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Health Information Systems – New Zealand: The Sector is the Enterprise


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Brendan Kelly
Interim Deputy Director-General
Information Directorate
Ministry of Health

Published in: Health & Medicine, Business
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Health Information Systems – New Zealand: The Sector is the Enterprise

  1. 1. Health Information Systems – New Zealand The Sector is the Enterprise Brendan Kelly Interim Deputy Director-General Information Directorate Ministry of Health
  2. 2. New Zealand Geography <ul><li>Population of about 4 million spread over an area of about 270,000 square kilometres </li></ul><ul><li>85% of the people are concentrated in urban areas </li></ul><ul><li>The main ethnic groups: European (71.7%), Indigenous Maori (14.5%), Pacific Island (4.8%) and Asian (4.5%) </li></ul>
  3. 3. New Zealand Geography <ul><li>New Zealand has a population less than Singapore (4.5 million people) </li></ul><ul><li>Singapore’s total area is about 700 square kilometres – basically the size of two Wellingtons </li></ul>We are a small country
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  14. 14. Health Information Hierarchy Community Population Individual National Views District / Regional Views Local Views Appropriate views / subsets of the information below. Relevant views of information above. Capture, use, and share information locally at the point of care. Standards Indicators Health Outcomes
  15. 15. How it All Works Together HEALTH OUTCOMES Better Health Reduced Inequalities Better Participation & Independence Trust and Security Identifying and responding to population health needs Supporting tailored care Enabling the coordination of care and integration of services Improving performance and evidence based decisions KEY DIRECTIONS CAPABILITIES Supporting self care - (individual, whanau, family, community) Reduce development of contributory risk factors Increase early recognition and response to individuals and populations Slow rate of progression, reduce incidence of avoidable complications Increase coordination across providers, processes and community resources Strengthen capabilities of individuals, famil- ies and whanau to make health and wellbeing decisions Strengthen community engagement
  16. 21. Six Uses of Information in the Health Context <ul><li>Supporting self management </li></ul><ul><li>Supporting clinical intervention </li></ul><ul><li>Clinical governance </li></ul><ul><ul><li>Professional and practice standards </li></ul></ul><ul><ul><li>Education & training </li></ul></ul><ul><ul><li>Research, evaluation & development </li></ul></ul><ul><ul><li>Great accountability through risk management & significant event monitoring </li></ul></ul><ul><ul><li>Clinical audit, team development, peer support, effective relationships </li></ul></ul><ul><ul><li>Patient and community input into service development </li></ul></ul><ul><li>Administration (in all parts of Health) </li></ul><ul><ul><li>Includes evaluation, quality assurance and payments/funding </li></ul></ul><ul><li>Strategy and policy development </li></ul><ul><li>Research </li></ul>
  17. 22. Where to Now? <ul><li>Commitment to national information architecture </li></ul><ul><li>Commitment to working together to develop and use HISO standards </li></ul><ul><li>Commitment to making what I have developed available for use by others </li></ul><ul><li>Sharing knowledge – a sector knowledge base </li></ul><ul><li>Challenges around scaling up innovation from local to “all of us” </li></ul><ul><li>Challenges around sustainability </li></ul><ul><li>Key message – it is time as a health informatics community that we committed to a step change in how we work together </li></ul>