National Health IT Board Draft Health IT Plan May 2010
National Health IT Board <ul><li>Achievements: </li></ul><ul><li>Set up a National Health IT Board </li></ul><ul><ul><li>A...
National Health IT Board Dr Murray Milner, Independent ICT Consultant (Chair) Dr Harry Pert, General Practitioner, Rotorua...
eHealth Vision To achieve  high quality health care  and  improve patient safety , by 2014 New Zealanders will have a  cor...
<ul><li>This vision is enabled by three principles. </li></ul><ul><li>Ensure the  community understands and supports  appr...
eHealth Context - Benefits <ul><li>There are only three major benefit areas that support a person-centred  integrated heal...
The eHealth Implementation Challenge <ul><li>Outcomes </li></ul><ul><li>Improve health outcomes </li></ul><ul><li>Improved...
Consolidate, Co-operate  and Foundation 30 June 2014 Phase 1 Phase 2 Jan 2010 30 Dec 2011 National Health IT Plan “Enablin...
National Health IT Plan “Enabling an integrated healthcare model” <ul><li>Continuum of care </li></ul><ul><li>Quality info...
“ Enabling an integrated healthcare model” Phase 1 (2 Years) Clinical Data Repository Phase 1 (2 Years) Phase 2 (5 years) ...
“ Enabling an integrated healthcare model” Primary/Community Care Primary  And Community Systems Improved PMS Requirements...
“ Enabling an integrated healthcare model” Secondary/Tertiary Care Clinical Workstation Patient Admin. Standard Region Pla...
“ Enabling an integrated healthcare model”  Shared Care Future History Care Plan Decision Support Core Health Information ...
National Health IT Board Minister of Health Clinical Leaders Group Consumer Forum Work with: Hold Accountable Workforce Bo...
Changes and Additions to the Current Version Time Time 1.  Removal of  existing  problems &  constraints +  efficiency gai...
Risks Issues <ul><li>Healthcare organisations have already planned their health IT initiatives and projects for the 2010/1...
Success Factors <ul><li>Clinical Governance </li></ul><ul><li>Agreed Work plan for health IT investments  </li></ul><ul><l...
Issues for Resolution  (from the Vendor Partnership Forum) <ul><li>1. Reduce Procurement Cycles </li></ul><ul><ul><li>Stan...
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National Health IT Strategy

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Graeme Osborne, Director, National Health IT Board

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  • It is important to remember that the new HISAC is building on a strong history of strategic thinking and implementation planning. In particular I would like to acknowledge the leadership of Paul Cressey and the most recent work of HISAC. As you can see on the right hand side of the slide, there have been a number of successful initiatives completed over the last 18 months including: development of standards by sector working groups; challenging and advising the Ministry of Health on their Key Directions and National systems development programme; and, increasing the uptake of the secure health network which has 1200 registered users now. Registered users and health organisations wanting to provide online health services, now have a choice of three providers: Telecom/Gen-i, TlestraClear and Health Link. In addition, the secure health network will migrate to the next generation Connected Health solution without any impact.
  • It is important to remember that the new HISAC is building on a strong history of strategic thinking and implementation planning. In particular I would like to acknowledge the leadership of Paul Cressey and the most recent work of HISAC. As you can see on the right hand side of the slide, there have been a number of successful initiatives completed over the last 18 months including: development of standards by sector working groups; challenging and advising the Ministry of Health on their Key Directions and National systems development programme; and, increasing the uptake of the secure health network which has 1200 registered users now. Registered users and health organisations wanting to provide online health services, now have a choice of three providers: Telecom/Gen-i, TlestraClear and Health Link. In addition, the secure health network will migrate to the next generation Connected Health solution without any impact.
  • It is important to remember that the new HISAC is building on a strong history of strategic thinking and implementation planning. In particular I would like to acknowledge the leadership of Paul Cressey and the most recent work of HISAC. As you can see on the right hand side of the slide, there have been a number of successful initiatives completed over the last 18 months including: development of standards by sector working groups; challenging and advising the Ministry of Health on their Key Directions and National systems development programme; and, increasing the uptake of the secure health network which has 1200 registered users now. Registered users and health organisations wanting to provide online health services, now have a choice of three providers: Telecom/Gen-i, TlestraClear and Health Link. In addition, the secure health network will migrate to the next generation Connected Health solution without any impact.
