“ Design electronic health record to fit into health system of the future” Auckland – 30 September 2008 Chai Chuah Chief Executive Hutt Valley DHB

Topics for today Background Guiding Principles for Design Health Information Strategy New Zealand 2005 Where to from here

Background

Guiding Principles for Design

Health Information Strategy New Zealand 2005

Where to from here

Background Health policies & strategies are drivers Health Information is an enabler International examples useful BUT…. Health systems significant determinant NZ still amongst leading countries BUT…

Health policies & strategies are drivers

Health Information is an enabler

International examples useful BUT….

Health systems significant determinant

NZ still amongst leading countries BUT…

Guiding Design Principles Health system Health policies & strategies Where is the starting line Stakeholders & Effecting change Sector governance,enthusiasts champions, leaders

Health system

Health policies & strategies

Where is the starting line

Stakeholders & Effecting change

Sector governance,enthusiasts champions, leaders

Guiding Design Principles Effecting Change (R. Quinn) Participating Transcending Forcing Telling Structure & Control & Control Possibility & Emergence Trust Compliance Vision Logic

Effecting Change (R. Quinn)

Guiding Design Principles 6. Vision,transition path, process for review 7. Give knowledge to stakeholders and sector 8. Bringing the sector along (hearts & mind not clever solutions) 9. Keeping the consumer “centre” 10.HIS-NZ but need a picture “ This is a journey where we must let go of the gravitational pull of the past and step forward to shape the future”

6. Vision,transition path, process for review

7. Give knowledge to stakeholders and sector

8. Bringing the sector along (hearts & mind not clever solutions)

9. Keeping the consumer “centre”

10.HIS-NZ but need a picture

“ This is a journey where we must let go of the gravitational pull of the past and step forward to shape the future”

HIS-NZ Supporting health strategies Building blocks Electronic Health Record

Supporting health strategies

Building blocks

Electronic Health Record

HIS-NZ Support the New Zealand Health and Disability Strategies Each health policy/strategy needs an information component Many current health policies/strategies have information BUT… Need to review linkages Some do not have information component “ Information should support not drive health strategies!”

Support the New Zealand Health and Disability Strategies

Each health policy/strategy needs an information component

Many current health policies/strategies have information BUT…

Need to review linkages

Some do not have information component

“ Information should support not drive health strategies!”

HIS-NZ Building blocks 12 Action Zones National collections and infrastructures Transactional Chronic Care & Disease Mgmt “ Building our bridges as we take each step BUT our direction of travel is clear!”

Building blocks

12 Action Zones

National collections and infrastructures

Transactional

Chronic Care & Disease Mgmt

“ Building our bridges as we take each step BUT our direction of travel is clear!”

HIS-NZ Views on Electronic Health Record “ 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” “ supports a standards based distributed electronic health record – local, regional and national” “ if it is too good to be true than it probably is!”

Views on Electronic Health Record

“ 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”

“ supports a standards based distributed electronic health record – local, regional and national”

“ if it is too good to be true than it probably is!”

Where to from here Alignment & support national health policies Give knowledge to stakeholders Shared sector governance, engagement & collaboration Resource a national pool of clinical leaders and champions National picture of eHR “ Do not let perfection get in the way of good”

Alignment & support national health policies

Give knowledge to stakeholders

Shared sector governance, engagement & collaboration

Resource a national pool of clinical leaders and champions

National picture of eHR

“ Do not let perfection get in the way of good”

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