The document outlines challenges facing the New Zealand health system and a long term framework (LTSF) to address them. Pressures include workforce shortages, rising costs and quality/safety issues. The LTSF focuses on system performance, clinical networks, and shifting care models. It also discusses the role of health information and communication technology in enabling new models of person-centered, integrated care and improving productivity. Key priorities include a national health information architecture and infrastructure to support information sharing and clinical collaboration.