HZ Health IT Cluster Collaborative Project Update


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Andrea Pettett
NZ Health IT Cluster
(17/10/08, Plenary session 1)

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  • HZ Health IT Cluster Collaborative Project Update

    1. 1. HINZ 2008 Collaborative Project Update 17/10/08 www.healthit.org.nz
    2. 2. AGENDA <ul><li>Collaborative project update </li></ul><ul><ul><li>E-Labs </li></ul></ul><ul><ul><li>Consumer Health Portal </li></ul></ul><ul><li>Announcing the “Collaborate 2 Innovate” initiative </li></ul><ul><li>NZ Health Sector Engagement Forum and AGM Auckland, 27 November 2008 </li></ul>
    3. 3. E-Labs Orders and Results Project A Midlands Regional Initiative
    4. 4. E-Labs Project Background <ul><li>Cluster lab reports </li></ul><ul><ul><li>Feasibility Study November 2004 </li></ul></ul><ul><ul><li>Clinical Data Repository Options report February 2006 </li></ul></ul><ul><li>Cluster gains HISAC, MOH and LakesDHB support and funding </li></ul><ul><li>Additional stakeholders invited to participate. </li></ul><ul><li>Project Kick off meeting 28 June 2007 </li></ul>
    5. 5. Project Participants <ul><li>Ministry of Health </li></ul><ul><li>Health Information Strategy Action Committee </li></ul><ul><li>NZ Health IT Cluster </li></ul><ul><li>Midlands Region DHBs: </li></ul><ul><ul><li>Lakes DHB </li></ul></ul><ul><ul><li>Taranaki DHB </li></ul></ul><ul><ul><li>Bay of Plenty DHB </li></ul></ul><ul><li>Rotorua General Practice Group </li></ul><ul><li>Diagnostic MedLabs </li></ul>Pathology Associates Sysmex IntraHealth MedTech i-Soft HIQ Gen-i Simpl University of Auckland Sanguine Consultancy HealthLink
    6. 6. Project Deliverables <ul><li>The e-labs project has now developed the costed proposal for the implementation of the e-labs programme of work. </li></ul><ul><li>This proposal is supported by: </li></ul><ul><ul><li>The agreed vision for e-labs orders and results. </li></ul></ul><ul><ul><li>A Documented set of business requirements. </li></ul></ul><ul><ul><li>A draft logical architecture. </li></ul></ul>
    7. 7. Project Principles <ul><li>Must enable primary / secondary data sharing </li></ul><ul><li>Capture data once and use many times </li></ul><ul><li>Enable patient choice </li></ul><ul><li>Scalability </li></ul><ul><li>Quality of service </li></ul><ul><li>Access is controlled by a Privacy Authentication and Security framework </li></ul><ul><li>Persistence of data. </li></ul><ul><li>Comply with relevant standards </li></ul>
    8. 8. Proposed Implementation Approach <ul><li>One progra mme of work with four concurrent projects; each with phases and independent benefits that will be measured. </li></ul><ul><li>  The projects are: </li></ul><ul><ul><li>Stakeholder Engagement </li></ul></ul><ul><ul><li>Community Laboratory Orders </li></ul></ul><ul><ul><ul><li>Establishes the Clinical Data Repository combining Community and Secondary lab results. </li></ul></ul></ul><ul><ul><ul><li>Focussed on GP electronically ordering and receiving the results. </li></ul></ul></ul><ul><ul><li>Secondary Laboratory Orders </li></ul></ul><ul><ul><ul><li>Phase 1 will provide access to the CDR followed by a requirements gathering phase. </li></ul></ul></ul><ul><ul><li>Community Laboratory Collection Process Improvement </li></ul></ul><ul><ul><ul><li>Focussed on driving automation into the collection process and integrating it into the overall lab order workflow. </li></ul></ul></ul>
    9. 9. Solution Architecture Overview
    10. 10. Solution Architecture Features <ul><li>Uses Accredited Health Network </li></ul><ul><li>Uses Standards </li></ul><ul><ul><li>Pathology and Radiology messaging </li></ul></ul><ul><ul><li>LOINC 2 Clinical Coding </li></ul></ul><ul><ul><li>NHI & HPI </li></ul></ul><ul><ul><li>Authentication and Security Framework. </li></ul></ul><ul><ul><li>Web Services connectivity </li></ul></ul><ul><ul><li>Develop new candidate standard for CDR data structures </li></ul></ul><ul><li>Architecture is independent of software systems, the sector can choose: </li></ul><ul><ul><li>Hosting environment for regional CDR/s </li></ul></ul><ul><ul><li>CDR software solutions </li></ul></ul><ul><ul><li>Type of order management capability. </li></ul></ul>
    11. 11. Stakeholder Engagement Summary <ul><li>Various stakeholder groups (including consumers) will be engaged and their needs and expectations identified. These will feed into the subsequent software development projects. </li></ul><ul><li>This project will: </li></ul><ul><ul><li>Be a first implementation of HISO Authentication and Security Framework </li></ul></ul><ul><ul><li>Discuss and agree a patient information model. </li></ul></ul><ul><ul><li>Deliver a stakeholder communication plan covering the introduction of the Clinical Data Repository and supporting consumer information and briefing materials. </li></ul></ul><ul><ul><li>Undertake a review of the engagement processes . </li></ul></ul>
    12. 12. Laboratory Orders and Results Current State
