Good morning it’s a pleasure to be here with you today.
This is our work program, based on the national infrastructure components of healthcare identifiers, terminology, secure messaging, and authentication. National infrastructure will have a strong emphasis on trust and security, ensuring the health sector has a sustainable authentication system for eHealth. The NASH will deliver a nationwide authentication service for healthcare providers and organisations. In late 2009 and through 2010, NEHTA worked closely with stakeholders to ensure that the NASH concept was understood, and fit for purpose. In September 2010 NEHTA sought organisation(s) with proven ability to deliver the NASH from design (defining the components that will be built and implemented to meet the requirements of the NASH), build (creating and constructing the authentication services that will be operated), and operations (day-to-day operation and management of the NASH including the supply of secure tokens and supporting infrastructure). At the time of writing, NEHTA is in the final stage of determining the successful bidder and the outcome would be announced shortly.
I would like to start by acknowledging the traditional owners of the land on which we meet – the Gadjagal people of the Eora nation – and pay my respect to Elders past and present. I have been asked to lead the Change and Adoption Team for the personally controlled electronic health record (PCEHR), at the National E Heath Transition Authority . I have worked as a rural GP for over 20 years with a hospital appointment at the local district hospital as a VMO – so I have experience of both the hospital and the community sector I have been a rural GP with a hospital appointment at the local district hospital for over 20 years. During those years I have had many roles with GP groups most recently with the Royal Australian College of General Practitioners where I am the immediate Past President . I am also a board member of the National Prescribing Service and the Therapeutic Guidelines Limited, the RACGP and RACGP Oxygen, as well as The Northern Rivers GP Network and North Coast GP training my local GP Regional Training Provider. So my experience reaches across private and public sectors, hospital and community , individual and organisational, regional, state and national . That gives me a pretty broad perspective about what works and what doesn't across a lot of our health care system. The reason I care deeply about the Personally Controlled Electronic Health Record is that it relates directly to people - the people I care for, who need a far better system than the one we have had until now. As a GP I’ve had the opportunity to see first-hand what works and what doesn't across many sectors of our health care system I love my job as a GP and I want the personally controlled electronic health record to work To work for clinicians and patients I’m a bit biased – but I think its great that NEHTA has asked a clinician to lead Change and Adoption I’d feel the same way if it was clinician other than me - Frankly I would probably feel even better about it! The Change and Adoption team has only just started My first day was February 14 Bianca Jordaan is the other member of the Change and Adoption leadership team at NEHTA Bianca has over 13 years consulting experience and for the last 10 years specialising in Information and Communication Technologies and Clinical Change Projects Were building the team now at NEHTA but we are building on what has come before
The process on the procurement of a Change and adoption partner is a decision of DoHA The Change and Adoption Work Program comprises five major work components: Component 1 – National Change and Adoption Strategy; Component 2 – Strategic Engagement Program; Component 3 – Marketing and Communication Program; Component 4 – National Change Program; and Component 5 – Local and Regional Change Program which will be delivered through the e-Health sites My teams job will be to manage the contract To create conduits into the reference groups clinical leads, vendors and professional organisations We are looking for a partner that can help make it happen through delivering strong capability Our partner also needs to engage with us to formulate some ideas for innovative solutions We need not just a theoretical strategy but a strategy that must be able to inform the change agenda We know that consumers have not used their equivalent systems in the UK as well as they could, what can we do differently to drive uptake? We know there are potential issues around enrolment and consent and we know there are concerns around medico-legal risk that could be a deal breaker if their not managed We know that there will be vendor issues that need to be worked through We know there will be challenges for high risk groups Like those with Chronic and Complex health conditions the Frail aged Aboriginal and Torres Straight Islanders People with Disabilities Mothers and newborns We expect the potential partners to bring their national or international experience to bear and show how we can learn from this Show us what worked and what didn’t, what should be considered for Australia Most importantly we need to leverage of what has already being done – programs with a great track record like the Primary Care Collaboratives and build on the work of meetings like this
This is a summary of the indicative timelines The tender for the Change and Adoption Partner was released as a Presentation to Industry in Sydney on the 1 st of March The contract is to be Executed on the 27 th May 2011 As you can see there is a journey all the way to June 2012 The Final Concept of Operations is due Late June 2011 The National Change and Adoption Strategy is due August 2011 A Social Marketing program kicks off Late Sept. 2011 The Build and Test for release 1 is due Mid May 2012 National C&A Program Package will be released Early in June 2012 And the personally controlled electronic health record goes live Late June 2012 In fact that may not be the end of the journey but further investments and releases will be subject to a business case and consideration by government Note : Any conversations with suppliers cannot include discussions about the tender – except what is already in the public domain. If a potential supplier begins to ask about the tender, please refer them to the tender web page and for them to address their questions through the DOHA point of contact. All queries regarding this Request for Tender should be directed to: Contact Officer Bill Simeonovic (02) 6289 4115 [email_address]
The National Change and Adoption Strategy is going to be key It is intended to present an integrated view of all aspects of stakeholder engagement, marketing, communications, benefits evaluation and change and the adoption programs for the PCEHR Program in one document. The National Change and Adoption Strategy will provide the long and short term views of how to accelerate uptake of the PCEHR across Australia. The National Change and Adoption Strategy will provide an analyse the needs and expectations of consumers, clinicians and vendors There will be an impact assessment of the PCEHR on key stakeholder groups and a training needs assessment . The Change and Adoption Strategy should also give consideration to indicators that should be included in the PCEHR Monitoring and Evaluation Framework, being developed by the Benefits and Evaluation Partner. A plan to promote the connection of local eHealth solutions to the national PCEHR system will also need to be developed. And the Change and Adoption Strategy will to be updated in June 2012 to capture all learnings from the implementation of the PCEHR Program between now and June 2012 .
National change and adoption training will provide a training capability for the PCEHR Program with the preparation of training materials , guidance materials and other tools suitable for use by a third party Content will be developed for inclusion in online consumer and provider portals And also training materials which could be integrated with software vendor and National Infrastructure Partner training products And a centralised help-desk facility . The call centre capability we're looking for from the change of adoption partner is actually pre-operations of the PCEHR solution itself. The National Infrastructure Partner also has call centre responsibilities
The Change and Adoption work will have a focus on the e-health sites supporting change and adoption activities and including the lessons learned into the national plan But we need to role out change and adoption services across Australia More generis services but also targeted change and adoption services for target groups And then the change and adoption really starts after June 2012 when we start to role it out across the Nation
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