Health Information Strategy Action Committee IHE Seminar – 16 & 17 June 2008

Introduction About HISAC & HIS-NZ The relevance and importance of interoperability Progress

About HISAC & HIS-NZ

The relevance and importance of interoperability

Progress

HISAC & the Health Information Strategy for NZ (HIS-NZ) New Zealand's health information strategy (HIS-NZ) was developed by a representative group from New Zealand’s health and disability sector and adopted by the government in 2005. It focuses on ‘enabling better use of information between service providers across the New Zealand health and disability sector’ and sets out twelve priorities (Action Zones). A sector-wide ministerial advisory committee (HISAC) was established in August 2005 with responsibility to lead the sector in the implementation of these HIS-NZ priorities. Enabling Use Information Care Delivery, Funding, Planning, Policy & Research Views of Information AZ 7: Long Term Condition Management AZ 10: Primary Care Information AZ 9: Outpatients Information Transactional Informational Flows HISAC / Sector Agenda Setting & Governance National Local Sector Ownership Interoperability & Access AZ11: National Systems Access AZ 1: National Network AZ 12: Anchoring Framework Information Anchors AZ 3: HPI AZ 2: NHI AZ 5: eLabs AZ 4: ePharmacy AZ 6: eDischarges AZ 8: eReferrals

New Zealand's health information strategy (HIS-NZ) was developed by a representative group from New Zealand’s health and disability sector and adopted by the government in 2005.

It focuses on ‘enabling better use of information between service providers across the New Zealand health and disability sector’ and sets out twelve priorities (Action Zones).

A sector-wide ministerial advisory committee (HISAC) was established in August 2005 with responsibility to lead the sector in the implementation of these HIS-NZ priorities.

Interoperability Interoperability is a key theme It is required for: ‘ joining up’ information, systems, and processes supporting patient centered care Technology is an important enabler but relies on: a framework that assures standards implementation and interoperability collaboration and culture change IHE visibility increasing and needs to be explored with the view to its adoption and adaptation in the NZ context

Interoperability is a key theme

It is required for:

‘ joining up’ information, systems, and processes

supporting patient centered care

Technology is an important enabler but relies on:

a framework that assures standards implementation and interoperability

collaboration and culture change

IHE visibility increasing and needs to be explored with the view to its adoption and adaptation in the NZ context

Update - Standards Released Referral, Status & Discharge – Business Process & Messaging Standards Pathology & Radiology – Messaging Standard Data Concepts Repository Standard PRIMHED – Data Set, Code Set, and Data Process Standards Health Practitioner Index – Data Set and Code Set Standard Out for public comment Pharmacy Business Process & Messaging NZPOCS (LOINC) 2 draft standards In development GP2GP Patient File Transfer Medicines Terminology Authentication and Security Framework Primary Care Core Dataset Online Forms Server Proposed / Investigating Decision support – Computer Interpretable Guideline Standard Regional/National Shared Information Repositories Trauma/emergency HL7 V3 & CDA / XML Updates to HPI Code Set Generic Web Service Message Structure

Released

Referral, Status & Discharge – Business Process & Messaging Standards

Pathology & Radiology – Messaging Standard

Data Concepts Repository Standard

PRIMHED – Data Set, Code Set, and Data Process Standards

Health Practitioner Index – Data Set and Code Set Standard

Out for public comment

Pharmacy Business Process & Messaging

NZPOCS (LOINC) 2 draft standards

In development

GP2GP Patient File Transfer

Medicines Terminology

Authentication and Security Framework

Primary Care Core Dataset

Online Forms Server

Proposed / Investigating

Decision support – Computer Interpretable Guideline Standard

Regional/National Shared Information Repositories

Trauma/emergency

HL7 V3 & CDA / XML

Updates to HPI Code Set

Generic Web Service Message Structure

Update - General HISAC also working with: Sector – Interoperability Framework MoH – Sector Knowledgebase / Standards Register Sector – Sector Information Flows Model MoH – Connected Health – Architecture Framework / Transition Health Network NIHI – to be discussed later in the seminar DHBNZ – eDischarges implementation lead MoH – Legislative change to support e-prescribing MoH – Connected Health & NSDP (improve infrastructure around national systems) DHBNZ / MoH – increase secure connectivity in pharmacies and GPs MoH – NHI process improvement, access and public education MoH – HPI awareness, use of, and increase registry coverage MoH – Governance arrangements around NZ Health Network / Connected Health and national systems Office of the Privacy Commissioner / Sector – Privacy & Shared Information MoH – Key Directions – Clinical and administrative indicators and outcome measures General Practice Leaders Forum / MoH – QI4GP Project NZ Health IT Cluster, Lakes & BOP DHB, Rotorua Primary Care and Labs - eLabs NDSA (TestSafe) – Privacy / Security Guidelines – what can we learn, what can we re-use

HISAC also working with:

Sector – Interoperability Framework

MoH – Sector Knowledgebase / Standards Register

Sector – Sector Information Flows Model

MoH – Connected Health – Architecture Framework / Transition Health Network

NIHI – to be discussed later in the seminar

DHBNZ – eDischarges implementation lead

MoH – Legislative change to support e-prescribing

MoH – Connected Health & NSDP (improve infrastructure around national systems)

DHBNZ / MoH – increase secure connectivity in pharmacies and GPs

MoH – NHI process improvement, access and public education

MoH – HPI awareness, use of, and increase registry coverage

MoH – Governance arrangements around NZ Health Network / Connected Health and national systems

Office of the Privacy Commissioner / Sector – Privacy & Shared Information

MoH – Key Directions – Clinical and administrative indicators and outcome measures

General Practice Leaders Forum / MoH – QI4GP Project

NZ Health IT Cluster, Lakes & BOP DHB, Rotorua Primary Care and Labs - eLabs

NDSA (TestSafe) – Privacy / Security Guidelines – what can we learn, what can we re-use