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eHealth Investment in NZ Beyond 2010
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eHealth Investment in NZ Beyond 2010

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Graeme Osborne

Graeme Osborne
Health Information Strategy Advisory Committee
(1/10/09, Forum, 9.20)

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eHealth Investment in NZ Beyond 2010 Presentation Transcript

  • 1. Health Information Strategy Advisory Committee eHealth Investment in New Zealand Beyond 2010
  • 2. HISAC 2008/09 Role
    • HISAC is a Ministerial Advisory Committee established to provide independent advise to the Minister of Health
    • HISAC’s role is to ensure the views and interests of the health and disability sector are considered in the implementation and future refresh of the Health Information Strategy for New Zealand (Becoming commonly known as ‘eHealth’)
    • A crucial aspect of HISAC will to champion eHealth and foster open discussion about the collection, access and appropriate use of health information within an more integrated health and disability sector
  • 3. E-Health, where are we heading?
  • 4. We have not found a way to sell the investment in e-Health
  • 5. Presentation
    • Investing is about value delivery, i.e. Benefits
    • What is the HISAC vision for the future?
    • Introducing the Information flows model
    • Comments about the MRG Report
  • 6. Presentation
    • Investing is about value delivery, i.e. Benefits
    • What is the HISAC vision for the future?
    • Introducing the Information flows model
    • Comments about the MRG Report
  • 7. Generating Business Value Through IT Professor Joe Peppard Director Information Systems Research Centre Cranfield University, School of Management, UK
  • 8. Value for money from IT IT Costs IT Benefits Reduce IT costs Current focus of attention Need to improve Realisation of IT benefits This is where the problem lies!
  • 9. Factors contributing to the lack of achievement of benefits from IT projects They depend upon business and technical changes in a complex way They do not all come immediately They are generally not managed They are often not properly identified Benefits
  • 10. Satisfying the investment objective Enables Delivers Achieves Satisfies IS/IT Functionality Business changes Positive outcomes Benefits Investment objectives CONTENT OUTCOME BENEFITS INTENT PROCESS OF CHANGE ORGANISATIONAL CONTEXT
  • 11. The IT latency problem… Return on investment time Improved segmentation Better targeting of marketing activity Decreased defections Improved cross sell Referrals Customer insight Campaign management Improved process efficiency Increase in employee satisfaction - serving the customer - fulfillment - customer engagement Channel integration
  • 12. Enterprise systems implementation Increased Benefits & degree of business change Time 1. Removal of existing problems & constraints + efficiency gains 2. Improved performance from internal integration of information & processes - changed roles & relationships 3. Innovation in selected processes & activities, based on knowledge derived from ES
  • 13. The IT benefits management challenge: changing mindsets From
    • Technology delivery
    • Value for MONEY - low level project task monitoring
    • Expenditure proposal - loose linkage to business needs
    • IT implementation plan
    • Business manager as on-looker/victim
    • Large set of unfocused functionality
    To
    • Benefits delivery
    • VALUE for money - benefits tracking
    • Business case - integration with business drivers
    • Change management plan
    • Business manager involved and in control
    • IT investment which is sufficient for the job
  • 14. eHealth Context - Benefits
    • There are only three major benefit areas for investment in eHealth:
      • Increased quality of care
      • Improved patient safety
      • Cost efficiencies/productivity improvements
    • Although a fourth that is often missed is ‘improved employee engagement’
  • 15. eHealth Benefits
    • The challenge is that the benefits are only achieved through behaviour change by people , whether they are: clinicians, management, community providers, patients and / or consumers
    • Information quality is dependent on the motivation of the person inputting information
      • Leads to capturing information as a bi-product of normal activity
      • Giving the patient access to check the information for accurracy
    • The journey is just as important as the destination
  • 16. eHealth Investments
    • We need business cases that are:
      • Integrated with Government, sector and organisational drivers
      • Owned and led by a the right people – Clinicians, administrative managers etc.
      • Is a promise to achieve measurable benefits
      • That plans to creates information and IT solutions that are sufficient for the job
  • 17. eHealth Investments
    • Recognition that benefits will only be achieved through behaviour change by people using the solutions created
      • Change Management is critical
      • Sustained operation of the new processes or services
    • Projects need to be set up as a series of investment steps, that build on each other
  • 18. Presentation
    • Investing is about value delivery, i.e. Benefits
    • What is the HISAC vision for the future?
    • Introducing the Information flows model
    • Comments about the MRG Report
  • 19. HISAC Vision – as a driver To achieve high quality health care and improve patient safety
  • 20. HISAC Vision – as a driver 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
  • 21. HISAC Vision – as a driver 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.
  • 22. HISAC Principles
    • This vision is enabled by three principles.
    • Ensure the community understands and supports appropriate use of, and access to, electronically stored personal health information.
    • Clinicians are integral to the development and ongoing use of personal health information solutions.
    • Electronic information will be person- centred around each individual patient/consumer.
    Community Clinicians Patient/ Consumer
  • 23. HISAC Priorities
  • 24. Presentation
    • Investing is about value delivery, i.e. Benefits
    • What is the HISAC vision for the future?
    • Introducing the Information flows model
    • Comments about the MRG Report
  • 25.  
  • 26.  
  • 27.  
  • 28.  
  • 29. Presentation
    • Investing is about value delivery, i.e. Benefits
    • What is the HISAC vision for the future?
    • Introducing the Information flows model
    • Comments about the MRG Report
  • 30. MRG Report
    • HISAC supports the MRG Report recommendations because the creation of a National Health Board will bring together the major Sector drivers.....
      • National Health services enabled by integrated:
        • capital
        • workforce planning and
        • health IT planning and investments
    • HISAC recommended to the MRG the importance of national decision making: services, processes, standards etc
      • Concept of a single investor in Health IT
      • HISAC has supported the creation of a national Clinical Leadership group
      • HISAC supported the recreation of HISO
  • 31. HISAC Next Steps
    • HISAC will focus on:
    • Community Understanding and acceptance
    • Clinical Leadership
    • Person-centred health care solutions
    • HISAC will support the outcomes from the MRG report
  • 32. HISAC Next Steps
    • HISAC will drive the uptake of
    • Electronic referrals
    • Electronic discharge summaries
    • Electronic prescribing and dispensing in the community (and associated in-patient medication management activity)
    • Electronic messaging of community laboratory ordering and results ....
    • .... as pre-requesites for personal health records that can be trusted
  • 33. Questions?