Design electronic health record to fit into health system of the future


Published on

Chai Chuah
Hutt Valley DHB

Published in: Health & Medicine, Business
1 Comment
  • After you got all the information on Fioricet, another point on your agenda should be the price for it. resolves this problem. Now you can make the decision to buy.
    Are you sure you want to  Yes  No
    Your message goes here
No Downloads
Total Views
On Slideshare
From Embeds
Number of Embeds
Embeds 0
No embeds

No notes for slide
  • Good Morning, and thank you for your kind words of welcome. Like Duncan – I trust you will respect Chatham House rules here. I will offer some personal views which are not necessarilly those of the Government (publically anyway). I have ½ hour to cover a range of things so I will try and get thru this quickly.
  • Design electronic health record to fit into health system of the future

    1. 1. “ Design electronic health record to fit into health system of the future” Auckland – 30 September 2008 Chai Chuah Chief Executive Hutt Valley DHB
    2. 2. Topics for today <ul><li>Background </li></ul><ul><li> Guiding Principles for Design </li></ul><ul><li>Health Information Strategy New Zealand 2005 </li></ul><ul><li>Where to from here </li></ul>
    3. 3. Background <ul><li>Health policies & strategies are drivers </li></ul><ul><li>Health Information is an enabler </li></ul><ul><li>International examples useful BUT…. </li></ul><ul><li>Health systems significant determinant </li></ul><ul><li>NZ still amongst leading countries BUT… </li></ul>
    4. 4. Guiding Design Principles <ul><li>Health system </li></ul><ul><li>Health policies & strategies </li></ul><ul><li>Where is the starting line </li></ul><ul><li>Stakeholders & Effecting change </li></ul><ul><li>Sector governance,enthusiasts champions, leaders </li></ul>
    5. 5. Guiding Design Principles <ul><li>Effecting Change (R. Quinn) </li></ul>Participating Transcending Forcing Telling Structure & Control & Control Possibility & Emergence Trust Compliance Vision Logic
    6. 6. Guiding Design Principles <ul><li>6. Vision,transition path, process for review </li></ul><ul><li>7. Give knowledge to stakeholders and sector </li></ul><ul><li>8. Bringing the sector along (hearts & mind not clever solutions) </li></ul><ul><li>9. Keeping the consumer “centre” </li></ul><ul><li>10.HIS-NZ but need a picture </li></ul><ul><li>“ This is a journey where we must let go of the gravitational pull of the past and step forward to shape the future” </li></ul>
    7. 7. HIS-NZ <ul><li>Supporting health strategies </li></ul><ul><li>Building blocks </li></ul><ul><li>Electronic Health Record </li></ul>
    8. 8. HIS-NZ <ul><li>Support the New Zealand Health and Disability Strategies </li></ul><ul><li>Each health policy/strategy needs an information component </li></ul><ul><li>Many current health policies/strategies have information BUT… </li></ul><ul><ul><li>Need to review linkages </li></ul></ul><ul><ul><li>Some do not have information component </li></ul></ul><ul><li>“ Information should support not drive health strategies!” </li></ul>
    9. 9. HIS-NZ <ul><li>Building blocks </li></ul><ul><li>12 Action Zones </li></ul><ul><li>National collections and infrastructures </li></ul><ul><li>Transactional </li></ul><ul><li>Chronic Care & Disease Mgmt </li></ul><ul><li>“ Building our bridges as we take each step BUT our direction of travel is clear!” </li></ul>
    10. 10. HIS-NZ <ul><li>Views on Electronic Health Record </li></ul><ul><li>“ internationally, a growing realisation that a single electronic health record that ties together everything in one physical repository is neither a panacea, nor practicable, affordable or achievable” </li></ul><ul><li>“ supports a standards based distributed electronic health record – local, regional and national” </li></ul><ul><li>“ if it is too good to be true than it probably is!” </li></ul>
    11. 11. Where to from here <ul><li>Alignment & support national health policies </li></ul><ul><li>Give knowledge to stakeholders </li></ul><ul><li>Shared sector governance, engagement & collaboration </li></ul><ul><li>Resource a national pool of clinical leaders and champions </li></ul><ul><li>National picture of eHR </li></ul><ul><li>“ Do not let perfection get in the way of good” </li></ul>
    12. 12. Labs Tests/ Results Tests/ Images Pharmacy Data Aged Care Data Primary Care Data Health Applications Local Users Doers Messaging, Routing & Reporting Surveillance Patient VITALS National Systems HealthPAC ACC Health Data Repositories Health Viewer Search Engine | Identifiable | Individual Anonymised | Aggregated | Role & Patient Context Connectivity Index(s) NHI HPI Apps Viewers Auditing & Compliance Policy Maker/ Researcher Health Practitioner Patient/ Individual Provider Organisation Funder Security Mgmt Authentication Diagnostic Imaging Pharmacy Patient Administration System Practice Management Clinical Knowledge On-line Resources Labs Labs Diagnostic Imaging Diagnostic Imaging Pharmacy Pharmacy Patient Administration System Patient Administration System Practice Management Practice Management My Health Care Plan DRAFT NZ Health Sector Information Model Hospital Data Patient Administration System Regional Data WH Regional Data WH Hospital Data Primary Care Data