station four: draft vision, strategy and roadmap - midcentral district health … · 2018-06-07 ·...
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Station Four: Draft Vision, Strategy and Roadmap
Strategic Framework - DRAFT
Achieving the Vision - DRAFT
A 5 year Digital Health Strategy - DRAFTVision: ‘Integrating the District’s Health and Wellness System to enable well communities’
Horizon 1: Foundations and TransformYears 1 - 3
Horizon 2: ExtendYears 4 - 5
Consumers, Families and Whanau My care/whanau’s care is targeted to my physical, personal, social and spiritual circumstances. I feel well cared for and safe.
I interact with the health and wellness system that works well for me. Care is well co-ordinated and based around my needs.
Our People Information helps me to do the best job I can wherever I am and work effectively as part of the wider health system.
I trust the information I need and I can work collaboratively with Consumers and the Health and Wellness Team
DHB’s, Primary, Community, Whanau Ora and other agencies
Technology helps us do the best we can for our population with the resources we have
We know the services we provide and we are optimizing supply and demand to make good planning and resource decisions
Central Government The MidCentral District for the next decade functions effectively and is in a good state
Investments are realizing benefits and the district is starting to work as one health and wellness system
Strategic Themes Whanau Centred PHO• Implement Indici• Indici Shared Care Record• GP Access to Clinical Portal• GP Access to MIYA Patient Flow• Indici Shared Care Plan• eReferrals• Health Care HomeDHB• RHIP Phases 2 – 4• eScheduling• MIYA Patient Flow• eReferrals• eTriage• Radiology Orders• Lab Orders• Meds Reconciliation• Smart Forms• District Nurse Integration• Virtual Health• Advance Care Plans• Patient Track• Smart Page• Event Detection• District Nurse IntegrationWhanau Ora• Implement Whanau Tahi CRM
DHBConsumer booking of appointments
A 5 year Digital Health Strategy - DRAFTVision: ‘Integrating the District’s Health and Wellness System to enable well communities’
Horizon 1: Foundations and TransformYears 1 - 3
Horizon 2: ExtendYears 4 - 5
Strategic Themes Data and Analytics PHO• Upgrade Dr Info• Implement SNOMED CT• Health Intelligence Transition• Data WarehouseDHB• Analytics Visualisation• Schema- Less Data Warehouse• Population Health/CRMCross Agency• SIA Pilot of 150 Households
Innovation PHO• tbcDHB• Mobile Dev Ops• AI/Machine LearningWhanau Ora• Ora Connect and the Cutting Edge
Infrastructure and IT Services PHO• Active Directory• Service Desk L1 and L2• Central Net• Telephony Refresh• Mobile Fleet RefreshDHB• New Operating Model• Move to Hybrid Cloud• API Mgmt e.g. PAS• Telecommunications as a Service• UC• WiFi• Identity and Access Management Roadmap• Self Service Management Tools• Application Modernisation• Moblise AppsWhanau Ora• tbc
A 5 year Digital Health Strategy - DRAFTVision: ‘Integrating the District’s Health and Wellness System to enable well communities’
Horizon 1: Foundations and TransformYears 1 - 3
Horizon 2: ExtendYears 4 - 5
Strategic Themes Knowledge Management PHO• Provider Portal• External Website• Intranet• Compass MAPs Replacement• Document Management SystemDHB• Enterprise Content ManagementWhanau Ora• tbc
Business Management PHO• Claims and Payments• Quality Improvement• Capitation Processing • System Level MeasuresDHB• Windows 10/Office 365Whanau Ora• tbc
Workforce Management PHO• tbcDHB• HRISWhanau Ora• tbc
THEDistrict NurseWe now take it for granted that the consumer care is virtual across providers and time. Our role is to create and integrate personalised wellness experience for every consumer
What OUR WORLD ofdelivering wellness looks like
OUR EXPERIENCEThe TOOLS, SYSTEMS, and INFORMATION
which supports us
MY RESOURCESAND WHAT’S IMPORTANT TO THEM
MY CONNECTIONS
WITHIN THECOMMUNITY DISTRICT NURSES
will:
Focus on the Consumer outcome
Collaborate with care teams
Activate self management
support
Hereare Our Needs
Access to DHB Clinical Portal
Access, retrieve, document, and store care records (remotely and at point of care) in the GP Patient Record
Care coordination between District Nurses and consumers is enabled (such as communicating District Nurse visiting times, delays, appointments)
GP Teams' (and other health services / departments) can refer to the DNS electronically, using standardised templates that populate with key patient details and DNS can transfer care back to the GPT electronically
GP Teams and District Nurses will be able to communicate electronically with each other about patient care in a timely manner and with its workforce across the region
How are my needs supported
Acute Clinical portal
