CareConnect - Implementation of a Standards-based Solution


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Gordon Inkson
(Friday, 11.00, General 2)

Online forms have the potential to greatly improve the consistency, reliability and usefulness of information exchanged in the health sector. However, the success of these forms is dependent on uptake by clinicians. So, for clinicians, there must be compelling reasons to choose the online form over any alternatives. In short, using the online form has to be both easier and more effective than not using it.
The CareConnect project was faced with precisely this challenge when making online eReferrals available to over 300 General Practitioners across three of New Zealand’s largest District Health Boards. The challenge was met by vendors collaborating together to implement the solution using the Health Information Standards Organisation (HISO) Standard 10014.2 for online forms.

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CareConnect - Implementation of a Standards-based Solution

  1. 1. CareConnect: Implementation of aStandards-based Solution by Gordon Inkson (Solution Architect: HealthLink) Powerpoint Templates Page 1
  2. 2. The Standards Proposition(What to take away from this session)STANDARDS are great for facilitatinggeneric, extensible, re-usableintegration in a multi-systemsolution …… BUT that success is dependent onadoption and uptake …… AND standards are a means to anends – not an end in themselves …… SO pragmatism must always trumpdogmatism Powerpoint Templates Page 2
  3. 3. My argument (in a nutshell) Auckland eReferrals provided a challenge and an opportunity – successful implementation of online forms Open Health Consortium’s Response? “Implement a Standard“  What? HISO 10014 Online Forms  Why? Clinical Benefits  How? Design & Implementation  What happened? Evaluation and Lessons Learned Conclusion – Standards-based Forms have been good for Auckland eReferrals, good for Vendors and good for the Sector (Questions at the End) Powerpoint Templates Page 3
  4. 4. Before we start … “the Standard “ or “the HISO Standard“ = HISO 10014.2 Online Forms Architecture Technical Specification (the full name’s a bit of a mouthful) Although this is a Case Study on Auckland eReferrals the focus is on the Standard – not the Project. (That’s a whole other presentation – probably two or three other presentations) Consider me an “Interested Observer“  I’m new to the Health Sector and New to the Project and New to the Standard  Real credit rests with the pionees – Prof. Jim Warren from HISO, Peter Sergent from MedTech, Aswin Patel from My Practice and HealthLink’s own Edwin Ng Powerpoint Templates Page 4
  5. 5. The ChallengeThree Very Large DHBs …… lots of paper-forms …… leading to obvious problems. Powerpoint Templates Page 5
  6. 6. A Proposed Solution +Open Health Consortoum HISO 10014 Powerpoint Templates Page 6
  7. 7. Why a Standard?It’s all about integration …… standards support integration Powerpoint Templates Page 7
  8. 8. Overview of HISO 10014.2Goal of the Standard?Overcome the problems of online forms Powerpoint Templates Page 8
  9. 9. Overview of HISO 10014.2User Application (EMR/PMS) Forms Engine Forms Manager Submission Recipient Gateway Systems Powerpoint Templates Page 9
  10. 10. Components Powerpoint Templates Page 10
  11. 11. Process Powerpoint Templates Page 11
  12. 12. Clinical Benefits – Online FormsOnline Forms vs. Manual FormsForm Characteristic Online ManualMachine-readable Pre-population Consistent Forms Up-to-date Forms Interactive Guidance Auditing Use Active Reporting Not Readily Falsifiable Universally Available Highly Robust Technology Powerpoint Templates  Page 12
  13. 13. Clinical Benefits - StandardsBut obtaining these benefits requires:• Seamless integration of Form into Business Process• Data Pre- populated• Balance of tight UI/ UX vs Loosely- coupled Systems Powerpoint Templates Page 13
  14. 14. Design & ImplementationThe Practicalities of Applying the Standard Phase Forms Collaboration User Components Tools Applications Design Discussion, Documentation, Consensus-seeking Governance Processes Refining the Understanding of the Business Problem Implementation Forms Implementation Guide Concept Manager resolution Concepts Spreadsheet Engine Forms Engine Vendor Validation Tool HISO Service Submission Gateway Vendor Testing Vendor Assistance Powerpoint Templates Page 14
  15. 15. EvaluationEarly days ,,, … but looking excellent Powerpoint Templates Page 15
  16. 16. Lessons LearnedBottom Line …• Standards live or die by their usefulness and widespread/universal adoption. Do what’s needed to achieve this. Powerpoint Templates Page 16
  17. 17. What really mattersStandards will be a success for AucklandeReferrals because … 1. Integration beats “rip-and-replace“ 2. Extensibility 3. Promote Participation 4. Level playine field 5. Technology neutral Powerpoint Templates Page 17
  18. 18. Questions Powerpoint Templates Page 18