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Primary Care Information
Management Group (PCIM)


              A Vision for Primary Care




                     Dr Harley Aish
                     Dr Harry Pert




Primary Care Information
Management


  Who are PCIM
  What do PCIM want to achieve?
  A Vision for Primary Care




                                          1
1. Who is on PCIM?
 Wider than General Practice
 Pharmacy, Community Laboratory,
 PHOs, NGOs (Plunket, Family
 Planning), Residential Care, IPA’s,
 IPAC, NZMA, College of Practice
 Nurses, College of GP, Primary Care
 IT Specialists
 Southlink, WIPA, Harbour PHO,
 RGPG, ProCare, HealthWest




2. What do PCIM want to achieve?
 Better health for our patients and
 hence populations
 A forum to share ideas and lessons
 Improve the Information capabilities
 across the primary care sector
 Influence policy and implementation
 Improve or get patient management
 systems!




                                        2
A Vision for Primary Care Information management



1.     Data collection is integrated into every day work practices.

2.     Detailed data is used and maintained locally at the point of care
       (enter once and use many times).

3.     Appropriate information views or subsets flow upwards through
       groups that regularly use the information / ensure its accuracy.

4.     Relevant views of information held at any given level are
       available to the levels below, and to individuals / communities /
       populations.

5.     Information flows are governed by agreed principles and
       processes.




     The Five Uses of Data/Information
     1. Supporting clinical intervention
     2. Clinical Governance
               Professional and practice standards
               Education & Training
               Research, evaluation & development
               Greater accountability through risk mgmt &
               significant event monitoring
               Clinical Audit, team development, peer support,
               effective relationships
               Patient and community input into service
               development
     3. Administration (in all parts of Health)
               Includes evaluation and quality assurance
     4. Strategy and policy development
     5. Research




                                                                           3
Distilling Priorities
                                                                                                                     Local


      Care Delivery,                                AZ 7: Chronic Care & Disease Management




                                                                                                                                            Agenda Setting & Governance
  Funding, Planning,     Use
  Policy & Research                                          AZ 10: Primary Care Information
Views of Information
                                                                  AZ9: Outpatients Information




                                                                                                                                                  HISAC / Sector
                                                                                                                         Sector Ownership
      Transactional
      Informational                        AZ 4:                    AZ 5:            AZ 6:                AZ 8:
                           Information




             Flows                       ePharmacy                  eLabs         eDischarges           eReferrals



       Information                                        AZ 2:                                 AZ 3:
          Anchors
                                                           NHI                                   HPI


                                                                                                                     National
    Interoperability                                          AZ11: National Systems Access
          & Access
                                                                  AZ 1: National Network
                       Enabling                                AZ 12: Anchoring Framework




 The Health Information Hierarchy (HIH)



                                                                     National
                                                                      National
                                                                      Views
                                                                       Views
                                                                                                    Relevant views of
                                                                                                    information above.
                                                                                      Po
                                                      y
                                                  nit




      Appropriate views /
                                                                                        pu




                                                             District / /Regional
                                             mu




      subsets of the                                          District Regional
                                                                                           la




                                                                    Views
                                                                     Views
                                                                                          t io
                                              m




      information below.
                                           Co




                                                                                            n




       Capture, use,
            and share                                              Local Views
                                                                   Local Views
          information
        locally at the
       point of care.
                                                                    Individual
                                                                    Standards
                                                                     Standards
                                                                    Indicators
                                                                     Indicators
                                                             Health Outcomes
                                                             Health Outcomes




                                                                                                                                                                          4
Primary Care Information
Management
Any questions?




                           5
Who could be interested in this
interaction?
  Pharmac: cost of prescriptions
  Infectious diseases: antibiotic
  resistance
  Education: small chance of glue ear




                                        6

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PCIM - A Vision for Primary Care

  • 1. Primary Care Information Management Group (PCIM) A Vision for Primary Care Dr Harley Aish Dr Harry Pert Primary Care Information Management Who are PCIM What do PCIM want to achieve? A Vision for Primary Care 1
  • 2. 1. Who is on PCIM? Wider than General Practice Pharmacy, Community Laboratory, PHOs, NGOs (Plunket, Family Planning), Residential Care, IPA’s, IPAC, NZMA, College of Practice Nurses, College of GP, Primary Care IT Specialists Southlink, WIPA, Harbour PHO, RGPG, ProCare, HealthWest 2. What do PCIM want to achieve? Better health for our patients and hence populations A forum to share ideas and lessons Improve the Information capabilities across the primary care sector Influence policy and implementation Improve or get patient management systems! 2
  • 3. A Vision for Primary Care Information management 1. Data collection is integrated into every day work practices. 2. Detailed data is used and maintained locally at the point of care (enter once and use many times). 3. Appropriate information views or subsets flow upwards through groups that regularly use the information / ensure its accuracy. 4. Relevant views of information held at any given level are available to the levels below, and to individuals / communities / populations. 5. Information flows are governed by agreed principles and processes. The Five Uses of Data/Information 1. Supporting clinical intervention 2. Clinical Governance Professional and practice standards Education & Training Research, evaluation & development Greater accountability through risk mgmt & significant event monitoring Clinical Audit, team development, peer support, effective relationships Patient and community input into service development 3. Administration (in all parts of Health) Includes evaluation and quality assurance 4. Strategy and policy development 5. Research 3
  • 4. Distilling Priorities Local Care Delivery, AZ 7: Chronic Care & Disease Management Agenda Setting & Governance Funding, Planning, Use Policy & Research AZ 10: Primary Care Information Views of Information AZ9: Outpatients Information HISAC / Sector Sector Ownership Transactional Informational AZ 4: AZ 5: AZ 6: AZ 8: Information Flows ePharmacy eLabs eDischarges eReferrals Information AZ 2: AZ 3: Anchors NHI HPI National Interoperability AZ11: National Systems Access & Access AZ 1: National Network Enabling AZ 12: Anchoring Framework The Health Information Hierarchy (HIH) National National Views Views Relevant views of information above. Po y nit Appropriate views / pu District / /Regional mu subsets of the District Regional la Views Views t io m information below. Co n Capture, use, and share Local Views Local Views information locally at the point of care. Individual Standards Standards Indicators Indicators Health Outcomes Health Outcomes 4
  • 6. Who could be interested in this interaction? Pharmac: cost of prescriptions Infectious diseases: antibiotic resistance Education: small chance of glue ear 6