world class ict platform for primary care. how do we use next generation it systems to improve...
TRANSCRIPT
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World Class ICT Platform for Primary Care
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How do we use next generation IT systems to improve quality outcomes?
Feedback loops – OODA or Study act do, becomes real time and
improves, situation awareness for individual and population health.
Actionable outcomes. Improve presentation of data
Communications – Async
Series of one way communications....– peer to peer communication can be very short but rich with implied knowledge
Sync Peer to peer (knows the jargon) Shared screen in web meetings –
removes all integration issues One of the most asked for features by
GPs
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Complex?
Hospital care Small, acute, disease centred, concentrated, Staff ?
Primary Care Large , everything, patient centred, spreadout Staff ?
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GP Web access to health care data
Patient access via web Integration with common
practice management and billing systems
Support of practice-based clinical research:AuditsCosts, processes, outcomes
Just in time information Knowledge Management
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Do the same thing?
Massive increase in knowledge Demand up , practitioner supply down?
- Do more with less and spend more time learning (there is plenty of time between 2 and 4am)
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Why
On look out for developments that may help GP Doing nothing is like choosing the same thing Unnecessary variation is HUGE pain.
Thin client not new concept. Proposal to board – time is right Found vendor – approval process..
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Cloud????
System to provide private outsourced network and Servers etc, that are not locked to one piece of hardware and allows economies of scale while keeping...
individual practice autonomy”
QuestionIs GP small fast adapting businesses?
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Or stuck in the mud that is the Current ICT environment
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Multiple vendors with multiple standards all have access to my server!!!!!
Patient centered medicine
Evidence based medicine
Real time population healthPersonal medical Home
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ICT Platform - Current Almost all computers hosted locally at GP Practice (few exceptions) Some Practices have power supply and data backup devices in place,
many haven’t PMS software, data security requirements and integration with other
systems are becoming too complex for Practice staff to maintain properly
Next generations of PMS software require in most cases expensive hardware upgrades
Variability in Practice configurations and network connections is creating performance problems
Where needed, Practices have independently contracted IT companies and receive varying quality support
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What I say to Practices
If brought a new server todayWill it cope with Future Health net requirementsGP2GP, e prescribing, up grades, shared record,
other?
Is it designed fit for purpose, fit for whole system
Do you lead it or it lead you?
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ICT Platform - Current
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ICT Platform - New
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Cutting edge?
Wx East Tamaki Apollo Rotorua IPA
Just as if local
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Benefit
Consistent platform More time on User centred design
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Moving to the cloudthe 2 Onion way
40 practices 100 000 enrolled , 120 GPs Over next three years...
Importance of independence for PMS. Feedback
Shared helpdesk
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Future
HML nursing integration. Shared care project. PMS not geo locked
DHBReal time case discussionsOne log in for concerto/PMS?All roll outs testing in 2 Onion environment first