Health Information Systems – New Zealand The Sector is the Enterprise Brendan Kelly Interim Deputy Director-General Information Directorate Ministry of Health www.moh.govt.nz

New Zealand Geography Population of about 4 million spread over an area of about 270,000 square kilometres 85% of the people are concentrated in urban areas The main ethnic groups: European (71.7%), Indigenous Maori (14.5%), Pacific Island (4.8%) and Asian (4.5%)

Population of about 4 million spread over an area of about 270,000 square kilometres

85% of the people are concentrated in urban areas

The main ethnic groups: European (71.7%), Indigenous Maori (14.5%), Pacific Island (4.8%) and Asian (4.5%)

New Zealand Geography New Zealand has a population less than Singapore (4.5 million people) Singapore’s total area is about 700 square kilometres – basically the size of two Wellingtons We are a small country

New Zealand has a population less than Singapore (4.5 million people)

Singapore’s total area is about 700 square kilometres – basically the size of two Wellingtons

MyDiabetes.Health.NZ

MyDiabetes.Health.NZ

MyDiabetes.Health.NZ

MyDiabetes.Health.NZ

MyDiabetes.Health.NZ

MyDiabetes.Health.NZ

MyDiabetes.Health.NZ

MyDiabetes.Health.NZ

MyDiabetes.Health.NZ

MyDiabetes.Health.NZ

Health Information Hierarchy Community Population Individual National Views District / Regional Views Local Views Appropriate views / subsets of the information below. Relevant views of information above. Capture, use, and share information locally at the point of care. Standards Indicators Health Outcomes

How it All Works Together HEALTH OUTCOMES Better Health Reduced Inequalities Better Participation & Independence Trust and Security Identifying and responding to population health needs Supporting tailored care Enabling the coordination of care and integration of services Improving performance and evidence based decisions KEY DIRECTIONS CAPABILITIES Supporting self care - (individual, whanau, family, community) Reduce development of contributory risk factors Increase early recognition and response to individuals and populations Slow rate of progression, reduce incidence of avoidable complications Increase coordination across providers, processes and community resources Strengthen capabilities of individuals, famil- ies and whanau to make health and wellbeing decisions Strengthen community engagement

Six Uses of Information in the Health Context Supporting self management Supporting clinical intervention Clinical governance Professional and practice standards Education & training Research, evaluation & development Great accountability through risk management & significant event monitoring Clinical audit, team development, peer support, effective relationships Patient and community input into service development Administration (in all parts of Health) Includes evaluation, quality assurance and payments/funding Strategy and policy development Research

Supporting self management

Supporting clinical intervention

Clinical governance

Professional and practice standards

Education & training

Research, evaluation & development

Great accountability through risk management & significant event monitoring

Clinical audit, team development, peer support, effective relationships

Patient and community input into service development

Administration (in all parts of Health)

Includes evaluation, quality assurance and payments/funding

Strategy and policy development

Research

Where to Now? Commitment to national information architecture Commitment to working together to develop and use HISO standards Commitment to making what I have developed available for use by others Sharing knowledge – a sector knowledge base Challenges around scaling up innovation from local to “all of us” Challenges around sustainability Key message – it is time as a health informatics community that we committed to a step change in how we work together

Commitment to national information architecture

Commitment to working together to develop and use HISO standards

Commitment to making what I have developed available for use by others

Sharing knowledge – a sector knowledge base

Challenges around scaling up innovation from local to “all of us”

Challenges around sustainability

Key message – it is time as a health informatics community that we committed to a step change in how we work together