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Paul frosdick   aligning the interoperability planets
 

Paul frosdick aligning the interoperability planets

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delivered the presentation at the 2013 eHealth Interoperability Conference. ...

delivered the presentation at the 2013 eHealth Interoperability Conference.

The 2013 eHealth Interoperability Conference program is a balance between updates on state-wide interoperability projects, health service eHealth project case studies, and discussions of overarching principles such as information governance, data standardisation, and the future direction of eHealth in Australasia.

For more information about the event, please visit: http://www.informa.com.au/eHealth13

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    Paul frosdick   aligning the interoperability planets Paul frosdick aligning the interoperability planets Presentation Transcript

    • Colibri Consulting Pty Ltd ALIGNING THE INTEROPERABILITY PLANETS Reflections of an itinerant informatician. 1Copyright Colibri Consulting Pty Ltd 2013
    • Colibri Consulting Pty Ltd Colibri Consulting Pty Ltd • Personal introduction – How did I get here? • 3 National eHealth program life cycles – How did we get here? • eHealth drivers – Why are we here? • Lessons learned – Was there a best way to get here? • Aligning the planets – Where do we go from here in Australia? 2Copyright Colibri Consulting Pty Ltd 2013 PRESENTATION OVERVIEW
    • Colibri Consulting Pty Ltd Colibri Consulting Pty Ltd 3Copyright Colibri Consulting Pty Ltd 2013 PERSONAL INTRODUCTION
    • Colibri Consulting Pty Ltd Colibri Consulting Pty Ltd 4Copyright Colibri Consulting Pty Ltd 2013 3 NATIONAL PROGRAM LIFE CYCLES • Starting capital – Extensive , diversified GP computing base – Very high central investment levels – New strategic vocabulary partnership • Program approach – Patient centred records – Supplier market rationalisation – Standards and records centralization • Current status – Reintroduction of local system choice – Vocabulary migration ongoing – Professional leadership in record standards http://www.doublejdesign.co.ukImages from
    • Colibri Consulting Pty Ltd Colibri Consulting Pty Ltd 5Copyright Colibri Consulting Pty Ltd 2013 3 NATIONAL PROGRAM LIFE CYCLES • Starting capital – Extensive, consolidated GP computing base – COAG commitment – Significant ‘lessons learned’ collateral • Program approach – Patient centred records – National foundation building – Supplier market enforcement • Current status – Key infrastructure elements maturing – Vocabulary migration nominal – Market driver disconnect http://www.doublejdesign.co.ukImages from
    • Colibri Consulting Pty Ltd Colibri Consulting Pty Ltd 6Copyright Colibri Consulting Pty Ltd 2013 3 NATIONAL PROGRAM LIFE CYCLES • Starting capital – Partial, diversified acute computing base – Vigorous standards based community – Strong clinical leadership model examples • Program approach – Risk reduction approach – Vocabulary standard rationalisation – Stimulation of provider demand • Current status – Increasing key data liquidity – Unprecedented vocabulary migration – Clinical leadership sector segmented http://www.doublejdesign.co.ukImages from
    • Colibri Consulting Pty Ltd Colibri Consulting Pty Ltd 7Copyright Colibri Consulting Pty Ltd 2013 COMMON LIFE CYCLE CHARACTERISTICS Old paradigm diversity New paradigm vision Rigorous centralisation New paradigm innovation New paradigm diversity
    • Colibri Consulting Pty Ltd Colibri Consulting Pty Ltd • Patient centric care • Management of complexity • Reduction of risk • Control of cost per unit increases • Improved demand forecasting 8Copyright Colibri Consulting Pty Ltd 2013 EHEALTH DRIVERS • Operability to interoperability • Decreasing numbers of clinicians • Patient managed care
    • Colibri Consulting Pty Ltd Colibri Consulting Pty Ltd 9Copyright Colibri Consulting Pty Ltd 2013 AN ESSAY ON INTEROPERABILITY (C1973)
    • Colibri Consulting Pty Ltd Colibri Consulting Pty Ltd 10Copyright Colibri Consulting Pty Ltd 2013
    • Colibri Consulting Pty Ltd Colibri Consulting Pty Ltd • Changing the old paradigm diversity was correct. • The vision of patient centric interoperability was correct. • Creating urgency, a guiding coalition and whole community buy-in has been variable. • Rigorous centralisation has had net benefit. • Retained centralisation does not necessarily preserve net benefit. • Acceleration towards achievement of patient centric interoperability requires a market-centric investment model. 11Copyright Colibri Consulting Pty Ltd 2013 LESSONS LEARNED
    • Colibri Consulting Pty Ltd Colibri Consulting Pty Ltd 12Copyright Colibri Consulting Pty Ltd 2013 COMMON LIFE CYCLE CHARACTERISTICS Old paradigm diversity New paradigm vision Rigorous centralisation New paradigm innovation New paradigm diversity
    • Colibri Consulting Pty Ltd Colibri Consulting Pty Ltd 13Copyright Colibri Consulting Pty Ltd 2013 ALIGNING THE PLANETS • Infrastructure – Content – Structure – Transport • Professional standards – Perceived value – Record keeping • Market drivers – Demand side – Supply side Mirror Meaningful Use to focus central investment on stimulating a government – provider – supplier value chain
    • Colibri Consulting Pty Ltd Colibri Consulting Pty Ltd • Financially incentivise critical data return – Based on confirmed content standards • Channel critical data return – Based on confirmed record structure and transport standards • Consolidate centralized functions – Based on standards maintenance and system accreditation • Allow new paradigm innovation to create the provider required functionality necessary to deliver critical data returns 14Copyright Colibri Consulting Pty Ltd 2013 ALIGNING THE PLANETS
    • Colibri Consulting Pty Ltd Colibri Consulting Pty Ltd 15Copyright Colibri Consulting Pty Ltd 2013 THANK YOU