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