HINZ Public Health Workshop:  Evon Currie, General Manager Community & Public Health
A slight alteration  … <ul><li>From: </li></ul>“ How might a PHS contribute to joint DHB/Ministry health goals, targets an...
Public health units and services: what do we do ?  <ul><li>Promote health and prevent illness and hospitalisation  by addr...
Determinants of Health <ul><li>Promote health and prevent illness and hospitalisation by addressing determinants of health...
 
The Population and Public Health “Information Space” Personal health / facility and service –based patient management <ul>...
Challenges:  Information Systems in the Public Health information space <ul><li>General health sector approach to informat...
Some principles and ideas for moving forward <ul><li>Business needs drive information systems, not the other way around. <...
Which leads us on to ….. <ul><li>The work streams – case studies which characterise two different facets of public health ...
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How might a PHS contribute to joint DHB/Ministry health goals, targets and aspirations ?

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Evon Currie
Community & Public Health
Canterubury District Health Board
(15/10/08, PHU Workshop)

Published in: Health & Medicine, Education
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How might a PHS contribute to joint DHB/Ministry health goals, targets and aspirations ?

  1. 1. HINZ Public Health Workshop: Evon Currie, General Manager Community & Public Health
  2. 2. A slight alteration … <ul><li>From: </li></ul>“ How might a PHS contribute to joint DHB/Ministry health goals, targets and aspirations ? ” To: “ How might effective information services enable a PHS to contribute to joint DHB/Ministry health goals, targets and aspirations as well as core regulatory and emergency management requirements ? ”
  3. 3. Public health units and services: what do we do ? <ul><li>Promote health and prevent illness and hospitalisation by addressing determinants of health </li></ul><ul><li>We work in partnership to achieve lasting change. </li></ul><ul><li>Work takes place at a population and environment level. </li></ul><ul><li>A wide evidence and accountability base, with a comprehensive and multi-faceted information space. </li></ul>
  4. 4. Determinants of Health <ul><li>Promote health and prevent illness and hospitalisation by addressing determinants of health </li></ul>
  5. 6. The Population and Public Health “Information Space” Personal health / facility and service –based patient management <ul><li>Based around personal health records </li></ul><ul><li>Short time frames </li></ul><ul><li>Real time / short – term and clearly prescribed inputs and outcomes </li></ul><ul><li>Line level recording systems with standardised semantic and meta-data structures (for example: ICD codes, HL7 messaging, NHI as unique ID) </li></ul>Emergency Management Notified disease Population and Public Health <ul><li>Populations / Communities / Environments </li></ul><ul><li>Activities characterised by important external linkages and accountabilities at local, regional and national levels </li></ul><ul><li>A premium upon intra / inter – sectoral collaboration </li></ul><ul><li>Longer time scales for service delivery and evaluation of outcomes </li></ul><ul><li>A wide and varying range of service provision / inputs and a correspondingly wide evidence base </li></ul><ul><li>IS requirements characterised by need to effectively distribute information </li></ul><ul><li>A smaller range of formally established semantic and meta-data structures, most other activities and outcomes taking place outside those structures – Contextual information important for interpretation of data </li></ul>Linkages with “host” DHBs, TLAs, core government , service providers, NGOs , other agencies National surveillance and reporting systems
  6. 7. Challenges: Information Systems in the Public Health information space <ul><li>General health sector approach to information systems heavily conditioned by personal health and clinical / facility management requirements. </li></ul><ul><li>This approach only partially applicable in a public health context. </li></ul><ul><li>Difference in approach and emphasis can present significant challenges for public health services hosted within, or reliant upon DHB IT/IS infrastructures. </li></ul><ul><li>Similar challenges presented by nationally based and centralised surveillance and reporting systems. </li></ul><ul><li>Standardisation at an application-specific level is often presented as both a positive objective in itself, and also as a means of achieving economies of scale. However, unless carefully managed, such an approach can easily override fitness for use. </li></ul>
  7. 8. Some principles and ideas for moving forward <ul><li>Business needs drive information systems, not the other way around. </li></ul><ul><li>Standards and interfaces for interoperability, information exchange and evidence base. </li></ul><ul><li>Keep line-level data as close as possible to where it is needed. </li></ul><ul><li>Concentrate upon solutions which derive information from data. </li></ul><ul><li>Sector capability and flexibility of response is important. </li></ul><ul><li>It might be that a large amount of additional resource is not required. </li></ul><ul><li>Don’t make the problems bigger than they need to be. </li></ul>
  8. 9. Which leads us on to ….. <ul><li>The work streams – case studies which characterise two different facets of public health capability and response. </li></ul>

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