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Key Learnings – Study Trip 2006
 

Key Learnings – Study Trip 2006

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Chai Chuah

Chai Chuah

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    Key Learnings – Study Trip 2006 Key Learnings – Study Trip 2006 Presentation Transcript

    • Key Learnings – Study Trip 2006
      • Five countries over two weeks
      • 18 meetings
      • England, Scotland, Denmark, USA, and Canada
      • Learning: Good programme, too tight timeframe, more time in future in Canada, Denmark, and Scotland
    • Key Learnings – Study Trip 2006
      • Key Highlights
        • Context of host countries
        • Key health issues very similar
        • Culture & relationships before solutions/tools
        • Money not always the best or only lever
        • Involve “key” stakeholders
      • Learning: It’s true what they say about British rail!
    • Key Learnings – Study Trip 2006
      • Key Highlights
        • Emergence of expert patients
        • Best technical solution can be too much
        • NZ and Denmark top ranking – international study
        • Local, regional, and national views/collection
      • Learning: There are honest people in New York!!!
    • Key Learnings – Study Trip 2006
      • Key Highlights
        • Key message is sometimes what’s NOT said
        • NHS QoF and QMAS - interesting lesson
        • Most $ investment goes to NHS England
        • Most practical goes to NHS Scotland
      • Learning: Carry your passport or picture ID in the States – you’ll need it
    • Key Learnings – Study Trip 2006
      • Key Highlights
        • Most intellectual and technical goes to Denmark
        • Most fragmented – USA
        • Canada – clear architecture, clinician focus
        • Learning: The ones we should watch – Canada and Denmark.
    • Key Learnings – Study Trip 2006
      • Bits and Pieces
        • NHS England- “Choose and Book” – don’t believe everything you read
        • NHS England – GPs giving away after-hours care
        • NHS Scotland – some clever and practical applications (e.g., e-referrals)
        • NHS Scotland – strong consumer involvement ethos.
      • Learning: 15% tip goes on top of your official bill in the States
    • Key Learnings – Study Trip 2006
      • Bits and Pieces
        • NHS England – programme driven by PM (watch this space in 12 months!)
        • Medcom (Denmark) useful organisational model
        • Denmark – has universal “citiizen number”
        • Veterans Affairs- “close system”, integrated system, in house IT development shop.
        • Veterans Affairs – has “My VA Health”
      • Learning: 15% tip goes on top of your official bill in the States
    • Key Learnings – Study Trip 2006
        • Canadian Infoway – architecture for access to information (warrants a good look)
        • Canadian Infoway – federal body with $$ and operating as a “strategic investor”
        • USA – pockets of brilliance ( VA, KM, Puget Sounds), still waiting for a national strategy
        • Personal Health Record- watch out for Microsoft and Google
      • Learning: Leave your check-in luggage unlocked when travelling to and from the States!!
    • Other observations
      • New Zealand has a great story to share but:
        • Demographics & workforce issues will demand changes
        • Courage to move on
        • Responsible relationships
        • Process is as important as the product
    • Concluding remarks
        • He aha te mea nui o teao
        • He tangata, he tangata, he tangata
        • Crisis made up of 2 words – danger and opportunity
        • If we want to be fast we go alone, if we want it to last we bring others with us.