Linking Systems to Strategy – Information Systems Evolution in ProCare Paul Roseman ProCare Health Limited September 2008

Person Centredness Meet Provider Needs Population Health & Planning Innovation Policy & Privacy Infrastructure & Investment Provider Protection Individual’s Perspective Patient Non-Specific Knowledge

Person Centredness

Meet Provider Needs

Population Health & Planning

Innovation

Policy & Privacy

Infrastructure & Investment

Provider Protection

Individual’s Perspective

Patient Non-Specific Knowledge

Patient Centredness Simplest way to provide information about an individual patient wherever they contact the health system Share records on an ‘as-needed’ basis

Simplest way to provide information about an individual patient wherever they contact the health system

Share records on an ‘as-needed’ basis

Meet Provider Needs Recognise that the needs of Providers from an Information System are beyond merely the maintenance of clinical records

Recognise that the needs of Providers from an Information System are beyond merely the maintenance of clinical records

Population Health & Planning Completeness of data collection Data structure and relationship of data elements to each other Access to data from all relevant data sources

Completeness of data collection

Data structure and relationship of data elements to each other

Access to data from all relevant data sources

Innovation Low barrier to innovation Third party applications integrated easily Open architectures Standards

Low barrier to innovation

Third party applications integrated easily

Open architectures

Standards

Privacy and Policy Ability to move information around in support of each persons welfare including: Care delivery to the individual Population Health and Evaluation Research Confidence of the public around data safety and access Information Ownership versus Guardianship

Ability to move information around in support of each persons welfare including:

Care delivery to the individual

Population Health and Evaluation

Research

Confidence of the public around data safety and access

Information Ownership versus Guardianship

Provider Protection The tension of private business versus public good Health care providers IT vendors Politicians

The tension of private business versus public good

Health care providers

IT vendors

Politicians

Individual’s Perspective Individuals will increasingly express their views and exercise their rights with respect to health information in terms of: Access Contribution Completeness Control Confidence in records needs to be maintained for them to have value

Individuals will increasingly express their views and exercise their rights with respect to health information in terms of:

Access

Contribution

Completeness

Control

Confidence in records needs to be maintained for them to have value

Non-Person Specific Knowledge Information systems will need to bring together not simply clinical information regarding patients, but also information about care processes and treatments available.

Information systems will need to bring together not simply clinical information regarding patients, but also information about care processes and treatments available.

ProCare Response To bring an increasingly complete picture of the health of an individual into a consultation to enable individuals and providers to make fully informed decisions about treatment.

To bring an increasingly complete picture of the health of an individual into a consultation to enable individuals and providers to make fully informed decisions about treatment.

Predict as an Example

What do we do now? Provide non-person specific knowledge into a consultation Capture population health data Perform research Perform administration Undertake Peer Comparison Population clinical records

Provide non-person specific knowledge into a consultation

Capture population health data

Perform research

Perform administration

Undertake Peer Comparison

Population clinical records

What could we do? Incorporate secondary care data - NZHIS Manage referral – Green Prescription Share records (at least related to the disease) – Acute Predict Transfer into patient portal – Consumer Health Portal

Incorporate secondary care data - NZHIS

Manage referral – Green Prescription

Share records (at least related to the disease) – Acute Predict

Transfer into patient portal – Consumer Health Portal