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Health Informatics New Zealand - www.hinz.org.nz




                        HISAC

Health Information Strategy
     Action Committee


                                               Paul Cressey




                            Outline
•       HIS-NZ and primary care
•       HISAC “What’s Next”
•       Some personal thoughts
•       Your views and ideas

                    but first ..…




                                                              1
Health Informatics New Zealand - www.hinz.org.nz




                                                The H-words
                  •           HIS-NZ
                              Health Information Strategy for NZ
                  •           HISAC
                              Health Information Strategy Action
                              Committee
                  •           HISO Health Information Standards
                              Organisation
                  •           HISAC Infrastructure Subcommittee
                  •           HISAC National Collections
                              Subcommittee




Where are we starting from?


                                                                                             Chronic Care &            National Primary
                                                                                             Disease Manage            Care Collection

                                                                     Chronic Care &          National Outpatient       National Outpatient
                                                                     Disease Manage          Collection                Collection

                                                                     Electronic Referrals    Electronic Referrals      National Network
                                                                                                                       Strategy

                                                                     ePharmacy               ePharmacy
                                                                                                                       National System
                                            Hospital Discharge
                                                                                                                       Access
                                            Summaries                Hospital Discharge      Hospital Discharge
                   Access to Key Event
                                                                     Summaries               Summaries
                   Summaries
                                            Access to Key Event
                                            Summaries                eLabs                   eLabs
Range             Health Network &
                  Secure e-mail             Health Network &         Health Network &        Health Network &          Health Network &
                                            Secure e-mail            Secure e-mail           Secure e-mail             Secure e-mail
                   Electronic Record        Electronic Record
                   Keeping incl. patients   Keeping incl. patients




Current
 State

           Long Term /               Community                   Primary                Secondary                 National
          Residential Care                                        Care                    Care                    MoH/ACC




                                                                                                                                             2
Health Informatics New Zealand - www.hinz.org.nz




What is the goal of HIS-NZ?


                                                                                             Chronic Care &            National Primary
                                                                                             Disease Manage            Care Collection

                                                                     Chronic Care &          National Outpatient       National Outpatient
                                                                     Disease Manage          Collection                Collection

                                                                     Electronic Referrals    Electronic Referrals      National Network
                                                                                                                       Strategy

                                                                     ePharmacy               ePharmacy
                                                                                                                       National System
                                            Hospital Discharge
                                                                                                                       Access
                                            Summaries                Hospital Discharge      Hospital Discharge
                   Access to Key Event
                                                                     Summaries               Summaries
                   Summaries
                                            Access to Key Event
                                            Summaries                eLabs                   eLabs
Possible          Health Network &
                  Secure e-mail             Health Network &         Health Network &        Health Network &          Health Network &
 Range                                      Secure e-mail            Secure e-mail           Secure e-mail             Secure e-mail
                   Electronic Record        Electronic Record
                   Keeping incl. patients   Keeping incl. patients




Current
 State

           Long Term /               Community                   Primary                Secondary                 National
          Residential Care                                        Care                    Care                    MoH/ACC




                         Primary Care Action Zones
                   •            Chronic Care and Disease
                                Management
                   •            Discharge Summaries
                   •            Electronic Referrals
                   •            ePharmacy
                   •            eLabs
                   •            National Primary Care
                                Collection




                                                                                                                                             3
Health Informatics New Zealand - www.hinz.org.nz




               Other Action Zones
•       National Network Strategy
•       NHI Promotion
•       HPI Implementation
•       National Outpatient Collection
•       National Systems Access
•       Anchoring Framework




Action Zone Implementation

•       Step 1 Scoping (2006)

•       Step 2 Business Case(s)

•       Step 3 Implementation(s)




                                                       4
Health Informatics New Zealand - www.hinz.org.nz




          Step 1 Scoping (2006)

For each Action Zone (12)

•         Initial “View”
      •     HISAC view

•         HISAC “Picture”
      •     Bits of the Puzzle

•         HISAC “Roadmap”
      •     Implementation timetable




       Initial “View” Progress
•         National Network Strategy –
          complete
•         eLabs - complete
•         ePharmacy - review
•         Anchoring Framework - review
•         Chronic Care and Disease
          Management - development
•         Discharge Summaries -
          development
•         NHI Promotion – development
•         HPI Implementation - development




                                                       5
Health Informatics New Zealand - www.hinz.org.nz




     National Network Strategy
•       Priority
•       Connection
•       Collection
•       Collaboration




                 HISAC “Picture”
•       Foundation document
•       Basis for evaluating sector
        business cases and projects
•       Includes sector scan of systems
        and projects
•       Identifies actions required
•       12 Pictures
•       HISAC “Roadmap”




                                                       6
Health Informatics New Zealand - www.hinz.org.nz




      HISAC “Picture” Content
•       Current state
•       Initiatives
•       Architectures, standards
•       Applications, data repositories
•       Inter-dependencies
•       Projects
•       Priorities and timelines
•       Who should do what/when




            Sector Engagement
•       Face to face or phone
        interviews
•       On-line discussions
•       Forums
•       Focus groups
•       Advisory committees
•       Sector reference groups




                                                       7
Health Informatics New Zealand - www.hinz.org.nz




Daily Health Interventions
17,000 Primary Care Organisations
      •     50,000 GP visits
      •     105,000 prescriptions
      •     40,000 lab tests
21 DHBs
      •     1,200 hospital admissions
      •     2,000 ED visits
      •     4,000 outpatient visits




     Some Personal Thoughts
•         HISAC Role
•         Sector Relationship
•         Primary Care
•         Beacons of Success
•         New Zealand's Uniqueness




                                                       8
Health Informatics New Zealand - www.hinz.org.nz




                  Your Thoughts
•       Primary Care Role?
•       Primary Care Engagement?
•       Primary Care Funding?
•       HISAC Processes?
•       Other?




