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HZ Health IT Cluster Collaborative Project Update
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HZ Health IT Cluster Collaborative Project Update


Andrea Pettett …

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

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