This document discusses the Patients First program which aims to enable transformation in general practice in New Zealand. The program will focus on governance, clinical quality indicators, primary care management systems requirements, evaluating clinical pathways tools, safe medication management in primary care, electronic transfer of patient records between general practices, and emerging trends driving primary care. It provides an overview of the scope and deliverables for various work streams and indicates timeframes will be determined.

1. Enabling General Practice Transformation HINZ 19 May 2010 [email_address] (Formerly known as)

2. Covering Today Patients First (formerly qi4gp) – Scope and approach Deliverables Emerging themes in Primary Care Next Steps and Timeframe Deliverables and Indicative Timeframes Questions?

3. Introduction qi4gp re-branded Patients First to move to a more primary care focus Primary Care scope initially General Practice and Pharmacy for Phase 1 A programme of projects combining information and quality relating to Primary Care

4. Programme Scope Governance and Facilitation PMO establishment Resourcing Clinical Quality Indicators Clinical Pathway tool evaluation PMS requirements and framework Safe Medications Mgmt – primary care GP2GP e-continuum of care Delivering, Managing and Monitoring

5. Leadership Scope Strategy Prioritisation Criteria Market Scan/emerging trends Identification of projects Governance

6. Clinical Quality Indicators - Scope Applying the science of RNZCGP/WSoM Clinical Quality Indicators Working with DHBNZ and RNZCGP regarding a consolidated library of clinical indicators Identifying requirements for vendors

7. PMS Requirements - Scope Requirements framework for PMS products “ Traditional”/functional requirements Requirements for addressing the new models of care as outlined in the BSMC business cases Prioritisation roadmap for development Framework for product certification

8. Clinical Pathways Feasibility - Scope To evaluate the feasibility of applying a Clinical Pathways Tool across the healthcare system in NZ. Does a tool exist that would improve the quality of care? How difficult would it be to implement? Short list, then evaluate 2-3 tools (including MoM). An initial study, not a formal procurement exercise.

9. SMM Primary Care Phase1 - Scope Evaluation framework Minimum medications data requirements (primary care view) Patient Banner content Medicine reconciliation pilot (GP – Rest Home) MedTech patient medication merge fields E-prescribing pilot – aged care, community pharmacy

10. GP2GP - Scope Build Testing Delivery ...extend programme to e-continuum of care

11. Patients First – the Team Programme Sponsors – RNZCGP, GPNZ Dr Harry Pert, Dr Bev O’Keefe Fiona Thomson, Andrew Stenson Programme Manager – Andrew Terris E-continuum of care PM – Andre Bredenkamp Drawing composite team from sector for projects

12. Emerging Trends and Drivers Global economy, burgeoning health costs, BSMC, MRG Opportunity for transformation (effective/value) Review of “locus of care”, Shared Care Models IFHCs (collaborative, cluster, centre) Web based PHR as proxy for EHR across primary care providers (though not a shared care model yet) Desire for Cloud computing (IaaS, SaaS) Clinician led pathway initiatives (e.g. Canterbury, Taranaki)

13. Scope - Opportunities GP2GP will create nucleus of a primary care dataset Will be used to inform e-continuum of care (transfer/discharge/shared care) Reviewing opportunity to work with some of the DHBs on e-discharge project to structure the components of the discharge including medications using GP2GP framework ...exploring e-Prescribing pilot opportunities

14. Questions?