Enabling General Practice Transformation


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Fiona Thompson, General Practice New Zealand

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Enabling General Practice Transformation

  1. 1. Enabling General Practice Transformation HINZ 19 May 2010 [email_address] (Formerly known as)
  2. 2. Covering Today <ul><li>Patients First (formerly qi4gp) – Scope and approach </li></ul><ul><li>Deliverables </li></ul><ul><li>Emerging themes in Primary Care </li></ul><ul><li>Next Steps and Timeframe </li></ul><ul><li>Deliverables and Indicative Timeframes </li></ul><ul><li>Questions? </li></ul>
  3. 3. Introduction <ul><li>qi4gp re-branded Patients First to move to a more primary care focus </li></ul><ul><li>Primary Care scope initially General Practice and Pharmacy for Phase 1 </li></ul><ul><li>A programme of projects combining information and quality relating to Primary Care </li></ul>
  4. 4. Programme Scope Governance and Facilitation PMO establishment Resourcing Clinical Quality Indicators Clinical Pathway tool evaluation PMS requirements and framework Safe Medications Mgmt – primary care GP2GP e-continuum of care Delivering, Managing and Monitoring
  5. 5. Leadership Scope <ul><li>Strategy </li></ul><ul><li>Prioritisation Criteria </li></ul><ul><li>Market Scan/emerging trends </li></ul><ul><li>Identification of projects </li></ul><ul><li>Governance </li></ul>
  6. 6. Clinical Quality Indicators - Scope <ul><li>Applying the science of RNZCGP/WSoM Clinical Quality Indicators </li></ul><ul><li>Working with DHBNZ and RNZCGP regarding a consolidated library of clinical indicators </li></ul><ul><li>Identifying requirements for vendors </li></ul>
  7. 7. PMS Requirements - Scope <ul><li>Requirements framework for PMS products </li></ul><ul><ul><li>“ Traditional”/functional requirements </li></ul></ul><ul><ul><li>Requirements for addressing the new models of care as outlined in the BSMC business cases </li></ul></ul><ul><ul><li>Prioritisation roadmap for development </li></ul></ul><ul><ul><li>Framework for product certification </li></ul></ul>
  8. 8. Clinical Pathways Feasibility - Scope <ul><li>To evaluate the feasibility of applying a Clinical Pathways Tool across the healthcare system in NZ. </li></ul><ul><ul><li>Does a tool exist that would improve the quality of care? </li></ul></ul><ul><ul><li>How difficult would it be to implement? </li></ul></ul><ul><li>Short list, then evaluate 2-3 tools (including MoM). </li></ul><ul><ul><li>An initial study, not a formal procurement exercise. </li></ul></ul>
  9. 9. SMM Primary Care Phase1 - Scope <ul><li>Evaluation framework </li></ul><ul><li>Minimum medications data requirements (primary care view) </li></ul><ul><li>Patient Banner content </li></ul><ul><li>Medicine reconciliation pilot (GP – Rest Home) </li></ul><ul><li>MedTech patient medication merge fields </li></ul><ul><li>E-prescribing pilot – aged care, community pharmacy </li></ul>
  10. 10. GP2GP - Scope <ul><li>Build </li></ul><ul><li>Testing </li></ul><ul><li>Delivery </li></ul><ul><li>...extend programme to e-continuum of care </li></ul>
  11. 11. Patients First – the Team <ul><li>Programme </li></ul><ul><ul><li>Sponsors – RNZCGP, GPNZ </li></ul></ul><ul><ul><li>Dr Harry Pert, Dr Bev O’Keefe </li></ul></ul><ul><ul><li>Fiona Thomson, Andrew Stenson </li></ul></ul><ul><ul><li>Programme Manager – Andrew Terris </li></ul></ul><ul><ul><li>E-continuum of care PM – Andre Bredenkamp </li></ul></ul><ul><ul><li>Drawing composite team from sector for projects </li></ul></ul>
  12. 12. Emerging Trends and Drivers <ul><li>Global economy, burgeoning health costs, BSMC, MRG </li></ul><ul><li>Opportunity for transformation (effective/value) </li></ul><ul><li>Review of “locus of care”, Shared Care Models </li></ul><ul><li>IFHCs (collaborative, cluster, centre) </li></ul><ul><li>Web based PHR as proxy for EHR across primary care providers (though not a shared care model yet) </li></ul><ul><li>Desire for Cloud computing (IaaS, SaaS) </li></ul><ul><li>Clinician led pathway initiatives (e.g. Canterbury, Taranaki) </li></ul>
  13. 13. Scope - Opportunities <ul><li>GP2GP will create nucleus of a primary care dataset </li></ul><ul><li>Will be used to inform e-continuum of care (transfer/discharge/shared care) </li></ul><ul><li>Reviewing opportunity to work with some of the DHBs on e-discharge project to structure the components of the discharge including medications using GP2GP framework </li></ul><ul><li>...exploring e-Prescribing pilot opportunities </li></ul>
  14. 14. Questions?