HINZ 2008 Collaborative Project Update 17/10/08 www.healthit.org.nz

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

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

E-Labs Orders and Results Project A Midlands Regional Initiative

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

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

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

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

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.

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.

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

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

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.

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.

Solution Architecture Overview

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.

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.

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 .

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 .

Laboratory Orders and Results Current State

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.

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.

After Community Lab Orders

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.

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.

After Community Lab Collection Process Improvement

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.

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.

Next Steps Waiting for funding! Considerable sector interest in this project.

Waiting for funding!

Considerable sector interest in this project.

Consumer Health Portal

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

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

Consumer Health Portal Demonstration Patient Scenario – Arnie Smith

Microsoft Case Study Video Microsoft have now published their video case study of the Consumer Health Portal project You can view the video from http://www.microsoft.com/casestudies/casestudy.aspx?casestudyid=4000002720 Start Video

Microsoft have now published their video case study of the Consumer Health Portal project

You can view the video from http://www.microsoft.com/casestudies/casestudy.aspx?casestudyid=4000002720

Start Video

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 www.healthit.org.nz

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 www.healthit.org.nz