Integration and Accountability for Aged Care

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Paula Polkinghorne
Healthphone Solutions

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Integration and Accountability for Aged Care

  1. 1. AGED CARE IN THE COMMUNITY Can Connected IT Drive Service Integration and Accountability? 25 May 2007
  2. 2. Connected Information Technology Not on its own!!!!!!!!!!!!!!!!!!!!!!!!!
  3. 3. A Global Perspective on Ageing Ageing is a privilege and a societal achievement Ageing is a privilege and a societal achievement. It is also a challenge, which will impact on all aspects of 21st century society. It is a challenge that cannot be addressed by the public or private sectors in isolation: it requires joint approaches and strategies (WHO) "Ageing is a development issue. Healthy older persons are a resource for their families, their communities and the economy." WHO Brasilia declaration on healthy ageing, 1996.
  4. 4. Strengthening active and healthy ageing A demographic revolution is underway throughout the world In 2000, there were 600 million people aged 60 By 2025, there will be 1.2 billion By 2050 there will be 2 billion Diverse and complex societal shifts impact on the number of older people needing support or assistance and the ways in which it needs to be done
  5. 5. WHO Projections
  6. 6. New Zealand Actual Statistics to 1999
  7. 7. New Zealand Statistics projected to 2051
  8. 8. Social, Cultural and Economic Changes Not all cultures or families expect to or can support their elders Migration and changing family composition has influenced attitudes to support and care for older people Health systems now gearing for the effect of the baby boomer generation and greater life expectancy Care of Older Persons is now a growth industry Multiple social and economic strategies in New Zealand to affirm individuals and their entitlement to be as independent as possible
  9. 9. Healthphone’s Vision Our vision is to put healthcare information in the hands of the people who need it, wherever and whenever they need it
  10. 10. New Zealand Overview HIS-NZ (Health Information Strategy for NZ) HISAC (Health Information Strategy Action Committee) Health of Older Person’s Strategy HINZ - increase participation - enable collaboration - improve targeting Over $50m in the budget for additional aged care funding, home based support services and the implementation of interRAI residential assessment tool
  11. 11. NZHIS Intent Right Info Right Place Right Time Right Format Right Cost Right Environment
  12. 12. Compelling Reasons for Connectivity • Strategic imperative – service continuity and integration • Organisational efficiencies • Consistent whole systems approach • Ability for care provision to be tracked and audited • Quality and risk management
  13. 13. What connectivity is possible? Hosting by Service Information anywhere, anytime Provider •Patient Information •Patient Management •Workforce Management •Back Office Internet Mobile Network Patients or families Back office & facility based staff Mobile or community based healthcare staff 13
  14. 14. Healthphone – Seamless Healthcare Healthphone Solution Aged Care Facilities Hosted & Supported Community Service & by a Service Provider In Home Patient Care and powered Hospital Integration by Microsoft Technology Long Term Illness & Care Mobile network Internet
  15. 15. Microsoft – Connected Health Connected healthcare eco-system Acute Facility General Practice Back Office Pharmacy Concordia Remote Monitoring Family Access Devices Connection Engine Eg HL7v2.x, 3, … Radiology Community Care Government Pathology Bodies Ambulance Physiotherapy
  16. 16. Connectivity and Service Integration Formal and informal linkages between health service providers Cooperation and collaboration in implementing specific programmes Formal sharing of care across health disciplines and settings Facilitation of best care through information sharing
  17. 17. Some assumptions about Service Integration Because it sounds like a good idea it must work Every player is equally resourced to play Health service users are comfortable with the concept of free flowing information Providers at risk of losing revenue or status will support the interests of the ”greater good” Information tracked will be more meaningful and useful
  18. 18. Service Integration Elements Context Structure Process Health Economics Priorities Leadership
  19. 19. Service Integration : Definitions and Semantics Interoperability Interconnectivity Seamless healthcare Health Event Summary Electronic Health Record Key Performance Measures Inputs/Outputs/Outcome Sovereignty Privacy Security
  20. 20. Accountability Mechanisms Conceptual Health of Older Person’s Strategy Individual Rights Advocacy Groups Financial Budget, contracts, reporting, auditing Quality and Risk OSH, ERA, H&DSS, HPCA Information Technology Regulations covering Privacy, Public Records, Retention and Disposal of Information Industry standards covering security, access, encryption and messaging.
  21. 21. How far have we come? In an attempt to arrive at the truth I have applied everywhere for information but in scarcely an instance have I been able to obtain hospital records for any purpose or comparison. If they could be obtained they would enable us to answer many questions. They would show subscribers how their money was being spent, what amount of good was being done with it or whether the money was not doing mischief rather than good. YÄÉÜxÇvx a|z{à|ÇztÄx DKLF
  22. 22. The Potential Connected Information Technology is available now Service Integration is being increasingly demonstrated Greater accountability is expected Policy, financial resourcing, organisational development and systemic changes at all levels must develop concurrently to achieve the true potential of connected Information Technology
  23. 23. An Emerging Paradigm

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