Ross McKenna Information Directorate Ministry of Health (P20, 17/10/08, Sector Systems stream, 10.30am)

1. Ross McKenna Information Directorate Ministry of Health, New Zealand OCTOBER 2008 www.moh.govt.nz Connected Health Progress Report HINZ Annual Conference October 2008

3. Healthcare is changing… “ It’s amazing actually, that the general public have this concept that we are all interlinked electronically, and they’ll say ‘My GP is down in Napier, but you’d be able to just get the notes, won’t you?’ and they think it’s all linked. But no, it’s not that easy.” (Quoted from a urban GP) Provider centric Illness Site of Care Episodic Care Supply management Solitary decision making Efficiency Decentralised, generalised care Patient & Whanau centric Wellness Continuum of Care Disease Management Demand management Collaborative , evidence based decisions Effectiveness Coordinated , specialised care

8. Representational Coverage of the Health and Disability Sector - - GPs Rural (19%) GPs Urban (20%) Plunket (1%) Children’s Health Camps (1%) Private Emergency Hospitals and Ambulances (5%) Other Government Agencies’ Health Services (5%) Student and Youth Clinics (4%) Private Hospitals and Long Term Residential Care (5%) Central Health Agencies (5%) Not-for-profit Community Providers (7%) Pathology, Radiology and Laboratories (5%) Pharmacies (4%) Independent Practitioners (5%) Private Medical Specialists / Dentists (7%) Management Organisations (7%)

9. UMR asked New Zealand health providers who they wanted to communicate electronically with but couldn’t…

10. Long-term Residential Care GPs Private Specialists/ Hospitals DHBs Ministry Of Health ACC WINZ Independent Practitioners A & E Ambulance GPs Private Specialists/ Hospitals DHBs Ministry Of Health Pathology/ Radiology Labs A & E Ambulance Central Agencies Pharmacies Independent Practitioners Long-term Residential Care Student/ Youth Clinics Not-for-profit Organisations MSOs/PHOs Not-for-profit Organisations DHBs Other Health Agencies Private Specialists/ Hospitals DHBs CYF Ministry Of Health Private Specialists/ Hospitals Independent Practitioners Pathology/ Radiology Labs A & E Ambulance GPs Private Specialists/ Hospitals Long-term Residential Care ACC 111 / Other Emergency Services Central Agencies GPs DHBs Patients Not-for-profit Organisations GPs Private Specialists/ Hospitals DHBs CYF MSOs/PHOs Pathology/ Radiology Labs GPs Other Health Agencies Private Specialists/ Hospitals DHBs Patients Pharmacies GPs Private Specialists/ Hospitals Private Specialists/ Hospitals GPs Other Health Agencies DHBs Other Health Agencies Independent Practitioners Pharmacies Not-for-profit Organisations Pathology/ Radiology Labs A & E Ambulance Long-term Residential Care Independent Practitioners GPs Other Health Agencies Private Specialists/ Hospitals Long-term Residential Care Ministry Of Health ACC Work and Income Student/ Youth Clinics GPs Patients Other Youth Health Services Family Planning Training Providers District Nurses Pharmac

11. Incompatible ICT systems Remote access Access to secure intranet for communication Internal organisations ICT systems are not integrated Patient management issues Accessing current systems applications A lack of electronic patient info transfer leads to other inefficiencies Needing improved access to clinical technology Privacy and security concerns Costs of technology Willingness to embrace more interconnectedness Suggestions for a central repository of information UMR Research: What New Zealand health care providers said… Lack of standardisation in receiving and sending patient information Use of technology differs widely in the sector Quality of info is impacted by electronic gathering of info Need for health standards for clinical codes

13. Enabling connectivity Willingness to embrace more interconnectedness Needing improved access to clinical technology Sharing information electronically Platform for collaborative& coordinated care Accessing more information electronically Lack of standardisation in receiving and sending patient information Incompatible ICT systems A lack of electronic patient info transfer leads to other inefficiencies Accessing current systems/ applications Increased availability of High Speed Broadband Networking & Interoperability Standards Directory Services DNS, RADIUS,CA Dot health domain Connected Health Programme

17. What is happening next…

18. Reference information E- Business Guide for SMEs ebusinessguide.nzte.govt.nz/ New Zealand Digital Strategy and Broadband Investment Fund www.digitalstrategy.co.nz/Digital-Strategy-2/ Connected Health Architectural Framework and Standards www.healthit.org.nz – refer to Connected Health Industry Forum pages Broadband Demand map www.broadbandmap.govt.nz/map/ For copies of the Connected Health sector segmentation model Email: connectedhealth@moh.govt.nz New 2 nd level domain for health: www.dnc.org.nz