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Health Informatics New Zealand - www.hinz.org.nz




  Organisational strategic
 direction, challenges, and
        opportunities

                  Ken Leech
           Chief Information Officer
     Presentation to HINZ – 10 March 2006




          About ProCare
An Independent Practitioners Association that
also provides management services to three
Auckland PHOs
650,000+ enrolled patients
  including 58,000 Maori and 72,000 Pacific
500+ contracted General Practitioners
117+ staff




                                                          1
Health Informatics New Zealand - www.hinz.org.nz




         What we deliver…
PHO management
Education
   26 GP cell groups, 3 practice manager groups, 13 Nurse cell
   groups
Register management
Practice support
Clinical support
Quality improvement – Performance Management
Health Promotion
Community Health
Psychological Support
24 x 7 Nurse triage




   Our clinical programmes
Mental health                          Minor surgery
   Extended consults                   Acute Lower Back Pain
   Psychological support               Smoking Cessation
   Post Natal Depression               Diabetes:
   screening
                                           Annual Review
Sexual health consults                     Outcome Incentives
Palliative care                        Chronic Care Management
Care Plus                                  Diabetes
CVD:                                       CVD
   screening                               Depression
   management                              CHF
Heart Care                             Enhanced access to
Acute Demand Management                services (EGC, medication
                                       packaging, spirometry etc)




                                                                    2
Health Informatics New Zealand - www.hinz.org.nz




       Our six strategic priorities
Strengthening General Practice
                                        The capability of primary care
                                        We believe that strong general
            teams
                                        is threatened if patients
                                        practice teams are the do not
Increasing patients’ perception
of the value of general practice
                                        value general strong services
                                        cornerstone ofpracticeprimary-
                                        care
Increasing employee satisfaction

Demonstrating population health
                                        Measuring patient health
             gain                       outcomes = Patient health
     Developing effective
                                        status measured overover
                                        Currently processing time
     management systems                 10,000 claims per month
 Increasing programme uptake




       Our six strategic priorities
Strengthening General Practice
            teams
Increasing patients’ perception
of the value of general practice

Increasing employee satisfaction
                                                   Robust and efficient claims
                                                          processing
Demonstrating population health
             gain
     Developing effective
     management systems

 Increasing programme uptake




                                                                                 3
Health Informatics New Zealand - www.hinz.org.nz




       Our six strategic priorities
                                                   Robust and efficient claims
Strengthening General Practice
                                                          processing
Increasing patients’ perception
of the value of general practice

Increasing employee satisfaction
                                                 Practice Management System
Demonstrating population health                            Advances
             gain
     Developing effective
                                                       Advanced Forms
     management systems                                Patient Dashboard

 Increasing programme uptake




       Our six strategic priorities
                                                   Robust and efficient claims
Strengthening General Practice
                                                          processing
Increasing patients’ perception
of the value of general practice

Increasing employee satisfaction
                                                 Control over information about
Demonstrating population health                           our patients
             gain                               The ability to manage risk
     Developing effective
     management systems
                                                 Practice Management System
 Increasing programme uptake
                                                           Advances




                                                                                  4
Health Informatics New Zealand - www.hinz.org.nz




       Our six strategic priorities
                                                   Robust and efficient claims
Strengthening General Practice
                                                          processing
Increasing patients’ perception                  Control over information about
of the value of general practice                          our patients

Increasing employee satisfaction

Demonstrating population health                 Improving Register Management
             gain
     Developing effective
     management systems
                                                 Practice Management System
 Increasing programme uptake
                                                           Advances




       Our six strategic priorities
                                                   Robust and efficient claims
Strengthening General Practice
                                                          processing
Increasing patients’ perception                  Control over information about
of the value of general practice                          our patients

Increasing employee satisfaction
                                                 Completing “Measuring Health”
Demonstrating population health
             gain
     Developing effective
                                                Improving Register Management
     management systems
                                                 Practice Management System
 Increasing programme uptake
                                                           Advances




                                                                                  5
Health Informatics New Zealand - www.hinz.org.nz




       Our six strategic priorities
                                                   Robust and efficient claims
Strengthening General Practice
                                                          processing
Increasing patients’ perception                  Control over information about
of the value of general practice                          our patients

Increasing employee satisfaction                 Completing “Measuring Health”

Demonstrating population health                   Improving our patient clinical
             gain                                          repository
     Developing effective
                                                Improving Register Management
     management systems
                                                 Practice Management System
 Increasing programme uptake
                                                           Advances




                    Five challenges
       Pandemic planning
       The ability to rapidly and efficiently deliver the
       next big programme
       Constrained by the lack of standards
       Understanding how to implement technology
       in general practice effectively
       Convincing DHBs and the MOH that they
       don’t know how to do this




