Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

Health Information - A Primary Care Perspective


Published on

Fiona Thompson
NZ IPA Council

Published in: Health & Medicine
  • Be the first to comment

  • Be the first to like this

Health Information - A Primary Care Perspective

  1. 1. Health Information – Sharing and Caring A Primary Care Perspective HINZ Seminar 23 April 2009
  2. 2. Discussion Today <ul><li>Our Immediate Future </li></ul><ul><li>Our Drivers </li></ul><ul><li>Expectations </li></ul><ul><li>Our Restraints </li></ul><ul><li>Where Now? </li></ul><ul><li>Our Key Priorities </li></ul><ul><li>Our Guiding Principles </li></ul><ul><li>Our “Need to Do Now” </li></ul>
  3. 3. Our Immediate Future <ul><li>Bi-partisan commitment to PHCS (PHOs) </li></ul><ul><li>Orientation around person-centred health care </li></ul><ul><li>Clinical leadership / networks </li></ul><ul><li>Devolution of secondary services </li></ul><ul><li>Significant re-design of service and funding models </li></ul>
  4. 4. Our Drivers <ul><li>Quality and Safety (qi4gp) </li></ul><ul><ul><li>Nationally agreed quality and outcomes framework enhancing quality of care and patient safety </li></ul></ul><ul><ul><li>Includes safety, timeliness, cost efficiency, effectiveness, equity and patient-centreness </li></ul></ul><ul><li>Underpinning technology and information architecture to enable (and measure) quality and safety </li></ul>
  5. 5. Expectations <ul><li>Patients want to know their clinicians have: </li></ul><ul><ul><li>the right information at the point of care and </li></ul></ul><ul><ul><li>confidentiality, privacy and security is protected </li></ul></ul><ul><li>Clinicians want information at point of care to: </li></ul><ul><ul><li>Make more informed diagnoses </li></ul></ul><ul><ul><li>Administer better care and preventive interventions </li></ul></ul><ul><ul><li>Reduce errors including adverse drug events </li></ul></ul><ul><ul><li>Improve health outcomes (patients and communities) </li></ul></ul>
  6. 6. Expectations <ul><li>Health planners, policy makers and researchers want: </li></ul><ul><ul><li>Health knowledge </li></ul></ul>
  7. 7. Our Restraints <ul><li>Health Information Privacy concerns </li></ul><ul><ul><li>Retaining consumer trust </li></ul></ul><ul><ul><li>Attitude around access to information </li></ul></ul><ul><ul><li>IPAC Health Information Privacy Policy (mid May) </li></ul></ul><ul><li>Standards development slow </li></ul><ul><li>Organisational culture (slow uptake secondary) </li></ul><ul><li>Funding models do not support appropriate investment (siloed, focused on volume) </li></ul><ul><li>PMS vendor responsiveness to end use requirements </li></ul>
  8. 8. Health Information Privacy <ul><li>Extract from paper on screening programme. Spot the problem? </li></ul><ul><li>The existence of the Primary Health Organisation Enrolment Collection (PHOEC) in New Zealand allows us for the first time to consider whether this data collection could assist in identifying and monitoring the eligible population for bowel cancer screening. </li></ul>
  9. 9. Where Now? <ul><li>Focussing on EHR as the single best solution to all healthcare problems is not helpful </li></ul><ul><li>Get the basics right first – make sure patients are safe before we start delivering bells and whistles </li></ul><ul><li>Support initiatives that will make a significant difference in the short to medium term </li></ul><ul><li>Re-balance the focus on population health with the care of individuals </li></ul>
  10. 10. Our Key Priorities <ul><li>qi4gp as the vehicle for quality and safety </li></ul><ul><li>Have the privacy discussion in the public domain </li></ul><ul><li>Improving clinical pathways </li></ul><ul><li>Align incentives / funding models with desired outcomes </li></ul><ul><li>Improving our relationship with PMS Vendors and taking ownership of our PMS future </li></ul>
  11. 11. Our Guiding Principles <ul><li>Quality and safety of general practice care will drive technology and software development </li></ul><ul><li>Development will be clinician-led supported by excellence in management (ICT and Executive) </li></ul><ul><li>Development will be based on agreed standards and system level interoperability </li></ul><ul><li>General practice will be able to purchase accredited “systems of choice” </li></ul><ul><li>Wherever possible, information will be collected digitally at the point of patient contact </li></ul>
  12. 12. Our “Need to Do Now” <ul><li>Accelerated standards development </li></ul><ul><li>GP2GP </li></ul><ul><li>eReferral and eDischarge </li></ul><ul><li>then </li></ul><ul><li>ePharmacy </li></ul><ul><li>eLaboratory </li></ul>