State of the Nation: Health Sector Leaders Panel
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Johan Vendrig GM Information Services – healthAlliance Andrew Terris Programme Director, Patients First Darrin Hackett GM HIQ, Acting CIO Waikato DHB Martin Wilson GP, Sexual Health Physician, Clinical Leader Pegasus, executive NICLG Tony Cooke Manager Health Systems Investment and Planning, Information Group, NHB (Thursday, 4.15, Panel)
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State of the Nation: Health Sector Leaders Panel
- 6. healthAlliance IS Business Plan 11/12
- 13. Focus Areas Focus Areas 2011-2014 Narrative Sector engagement and representation (leadership) Contribute to sector activity in primary care quality and better integration of information to support care delivery. Act as a conduit for joining the dots across current sector initiatives and future direction. PMS systems - requirements and certification Introduce a sustainable model that provides a framework, governance and incentives for driving better quality PMS product and integration of information to support quality practice, delivery and population health planning. Primary Care Integration Includes project delivery of (eContinuum Projects) GP2GP, eDischarge, Community ePrescribing and input to sector standards Primary Care National System and environment maintenance Manage the maintenance tail created by eContinuum projects (e.g. GP2GP, Community ePrescribing, eDischarge). Facilitate the primary care component of the Sector test environment and contract management of relevant vendor maintenance Health Sector Measurements Delivery and support of the Health Quality Measures Library including the infrastructure, education and support to integrate identified measures into the library and support the adoption and use of the library.
- 21. ERMS ( Electronic referral management system) live demonstration. Dr Martin Wilson
- 22. E lectronic R eferral M anagement S ystem usage
- 23. Live presentation of ERMS Dr Martin Wilson
- 24. ERMS structure
- 25. ERMS View
- 26. Community Radiology Expert Review
- 27. e-S hared C are R ecord V iew Pegasus CDHB and Dr Martin Wilson
- 28. eSCRV Project Structure ?? Recent Maternity advisory group
- 32. eSCRV is Data Viewed in Concerto
- 36. Privacy – Access Matrix
Editor's Notes
- A Single view of multiple sources of information about a patient Consistent with the National Health IT plan of providing electronic information about a patient at any poin6 of care
- This is not a detailed presentation on how to use eSCRV, there will be function training sessions closer to rollout of eSCRV
- Inbox Anything marked 'confidential' is not to be extracted Extract the last 5 years of inbox Delete any inbox records older than 5 years from today Only header information is to be sent – no documents are to be extract Last Contact Date Extract the last consult date within the last 12 months (date only, not the record) Delete Consult dates from the PC-CDR that are older than 12 months from the current date Anything marked 'confidential' is not to be extracted Classifications All Diagnosis are to be extracted , on the premiss they can be displayed in order of Red, Blue then Black Anything marked 'confidential' is not to be extracted Medications All Blue list medications are to be extracted; also extract other prescribed medications in the previous 6 months from current date. Delete medications (except long term) from the PC-CDR that are older than 6 months than the current date Anything marked 'confidential' is not to be extracted Allergies and alerts Screening Data Anything marked 'confidential' is not to be extracted Extract Only: BP (Blood Pressure) WT (Weight) Delete Screening data from the PC-CDR that is older than 36 months from the current date
- Pegasus The data is held at Pegasus A firewall and other systems prevent access to the data. All access is monitored. To view the data Log into concerto if ESCRV is selected data is asked for from Pegasus Pegasus records who role when and what looked at
- The Whole practice the GP’s in this practice will not have access to e-SCRV, as they need to be contributing data to enable the proximity audit Global opt off ring the Privacy Office at the hospital and opt off MedTech Opf off The whole patient clinical sections Any data with ‘confidential’ ticked is not extracted Pegasus The data is held at Pegasus A firewall and other systems prevent access to the data. All access is monitored.
- Patient Consent Have to ask the patient permission to access their data If Unable to ask patient permission, enter the reason permission could not be asked Where the viewer does not have permission and reason is give, a human is to review all reasons and ensure the reason matches patient condition (eg unconscious). Where the reason does not match patient condition, the breach will be referred to the CDHB Privacy Office for action. Proximity Audit an automatic process to match a consultation/encounter to viewing the patient data within a 24 hour period of viewing the data. I f there is no consultation and the data is viewed, this is referred to the CDHB Privacy Office for review and possible action against the individual Privacy Auditing at Pegasus Exception reports generated to show, for Eg Proximity Audit Who has looked at what patient When many people look at one patient When one person looks at many patients the reasons for access when patient does not say yes etc
- Some matters have been resolved – the vision, the direction, the expectations of the plan Ownership of the plan lies with the regional and national governance groups – clinical leadership necessary; executive ownership and funding Progress is measured through Readiness Assessment Chart (pizza chart, or pink and white terraces), Regional and National Landscapes, Quarterly Milestones, Pipeline diagram Sometimes necessary to resource level across regions, allow some regions to take lead on nationally significant rollout programmes eg hospital e-Pharmacy Maternity – all DHBs have a similar problem; new quality initiative launched by Minister; importance of measuring and monitoring performance of the sector consistenty; importance of a good information system to support clinicians deliver care ED – agreed set of specifications and processes Enter into a partnership arrangement with key vendors to continue to develop solution organically Health Identity – building a foundation platform and set of core processes to support sector; high availability, improved data quality
- Some matters have been resolved – the vision, the direction, the expectations of the plan Ownership of the plan lies with the regional and national governance groups – clinical leadership necessary; executive ownership and funding Progress is measured through Readiness Assessment Chart (pizza chart, or pink and white terraces), Regional and National Landscapes, Quarterly Milestones, Pipeline diagram Sometimes necessary to resource level across regions, allow some regions to take lead on nationally significant rollout programmes eg hospital e-Pharmacy Maternity – all DHBs have a similar problem; new quality initiative launched by Minister; importance of measuring and monitoring performance of the sector consistenty; importance of a good information system to support clinicians deliver care ED – agreed set of specifications and processes Enter into a partnership arrangement with key vendors to continue to develop solution organically Health Identity – building a foundation platform and set of core processes to support sector; high availability, improved data quality