  • It is important to remember that the new HISAC is building on a strong history of strategic thinking and implementation planning. In particular I would like to acknowledge the leadership of Paul Cressey and the most recent work of HISAC. As you can see on the right hand side of the slide, there have been a number of successful initiatives completed over the last 18 months including: development of standards by sector working groups; challenging and advising the Ministry of Health on their Key Directions and National systems development programme; and, increasing the uptake of the secure health network which has 1200 registered users now. Registered users and health organisations wanting to provide online health services, now have a choice of three providers: Telecom/Gen-i, TlestraClear and Health Link. In addition, the secure health network will migrate to the next generation Connected Health solution without any impact.
  • Good morning, as you heard from the Minister of Health this morning, I am the chair of a new HISAC committee. This morning I am in a position to announce the members of HISAC. Before I do that, I would like to explain what changes have been made to the objectives of HISAC as set out in a new terms of reference and give you an early insight into the framework we will be using to address medium and long term strategic issues with the use of information across the Health and Disability Sector.
  • It is important to remember that the new HISAC is building on a strong history of strategic thinking and implementation planning. In particular I would like to acknowledge the leadership of Paul Cressey and the most recent work of HISAC. As you can see on the right hand side of the slide, there have been a number of successful initiatives completed over the last 18 months including: development of standards by sector working groups; challenging and advising the Ministry of Health on their Key Directions and National systems development programme; and, increasing the uptake of the secure health network which has 1200 registered users now. Registered users and health organisations wanting to provide online health services, now have a choice of three providers: Telecom/Gen-i, TlestraClear and Health Link. In addition, the secure health network will migrate to the next generation Connected Health solution without any impact.
  • It is important to remember that the new HISAC is building on a strong history of strategic thinking and implementation planning. In particular I would like to acknowledge the leadership of Paul Cressey and the most recent work of HISAC. As you can see on the right hand side of the slide, there have been a number of successful initiatives completed over the last 18 months including: development of standards by sector working groups; challenging and advising the Ministry of Health on their Key Directions and National systems development programme; and, increasing the uptake of the secure health network which has 1200 registered users now. Registered users and health organisations wanting to provide online health services, now have a choice of three providers: Telecom/Gen-i, TlestraClear and Health Link. In addition, the secure health network will migrate to the next generation Connected Health solution without any impact.
  • It is important to remember that the new HISAC is building on a strong history of strategic thinking and implementation planning. In particular I would like to acknowledge the leadership of Paul Cressey and the most recent work of HISAC. As you can see on the right hand side of the slide, there have been a number of successful initiatives completed over the last 18 months including: development of standards by sector working groups; challenging and advising the Ministry of Health on their Key Directions and National systems development programme; and, increasing the uptake of the secure health network which has 1200 registered users now. Registered users and health organisations wanting to provide online health services, now have a choice of three providers: Telecom/Gen-i, TlestraClear and Health Link. In addition, the secure health network will migrate to the next generation Connected Health solution without any impact.
  • It is important to remember that the new HISAC is building on a strong history of strategic thinking and implementation planning. In particular I would like to acknowledge the leadership of Paul Cressey and the most recent work of HISAC. As you can see on the right hand side of the slide, there have been a number of successful initiatives completed over the last 18 months including: development of standards by sector working groups; challenging and advising the Ministry of Health on their Key Directions and National systems development programme; and, increasing the uptake of the secure health network which has 1200 registered users now. Registered users and health organisations wanting to provide online health services, now have a choice of three providers: Telecom/Gen-i, TlestraClear and Health Link. In addition, the secure health network will migrate to the next generation Connected Health solution without any impact.
