Health Design Authority, Office of the Chief Information Officer Department of Health Tony Abbenante : Manager Design Authority and Integration ePolicy and Strategic eDevelopmentsPerson Centred and Coordinated care
ISO Continuity of Care Definition Component of patient care quality consisting of the degree to which the care needed by a patient is coordinated among practitioners and across settings and time (ISO DIS 13940)
People Information Technology Collaboration Process HDF Principles Experience Standards Continuity of Care Benefits Research • Recurring theme around information: • “Research is beginning to show that poor information transfer and discontinuity are associated with lower quality of care on follow-up, as well as adverse clinical outcomes. Moore et al found that errors related to discontinuity of care occurred for about 50% of patients and that lapses in communication related to diagnostic evaluations were associated with a significantly higher risk of readmission.” (JAMA, 2007) • Many articles sight the key difficulties around sharing information electronically: • Lack of consistent standards for messaging and terminology for continuity • Clear definition of information sets that are effective for continuity and the quality of information • Lack of application capability supporting standards and information • Clear governance around processes, and standards
ePolicy and Strategic eDevelopments Key Initiatives and Policy Direction • National eHealth MoU • The National eHealth Business Case • The Ministers ICT Review Panel and future ICT directions • The Health Design Forum • NEHTA and Adoption of National Packages • Key directions
MoU on developing a national eHealth capability A commitment to achieving for Australia a world leading eHealth capability underpinned by national specifications, standards, services and infrastructure and providing for ehealth solutions and systems that: enable a person’s key healthcare information to be accessed electronically by their healthcare providers anywhere in Australia through sharing information securely across geographic and health sector boundaries;… use consistent national standards and specifications, and clinical terminology to facilitate the inter-operability and connectivity of health information systems.
National eHealth Business Case Initiative by NCIOF (National CIO’s Forum) Assessment of adoption of NEHTA packages Costing for adoption of packages by all jurisdictions
Ministers Review Panel Review of current common system approach - VPHS Review of good practice in health ICT for VPHS Standards, Terminology, Interoperability, Systems, approach, policy Future directions for the VPHS in ICT Information of review will be available in the next few weeks
Health Design Forum Objectives and Purpose Sharing a common vision in the VPHS and nationally for ICT solution trends and solutions that provide good outcomes and benefits for patients Open and independent views of best practice in ICT which support clinical best practice Establish a common base of knowledge around ICT solutions in health
Health Design Forum Objectives and Purpose People Information Technology Collaboration Process HDF Principles Experience Standards
Health Design Forum Outcomes Raise the level of knowledge across the sector in the areas of standards and best practice, supporting the use of IT systems in health To inform a set of guidelines to support ICT excellence across the sector that has had VPHS and independent examination Ensure that national directions and international trends are considered in Victorian ICT solutions Share knowledge and findings within the health sector to facilitate an understanding of ICT standards and concepts People Information Technology Collaboration Process HDF Principles Experience Standards
Health Design Forum Forum Process People Information Technology Collaboration Process HDF Principles Experience Standards
Health Design Forum Topics for 2013(in order of participant preference) EMR Adoption Models Exchange of health information across the care continuum Benefits Realisation Clinical Decision Support Adoption of PCEHRs and EHRs Adoption of National Identifiers (HPI-O, HPI-I, IHI) Change and adoption People Information Technology Collaboration Process HDF Principles Experience Standards
National eHealth Initiatives • eHealth initiatives and Involvement with NEHTA: • Full participation and guidance in all NEHTA packages • Key initiative: IHI Design for Australia • Wave 1 support project/POC (Discharge Summary to GP, Referrals) • IHI, HPI-I/O, Discharge Summary content (Standards), Provider registration, HSD • Minimum Standards and Maturity Level • Rapid Integration Project/POC (Discharge Summary to PCEHR) • IHI, HPI-I/O, Discharge Summary content (Standards), Consent Management, Patient Self Registration, Provider Registration, NHSD • Minimum Standards and Maturity Level • PCEHR Viewing Capability • Medication Information (Scrips and Dispense records to PCEHR) • IHI, HPI-I/O, Discharge Summary content (Standards), Consent Management, Patient Self Registration, Provider Registration, NHSD • Minimum Standards and Maturity Level • PCEHR Viewing Capability
Future Directions Standards and interoperability for the VPHS: to enable CoC and associated benefits Terminology AMT, SNOMED, to enable CoC HL7, CDA (NEHTA), messaging standards Interoperability, and adoption of identifiers IHI’s EMR systems maturity models HIMSS, EMR maturity models Medications management
Interoperability and Standards Dr. Doug Fridsma / Chief Science Officer and Director, Office of Science & Technology Not all of interoperability is based on the syntax of the data. More sophisticated ways of creating interoperability require sharing a common meaning for data or a common context (or workflow) in which the data is collected or used… So interoperability is something that is not black or white, but exists in the shades of gray between “not able to exchange anything” to “comprehensive ubiquitous data fluidity.” Also, we aren’t going to get to there in one giant step.
Health Design Authority • Design Authority Web Page • http://www.health.vic.gov.au/designauthority • Interoperability Standards for Victoria (HL7/Codesets/Terminology) • HL7 / CDA and Messaging Standards • Terminology • Principles • NEHTA IHI Design • Minimum Standards for Health Systems (EMR), plus.. • Health Design Forum Papers