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Co-designing Health – Clinicians, Consumers and Executives Working Together to Drive eHealth
1. HINZ 2013
Engaged Patients
Rebalancing the clinical relationship
Co-designing Health – clinicians, consumers
and Executives working together to drive eHealth
Graeme Osborne
Director, National Health IT Board
Director, Information Group
Ministry of Health
PREPARED BY
8. Governance and delivery of Health IT Plan
Minister
National
Information
Clinical Leadership
Group
National Health IT
Board
Works with
NHB
Health IT
Cluster
Health Benefits
Ltd
Works with and
Delivers Plan through
Consumer Forum
Sector ICT
Implementation Group
Health
Workforce NZ
Sector ICT
Implementation
Group
Telehealth
Forum
Health
Information
Standards (HISO)
Health
Information
Governance EAG
Health Quality
& Safety
Commission
Patients
First
Northern
Region
Midland
Region
Central
Region
South
Island
Region
DHBs
DHBs
DHBs
DHBs
Ministry
of Health
Other Govt
health agencies,
eg, ACC,
PHARMAC
All of Govt
agencies
DHB Population
Sector Architects
Group
Non-Govt
Organisations
9.
10. Work programmes supporting the National
Health IT Plan 2013 / 2015
eMedicines Programme
Regional Information Platform
NZ ePrescription Service (NZePS)
eMedicines Reconciliation (eMR)
ePrescribing and Administration (ePA)
NZ Universal List of Medicines (NZULM)
NZ Formulary (NZF)
NC
NCD
Clinical Workstation (CWS) / Clinical Data
Repository (CDR)
ED Information System
eReferrals and eDischarges
NC
NC
NC
National Solutions
Patient Administration System (PAS)
Hospital ePharmacy
Imaging / PACS
eOrders for Laboratory
Integrated Care Initiatives
Finance Procurement Supply Chain
Cancer Information
Cardiac Health
Maternity Clinical Information System
Comprehensive Clinical Assessment for
Aged Care
Alerts and Allergies System
National Patient Flow
NC
Shared Care Portal
Long Term Conditions
Shared Maternity Record View
Child Action Plan / Whanau Ora
NC
NCD
NC
Self Care Portal
NCO
National Child Health Information Platform
Clinical Pathways
eEnrolment
Common Operating Environment - National Infrastructure – Secure Connectivity – ICT Capability – Standards
Concept
Scope & Initiate
NCD
Summary View of Primary Health Information
NCO
Health Identity Programme
Programme Stage:
NCD
Trial Implementations
Implementation
Rollout
NC = National Contract in place
NCD = National Contract in Development
NCO = National Contract Opportunity
NCO
12. Providing New Zealanders with access to their health
information by the end of 2014
• National Health IT Board’s position is that patient access is provided
by GPs (with PHO support)
• International research supports this position:
• patients expect to have access to their health information
provided by the person they get the majority of their care from
• The top five valued services on-line are:
•
Schedule an appointment
•
Repeat prescription
•
Lab results
•
Medications
•
Secure communication with my health provider.
13. Providing New Zealanders with access to their health
information by the end of 2014
• Proven IT system options – Medtech MMH, Orion, Intrahealth and
MyPractice, HAS Global
• Must enable Emergency Department to access
• Currently over 4000 patients are enrolled
• Requires a team approach as it changes the model of care
• Saves time for a busy clinician overall
• Examples – Midland Health Network, Island Bay Medical Centre and
Wairarapa GPs.
• We are working with consumers, PHOs and Primary care
clinicians to create a breakthrough in 2014 – watch this
space
14. eHealth 2015 – 2019
1. Extend patient access to information
2. Personalisation
3. Digital by default (paperless)
16. eHealth Professionals need to move up the stack…
Sustained Business and Sector Benefits
Value-add Services
‘Informatics’
Clinical and social sector insight,
awareness and engagement
Population and individual outcome
information
Clinical Applications
Business Support Systems (FPSC etc.)
Commodity Services
‘IT’
IT Infrastructure and Services
17. HINZ 2013
Engaged Patients
Rebalancing the clinical relationship
Co-designing Health – clinicians, consumers
and Executives working together to drive eHealth
Graeme Osborne
Director, National Health IT Board
Director, Information Group
Ministry of Health
PREPARED BY