eReferrals/eScheduling
Primary Care Shared care records and PMS System
Office 365/Collaboration Tools
Standardised Smart eForms
Virtual Care consult tools
IOT Tools
Predictive Analytics
Machine Learning
Easy access to range of diagnostics
Business Contingency Plan
24/7 IT Support and Education
GENERALPRACTICE
CARE TEAMSTimely
Communication
Real time data
Virtual consults
Prepared and proactive
Consumer/Whanau
Updated and accurate patient information
An integrated experience of wellness
OUR CONNECTED COMMUNITY
Here’swhat Outcomes our Consumers
want
Consumer/Whanau
• Access to healthcare services 24/7 and flexibility of care options
• My information is secure • but accessible by those I
authorise (don’t have to repeat my story)
• Easy access to a prepared proactive practice team
OURSYSTEMSUPPORT
SPECIALISTS
Accurate real time patient information
Digitally Enabled Provider: District Nursing and Home Health Care
District Nurses
Laptop/Tablet and Smart Mobile Device
Key Support ServicesCore Services
Virtual Services
Contractual Reporting
Friends
Community
Warm house
Access to healthy food
Social
Easy access to diagnostics
District Nurse
THEConsumerNow expects that information is available where & when it is needed and that services are provided close to home
What OUR WORLD ofdelivering wellness looks like
OUR EXPERIENCE
The TOOLS, SYSTEMS, and INFORMATIONwhich supports us
MY RESOURCES
AND WHAT’S IMPORTANT TO THEM
MY CONNECTIONS
WITHIN THECOMMUNITY I WANT TO:
Decide what is right for me
Live well and locally
Be there for my family & whanau
Hereare Our Needs
Access to my clinical information
Coordinated appointments
More options for appointments like extended hours or telehealth
A shared care plan, so everyone has the same information and knows what is happening
Services I need, close to where I live
How are my needs supported
A wellness portal
Appointment Scheduling
Shared care plan
Online self help programs
Decision support tools
Virtual Care consult tools
IOT Tools
Predictive Analytics
Machine Learning
Easy access to range of diagnostics
Affordable & accessible care
24/7 support
GENERALPRACTICE
CARE TEAMSTimely
Communication
Real time data
Virtual consults
Prepared and proactive
Family/Whanau
Updated and accurate patient information
An integrated experience of wellness
OUR CONNECTED COMMUNITY
Consumer
Here’swhat
Outcomes we want
Whanau
Access to healthcare services 24/7
My information is readily available to me and those who help me
Care is close to home & relevant
OURSYSTEMSUPPORT
SPECIALISTS
Accurate real time patient information
Digitally Enabled Consumer/Whanau
Access via any device, anywhere
Key Support ServicesCore Services
Virtual Services
Online support groups
Friends
Community
Warm house
Access to healthy food
Social
Easy access to diagnostics
THEGP teamNow expects all our team to use multi-channel communications to support consumers to remain well at home.
What OUR WORLD ofdelivering wellness looks like
OUR EXPERIENCE
The TOOLS, SYSTEMS, and INFORMATIONwhich supports us
MY RESOURCES
AND WHAT’S IMPORTANT TO THEM
MY CONNECTIONS
WITHIN THECOMMUNITY I WANT TO:
Support our consumers to stay
well
Provide care in the hard times
Be an effective team
Hereare Our Needs
Multiple ways of communicating
Working across different locations
Knowing when our consumers and communities need us
A shared care plan, so everyone has the same information and knows what is happening
Easy links to Hospital and specialist services.
How are my needs supported Mobile applications
District wide shared care plan
Access to Hospital systems
eReferrals
Virtual Care consult tools
IOT Tools
Risk stratification
Point of care lab tests
Easy access to range of diagnostics
24/7 support
GENERALPRACTICE
CARE TEAMSTimely
Communication
Real time data
Virtual consults
Prepared and proactive
Consumer/Whanau
Updated and accurate patient information
An integrated experience of wellness
OUR CONNECTED COMMUNITY
Here’swhat
Outcomes we want
To provide comprehensive services across the lifespan
Have access to the information where and when we need it
That support is coordinated across the district
OURSYSTEMSUPPORT
SPECIALISTS
Accurate real time patient information
Digitally Enabled Provider: The GP team
Cloud based health records
Key Support ServicesCore Services
Virtual Services
Decision support
Friends
Community
Warm house
Access to healthy food
Social
Easy access to diagnostics
Consumer/Whanau
GP Team
Making it happen • The Digital Health Strategy is a living strategy• Delivery Approach
• Five year workplan• Roles and Responsibilities
• Overseeing the Digital Health Strategy and it’s execution• Role of District IT Teams• System participants involved in the execution of the Digital
Health Strategy• Key Risks and Dependencies