national health it plan update
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National Health IT Plan Update. 2013 - 2014. Overview. National Health IT Plan published in 2010 – first plan of its kind in NZ National Health IT Board has updated the Plan – this is now available on the IT Board’s website. - PowerPoint PPT PresentationTRANSCRIPT
National Health IT Plan Update
2013 - 2014
Overview• National Health IT Plan published in 2010 – first plan of its kind
in NZ
• National Health IT Board has updated the Plan – this is now available on the IT Board’s website.
• The update to the Plan signals priorities to the end of 2014, as well as future directions.
• Next steps: the Plan will be revised to cover the period 2015 to 2019, and will provide the sector with direction and priorities for IT investment.
The reason for the IT Plan
Murray Milner, Chair of the IT Board• IT plays a key role in ensuring our health system offers the best
possible care
• Well-designed systems help reduce costs, improve efficiency and give patients better, safer treatment
• The sector is moving services to more effective platforms that can deliver care closer to home
• This is about putting communities and the needs of consumers and patients at the centre of health care
• New Zealand is up with the world’s leaders when it comes to having a good roadmap for the sector’s use of IT
• Privacy, security, confidence and trust – these are emphasised in the IT Plan.
What success will look likeNew Zealanders:
• Understand, support and trust how their electronic health information is recorded, managed and accessed
• Participate in new models of care and are more involved in their own care
• Can and do access a core set of their personal health information shared with their health practitioners
Clinicians:
• Can access relevant information at the point of care
• Can use information systems to enhance their delivery of care
The Plan will have been achieved when:DHB regions:
• Have implemented sustainable common platforms in each region to manage patient administration and clinical information
• Have good regional leadership and governance models in place, and timely and robust decision-making
• Have interoperable systems that can seamlessly and securely share information.
Work programmes supporting the National Health IT Plan 2013 / 2014
Programme stage and national contract indicators current as at 1 August 2013
Common Operating Environment - National Infrastructure – Secure Connectivity – ICT Capability – Standards - Telehealth
eMedicines ProgrammeNZ ePrescription Service (NZePS)eMedicines Reconciliation (eMR) ePrescribing and Administration (ePA)NZ Universal List of Medicines (NZULM) NZ Formulary (NZF)
Regional Information Platform Clinical Workstation (CWS) / Clinical Data Repository (CDR)
ED Information SystemeReferrals and eDischarges
Patient Administration System (PAS)Hospital ePharmacyImaging / PACSeOrders for Laboratory
National SolutionsFinance Procurement Supply Chain Cancer InformationCardiac HealthMaternity Clinical Information SystemComprehensive Clinical Assessment for Aged CareAlerts and Allergies SystemNational Patient FlowSurgical Site Infection Surveillance
Integrated Care InitiativesShared Care Portal
Long Term ConditionsShared Maternity Record ViewChild Action Plan / Whanau Ora
Self Care PortalSummary View of Primary Health Information
National Child Health Information PlatformClinical PathwayseEnrolment
Programme Stage: Concept Scope & Design Trial Implementations Implementation Rollout
NCD
NC
NC
NC
NCD
NCO
NC
NC
NC
NC
NC
NCO
NCD
NCD
NC = National Contract in placeNCD = National Contract in Development
NCO = National Contract Opportunity
NCO
NCO
NCD
NCO
NCO
Emerging
Important
Critical
• ED Information System• eOrders for Laboratory• Alerts and Allergies System• Surgical Site Infection Surveillance• National Child Health Information Platform• Shared Care Portal (Shared Maternity Record View)• Shared Care Portal (Child Action Plan / Whanau Ora)• Clinical Pathways• eEnrolment• National Infrastructure• Telehealth
•ePrescribing and Administration•NZ Universal List of Medicines (NZULM)•NZ Formulary (NZF)•eReferrals and eDischarges•Hospital ePharmacy•Cancer Information•Cardiac Health•Maternity Clinical Information System•National Patient Flow•Shared Care Portal (Long Term Conditions)•Self Care Portal (Summary View of Primary Health Information)
• NZ ePrescription Service (NZePS)• eMedicines Reconciliation (eMR)• Clinical Workstation (CWS / Clinical Data Repository (CDR)• Patient Administration System (PAS) • Finance Procurement Supply Chain• Microsoft Common Operating Environment
Order of priority supporting the National Health IT Plan 2013 - 2014
Final Implementations
• Imaging / PACS• Comprehensive Clinical Assessment for Aged Care
Key Performance Indicators (KPIs)
Key Performance Indicators (KPIs)
Partners in delivery• Patients and consumers
• Health practitioners
• Health and disability service providers
• Vendors
• Health Benefits Limited
• Ministry of Health
• Other key partners, eg, Health Quality & Safety Commission, Pharmac
Achievements since 2010• GP2GP
• Patient portals
• Electronic referrals (eReferrals)
• National Health Index
• Hospital-based electronic prescribing and administration (ePA)
• New Zealand electronic Prescription Service (NZePS)
• Shared picture archiving systems
• Shared care planning tools
• Telehealth initiatives.
Challenges • Governance
• Funding
• Capability
Shared Data Repositories
Immunisation
Maternity care
Lab results
MedicationOthers
Alert & Allergy
Clinical Data (CDRs)
Schedule/milestones
Events
Others
Non-Clinical Data (NCDRs)
Clinical Applications supporting activity tracking, health events, result reporting, etc.Connected Health
Secure Network
Others
Health Identity
Information Centre (Research, Analysis and Reporting)
National Collections
Others
Analysis/Reporting Tool
Data Warehouse
National Indexes
(NHI,HPI)
Health Sector Information ModelShowing relationships between information domains
National Registers (NIR,
Cancer, etc.)
Patient Portal
Clinician Portal
Enrolled Health Programme
Patient/provider relationship
Identity and Access Management
Foundation
Common Clinical Information
Continuum of Care
Payments
Practice Management
System
Retail Pharmacy
Local Specialty System
Local
Others
Clinical Workstation
Patient Administration System
Laboratory, Radiology, Pharmacy
Regional
Others
Shared Care Plan
Aged Care Assessment
Maternity
National
Dental, Plunket & Others
Finance, Procurement, Supply Chain
Payments
Human Resource/
Payroll
Business Applications
Others
Alert and Allergies
Record Locator Service