  • National Health IT Strategy

    1. 1. National Health IT Board Draft Health IT Plan May 2010
    2. 2. National Health IT Board <ul><li>Achievements: </li></ul><ul><li>Set up a National Health IT Board </li></ul><ul><ul><li>As a sub-committee of the National Health Board </li></ul></ul><ul><ul><li>Along-side the capital and workforce boards </li></ul></ul><ul><ul><li>Support the establishment of a Shared Service agency </li></ul></ul><ul><li>Develop an initial Health IT Plan (by design) </li></ul><ul><ul><li>Supported by a national IT architecture </li></ul></ul><ul><li>Create a new Primary Healthcare IT Grants Programme </li></ul><ul><ul><li>Clinical Benefits - feasibility, evaluation, catalyst </li></ul></ul><ul><li>Complete three reviews: </li></ul><ul><ul><li>Sector Services </li></ul></ul><ul><ul><li>HMSC </li></ul></ul><ul><ul><li>Software Certification </li></ul></ul>
    3. 3. National Health IT Board Dr Murray Milner, Independent ICT Consultant (Chair) Dr Harry Pert, General Practitioner, Rotorua Elizabeth Plant, Pharmacist, Taranaki District Health Board Dr Chris Hendry, Executive Director, Midwifery and Maternity Provider Organisation Tony Foulkes, CEO, Taranaki District Health Board Nigel Millar, CMO, Canterbury District Health Board Robyn Kamira, Business Owner and Academic Chai Chuah, Interim CE, National Health Board (expert appointment) Graeme Osborne (Director)
    4. 4. eHealth Vision To achieve high quality health care and improve patient safety , by 2014 New Zealanders will have a core set of personal health information available electronically to them and their treatment providers regardless of the setting as they access health services.
    5. 5. <ul><li>This vision is enabled by three principles. </li></ul><ul><li>Ensure the community understands and supports appropriate use of, and access to, electronically stored personal health information. </li></ul><ul><li>Clinicians are integral to the development and ongoing use of personal health information solutions. </li></ul><ul><li>The health workers, support carers and the family are integral to the ongoing care of the person, along with supported self-care. </li></ul><ul><li>Electronic information will be person- centred . </li></ul>eHealth Principles Community Family and Support Carers Clinicians and health workers Patient/ Consumer
    6. 6. eHealth Context - Benefits <ul><li>There are only three major benefit areas that support a person-centred integrated healthcare model : </li></ul><ul><ul><li>Improve health outcomes </li></ul></ul><ul><ul><li>Improved quality of healthcare </li></ul></ul><ul><ul><li>Cost efficiencies/productivity improvements/risk management </li></ul></ul><ul><li>Although a fourth that is often missed is ‘improved employee engagement’ </li></ul>
    7. 7. The eHealth Implementation Challenge <ul><li>Outcomes </li></ul><ul><li>Improve health outcomes </li></ul><ul><li>Improved quality of care </li></ul><ul><li>Productivity improvement </li></ul>Vision … .by 2014 NZ’ers will have a core set of personal health Information available electronically…. Interoperability approach Developing leaders Principles – Community, Clinicians, People-centred HIS-NZ MRG Report Health IT Plan
    8. 8. Consolidate, Co-operate and Foundation 30 June 2014 Phase 1 Phase 2 Jan 2010 30 Dec 2011 National Health IT Plan “Enabling an integrated healthcare model” Shared Care
    9. 9. National Health IT Plan “Enabling an integrated healthcare model” <ul><li>Continuum of care </li></ul><ul><li>Quality information for primary care </li></ul><ul><li>Safe medication management </li></ul><ul><li>Clinical support (referred services) </li></ul><ul><li>Safe sharing of information </li></ul><ul><li>Patient Administration </li></ul><ul><li>… ..Supported by Business Support solutions and open, cost effective, robust infrastructure. </li></ul>Information Infrastructure <ul><li>Applications </li></ul><ul><li>Clinical </li></ul><ul><li>Administrative </li></ul>Model of Care
    10. 10. “ Enabling an integrated healthcare model” Phase 1 (2 Years) Clinical Data Repository Phase 1 (2 Years) Phase 2 (5 years) Secondary /Tertiary Secondary /Tertiary Shared Care Shared Care Primary /Community Primary /Community GP2GP GP2GP E - Prescribing E - Prescribing Medicine Reconciliation Medicine Reconciliation Transfer of Care - Discharge Continuum of Care - Referral Transfer of Care - Discharge Continuum of Care - Referral Clinical Data Repository Patient Vitals E - events Care Plans Decision Support Patient Vitals E - events Care Plans Decision Support
