The document discusses the Health Information Strategy Action Committee (HISAC) and its work to implement New Zealand's health information strategy. It provides details on HISAC's operations, engagement approach, current focus areas, and draft priorities for 2007. The priorities aim to improve primary care information through activities related to standards development, reference implementations, and enhancing infrastructure like connectivity and identifiers. The overall goal is to support excellence in primary care through better management and sharing of healthcare information.

1. HINZ: Primary Care Strategy Implementation
How can information help get us there?
Friday, 16 March 2007
Health Information Strategy Action Committee (HISAC)
To provide governance of, oversight of, and leadership for the
implementation of the Strategy to the Health and Disability Sector.
Accountable to the Minister for sector implementation of the strategy.
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2. How HISAC operates
• The Committee: Paul Cressey (Chair), Chai Chuah, Debbie Chin,
Graeme Osbourne, Tony Cooke, Julian Inch, Harry Pert, Tim
Gardiner, Andrea Pettett, Helmut Modlik and David Rankin.
• Sub-Committees: Infrastructure Sub-Committee, Health Information
Standards Sub-Committee, and National Collections Sub-Committee.
• HISAC Office: 8 full time positions – a semi autonomous group
within the Ministry of Health.
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Engagement Approach
• Leadership
• Priorities and direction setting
• Stimulate change
– Solution broker
– Selection / acceptance criteria
– Incentives / funding models
– Communicating ideas / progress / success
• Governance
• Project endorsement / alignment to HIS-NZ – ‘the HISAC tick’
• Participate in governance of sector projects
• Oversight
• Measure progress
• Participate in governance of sector projects
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3. What HISAC is focused on currently
• Agree priorities
• Standards programme
• Direct the HISO work programme
• Involve implementation leads
• Adoption / endorsement of standards that are developed elsewhere
• Confirm implementation leads
• Confirm where we want leads
• Select lead from candidate (s)
• Active monitoring
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Challenges with Primary Care Information Today
• Patients cannot reliably access individual health information needed for decisions
about care and self management.
• Primary care teams, and other stakeholders cannot reliably access the information
required to demonstrably improve care quality and outcomes for their
respective populations.
• It can be difficult to access high quality evidence based information needed for
care and to continuously improve the quality of services.
• It is difficult for care services and organisations to access relevant information needed to
coordinate the provision of care.
• There are significant variations in information management capability,
particularly in the wider primary care community.
• Clinical and administrative data is not consistently defined and recorded.
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4. HIS-NZ Action Zones & The Primary Health Care Strategy
• Delivering the Primary Care Strategy requires elements from all 12 Action Zones
Care Delivery, AZ 7: Long Term Condition Management
Funding, Planning, Use Local
Policy & Research AZ 10: Primary Care Information
Views of Information
AZ9: Outpatients Information
Transactional
AZ 4: AZ 5: AZ 6: AZ 8:
Sector Ownership
Informational
Flows ePharmacy eLabs eDischarges eReferrals
Information
Information AZ 2: AZ 3:
Anchors
NHI HPI
Interoperability AZ11: National Systems Access
& Access
AZ 1: National Network
Enabling National
AZ 12: Anchoring Framework
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Some Key Linkages to AZ 10: Primary Care Information
• AZ 7: Management of Long Term Conditions
• Proactive identification and treatment for long term care is centred in primary care.
• This requires certain information systems capabilities and the availability of relevant
primary care information.
• AZ 9: Outpatient Information
• As more services are shifted to 1°care there is a need to re-examine how we build
a complete picture of individual and population health.
• This requires the ability to integrate 1°and 2°care information as needed.
• AZ 12: Anchoring Framework
• Action Zone 12 focuses on the key enablers for information sharing and
interoperability within the Sector, including primary care information.
• This includes standardised architectural and data models, business processes,
information technologies, usage principles and policies.
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5. Vision & Strategy – AZ 10: Primary Care Information
• Vision
• Excellence in information management supporting excellence in primary care.
• Strategy
• Capture and use standardised primary health care information locally as part of
normal activities.
• Use agreed evidence based indicators to support improved clinical governance
and population health.
• Ensure that appropriate subsets of local information are available regionally and
nationally and provide appropriate views of this information.
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Design Principles - AZ 10: Primary Care Information
• Data collection is integrated into every day work practices.
• Detailed data is used and maintained locally at the point of care
(enter once and use many times).
National
National
Views
Views
Relevant views
ity
Appropriate information views or subsets flow upwards through groups
of information
Po
• Appropriate views /
un
District / /Regional above.
p
p
pu
District Regional
that regularly use the informationViews
subsets of the / ensure its accuracy.
mm
la
la
lat
information below. Views
i
Co
o
o
on
• Relevant Capture, of information held at any given level are available to
views
the levelsuse, and and to individualsViews
below, Local / communities / populations.
Local Views
share
information
locally.
• Information flows are governedIndividual
by agreed principles and processes.
Standards
Standards
Indicators
Indicators
Health Outcomes
Health Outcomes
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6. Solution Components - AZ 10: Primary Care Information
1. Focused information systems;
2. Appropriate information exchange;
3. Evidence-based improvement;
4. Coordinated care;
5. Extended information capability;
6. Appropriately standardised data.
The scope and approach document lists the required information environment
capabilities in each area and is available from www.HISAC.govt.nz
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Supporting Standards - AZ 10: Primary Care Information
• Information sharing agreements;
• Evidence-based indicators & outcome measures;
• Health event summaries;
• Clinical code sets;
• Sector data model / data dictionary;
• Electronic patient file transfer.
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7. HISAC Priorities to Progress in 2007 (draft work in progress)
• HISAC General • HISO
• Sector knowledge base • ePharmacy data exchange
• Evidence based indicators and • Medicines terminology
outcome measures • Clinical coding / terminology
• eReferrals reference sites • Health event summary standards
• eLabs reference sites • GP2GP patient file transfer
• Legal support for ePrescribing
• HISAC - ISC • HISAC - NCSC
• Health Network COP & PAS • Information sharing guides /
• Securely connectivity agreements
• Network directory service • National systems governance /
access
• NHI improvements
• HPI uptake and registries
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Access/Interop. Anchors Transactional Flows Info. Views
National Sys Access
LTC (Chronic Care)
Mapping Priorities
Anch. Framework
Primary Care Info
Outpatient Info
eDischarges
ePharmacy
eReferrals
Network
eLabs
NHI
HPI
AZ1 AZ11 AZ12 AZ2 AZ3 AZ4 AZ5 AZ6 AZ8 AZ7 AZ9 AZ10
HISAC General
Sector Knowledge Base
Evidence Based Indicators / Outcome Measures
eReferrals implementations
eLabs Reference implementations
Legal Support for ePrescribing
HISO
ePharmacy Data Exchange
Medicines Terminology
Clinical Coding / Terminology
Event Summary Standards
PMS Patient File Transfer
Infrastructure Sub Committee
Health Network C.O.P & P.A.S
Secure Connectivity
Network Directory Service
National Collections Sub Committee
Information Sharing Guides / Agreements
National Systems Governance / Access
NHI Improvements
HPI Uptake and Registries
Chronic Disease
Child and Youth
Minister's
Priorities
The 2007 draft priority areas
The 2007 draft priority areas Primary Health
Health of Older People
nearly all contribute to improved
nearly all contribute to improved Infrastructure
Value for Money
primary care information.
primary care information. Elective Services
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