Key Learnings – Study Trip 2006

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Chai Chuah

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Key Learnings – Study Trip 2006

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

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