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Standards and interoperability Towards 2014 (Part 1 of 3)

Standards and interoperability Towards 2014 (Part 1 of 3). Alastair_Kenworthy@moh.govt.nz 7 November 2012. The destination is …. Person-centred, integrated health care Clinicians, consumers and IT people working in co-production

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Standards and interoperability Towards 2014 (Part 1 of 3)

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  1. Standards and interoperabilityTowards 2014 (Part 1 of 3) Alastair_Kenworthy@moh.govt.nz 7 November 2012

  2. The destination is … • Person-centred, integrated health care • Clinicians, consumers and IT people working in co-production • Providers having the confidence to invest in new solutions

  3. National priorities 2012-14

  4. Realising the 2014 vision • Offered by IFHCs • Personal health info • Appointments • Repeat prescriptions • Email consultations • Common regional CWS and CDR • Accessible both hospital and community • Inter-regional view • Patients with LTCs and high needs • Multidisciplinary input

  5. Repository-based information sharing

  6. GP2GP • Currently about 4000 medical records transfers per month • About 50% of GPs are users • Files over 5 MB have to be sent the old fashioned way (a future upgrade will allow files to be sent in pieces)

  7. The solution space

  8. Connected care

  9. Pharmacy clinical integration eRx via NZePS eReferral via (eg) ERMS  Assess eligibility Centrally register Create medications plan • Pharmacy desktop • Dispensing system • Assessment tool • Shared care system

  10. PHARMACY SERVICES AGREEMENT SHARED CARE

  11. Emergency care • Ambulance sends ePRF (as a kind of referral, but also an event summary) to hospital ED • Ambulance accesses primary care info and previous discharge summaries • Presenting complaint, diagnoses etc are SNOMED coded • Common ED solution based on hospital PAS and CWS eDS shared via R-CDR

  12. Discharge and follow ups Discharge Rx via NZePS eDS shared via R-CDR

  13. eRx My List of Meds My List of Medicines

  14. My List of Meds – a repository-based application

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