Paula Polkinghorne Healthphone Solutions

1. AGED CARE IN THE COMMUNITY
Can Connected IT Drive Service
Integration and Accountability?
25 May 2007

2. Connected Information Technology
Not on its own!!!!!!!!!!!!!!!!!!!!!!!!!

3. A Global Perspective on Ageing
Ageing is a privilege and a societal achievement
Ageing is a privilege and a societal achievement. It is also a
challenge, which will impact on all aspects of 21st century society.
It is a challenge that cannot be addressed by the public or private
sectors in isolation: it requires joint approaches and strategies
(WHO)
"Ageing is a development issue. Healthy older persons are a
resource for their families, their communities and the
economy."
WHO Brasilia declaration on healthy ageing, 1996.

4. Strengthening active and healthy ageing
A demographic revolution is underway throughout the world
In 2000, there were 600 million people aged 60
By 2025, there will be 1.2 billion
By 2050 there will be 2 billion
Diverse and complex societal shifts impact on the number of older
people needing support or assistance and the ways in which it
needs to be done

5. WHO Projections

6. New Zealand Actual Statistics to 1999

7. New Zealand Statistics projected to 2051

8. Social, Cultural and Economic Changes
Not all cultures or families expect to or can support their elders
Migration and changing family composition has influenced
attitudes to support and care for older people
Health systems now gearing for the effect of the baby boomer
generation and greater life expectancy
Care of Older Persons is now a growth industry
Multiple social and economic strategies in New Zealand to affirm
individuals and their entitlement to be as independent as possible

9. Healthphone’s Vision
Our vision is to put healthcare information in
the hands of the people who need it, wherever
and whenever they need it

10. New Zealand Overview
HIS-NZ (Health Information Strategy for NZ)
HISAC (Health Information Strategy Action Committee)
Health of Older Person’s Strategy
HINZ - increase participation
- enable collaboration
- improve targeting
Over $50m in the budget for additional aged care funding, home
based support services and the implementation of interRAI
residential assessment tool

11. NZHIS Intent
Right Info
Right Place
Right Time
Right Format
Right Cost
Right Environment

12. Compelling Reasons for Connectivity
• Strategic imperative – service continuity and integration
• Organisational efficiencies
• Consistent whole systems approach
• Ability for care provision to be tracked and audited
• Quality and risk management

13. What connectivity is possible?
Hosting by Service
Information anywhere, anytime Provider
•Patient Information
•Patient Management
•Workforce Management
•Back Office
Internet
Mobile Network
Patients or families
Back office & facility based staff
Mobile or community based healthcare staff
13

14. Healthphone – Seamless Healthcare
Healthphone Solution
Aged Care Facilities Hosted & Supported Community Service &
by a Service Provider In Home Patient Care
and powered
Hospital Integration by Microsoft Technology Long Term Illness & Care
Mobile network Internet

15. Microsoft – Connected Health
Connected healthcare eco-system
Acute Facility General Practice
Back Office Pharmacy
Concordia
Remote Monitoring
Family Access
Devices
Connection Engine
Eg HL7v2.x, 3, …
Radiology Community Care
Government
Pathology
Bodies
Ambulance Physiotherapy

16. Connectivity and Service Integration
Formal and informal linkages between health service providers
Cooperation and collaboration in implementing specific
programmes
Formal sharing of care across health disciplines and settings
Facilitation of best care through information sharing

17. Some assumptions about Service Integration
Because it sounds like a good idea it must work
Every player is equally resourced to play
Health service users are comfortable with the concept of free
flowing information
Providers at risk of losing revenue or status will support the
interests of the ”greater good”
Information tracked will be more meaningful and useful

18. Service Integration Elements
Context
Structure
Process
Health Economics
Priorities
Leadership

19. Service Integration : Definitions and Semantics
Interoperability
Interconnectivity
Seamless healthcare
Health Event Summary
Electronic Health Record
Key Performance Measures
Inputs/Outputs/Outcome
Sovereignty
Privacy
Security

20. Accountability Mechanisms
Conceptual Health of Older Person’s Strategy
Individual Rights Advocacy Groups
Financial Budget, contracts, reporting, auditing
Quality and Risk OSH, ERA, H&DSS, HPCA
Information Technology Regulations covering Privacy, Public
Records, Retention and Disposal of
Information
Industry standards covering security,
access, encryption and messaging.

21. How far have we come?
In an attempt to arrive at the truth I have applied
everywhere for information but in scarcely an instance
have I been able to obtain hospital records for any
purpose or comparison.
If they could be obtained they would enable us to
answer many questions. They would show subscribers
how their money was being spent, what amount of
good was being done with it or whether the money was
not doing mischief rather than good.
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22. The Potential
Connected Information Technology is available now
Service Integration is being increasingly demonstrated
Greater accountability is expected
Policy, financial resourcing, organisational development
and systemic changes at all levels must develop
concurrently to achieve the true potential of connected
Information Technology

23. An Emerging Paradigm