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National Health IT Board Update: Putting Evidence to Work and Creating Evidence as we Work
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National Health IT Board Update: Putting Evidence to Work and Creating Evidence as we Work

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Graeme Osborne

Graeme Osborne
Director, National Health IT Board

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National Health IT Board Update: Putting Evidence to Work and Creating Evidence as we Work National Health IT Board Update: Putting Evidence to Work and Creating Evidence as we Work Presentation Transcript

  • National Health IT Board New Zealand Innovation – Putting Evidence to Work… Graeme Osborne Director, National Health IT Board … and creating the Evidence as we Work
  • New Zealand Companies are leaders in applying IT
  • Health is Personal
    • Patient
      • Lifestyle
      • Privacy
      • Safety
      • Hospital experience
      • Loss of control
      • Impact on family and /or supporters
    • Clinician (Doctor, Nurse, Allied Health etc.)
      • Personal engagement with patient
      • Impact of IT on workflow
      • Patient outcomes ‘…first do no harm…’
      • Reputation with colleagues
  • Health is Personal
    • Politicians
      • Fastest growing portion of GDP in western economies
      • Health directly effects votes and their ‘loved ones’
      • Communities identify with their hospital and medical services
  • Professor Trisha Greenhalgh British Medical Journal 2008
    • Technical immaturity, lack of interoperability
    • Lack of policy to support sharing ‘confidential’ information
    • The influence of opinion leaders, champions and facilitators
    • Past experience with technology projects
    • Organisational readiness
    • Change required to current work practices
    • The links between the organisations across the system
    • Political context of the programme
    Reasons why Shared electronic records have not had strong take-up in the UK Technical Environment People People Organisation Organisation Environment Organisation
  • eHealth Vision To achieve high quality health care and improve patient safety, by 2014 New Zealanders will have a core set of personal health information available electronically to them and their treatment providers regardless of the setting as they access health services.
  • eHealth Vision To achieve high quality health care and improve patient safety, by 2014 New Zealanders will have a core set of personal health information available electronically to them and their treatment providers regardless of the setting as they access health services. Enabling an Integrated Healthcare Model
  • Governance National Health IT Board National Information Clinical Leaders Group Consumer Forum Works with: Holds accountable DHB CEOs and CXOs Health Information Standards (HISO) Health IT Cluster Sponsor Owner Prog/Proj Manager Sponsor Owner Prog/Proj Manager Sponsor Owner Prog/Proj Manager Local Regional National Invest Define/ Operate Delivery Patients First DHB CEO Information Group Ministry Major Projects Group Groups the Board will work with and hold accountable for achieving the plan National Programmes NHB, HQSC, WNZ, CIC
  • National Health IT Board Priority Programmes for 2011/12
    • eMedicines Programme
    • Community E-prescribing
    • Inpatient e-prescribing
    • Medicines reconciliation, medication management and administration
    • Universal List of Medicines
    • NZ Medicines Formulary
    • National Solutions
    • Oncology
    • Cardiac Health
    • InterRAI for Aged Care
    • Health Identity
    • Connected Health
    • Regional Information Platform (DHBs)
    • Clinical Data Repositories/ Clinical Workstation
    • Patient Administration Systems
    • Imaging/PACS
    • Clinical support – Labs/Pharms
    • Continuum of care:
      • eReferrals and eDischarges
    • Integrated Care Initiatives
    • Shared Care
      • Long Term Conditions
      • Maternity
      • Emergency View (Canterbury)
    • Primary Care
      • BSMC Initiatives
      • Patients First Initiatives (eg. GP to GP)
    *Supported by ICT Infrastructure / Back Office - Finance & Supply-Chain, Data Centres.
  • Health Identity
    • Replacement of NHI and HPI
      • standardised addressing – geo-coded
      • web services based for wide access
      • Ministry is leading the implementation and ongoing operation, using third parties
    • Foundation for the health information eco-system (touch points)
    • HPI initial go-live is September 2011
    • NHI go-live is April 2012.
  • Medications Safety Programme The goal is for New Zealanders and their treatment providers to have access to … “ My List of Medicines” …… ..throughout the continuum of care
  • MEDICATIONS SAFETY PROGRAMME Primary Care Services Hospital Services Community Services (Older people, people with disabilities, mental illness etc.) Governance Group: Chairs and CE/Director(s) of HQSC (Lead), NHB, NHITB, (Chair, Alan Merry) and PHARMAC, DHB Chairs – Kevin Snee, Gregor Costner eMedicines Programme Steering Group (interim): (Chair, Paul Cressey) CE/Directors of NHITB (Lead), HQSC, MedSafe and PHARMAC, DHB-CMO, Primary Care, Clinical and Consumer Representatives Strategic Operational Medicines Safety Expert Group (independent chair) Clinical Leaders engaged in medicine safety and process Improvement (HQSC Lead) National Information Clinical Leadership Group (NHITB Lead)
  • Medications Safety Programme
    • “ My List of Medicines” will be based on:
    • The Universal List of Medicines and the New Zealand Formulary are the foundations of the solutions
    • New Zealand ePrescribing Service
      • is in Proof of Concept and will be trialled in 3 Districts before national rollout.
    • Standard implementation of inpatient medication solutions currently being identified through pilots in four DHBs.
  • Medications Safety Programme
    • The goal is for New Zealanders and their treatment providers to have access to “My List of Medicines” throughout the continuum of care
    • The Universal List of Medicines and the New Zealand Formulary are the foundations of the solutions
    • New Zealand ePrescribing Service is in Proof of Concept and will be trialled in 3 Districts before national rollout.
  • Medications Safety Programme
    • The four DHBs involved in inpatient pilots will now consolidate their learnings, agree on a standards, and evidence based solution
      • Counties Manakau
      • Waitamata
      • Taranaki
      • Southern
    • 16 DHBs will be implementing the paper-based standardised medications chart and the medicines reconciliation solution as a pre-requisite to implementing ‘e’ solutions
  • Clinicians Challenge
  • Patient Vitals (Medical Warnings) / Register of Information Clinical Data Repositories (National and Regional) Medical Information: Specialist/ Emergency Clinical Specialty Information Health Identity / Connected Health The Many Segments of the eHealth Eco-system from a consumers view Shared Care Record Personal Health Records Public Health Information Medical Information: Primary/ Community
  •