    11. 11. “ Enabling an integrated healthcare model” Primary/Community Care Primary And Community Systems Improved PMS Requirements Agreed data sets Certification Phase 1 (2 Years) Clinical Data Repository Phase 1 (2 Years) Phase 2 (5 years) Secondary /Tertiary Secondary /Tertiary Shared Care Shared Care Primary /Community Primary /Community GP2GP GP2GP E - Prescribing E - Prescribing Medicine Reconciliation Medicine Reconciliation Transfer of Care - Discharge Continuum of Care - Referral Transfer of Care - Discharge Continuum of Care - Referral Clinical Data Repository Patient Vitals E - events Care Plans Decision Support Patient Vitals E - events Care Plans Decision Support
    12. 12. “ Enabling an integrated healthcare model” Secondary/Tertiary Care Clinical Workstation Patient Admin. Standard Region Platform National Clinical Systems National Services Phase 1 (2 Years) Clinical Data Repository Phase 1 (2 Years) Phase 2 (5 years) Secondary /Tertiary Secondary /Tertiary Shared Care Shared Care Primary /Community Primary /Community GP2GP GP2GP E - Prescribing E - Prescribing Medicine Reconciliation Medicine Reconciliation Transfer of Care - Discharge Continuum of Care - Referral Transfer of Care - Discharge Continuum of Care - Referral Clinical Data Repository Patient Vitals E - events Care Plans Decision Support Patient Vitals E - events Care Plans Decision Support
    13. 13. “ Enabling an integrated healthcare model” Shared Care Future History Care Plan Decision Support Core Health Information Supports Multi-disciplined care Does not replace a Personal Health Record Vitals E-events Phase 1 (2 Years) Clinical Data Repository Phase 1 (2 Years) Phase 2 (5 years) Secondary /Tertiary Secondary /Tertiary Shared Care Shared Care Primary /Community Primary /Community GP2GP GP2GP E - Prescribing E - Prescribing Medicine Reconciliation Medicine Reconciliation Transfer of Care - Discharge Continuum of Care - Referral Transfer of Care - Discharge Continuum of Care - Referral Clinical Data Repository Patient Vitals E - events Care Plans Decision Support Patient Vitals E - events Care Plans Decision Support
    14. 14. National Health IT Board Minister of Health Clinical Leaders Group Consumer Forum Work with: Hold Accountable Workforce Board Quality and Safety Commission National Health Board Capital Investment Committee DHB CIOs Health Information Standards (HISO) Health IT Cluster Sponsor Owner Prog/Proj Manager Sponsor Owner Prog/Proj Manager Sponsor Owner Prog/Proj Manager Local Regional National Invest Define/ Operate Delivery Primary Healthcare IT Programme Group DHB CEO Information Group Ministry of Health National Programme
    15. 15. Changes and Additions to the Current Version Time Time 1. Removal of existing problems & constraints + efficiency gains 2. Improved performance from internal integration of information & processes - changed roles & relationships 3. Innovation in selected processes & activities, based on knowledge derived from ES Increased Benefits and degree of business change 2. Improved performance from internal integration of information & processes – changed roles & relationships 3. Innovation in selected processes & activities, based on knowledge derived from ES 1. Removal of existing problems & constraints + efficiency gains 2. Improved performance from internal integration of information & processes - changed roles & relationships 3. Innovation in selected processes & activities, based on knowledge derived from ES 1. Removal of existing problems and constraints + efficiency gains 2. Improved performance from internal integration of information & processes - changed roles & relationships 3. Innovation in selected processes & activities, based on knowledge derived from ES
    16. 16. Risks Issues <ul><li>Healthcare organisations have already planned their health IT initiatives and projects for the 2010/11 year </li></ul><ul><li>Consumers will have a wide range of views in relation to a single health IT plan extending from frustration with the lack of progress to concern for the privacy of their information </li></ul><ul><li>Health IT Vendors have had mixed signals and are set up to work with a fragmented sector </li></ul>
    17. 17. Success Factors <ul><li>Clinical Governance </li></ul><ul><li>Agreed Work plan for health IT investments </li></ul><ul><li>Supporting Increased Self Care, Care Teams and Remote Support </li></ul>
    18. 18. Issues for Resolution (from the Vendor Partnership Forum) <ul><li>1. Reduce Procurement Cycles </li></ul><ul><ul><li>Standard Master Contracts </li></ul></ul><ul><ul><li>Standard Schedules </li></ul></ul><ul><li>2. Regional IT Leadership </li></ul><ul><ul><li>Decision Making </li></ul></ul><ul><ul><li>Governance (Projects/Information) </li></ul></ul><ul><ul><li>Purchasing Entity </li></ul></ul>

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