National Information Clinical Leadership Group of the National Health IT Board

1. National Information Clinical Leadership Group of the National Health IT Board Progress to date - August 2010

2. Overview • National Health IT Plan • Governance structures • Purpose and Tasks of National Information Clinical Leadership Group (NICLG) • Model of electronic systems • NICLG work streams

5. NICLG Purpose • Lead, support, identify, and endorse quality clinical processes and content standards for information systems at a national level • Provide clinical advice and champion the development & implementation of the National Health IT Plan • Ensure strong linkages to clinical processes and models of care to support the development of information solutions • Identify clinical, behavioural and organisational impediments to the implementation of clinical solutions • Agree the measures for success for each programme of work • Share knowledge and insights with other members of the group to ensure that the clinical standards proposed reflect current good practice. • Where known, represent the views of their profession, colleagues, service and region • To influence health professionals and other stakeholders in providing and securing clinical ownership for the clinical process and information standards across the health sector.

6. NICLG Key Tasks • To identify / endorse standards to improve the quality of clinical processes that are to be supported by IT solutions • Monitor and evaluate the piloting of clinical standards and evidence based changes required • To provide expert clinical advice in the development of the patient centred electronic Health Record • Ensure linkages to other clinical activities within the National Health Board’s committees • To identify high risk clinical processes and raise these with the appropriate NHB committee • To identify the clinical functionality criteria for requests for proposals and for proposals for software

9. NICLG work stream linkages

10. NICLG work underway • Transfer of care between secondary and primary health practitioners • Continuum of care involving health practitioners • IT supported shared care

11. Transfer of care secondary to primary • Documents available on NHITB website • Technical specifications to be developed (primary health IT programme) • Prototype and amend as required • Pilot in 2 or 3 DHBs • Amend specifications before national roll out

12. Continuum of care • Learnings shared by clinicians using e-referrals and clinical pathways • NICLG working on • core information for e-referrals • process to operationalise condition / service specific e-referrals and clinical pathways (organisational level) • Links into Patients First • Main gaps identified by NICLG and Patient First

13. Clinical pathways - links between NICLG and Patients First Patient First Evaluation of clinical pathways Criteria for appropriate clinical pathways for NZ NICLG National Approach for : Generic e-referral core info and timelines Organizations operationalise recommends Operationalising The Condition Specific e-referral template ? Solution A ? Solution B Made available Operationalising The Clinical pathways

16. IT supported shared care • NICLG work just commencing • Overarching principles for IT supported shared care • Principles will support 2 National shared care projects • Projects may define the detail of some principles

18. Summary • NICLG has focused work streams within the IT Plan • NICLG links into other work streams under the IT Plan • NICLG’s key role is to provide a national approach for clinical and IT standards • NICLG supports an iterative process to move from good to better practice