managed’ health network to ensure safe/secure use and ensure adequate user support Funding to cover cost of equipment required Capability for communication and interoperability

Key Opportunities for Health

Enabling new models of care e.g.

High definition videoconferencing

High definition diagnostic imaging

Home-based telecare

Bio-sensing and telemetry  ‘sensor networks’

Challenges

Agreed clinical guidelines, protocols & business models

‘ Managed’ health network to ensure safe/secure use and ensure adequate user support

Funding to cover cost of equipment required

Capability for communication and interoperability

Primary Healthcare Implementation Plan Strategy aims to: Create a more personalised primary care system Provide services closer to home Make Kiwis healthier Reduce pressure on hospitals Achieved by: Integrated Family Health Centres More treatment and diagnostic services in primary care Wider range of patient care and support options Specially trained nurses Greater incentives for PHOs & general practice to co-ordinate ongoing care

Strategy aims to:

Create a more personalised primary care system

Provide services closer to home

Make Kiwis healthier

Reduce pressure on hospitals

Achieved by:

Integrated Family Health Centres

More treatment and diagnostic services in primary care

Wider range of patient care and support options

Specially trained nurses

Greater incentives for PHOs & general practice to co-ordinate ongoing care

Primary Healthcare Implementation Plan (cont.) Opportunities for Health ICT Enable change and efficiency in achieving a person-centred service model Linked with Govt broadband investment, could make Integrated Family Health Centres ‘magnets’ for improved ICT

Opportunities for Health ICT

Enable change and efficiency in achieving a person-centred service model

Linked with Govt broadband investment, could make Integrated Family Health Centres ‘magnets’ for improved ICT

Consumer Driven Healthcare Consumer health portals Social networking Health 2.0 Generation Y attitudes and expectations as health consumers as health workers Changes in other service industries

Consumer health portals

Social networking

Health 2.0

Generation Y attitudes and expectations

as health consumers

as health workers

Changes in other service industries

Inevitable Result Our collective challenge to create: A fully interoperable health system for New Zealanders based on open standards and collaboration A single (logical) ‘eco-system’ allowing flexibility and innovation while maintaining consistency, integrity and safety of services

Our collective challenge to create:

A fully interoperable health system for New Zealanders based on open standards and collaboration

A single (logical) ‘eco-system’ allowing flexibility and innovation while maintaining consistency, integrity and safety of services

Interoperability The ability of two or more systems or components to exchange information and use the information that has been exchanged Must work at all levels Channels (access to services) Process Information Infrastructure

The ability of two or more systems or components to exchange information and use the information that has been exchanged

Must work at all levels

Channels (access to services)

Process

Information

Infrastructure

What is already happening? GP to GP Patient Records Transfer project Electronic referrals and discharges (DHB led projects) Discussions with clinicians re: ‘core clinical record’ (to replace the Medical Warning System) New HISO team and governance group ‘ Connected Health’ and ‘Health Base’ architecture Initial views on accreditation of vendors and certification of products

GP to GP Patient Records Transfer project

Electronic referrals and discharges (DHB led projects)

Discussions with clinicians re: ‘core clinical record’ (to replace the Medical Warning System)

New HISO team and governance group

‘ Connected Health’ and ‘Health Base’ architecture

Initial views on accreditation of vendors and certification of products

What can you do? Providers Formulate requirements for information sharing Focus on capabilities (“How do I…?”) Vendors Use standards Innovate and collaborate Health IT professionals Participate in standards development Promote interoperability Public Join the dialogue Share ideas, clarify concerns

Providers

Formulate requirements for information sharing

Focus on capabilities (“How do I…?”)

Vendors

Use standards

Innovate and collaborate

Health IT professionals

Participate in standards development

Promote interoperability

Public

Join the dialogue

Share ideas, clarify concerns

Conclusion A fully interoperable health system is inevitable It is also necessary as a key enabler of the health system transformation We need to accelerate progress Healthcare strategies and trends are emerging that will help us achieve this Technology is not a major barrier to safe sharing of health information Clear commitment and a focussed effort by all key stakeholders is required

A fully interoperable health system is inevitable

It is also necessary as a key enabler of the health system transformation

We need to accelerate progress

Healthcare strategies and trends are emerging that will help us achieve this

Technology is not a major barrier to safe sharing of health information

Clear commitment and a focussed effort by all key stakeholders is required