Presented by Ailsa Claire Chief Executive, Auckland District Health Board

1. Digital by default
Imagination into reality
Ailsa Claire, Chief Executive
Auckland District Health Board
Nov 2013
Auckland District Health Board
Healthy Communities, Quality Healthcare - Hei Oranga Tika, mo te iti me te Rahi

2. Current reality:
• Talented people with real commitment.
• Non-transparent environment.
• Informatics are the IT peoples job.
• Spend the least we can get away with.
• Complex system with multiple accountabilities.
• Business requirements unspecified.
• Digital by default is in our imaginations.
Auckland District Health Board
Healthy Communities, Quality Healthcare - Hei Oranga Tika, mo te iti me te Rahi

3. Results in:
• Frustration abounds.
• Unstable systems.
• Workarounds.
• Lack of basic information at all levels.
• Multiple interrogation of data.
• Lack of accountability.
• Inability of people to control their own health care
or maximise their health.
Auckland District Health Board
Healthy Communities, Quality Healthcare - Hei Oranga Tika, mo te iti me te Rahi

4. Potential future:
• Patient control.
• Open and transparent data.
• Intelligence created once.
• Linked data.
• Less complex environment.
• Clear accountability and responsibility.
Auckland District Health Board
Healthy Communities, Quality Healthcare - Hei Oranga Tika, mo te iti me te Rahi

5. How:
• Recognise the primacy of the patient and their data.
• Expectation of transparency.
• Single data and information centre.
• Business processes articulated.
• Transformational informatics.
• CIO roles at a senior level and embedded.
• Spend on informatics at least 4%.
• National leadership articulating accountabilities and
requirements.
• Key national systems.
Auckland District Health Board
Healthy Communities, Quality Healthcare - Hei Oranga Tika, mo te iti me te Rahi

6. How:
• Recognise the primacy of the patient and their data.
• Expectation of transparency.
• Single data and information centre.
• Business processes articulated.
• Transformational informatics.
• CIO roles at a senior level and embedded.
• Spend on informatics at least 4%.
• National leadership articulating accountabilities and
requirements.
• Key national systems.
Auckland District Health Board
Healthy Communities, Quality Healthcare - Hei Oranga Tika, mo te iti me te Rahi