e-health reform in Australia: Putting the necessary infrastructure in place

Stephen Johnston, Head of National Infrastructure Services, NEHTA

The National Strategy

• To enhance

healthcare by

enabling access to

the right

information, for

The NEHTA vision

information, for

the right person,

at the right time

and place.

• E-health: the electronic collection, management, use, storage and sharing of healthcare informationinformation

• Goal is the individual electronic health record for every Australian

To lead the uptake of E-Health systems of national

significance; and

To coordinate the progression and accelerate the

adoption of E-Health by delivering urgently needed

NEHTA’s Purpose

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adoption of E-Health by delivering urgently needed

integration infrastructure and standards for health

information.

NEHTA’s Mission

NEHTA is the lead organisation supporting the national

vision for E-Health in Australia; working openly,

constructively and collaboratively with consumers,

providers, funders, policy makers and the broader

healthcare industry; to enable safer, higher quality, healthcare industry; to enable safer, higher quality,

accessible, equitable, efficient and sustainable

healthcare.

Strategic Priorities and Initiatives

7

Strategic Overview

Four strategic priorities:

• Urgently develop the essential foundations

required to enable e-health.

• Coordinate the progression of the priority e-health • Coordinate the progression of the priority e-health

solutions and processes.

• Accelerate the adoption of e-health.

• Lead the progression of e-health in Australia.

Urgently develop the essential foundations

required to enable e-health

This priority stresses the need to deliver essential

e-health services such as Unique Healthcare

Build the foundations

9

e-health services such as Unique Healthcare

Identifiers, secure messaging and

authentication, and a clinical terminology and

information service. These will form the

backbone of Australia’s e-health systems.

Priority solutions

Coordinate the progression of the priority e-health

solutions and processes

Some e-health solutions and processes provide the

greatest opportunity to improve health practice greatest opportunity to improve health practice

and deliver benefit. Priorities include referrals and

discharge, pathology and diagnostic imaging and

medications management.

Accelerate the adoption of e-health

It is critical to increase the awareness and uptake of

e-health initiatives by the various stakeholder

Accelerate adoption

e-health initiatives by the various stakeholder

groups, through collaboration and communication

programs, incentives and implementation support.

Orchestrate e-health

Lead the progression of e-health in Australia

This priority reflects that NEHTA has a significant role

in leading the direction of the current and future

state of e-health in Australia, including future state of e-health in Australia, including future

initiatives and the impacts on privacy and policy.

Our work program to date

Shared

Health

Profile

Event

Summaries

Self

Managed

Care

Complex

Care

Management

Clinician

InformationIndividual

InformationShared

Information

(Others)

Individual

ElectronicHealth Record

E-Health

Services

ePathology eDischarge eReferral eMedications

Terminology Secure Messaging Identifiers Authentication

E-Health

Solutions

National

InfrastructureComponents

Aligning Architecture

New Identifiers for

New IdentifiersNew Identifiers

• New Identifiers for Individuals, Providers and Organisations

• Ensures that the right information is associated with the right person

• Operational July 2010

• Leverages Medicare

Where are we driving towards?

New identifiers by June

2010

Get the sector connected

Replace existing paper

transactions with

electronic ones

Getting the Sector ConnectedGetting the Sector Connected

• Over the next two years the sector will be supported in taking up a will be supported in taking up a common approach to secure online connectivity:

• Based on internet standards and electronically stored identification data

• Vendors can be certified, so providers can buy software with confidence

• Incentives are provided to help GPs with the burden of upgrading

• NEHTA will have connectivity projects with every State and Territory

Get key clinical transactions Get key clinical transactions

onlineonline

NEHTA will work to drive the NEHTA will work to drive the

uptake the uptake of:uptake the uptake of:

Electronic ScriptsElectronic Scripts

Electronic Discharge SummariesElectronic Discharge Summaries

Electronic ReferralsElectronic Referrals

Electronic Pathology Requests Electronic Pathology Requests

and Resultsand Results

What next?What next?

The ability for the consumer The ability for the consumer

to choose how and where their to choose how and where their

health records can be health records can be

accessedaccessed

IEHR Business Case with IEHR Business Case with

COAGCOAG

National Product Catalogue and eProcurement

Ken Nobbs, Program Manager – Medical Products, NEHTA

What is the National Product

Catalogue (NPC)?

• The NPC is Australia’s central data repository (data synchronisationsolution) for all healthcare product data

• Hosted by GS1 Australia on GS1net:

– Global Trade Item Numbers (GTINs) – Global Trade Item Numbers (GTINs)

– Standardised data

– Adheres to established internationally accepted standards

• Single suite of standards for all

• Provides a cost effective way of maintaining current and accurate supply information

• 84 fields of data in total for healthcare items – medicines and devices.

• Data (including GTIN) required for all medicines and medical devices at all levels of packaging.

• No current requirement for unit of use data and identifier but facility built to accommodate this requirement.

What does the NPC capture?

but facility built to accommodate this requirement.

• Healthcare specific information includes: ARTGID, PBS or RPBS, GMDN classification, TGA risk classification, and Handling Instructions.

• NPC also collects data on components for multi-component medicines or devices.

NPC – Data Synchronisation

Data Synchronisation – It is Central

Bedside Scanning /

Theatre Management

Barcoding & Data Capture

Item registry and synchronisations

Common data standards

Patient safety / Quality

Efficient process

Lower catalogue maintenance

Utilisation in Australia

• Supply Chain management

• Basis for eProcurement

• Linked to our terminology – necessary in clinical

systems

• Leveraged for product recall – working with GS1

Australia to build a better solution

• Used for data capture in tender processes

• Being developed for hospital pharmacy

NPC Progress

• Over 45,000 items to date

• Around 250 companies committed to the NPC

• All major wholesalers signed up

• Most large pharma companies have populated• Most large pharma companies have populated

• Large medical devices companies either populated or getting data organised

• All jurisdictions using data

• Growing demand from the private sector

eProcurement

• Need for a standardised approach

– Immature industry

– No standards

– No guidelines

• Recognition of a need for a national approach

– Same suppliers

– Leverage best practice from other industries

– Easier for everyone to comply

eProcurement

• Utilising internationally proven standards– Utilising standards already used in other industries in Australia

– Creating and using standards for the first time in Healthcare

• Standards based approach to mate eProcurement uniform across all jurisdictionsuniform across all jurisdictions– GS1xml

– Specified messages and message content

– Web services

– Federated hub model – free exchange of messages between hubs, translation and messaging costs only passed on to clients

• Leveraging the NPC

eProcurement

QuestionsQuestions