The document summarizes a presentation given by Dougal McKechnie, Chief Executive of the New Zealand Health IT Cluster, about health challenges in New Zealand and the role of health IT. It discusses New Zealand's relatively devolved healthcare system, population health challenges, and experience with health IT adoption. It also outlines the vision and activities of the New Zealand Health IT Cluster industry group in facilitating collaboration and innovation to enable more efficient healthcare delivery and economic growth through IT solutions. Key health system challenges mentioned include demographics, long-term conditions, workforce issues, new technologies, affordability, and public expectations.

1. Post Graduate Research Seminar
Auckland – 8 June 2013
Dougal McKechnie
Chief Executive, New Zealand Health IT Cluster

2. • Welcome and introduction
• The New Zealand Health IT Cluster
• Some health system challenges
• Responses to those challenges
• The Health IT industry
• Questions
This session

3. VISION: New Zealand ICT solutions enable more efficient and effective delivery of
health care to New Zealanders, and contribute to the growth of our economy through
increased offshore earnings.
•Vibrant alliance of vendors and supporting members including academia, healthcare
providers and policy makers
•Vendor members are multi-nationals and local companies providing information
communication and technology solutions and services to the health sector
•100+ organisations
•Represent members interests
•Facilitate and seek $ for collaboration, innovations and projects
•Focus on industry capability and capacity
•Independent channel for dialogue between decision-makers and industry
•Formal relationships: NZICT, HINZ, NZIITP, MTANZ, NZBIO, NZTE, MOH/NHB
New Zealand Health IT Cluster

4. ITHealthBoard
SupportersStrategicpartners

5. HealthICTVendo
Lifetime Health Diary®

6. • Relatively devolved healthcare delivery model – which requires integration,
interoperability and information exchange
• Particular population health challenges which has created clinical – and health IT -
excellence
• Long-term experience in health system adoption of ICT
• Partnership approach between all stakeholders
The New Zealand Context

7. • On average in New Zealand every day …
• 160……....babies are delivered
• 1,500….…people are admitted to a public hospital
• 2,000…….visit an emergency department
• 2,500….…are in community-based mental health care facilities
• 4,000….…outpatient appointments are held
• 25,000…..people are in long-term residential care
• 40,000…..laboratory tests are undertaken
• 55,000.....people visit a GP
• 70,000…..home visits are undertaken by allied health workers
• 105,000…prescriptions are dispensed in the community
• These interventions are provided by a workforce of 120,000 employed
across some 17,000 organisations.
Health interventions

8. 92 91 89
66
54
49
36
26
19 15 14
0
25
50
75
100
NZ AUS UK ITA NET SWE GER US NOR FR CAN
Practices with Advanced Electronic
Health Information Capacity
Percent reporting at least 9 of 14 clinical IT functions*
* Count of 14 functions includes: electronic medical record; electronic prescribing and ordering of tests; electronic access
test results, Rx alerts, clinical notes; computerized system for tracking lab tests, guidelines, alerts to provide patients with
test results, preventive/follow-up care reminders; and computerized list of patients by diagnosis, medications, due for tests
or preventive care.
Source: 2009 Commonwealth Fund International Health Policy Survey of Primary Care Physicians.

9. • Ministry of Health “Long Term System Framework” project, Gareth Morgan’s book
Health Cheque and the MRG Report
• The pressures are:
– Demographics
– Long-term conditions
– Workforce
– New technologies and devices
– Affordability
– Health inequalities
– Public expectations
• and these are present now and will only intensify
‘Health system’ challenges

10. • Consolidation of acute secondary and tertiary inpatient services
• Clustering of regional services, clinical networks and administrative
functions around a smaller number of district hospitals
• Shifting services from secondary to primary care and between
professional groups
• Primary care will play a greater role in preventative medicine, delivering
traditionally secondary care based services and improved access to
specialist diagnostic testing
• Information technology will enable increased integration and self-
management
Signalled responses

11. Industry scale

12. • 74% are active in export markets (compared with 70% in 2010)
• 18% of companies not already exporting in Australia are considering
• 13% of companies not already exporting to countries other than in Australia are
considering it
Industry export ambitions

13. Export - Australia

14. Export - Global

15. • NZ staffing: 57% intend to increase staffing levels (65% in sales and marketing,
70% in technical and development, 35% in administration and support)
• International staffing: 43% intend to increase staffing levels (50% in sales and
marketing, 40% in technical and development, 40% in administration and support)
• Nil reported an intended decrease in headcount in either NZ or offshore
operations
• The single biggest barrier to business growth in New Zealand and offshore is lack
of resources
Industry capability

16. • Computer sciences
- programmers, software developers, testers, security, mobile devices, customer support, user
interface design, architects
• Business
– Sales, marketing, management, regulatory approval, certification and accreditation, strategy
development, market and business development
• Industrial design
• Social media and internet
• Clinical / medical
Skills and workforce demands

17. Hospital systems and clinical portals (Orion), dehumidification and sleep
apnoea (Fisher & Paykel Healthcare), clinical systems integration
(Simpl), patient support programmes (Atlantis Healthcare), emergency
medical services (Optima Corporation), hospital capacity planning
(Emendo), clinical pathways and protocols (HealthPoint), homecare and
nursing (Healthvision), wound care (Comvita), digital dictation
(WinScribe), rehabilitation and stroke recovery (Im-Able), anaesthetics
(Safer Sleep), orthotics (Foot Science International), smart inhaler
(Nexus6), clinical transcribing (Transcriptionz), data warehouse and data
mining (Wherescape), text message appointment and order reminders
(Vensa Health), medicine adherence and patient support (Social Code),
mental health (Wild Bamboo), sporting performance (Silicon Coach).
Wound care (ARANZ Medical), integrated care and shared care planning
(HSA Global), home care / telecare (Elemental Technologies), robotic
exoskeleton (Rex Bionics), hospital stretchers and beds (Howard Wright),
telecare and telehealth (ChipTech), skin cancer detection (MoleMap)
Some examples of smart NZ solutions

18. • Questions?
• www.youtube.com/NZHealthIT
• www.healthIT.org.nz
Conclusion

19. • Vision:
– To achieve high quality health care and improve patient safety, by 2014 New
Zealanders will have a core set of personal health information available
electronically to them and their treatment providers regardless of the setting
as they access health services.
• Enabling principles:
– Ensure the community understands and supports appropriate use of, and
access to, electronically stored personal health information.
– Clinicians are integral to the development and ongoing use of personal health
information solutions.
– The health workers, support carers and the family are integral to the ongoing
care of the person, along with supported self-care.
– Electronic information will be person-centred.
National Health IT Board vision and principles

20. National Health IT Plan
Phase 1 (2 Years) Clinical
Data
Repository
Phase 1 (2 Years)
Phase 2 (5 years)
Secondary
/Tertiary
Secondary
/Tertiary
Shared
Care
Shared
Care
Primary
/Community
Primary
/Community
GP2GPGP2GP
E-PrescribingE-Prescribing Medicine ReconciliationMedicine Reconciliation
Transfer of Care
Continuum of Care-Continuum of Care-
Clinical
Data
Repository
Patient Vitals
E-events
Care Plans
Decision Support
Patient Vitals
E-events
Care Plans
Decision Support

21. National Health IT Plan #2