Health IT Programme 2015 – 2020
A uniform, standards-based, health information environment
for New Zealanders
Update from the National Health IT Board
Tony Cooke, Manager
Health IT Investments & Standards
November 2015
Community ePrescribing
and Aged CareeSchedules
Patient Portal‘….approaching
100,000 consumers’
Transformational
Shared Care Plans
20,000+ electronic plans
National InfrastructurePlatform (NIP)
Sustainable
Maternity5 DHBs ‘Live’
Comprehensive Assessments
(interRAI)30,000+
HospitalePrescribing5 DHBs ‘Live’
Professional
Clinical Workstation &
Legacy PAS
Clinical Data
Repository
Clinical Data
Repository
Clinical Data
Repository
Clinical Data
Repository
Our Principles 2015 - 2020
To help create a sustainable health system we must lift the maturity and impact of IT and eHealth solutions by focusing on:
1. High quality information about: individuals, their families and whanau, and the population (data & evidence)
2. The customer and clinician experience (co-design & trust)
3. Quality, safety, and prevention (trust & value)
4. Efficiency and productivity (value & transformation).
Four dimensions of IT enabled change to ‘Model(s) of Care’
3. Commercial Reality / Productivity
• Investment / risk mind-set• Business cases based on lifting
maturity & return on investment • (National) contracts with on and off
ramps
4. Improve the Experience for both the Customer and Clinician/Health Professional & Care Team
• Measure the time saved by the customer and the health team
• Efficient processes, smart systems
1. Governance & Leadership Commitment
• Chairs and Boards • CEOs / CMOs / Executives• Multi-disciplined team of clinical,
management and IT professionals
2. Clinical Quality Improvement
• Safety, harm reduction and Efficacy• Staged implementation with
learnings at each milestone• Data, Information, knowledge…
HOSPITALADOPTION
SIGNIFICANTSTANDARDS
CLINICAL RECORDUSABILITY
CERTIFIEDINTEROPERABILITY
SAFEGUARDSMEDICALENTITIES
APPS
Health IT Programme 2015 - 2020
The work programme for health IT over the next 5 years is focused on four inter-related areas:
1. Single EHR
• Establishing a single longitudinal electronic health record for New Zealanders (single EHR).
2. Digital Hospital ‘Blueprint’
• Creating a common hospital (and specialist) digital hospital ‘blueprint’
• Measuring all hospitals and specialist services against the HIMSS EMR Maturity Model.
Health IT Programme 2015 - 2020
The work programme for health IT over the next 5 years is focused on four inter-related areas:
3. Preventative Health IT Platform
• Take the opportunity to design and implement a common IT prevention platform as reinvestment in immunisation and screening systems occur to support government priorities.
4. Data to support Health and Social Investments
• Create a health and wellness dataset to support government, health care organisations and individuals to make evidence based decisions
• Build the capability of, and networks for, researchers, analysts and other health informatics professionals.
Health IT Programme 2015 - 2020
Next Steps:
1. Design phase
• Over the next 6 – 9 months there will be a three stage design period to define and set investment plans for the work programme
• First workshops planned for December 2015 and March 2016
• There is a working date of mid-2018 to have established a base EHR.
2. Maturity Model Survey
• Proposed to have all DHBs complete an EMR maturity model survey for hospital and specialist services in May/June 2016 to create an benchmark.
‘Single’ EHR
Allergies and Alerts, Medicines, Diagnostics, etc
ConsumerPreferences
& Story
Prevention &Milestone
Assessments & Care Plans
Core Clinical Information
Aging Well
Government’s Broadband Infrastructure
National Infrastructure Platform, National Health Index (NHI) and Health Professional Index (HPI)
Health IT Programme 2015 – 2020: A uniform, standards-based, information environment
Personal
Patient Portals
Health knowledge &
content
Health and Wellness Apps
Wellness information
‘Whole of life’Health Status
National
Payments
Screening and
Prevention
Identity and
Eligibility
National Reporting
Natio
nal Services P
urch
asing
eg. disab
ility, matern
ity,P
lun
ket, 08
00
Telehealth
Hospital EMR
Hospital EMR
Primary/Community
EMR
Primary/Community
EMR
Primary/Community
EMR
Primary/Community
EMR
Hospital EMR
Northern Midland Central South Island
Clinical Data Repository
Clinical Data Repository
Clinical Data Repository
Clinical Data Repository
Hospital EMR
Health and Clinical Pathways & Patient Flow
2016/17 Critical Priorities for IT
• electronic Prescribing and Administration (ePA)
• National Maternity Information System Platform
• Regional EMR
• CWS
• CDR
• PAS
• National Patient Flow (phase two & three data)
• Integration with the national EHR