Effective utilisation and allocation of health resources across the Midlands region in New Zealand. Presented by Samuel Mackenzie & Brent Harvey, HealthShare, at HINZ 2014, 12 November 2014, 11.37am, Marlborough Room

1. HealthShare Effective
utilisation and allocation of
resources across the
Midlands region: QlikView
Phase 1: The Journey So Far…
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2. Midland District Health Boards Shared Services Agency:
 Midland Region = Bay of Plenty, Lakes, Tairawhiti, Taranaki,
Waikato
 Midland Population ~ 850,000 people
 HealthShare Services:
 Regional Services Planning and Cooperation
 Clinical Networks
 Information Systems, Audit, Workforce Development
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HealthShare

3. Identified that benefit could be gained from:
 Working together and sharing best practices
 Leveraging resource to mitigate duplication and increase
value-add analytics, with a focus on the one source of the
truth
 Reducing reliance on single dimensional and outdated tools
 Increasing data and evidence in discussions
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The need for a regional tool

4. Why Business Intelligence?
 Information provided on a spreadsheet is flat and
limiting in terms of interaction, file size, adaptability
etc…
 Clinicians want detail, Managers want summaries
 BI can create intelligence from raw data files
 Healthcare is complex creating need for access to
multiple components/variables to make key decisions
 Healthcare data is immense and disparate
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5. The data
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 We all know
what it is like to
work with big
data
 Huge strides
forward have
been made
 Still a long way
to go

6. Why QlikView?
 BI system of choice to 33,000 clients world wide
 Great local and personal support and product knowledge –
Daniel Gargiulo and team @ Acumen BI
 Handles and links large and complex data files (for example, 30
million Laboratory records in one QV)
 Familiar, based on what you already use and easy to learn
 Quick, effective and value for money
 User experience is fun, rather than frustrating
 Easily understood by both managers and clinicians and has
already demonstrated behavioural change even at this early
stage 6

7. What we have done…
 Phase 1:
 Creation of key groups to provide information, make
decisions and provide direction for the region with links to
both national and local work. Groups involve both clinical
and a wide range managerial staff from across the
organisations.
 Phase 2:
 Identification of key project areas where concerns were
raised or opportunities were seen
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8. What we have done…
 Phase 3:
 Rapid (one month) conversion and deployment of our
‘routine’ Microsoft Excel files into a multi-faceted set of
reporting Dashboards to simplify quarterly reporting
 Phase 4:
 Developed practical tools that allow for evidence
informed conversations from strategic to patient level, in
Opthalmology and Orthopaedics
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9. What we have done…
 Phase 3:
 Prototyping unique solutions to old problems (such as
Health of Older Persons InterRAI + Payments Data +
Population Demographics, Laboratory, Pharmacy,
Emergency Department activity, Workforce, ESPI
compliance for wait times...)
 Demonstrating (meeting with a range of stakeholder
groups to show product and it’s benefits – CEs, COOs,
GMs, Individual DHB units…)
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10. What we are planning…
 Next Steps:
 Integration of limited data feeds for five DHBs patient
management systems on a daily and automated basis
 Enhancing hardware infrastructure regionally to support
anticipated growth of the software
 Continuing to demonstrate and build momentum for
transformational change, with an organic rather than
targeted or planned approach to deploying the software
to support our customers - the DHBs
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11.  Demo 1:
Demo
 Impact of Enhanced Recovery After Surgery (ERAS) – an
example of how we can engage with clinicians and managers
 Demo 2:
 Laboratory – 30 Million Records - an example of how the
software runs across physically large data sets (on a laptop
too)
 Demo 3:
 Health of Older Persons – Aged Residential Care and Home
Based Support Services linked to InterRAI (an example of our
prototyped regional and project reporting)
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12. Questions
 Brent Harvey
 HealthShare
 Analyst (Clinical &
Systems)
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 Samuel MacKenzie
 HealthShare
 Project Manager
 Elective Services