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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.