Australian Institute of Health and Welfare

HIMAA Symposium

09:10am

Friday 20 October 2006

National Health Data andthe New Health Informatics

Ken Tallis

AIHW

National Health Data andthe New Health InformaticsNational Health Data and

the New Health Informatics

Australian Institute of Health and Welfare

Australian Institute of Health and Welfare

www.aihw.gov.au

Australian Institute of Health and Welfare

National eHealth Agenda Evidence for Policy

National Statistical System

Work to Do! Work to

Do!

Australian Institute of Health and Welfare

Bridget Bainbridge

Australian Institute of Health and Welfare

PRIMARY purposes…► Improving quality of health care► Streamlining multidisciplinary care► Improving clinical / administrative efficiency

Australian Institute of Health and Welfare

SECONDARY purposes…► Improving policy and planning► Improving public health► Disease detection► Research and education

Australian Institute of Health and Welfare

desig

nm

on

itor

evaluate

servicesprogramspolicies

Who receives services?

What services?

What settings for services?

Who provides services?

What locations for services?

Are complementaryservices integrated?

What healthoutcomes?

►Improving policy and planning…

Australian Institute of Health and Welfare

Australian Institute of Health and Welfare

Overweight

&

Obesity

Drug

Use

Australian Institute of Health and Welfare

Mortality

Trends

Disability

Trends

Burden

of

Disease

Australian Institute of Health and Welfare

Australia’s

Hospitals

Mental

Health

Services

General

Practice

Australian Institute of Health and Welfare

Health

Expenditure

Medical

Labour

Force

Nursing

Labour

Force

Australian Institute of Health and Welfare

The Safety and Quality AgendaThe Safety and Quality Agenda

Interventions

Outcomes

Australian Institute of Health and Welfare

National Policy AgendasNational Policy Agendas

Health workforceHuman capital…

Australian Institute of Health and Welfareearly childhood – supporting families in improving childhood development outcomes in the first five years of a child’s life, up to and including school entry

diabetes – improving health outcomes, focusing initially on diabetes and building on the national Chronic Disease Strategy and the Australian Better Health Initiative

literacy and numeracy – improving student outcomes on literacy and numeracy

child care – encouraging and supporting workforce participation of parents with dependent children

CO

AG

NR

A –

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man

Cap

ital

Ag

end

a

Hu

man

Cap

ital

– D

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Su

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Ind

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Australian Institute of Health and Welfareearly childhood – supporting families in improving childhood development outcomes in the first five years of a child’s life, up to and including school entry

diabetes – improving health outcomes, focusing initially on diabetes and building on the national Chronic Disease Strategy and the Australian Better Health Initiative

literacy and numeracy – improving student outcomes on literacy and numeracy

child care – encouraging and supporting workforce participation of parents with dependent children

CO

AG

NR

A –

Hu

man

Cap

ital

Ag

end

a

Ind

icat

ive

Ou

tco

mes

Ind

icat

ive

Pro

gre

ss M

easu

res

Today’s National (Statistical) Information

System

Today’s National (Statistical) Information

System

Australian Institute of Health and Welfare

AHMAC

Health

Protection

Information

Management

Population

Health

Statistical

Information

Management

Health

Performance

NAGATSIHID

Health Data

Standards

PHIDG

Australian Institute of Health and Welfare

Clinical

activity

Standards

Administrative

databanks

National

databases

National

statistics

Heather Grain

Clinical

data

Australian Institute of Health and Welfare

Clinical

activity

Standards

Administrative

databanks

National

databases

National

statistics

Clinical

data

Australian Institute of Health and Welfare

Clinical

activity

Standards

Administrative

databanks

National

databases

National

statistics

Clinical

data

Australian Institute of Health and WelfareNational data standards

Australian Institute of Health and Welfare

Australian Institute of Health and Welfare

Public Hospital Establishments

Admitted Patient Care

Mental Health Establishments

Community Mental Health

Admitted Patient Mental Health Care

Admitted Patient Palliative Care

Elective Surgery Waiting Times

Perinatal

Non-Admitted ED Patient Care

Diabetes (clinical)

Cardiovascular disease (clinical)

Cancer (clinical)

Acute coronary syndrome (clinical)

National databases

Australian Institute of Health and Welfare

Overweight

&

ObesityDrug

Use

Mortality

Trends

Disability

Trends

Burden

of

Disease

Australia’s

HospitalsMental

Health

Services

General

Practice Health

Expenditure

Medical

Labour

Force

National statistics

Australian Institute of Health and Welfare

Australian

Hospital

Statistics

• Number of separations• Length of stay• Waiting times• Procedures• Cost per (cma) separation

by• DRG• Age and sex• State; Region (remoteness)• Public / private

Australian Institute of Health and Welfare

Clinical

activity

Standards

Administrative

databanks

National

databases

National

statistics

Clinical

data

Australian Institute of Health and Welfare

2006-072005-062004-05

Rich data, but they’re episode-based…

Changes in the Information

Environment

Changes in the Information

Environment

Australian Institute of Health and Welfare

The National eHealth AgendaThe National eHealth Agenda

Australian Institute of Health and Welfare

Clinical Informationand Statistical InformationClinical Informationand Statistical Information

1

Australian Institute of Health and Welfare

Opportunities for the Statisticians…Opportunities for the Statisticians…

Australian Institute of Health and Welfare

2006-072005-062004-05

Australian Institute of Health and Welfare

2006-072005-062004-05

Data linkage eHr RFID

Australian Institute of Health and Welfare

Hazards for the Statisticians…Hazards for the Statisticians…

Australian Institute of Health and Welfare

Clinical Information Standards and Statistical StandardsClinical Information Standards and Statistical Standards

2

Australian Institute of Health and Welfare

Alice Livingston-Vail

Australian Institute of Health and Welfare

The New Informatics ZooThe New Informatics Zoo

terminologies

archetypes

ontologies

Australian Institute of Health and Welfare

terminologies

archetypes

ontologies

► Content► Lifecycle management► Metadata management

Australian Institute of Health and Welfare

Clinical Information Systems and Statistical SystemsClinical Information Systems and Statistical Systems

3

Australian Institute of Health and Welfare

Clinical Information Expertsand Statistical ExpertsClinical Information Expertsand Statistical Experts

4

Australian Institute of Health and Welfare

“eHealth and the Future of National Health Statistics”“eHealth and the Future of National Health Statistics”

Australian Institute of Health and Welfare

National eHealth Agenda Evidence for Policy

National Statistical System

Work to Do! Work to

Do!

Australian Institute of Health and Welfare

www.aihw.gov.au