Co-designing Health – Clinicians, Consumers and Executives Working Together to Drive eHealth

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Presented by Graeme Osborne
Director, National Health IT Board

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Co-designing Health – Clinicians, Consumers and Executives Working Together to Drive eHealth

  1. 1. HINZ 2013 Engaged Patients Rebalancing the clinical relationship Co-designing Health – clinicians, consumers and Executives working together to drive eHealth Graeme Osborne Director, National Health IT Board Director, Information Group Ministry of Health PREPARED BY
  2. 2. Agility and Flexibility Western Health Systems are unaffordable… … yet medicine is a young science.
  3. 3. Governance and delivery of Health IT Plan Minister National Information Clinical Leadership Group National Health IT Board Works with NHB Health IT Cluster Health Benefits Ltd Works with and Delivers Plan through Consumer Forum Sector ICT Implementation Group Health Workforce NZ Sector ICT Implementation Group Telehealth Forum Health Information Standards (HISO) Health Information Governance EAG Health Quality & Safety Commission Patients First Northern Region Midland Region Central Region South Island Region DHBs DHBs DHBs DHBs Ministry of Health Other Govt health agencies, eg, ACC, PHARMAC All of Govt agencies DHB Population Sector Architects Group Non-Govt Organisations
  4. 4. Work programmes supporting the National Health IT Plan 2013 / 2015 eMedicines Programme Regional Information Platform NZ ePrescription Service (NZePS) eMedicines Reconciliation (eMR) ePrescribing and Administration (ePA) NZ Universal List of Medicines (NZULM) NZ Formulary (NZF) NC NCD Clinical Workstation (CWS) / Clinical Data Repository (CDR) ED Information System eReferrals and eDischarges NC NC NC National Solutions Patient Administration System (PAS) Hospital ePharmacy Imaging / PACS eOrders for Laboratory Integrated Care Initiatives Finance Procurement Supply Chain Cancer Information Cardiac Health Maternity Clinical Information System Comprehensive Clinical Assessment for Aged Care Alerts and Allergies System National Patient Flow NC Shared Care Portal Long Term Conditions Shared Maternity Record View Child Action Plan / Whanau Ora NC NCD NC Self Care Portal NCO National Child Health Information Platform Clinical Pathways eEnrolment Common Operating Environment - National Infrastructure – Secure Connectivity – ICT Capability – Standards Concept Scope & Initiate NCD Summary View of Primary Health Information NCO Health Identity Programme Programme Stage: NCD Trial Implementations Implementation Rollout NC = National Contract in place NCD = National Contract in Development NCO = National Contract Opportunity NCO
  5. 5. PREPARED BY
  6. 6. Providing New Zealanders with access to their health information by the end of 2014 • National Health IT Board’s position is that patient access is provided by GPs (with PHO support) • International research supports this position: • patients expect to have access to their health information provided by the person they get the majority of their care from • The top five valued services on-line are: • Schedule an appointment • Repeat prescription • Lab results • Medications • Secure communication with my health provider.
  7. 7. Providing New Zealanders with access to their health information by the end of 2014 • Proven IT system options – Medtech MMH, Orion, Intrahealth and MyPractice, HAS Global • Must enable Emergency Department to access • Currently over 4000 patients are enrolled • Requires a team approach as it changes the model of care • Saves time for a busy clinician overall • Examples – Midland Health Network, Island Bay Medical Centre and Wairarapa GPs. • We are working with consumers, PHOs and Primary care clinicians to create a breakthrough in 2014 – watch this space
  8. 8. eHealth 2015 – 2019 1. Extend patient access to information 2. Personalisation 3. Digital by default (paperless)
  9. 9. eHealth is Team Game Played by Professionals
  10. 10. eHealth Professionals need to move up the stack… Sustained Business and Sector Benefits Value-add Services ‘Informatics’ Clinical and social sector insight, awareness and engagement Population and individual outcome information Clinical Applications Business Support Systems (FPSC etc.) Commodity Services ‘IT’ IT Infrastructure and Services
  11. 11. HINZ 2013 Engaged Patients Rebalancing the clinical relationship Co-designing Health – clinicians, consumers and Executives working together to drive eHealth Graeme Osborne Director, National Health IT Board Director, Information Group Ministry of Health PREPARED BY

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