John Crane CIO Midlands Health Network (Friday, 7.45am, Forum Room)

1. Information Sharing - Enabling New
Models of Care in Primary Health
John Crane
CIO Midlands Health Network

2. Agenda
• The need for change & new models of care
• Information sharing – key enablers
• Privacy & Governance

3. Context - The need for change
Total GP Consults Hamilton City
2011 2016 2021 2026 2031
Māori 29,220 32,019 35,914 39,650 46,248
Pacific Island 4,941 5,518 6,411 7,313 8,635
Other 254,780 267,123 291,309 317,456 351,569
Total 288,941 304,659 333,635 364,418 406,452

4. Context - The need for change
GPs - Hamilton 2011 2011-16 2016-21 2021-26 2026-31 2011-31
Increasing utilisation - 7.2 13.2 14.0 19.2 53.6
Total FTE GPs working 112 119 132 146 165 165
Loss due to retirements - 10 15 24 24 73
Total number of GPs FTE
needed - 17 28 38 43 127
Nurses - Hamilton 2011 2011-16 2016-21 2021-26 2026-31 2011-31
Increasing utilisation - 5.8 10.6 11.2 15.4 43.0
Total amount FTE nurses
working 109 115 126 137 152 152
Loss due to retirements - 14 16 20 22 72
Total FTE of nurses needed - 20 27 31 37 115

5. Context – The need for change
Demand Management
30 = 35 = 45
Other
Bigger toolbox
•F2F
Plus …
F2F
•PAC
•Virtual Consults
•Patient portal
•Extended Team
•Care plans

6. Enablers – Information Sharing

7. ManageMyHealth™

8. MMH Patient Portal
Patients able to …
•View sub-set of medical records & consult notes
•Secure communications with health professional
•View lab results
•Receive recall reminders
•Share their health information
•Repeat prescriptions
Optional
•Online appointments & reminders

13. MMH SEHR
• MMH SEHR – enables other health care
providers to access patient record.
• Potential for After-Hours telephone service.
• A/Hrs Operators, Nurse & Dr Triage able to
access patient record.
• Enables Patients usual GP to view A/Hrs
consults.

14. SEHR – Patient Summary

15. The Patient Access Centre (PAC)
• General Enquires
• First call resolution
• Book appointments i.e. F2F or virtual
• Clinical triage (PAC nurse)
• Out bound campaigns
• Admin duties i.e. recalls, scanning and allocation
• 8-10am Dr triage (phone consult)
• Future development potential

16. Patient Access Centre
• Enabling technologies …
– MMH – PCC module
– Telephony & presence awareness
– Centrally hosted IT

17. PAC PCC – Patient Summary

19. Practice
Data Centre
Shared facilities Practice Specific
& infrastructure Applications

20. Practice
Data Centre
Shared facilities Practice Specific
& infrastructure Applications
PAC

21. Privacy & Governance
• Privacy Impact Assessment
– Against 12 rules in HIPC 1994
• Patient consent & opt off
• Audit functionality within MMH
• Other considerations …
– Patient & Peer visibility of notes
– No shared email accounts for PP

22. Governance
• PP & SEHR Governance Groups
– Privacy
– Consent
– Patient Health Summary Data
– Communications
– Health Professional access to SEHR
– Access in General Practice

25. Patient Feedback
• “The new monitor your own health system lets you check
up on what the doctor has told you in consultation, as
sometimes you may forget.”
• Technology actually gives me greater control of
managing my health.”
• Really love the online email system.”

26. Key points
• Need for transformational change & new
models.
• A combination of tools to facilitate information
sharing & enable new models.
• Pragmatic approach in order to speed up.
• Leverage what is available in short term
• Effective Governance = confidence.
• Results suggest it’s having an impact.

27. The risk of doing
nothing….
The challenge of
change…