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IT Health Board. NZ ePrescription Service . Stakeholder Update #4 10 November 2011 Wellington. Agenda. Progress Update Updated Planning Overview Rest Home flow, Douglas/Medtech/Toniq Questions from demonstrations Suggestions for rapid take-up. The NZ ePrescription service.

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nz eprescription service

ITHealthBoard

NZ ePrescription Service

Stakeholder Update #4

10 November 2011

Wellington

agenda
Agenda
  • Progress Update
  • Updated Planning Overview
  • Rest Home flow, Douglas/Medtech/Toniq
  • Questions from demonstrations
  • Suggestions for rapid take-up
the nz eprescription service
The NZ ePrescription service
  • Complies with HISO business process standard
  • Uses NZULM
  • Supports most current process / workflow e.g. cancel, partial fill, substitution, pharmacy generated scripts as well as a range of other features
  • Transactions are secure end to end
  • Transactions are locked while downloaded to the pharmacy and once filled cannot be downloaded again
  • Paper / electronic can coexist
  • Intended to support hospital and other prescribers where scripts go to community pharmacy
approach
Approach…
  • Implementation phases:

0. Expression of Interest – NIHI and clinical stakeholders

Complete. Simpl selected to provide hosted broking service

1. Pre-trial – electronic transactions/workflow between GP and Community Pharmacy (broker plus 3 x GP / 3 x Pharmacy system – V1 feature set)

2. Trial – multi-vendor, multi location, DHB supported, standards-based

3. National roll-out – electronic transactions/workflow between GP and Community Pharmacy, send data to regional clinical data repositories (initially where these exist)

scope
Scope…
  • Technical
    • Implement a ‘Transaction Broker’
    • Changes to prescribing and pharmacy systems
    • Feed a CDR (where available)
  • Trial
      • All GP and community pharmacy vendors
      • 3-4 Geographic locations and multiple sites in each
  • Confirm Service Readiness, Costs, Commercial Model (vendors), Funding Model & Service Governance
proof of concept state of play
Proof of Concept/State of Play
  • Initial Participants
    • 3 Pharmacies: Papatoetoe City Centre, Johnsons Papatoetoe and NetPharmacy Parnell. (St George on hold pending system upgrade)
    • 3 GP’s: Papatoetoe Family Doctors, Otara Family and Christian Health Centre, My Practice Parnell
  • Plan
    • Finalise setup of all sites by end September
    • Stable operation through October
    • Review feedback and issues
    • Close Proof of Concept 30 October 2011
  • Issues to date
    • Lack of access via Connected Health to hosted services
    • Minimum specification hardware
    • Health Certificate deployment and Installation processes
    • Problems with hosted environments and setup of services
    • Vendor participation. Medtech and Toniq slow to engage.
phase one current vendors
Phase One – Current Vendors
  • Vendors
    • My Practice
    • Healthsoft
  • Sites/Region – Waitamata DHB, Northern Region
    • GP:
      • Hibiscus Coast Medical Centre
      • TBC
    • Pharmacy
      • Orewa Care Chemist
      • Orewa Medical Centre Care Chemist
  • Plan
    • Develop and Standards Compliant messaging, Mid October 2011
    • Install and configure selected sites, end October
    • Stable operation, November
    • Review and finalise
    • Confirm DHB engagement for funding. Mid October
phase one new vendor
Phase One – New Vendor
  • Vendors
    • Healthsoft
    • Intrahealth
  • Sites/Region – Lakes DHB, Midland
    • GP:
      • Rotorua Site 1
      • Rotorua Site 2
      • Rotorua site 3
      • Rotorua Site 4
    • Pharmacy
      • Rotorua Site 1
      • Rotorua Site 2
  • Plan
    • Install and configure selected sites, mid November
    • Stable operation to mid December
    • Review and finalise
    • Confirm DHB engagement mid-November
phase two additional vendors
Phase Two– Additional Vendors
  • Vendors
    • Toniq
    • Medtech, Houston
  • Sites/Region – Mid Central DHB, Central, plus additional Lakes DHB sites
    • GP:
      • Palmerston North, 4 sites each – Houston & Medtech
    • Pharmacy
      • Palmerston North 4 Sites - Toniq
      • Rotorua 2 Sites – Toniq
  • Plan
    • Commence development Medtech and Toniq mid November
    • Install and test February/March 2012
    • Stable operation through April 2012
    • Review and finalise
    • Confirm DHB engagement, November 2011
phase two final region
Phase Two– Final region
  • Vendors
    • Toniq, Healthsoft (?)
    • Medtech, Houston (?), Intrahealth (?), My Practice (?)
  • Sites/Region – Southern DHB, Southern
    • GP:
      • Medtech 4 Sites (Others to be confirmed)
    • Pharmacy
      • 4 Sites - Toniq
  • Plan
    • Install and test Apr/May 2012
    • Stable operation through May/June 2012
    • Review and finalise
national rollout
National Rollout
  • Prerequisites/Trial Outcomes
    • Successful Trial Completion May 2012
    • Independent evaluation completed June 2012– Benefits can be realised
    • Governance model finalised – June 2012
    • Funding model finalised – March 2012
    • Operational funding allocated – June 2012
    • Vendor deployment and operation funding agreed – May 2012
    • User Acceptance testing completed with all vendors and no severity one or two defects outstanding. – May 2012
    • Deployment plans and processes, by vendor, finalised and agreed – May 2012
    • Support model agreed and setup – June 2012