                                                                                   6
Health Informatics New Zealand - www.hinz.org.nz




Eight opportunities to use I.M.
to improve patient outcomes
Extracting value from compliance costs
Maturity of electronic clinical decision support
Using Information Technology to facilitate patient self
care
The availability of centrally managed practice
management systems
Increased use of Management Services
Organisations
Uptake of broadband access within General Practice
The significant I.M. capability to be found within
Management Services Organisations
Sector leadership from HISAC and HISO




                                                            7

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Organisational strategic direction, challenges, and opportunities

  • 1. Health Informatics New Zealand - www.hinz.org.nz Organisational strategic direction, challenges, and opportunities Ken Leech Chief Information Officer Presentation to HINZ – 10 March 2006 About ProCare An Independent Practitioners Association that also provides management services to three Auckland PHOs 650,000+ enrolled patients including 58,000 Maori and 72,000 Pacific 500+ contracted General Practitioners 117+ staff 1
  • 2. Health Informatics New Zealand - www.hinz.org.nz What we deliver… PHO management Education 26 GP cell groups, 3 practice manager groups, 13 Nurse cell groups Register management Practice support Clinical support Quality improvement – Performance Management Health Promotion Community Health Psychological Support 24 x 7 Nurse triage Our clinical programmes Mental health Minor surgery Extended consults Acute Lower Back Pain Psychological support Smoking Cessation Post Natal Depression Diabetes: screening Annual Review Sexual health consults Outcome Incentives Palliative care Chronic Care Management Care Plus Diabetes CVD: CVD screening Depression management CHF Heart Care Enhanced access to Acute Demand Management services (EGC, medication packaging, spirometry etc) 2
  • 3. Health Informatics New Zealand - www.hinz.org.nz Our six strategic priorities Strengthening General Practice The capability of primary care We believe that strong general teams is threatened if patients practice teams are the do not Increasing patients’ perception of the value of general practice value general strong services cornerstone ofpracticeprimary- care Increasing employee satisfaction Demonstrating population health Measuring patient health gain outcomes = Patient health Developing effective status measured overover Currently processing time management systems 10,000 claims per month Increasing programme uptake Our six strategic priorities Strengthening General Practice teams Increasing patients’ perception of the value of general practice Increasing employee satisfaction Robust and efficient claims processing Demonstrating population health gain Developing effective management systems Increasing programme uptake 3
  • 4. Health Informatics New Zealand - www.hinz.org.nz Our six strategic priorities Robust and efficient claims Strengthening General Practice processing Increasing patients’ perception of the value of general practice Increasing employee satisfaction Practice Management System Demonstrating population health Advances gain Developing effective Advanced Forms management systems Patient Dashboard Increasing programme uptake Our six strategic priorities Robust and efficient claims Strengthening General Practice processing Increasing patients’ perception of the value of general practice Increasing employee satisfaction Control over information about Demonstrating population health our patients gain The ability to manage risk Developing effective management systems Practice Management System Increasing programme uptake Advances 4
  • 5. Health Informatics New Zealand - www.hinz.org.nz Our six strategic priorities Robust and efficient claims Strengthening General Practice processing Increasing patients’ perception Control over information about of the value of general practice our patients Increasing employee satisfaction Demonstrating population health Improving Register Management gain Developing effective management systems Practice Management System Increasing programme uptake Advances Our six strategic priorities Robust and efficient claims Strengthening General Practice processing Increasing patients’ perception Control over information about of the value of general practice our patients Increasing employee satisfaction Completing “Measuring Health” Demonstrating population health gain Developing effective Improving Register Management management systems Practice Management System Increasing programme uptake Advances 5
  • 6. Health Informatics New Zealand - www.hinz.org.nz Our six strategic priorities Robust and efficient claims Strengthening General Practice processing Increasing patients’ perception Control over information about of the value of general practice our patients Increasing employee satisfaction Completing “Measuring Health” Demonstrating population health Improving our patient clinical gain repository Developing effective Improving Register Management management systems Practice Management System Increasing programme uptake Advances Five challenges Pandemic planning The ability to rapidly and efficiently deliver the next big programme Constrained by the lack of standards Understanding how to implement technology in general practice effectively Convincing DHBs and the MOH that they don’t know how to do this 6
  • 7. Health Informatics New Zealand - www.hinz.org.nz Eight opportunities to use I.M. to improve patient outcomes Extracting value from compliance costs Maturity of electronic clinical decision support Using Information Technology to facilitate patient self care The availability of centrally managed practice management systems Increased use of Management Services Organisations Uptake of broadband access within General Practice The significant I.M. capability to be found within Management Services Organisations Sector leadership from HISAC and HISO 7