    13. 13. Community Lab Orders Summary <ul><li>This project will: </li></ul><ul><ul><li>Implement the Clinical Data Repository, combining community and secondary lab results. </li></ul></ul><ul><ul><li>Develop the capabilities to allow General Practitioners to order laboratory tests and receive their results electronically, closing the loop to identify tests not performed. </li></ul></ul><ul><ul><li>Develop the functionality to assist General Practitioners in their laboratory ordering by advising them of potentially duplicate orders </li></ul></ul><ul><ul><li>Provide advanced reporting options to assist General Practitioners and PHOs to understand ordering patterns </li></ul></ul><ul><ul><li>Produce a proposal to implement the clinician recommended strategy for introducing decision support: </li></ul></ul><ul><ul><li>Produce a proposal outlining the preferred long term architecture for the regional introduction of e-labs. </li></ul></ul><ul><ul><li>Produce a report that evaluates the user experiences and quantifies the benefits resulting from the introduction of the project. </li></ul></ul>
    14. 14. After Community Lab Orders
    15. 15. Community Laboratory Collection Process Improvement Summary <ul><li>This project will introduce process improvements and supporting technologies into the laboratory collection process. </li></ul><ul><li>This project will deliver: </li></ul><ul><ul><li>Computer workflow management system for labelling, identifying and tracking individual specimens. </li></ul></ul><ul><ul><li>An evaluation report quantifying the benefits gained by the project. </li></ul></ul>
    16. 16. After Community Lab Collection Process Improvement
    17. 17. Secondary Lab Orders Summary <ul><li>This project will: </li></ul><ul><ul><li>Place secondary care results into the CDR. </li></ul></ul><ul><ul><li>Functionality to enable secondary care clinicians will be able to view results from the CDR </li></ul></ul><ul><ul><li>Scope and document the requirements for the implementation of electronic laboratory orders and results in a secondary care setting. </li></ul></ul><ul><ul><li>Produce a business case and costed proposal. </li></ul></ul>
    18. 18. Next Steps <ul><li>Waiting for funding! </li></ul><ul><li>Considerable sector interest in this project. </li></ul>
    19. 19. Consumer Health Portal
    20. 20. The Consumer Health Portal Project Beginning <ul><li>In 2006 The Cluster developed a solution concept for a consumer centric personal electronic health record. </li></ul><ul><li>Working with ProCare (the Customer) the Proof of Concept Scope was distilled to include: </li></ul><ul><ul><li>A personal health record from the GP’s PMS system. </li></ul></ul><ul><ul><li>A patient journal </li></ul></ul><ul><ul><li>A user group forum and discussion area </li></ul></ul><ul><ul><li>Access to validated health news </li></ul></ul><ul><ul><li>Integration with health tools to demonstrate </li></ul></ul><ul><ul><ul><li>Integration uses the Health Connection Engine (Provided by Simpl) </li></ul></ul></ul><ul><ul><ul><li>Search for health service provider information (Provided by Healthpoint) </li></ul></ul></ul><ul><ul><ul><li>Use of decision support and goal setting. (CVD risk assessment and Food Habits questionnaire provided by Enigma) </li></ul></ul></ul><ul><ul><ul><li>Use of voice calls to compliment internet based services. (Provided by Telemessenger) </li></ul></ul></ul><ul><li>The Cluster then sourced funding for the proof of concept project. The proof of concept was split into 2 iterations. </li></ul><ul><ul><li>Microsoft and FRST funded the initial iteration </li></ul></ul><ul><ul><li>Ministry of Health funded the second iteration </li></ul></ul>
    21. 21. Consumer Health Portal Demonstration Patient Scenario – Arnie Smith
    22. 22. Microsoft Case Study Video <ul><li>Microsoft have now published their video case study of the Consumer Health Portal project </li></ul><ul><li>You can view the video from http://www.microsoft.com/casestudies/casestudy.aspx?casestudyid=4000002720 </li></ul><ul><li>Start Video </li></ul>
    23. 24. Collaborate 2 Innovate <ul><li>The Cluster and the Ministry of Health are please to announce the Collaborate 2 Innovate initiative. </li></ul><ul><li>The Cluster is contracted to produce 2-3 collaborative project concept briefs. </li></ul><ul><li>Submitted ideas will be reviewed against a number of criteria, including: </li></ul><ul><ul><li>its alignment with national strategies, such as HIS NZ and Key Directions </li></ul></ul><ul><ul><li>how it will promote collaboration </li></ul></ul><ul><ul><li>how it will promote improved health outcomes and/or contribute to improvements in the health system </li></ul></ul><ul><ul><li>its potential to create new IP and improve the market worth of the project members </li></ul></ul><ul><ul><li>the practicality of the innovation </li></ul></ul><ul><li>We invite interested organisations to submit their proposals by 14 November 2008. </li></ul><ul><li>Successful project ideas will be announced at the Cluster New Zealand Sector Engagement Forum and AGM, Auckland, 27 November 2008. </li></ul><ul><li>Next week further details will be available from the Cluster website www.healthit.org.nz </li></ul>