                                                       9

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HISAC- Health Information Strategy Action Committee

  • 1. Health Informatics New Zealand - www.hinz.org.nz HISAC Health Information Strategy Action Committee Paul Cressey Outline • HIS-NZ and primary care • HISAC “What’s Next” • Some personal thoughts • Your views and ideas but first ..… 1
  • 2. Health Informatics New Zealand - www.hinz.org.nz The H-words • HIS-NZ Health Information Strategy for NZ • HISAC Health Information Strategy Action Committee • HISO Health Information Standards Organisation • HISAC Infrastructure Subcommittee • HISAC National Collections Subcommittee Where are we starting from? Chronic Care & National Primary Disease Manage Care Collection Chronic Care & National Outpatient National Outpatient Disease Manage Collection Collection Electronic Referrals Electronic Referrals National Network Strategy ePharmacy ePharmacy National System Hospital Discharge Access Summaries Hospital Discharge Hospital Discharge Access to Key Event Summaries Summaries Summaries Access to Key Event Summaries eLabs eLabs Range Health Network & Secure e-mail Health Network & Health Network & Health Network & Health Network & Secure e-mail Secure e-mail Secure e-mail Secure e-mail Electronic Record Electronic Record Keeping incl. patients Keeping incl. patients Current State Long Term / Community Primary Secondary National Residential Care Care Care MoH/ACC 2
  • 3. Health Informatics New Zealand - www.hinz.org.nz What is the goal of HIS-NZ? Chronic Care & National Primary Disease Manage Care Collection Chronic Care & National Outpatient National Outpatient Disease Manage Collection Collection Electronic Referrals Electronic Referrals National Network Strategy ePharmacy ePharmacy National System Hospital Discharge Access Summaries Hospital Discharge Hospital Discharge Access to Key Event Summaries Summaries Summaries Access to Key Event Summaries eLabs eLabs Possible Health Network & Secure e-mail Health Network & Health Network & Health Network & Health Network & Range Secure e-mail Secure e-mail Secure e-mail Secure e-mail Electronic Record Electronic Record Keeping incl. patients Keeping incl. patients Current State Long Term / Community Primary Secondary National Residential Care Care Care MoH/ACC Primary Care Action Zones • Chronic Care and Disease Management • Discharge Summaries • Electronic Referrals • ePharmacy • eLabs • National Primary Care Collection 3
  • 4. Health Informatics New Zealand - www.hinz.org.nz Other Action Zones • National Network Strategy • NHI Promotion • HPI Implementation • National Outpatient Collection • National Systems Access • Anchoring Framework Action Zone Implementation • Step 1 Scoping (2006) • Step 2 Business Case(s) • Step 3 Implementation(s) 4
  • 5. Health Informatics New Zealand - www.hinz.org.nz Step 1 Scoping (2006) For each Action Zone (12) • Initial “View” • HISAC view • HISAC “Picture” • Bits of the Puzzle • HISAC “Roadmap” • Implementation timetable Initial “View” Progress • National Network Strategy – complete • eLabs - complete • ePharmacy - review • Anchoring Framework - review • Chronic Care and Disease Management - development • Discharge Summaries - development • NHI Promotion – development • HPI Implementation - development 5
  • 6. Health Informatics New Zealand - www.hinz.org.nz National Network Strategy • Priority • Connection • Collection • Collaboration HISAC “Picture” • Foundation document • Basis for evaluating sector business cases and projects • Includes sector scan of systems and projects • Identifies actions required • 12 Pictures • HISAC “Roadmap” 6
  • 7. Health Informatics New Zealand - www.hinz.org.nz HISAC “Picture” Content • Current state • Initiatives • Architectures, standards • Applications, data repositories • Inter-dependencies • Projects • Priorities and timelines • Who should do what/when Sector Engagement • Face to face or phone interviews • On-line discussions • Forums • Focus groups • Advisory committees • Sector reference groups 7
  • 8. Health Informatics New Zealand - www.hinz.org.nz Daily Health Interventions 17,000 Primary Care Organisations • 50,000 GP visits • 105,000 prescriptions • 40,000 lab tests 21 DHBs • 1,200 hospital admissions • 2,000 ED visits • 4,000 outpatient visits Some Personal Thoughts • HISAC Role • Sector Relationship • Primary Care • Beacons of Success • New Zealand's Uniqueness 8
  • 9. Health Informatics New Zealand - www.hinz.org.nz Your Thoughts • Primary Care Role? • Primary Care Engagement? • Primary Care Funding? • HISAC Processes? • Other? 9