Malvin Leong ProCare Health Ltd (4/11/10, Illott, 11.30)

1. The Road Ahead for NZ Health IT Malvin Leong ProCare Health Ltd

2. Current NZ Health System

3. Proposed National & Regional Initiatives Ministerial Review Group Report - July 2009 Meeting the Challenge: Enhancing Sustainability and the Patient and Consumer Experience within the Current Legislative Framework for Health and Disability Services in New Zealand New Zealand General Election 2008 The National Party

4. Proposed National & Regional Initiatives Quality Information in Primary Care Shared Patient Record Information and Systems Standard National Health IT Board Transfer of information between providers

5. Proposed National & Regional Initiatives Regional Planning , Sharing of Accountability New Models of Care Sharing of Platform, Services and Infrastructure Integrated Family Health Centers

6. Proposed National & Regional Initiatives Access To Diagnostics X-Ray, MRI, CT scan & Ultrasound Greater Auckland Integrated Health Network 311 Practice Teams, 11 PHOs & 3 DHBs with over a million patients

7. Patient Experience & Outcome Multi-Disciplinary Care Self Management Care Providers Access to Core Information Consistent and Continuum of Care

8. Challenges Unhealthy levels of “competition” ‘ The impact of the NHS market’ by CIVITAS: The Institute for the Study of Civil Society, 2010 System-wide awareness of costs, efficiency and accountability; Natural aversion to sharing of knowledge

9. Challenges Politically-led or management-led solutions

10. Challenges

11. Our Experience Developing integrated guidelines with inputs from all clinicians including frontline care providers, utilising a mix of skill sets. Standardising operational or engagement protocols between clinicians at all levels. Aligning clinician goals with their respective organisational goals.

12. Our Experience Measuring performance and outcome effectively, with on-going evaluation. Managing/communicating changes and expectations of stakeholders. Developing information technology solutions led by clinicians.

13. Our Experience Developing prototype information technology solutions to better understand the impact and any outcome metrics.

14. Our Vision