The document discusses the benefits of a private cloud for primary care networks. It describes how the private cloud can provide secure, centralized access and management of health applications and networks for general practices, vendors, health application providers, and the Northland District Health Board. The private cloud aims to improve connectivity, support, deployment of upgrades and new products, and engagement for telehealth initiatives across the primary care sector in a more efficient manner aligned with the region's health strategic plan.

1. Primary Care Network
What…where…how…?

2. Why a private cloud…?
Shared services across multiple organisations
Secure managed access into General practice
Access managed from a single point, by single
organisation
Governed by NPHOS
HISO standard architecture
Connected health approved

3. Who can benefit from the private
cloud…?
General practice
Single managed access to connected health network
Centrally managed policies around remote access to
practice sites
Points of interconnect (POI) governed by NPIGG
Central deployment of health applications
Fully redundant HA for intranet access to private cloud

4. Who can benefit from the private
cloud…? Cont…
Supporting Vendors
Controlled remote management of onsite health applications
High level governance structure around deployment / change
management
Vendors can gain assurance that their applications are
managed end-to-end rather than the current piecemeal
management structure
Upgrades and new products easily deployed and supported
over ‘large single network’ rather than ‘small isolated
networks’

5. Who can benefit from the private
cloud…? Cont…
3rd party health application providers
Wider coverage when trying to engage
Centralised support channels rather than disconnected,
ad-hoc networks
Vendor support Network (VSN)
Back-to-back agreements with single governance group,
rather than individual general practices

6. Who can benefit from the private
cloud…? Cont…
Northland District Health Board
Telehealth – Outpatients in primary care
FSA (Specialist Appointments)
Beta Clinics – GP engagement required – Lead: Roger Tuck
Top Health – Beta Clinic - John Bradley
End-to-end support model
user / training / technical / VSN
Prioritisation from General Manager – Sue Wyeth

7. Who can benefit from the private
cloud…? Cont…
Northland District Health Board
Telehealth – Outpatients in primary care
PCN related costs for secondary care involvement
CapEx
Implementation - $15 – 25k
OpEx
Monthly subscription (3yr minimum term) - $

8. Why should NDHB come on-board
with the PCN initiative…?
Current Telehealth Example
Mid North Mental Health
Community-based project
3mb/s copper network upgrade required – expensive
PCN can provide cheaper / faster services
Currently single scope per project, PCN would provision scope across multiple
projects
The PCN could currently provide the following benefits:
Facilitate General Practice engagement
Technology procurement ie. Communications & local support
Facilitate means of collegial support ie. Grand rounds & shared care meetings
Already discussing primary care tech support for likes of Kaitaia Hospital.
Makes sense to propose increased scope to including primary & community
DHB projects – Tony Werner (Desktop Services Manager, HA)
Improve ROI for DHB, PHO, General Practice and Patients

9. How does this fit into the
“Health Strategic Plan”
Facilitates key considerations from the HSP
1. Opportunities for intersectoral collaboration
2. The requirement for capacity planning and
development in workforce, facilities, information
sharing and systems, new technologies, clinical
leadership and engagement, and quality
improvement