What's on the EHR Horizon for NZ Beyond 2014?

What's on the EHR Horizon for NZ Beyond 2014?

• 1.
  What’s on thehorizon for NZ beyond 2014? Kathy Farndon, Health Information Solutions and Standards.
• 2.
  Enabling an IntegratedHealthcare Model eHealth Vision To achieve high quality health care and improve patient safety, by 2014 New Zealanders will have a core set of personal health information available electronically to them and their treatment providers regardless of the setting as they access health services.
• 3.
  Shared care (KF personal view) I would like: • to be able to access my latest test results • my GP to be able to leave me a message to contact him/her if they are concerned • To be able to use tele-monitoring if I had a condition where that would be of help • to have access to helpful health information/links to useful sites • receive reminders • be able to see what my other carers are recommending i.e. community nurses, specialist visits basically open/transparent communication from people involved in my health care. • Ability to make personal health notes and reminders
• 4.
  KF thoughts onan ideal record Health info Select All info Moderate and relevant info Some All information Few
• 5.
  Shared health information -Youwill be able to log on to a computer and see your core health information –View a set of alerts and allergies relevant to your health –You won’t always have to repeat your medical history when you see someone new, or have test repeated –Better and safer care will be provided
• 6.
  The Destination is: Person-Centred, Integrated Care Clinical and IT Professionals in co-production Leaders of health organisations have confidence to invest in health IT solutions that fit into the wider eco-system The role of the National Health IT Board is to enable (the above)
• 7.
  Clinical Integration  Longterm conditions  Wrap around services for older people  Urgent and unplanned care  Maternity and child services  Integrated family health centres Patient centric care: Needs good reliable IT systems and infrastructure, clinical leaders developing strong clinical networks, clinical change leaders, regional cohesiveness, primary/secondary/tertiary all working together.
• 8.
  Cardiac health Patient Best clinical outcomes Cardiac Clinical network Cardiologists Cardiac interventionalists Cardio-thoracic surgeons
• 9.
  • Urgent andUnplanned care - Acute Coronary Syndrome (ACS) • Child and maternity - Congenital conditions affecting paediatrics - Maternity cardiac health • Long term conditions - Rheumatic heart disease, CVD, Diabetes etc., • Wrap around services for older adults - many patients are in the autumn/winter of their lives.
• 10.
  Challenges and thingsto consider – this is not a comprehensive list • Portals - design, standardisation? • Interoperability - be populated with relevant info • Authentication and delegation levels for access • Privacy concerns – access, and limited viewing rights • Data storage – format? • Image storage – format? • System upgrades and subsequent migration of data to be viewable by existing systems • ?????????? There will be many more.
• 11.
  No-one has allthe answers or can solve it on their own There needs to be much more collaboration between primary, secondary, tertiary and community health, A more holistic view of health - including housing, education etc., rather than the current focus on episodic illness events Vendors will probably need to work in partnership to be able to deliver on some of the projects that will evolve. There will be a need for skilled change management, particularly clinical Care must be patient centric and they must be included in the design of services and solutions Focus must include continuous quality improvement.
• 12.
  Thank you. Kathy Farndon. 21st June 2012