Thomas Bowden CEO, HealthLink Ltd. The views expressed in this paper do not necessarily reflect the...
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Transcript of Thomas Bowden CEO, HealthLink Ltd. The views expressed in this paper do not necessarily reflect the...
Thomas BowdenCEO, HealthLink Ltd
The views expressed in this paper do not necessarily reflect the official position of the New Zealand government. Government officials have been consulted extensively during the preparation of this paper. The presenter is not an official spokesperson.
IF New Zealand was a US state… 24 South Carolina 4,479,80025 Louisiana 4,410,79626 Kentucky 4,269,245
New Zealand 4,173,46027 Oregon 3,790,060 28 Oklahoma
3,642,361
An environment that works collaboratively... Many IT vendors Three Health-system Integrators A strong industry association Government leadership/sponsorship Vigorous experimentation and
debate
= a Learning Environment
Key Aims
Support efficient primary care Automate routine processes Building on existing functionality Good working relationships
..... We have a clear health reform strategy
Hospitals
Specialists
Pharmacies
Laboratory Services
AncillaryProfessionals
Radiology Services
Referrals
Status Reports
Discharge
Summaries
Development of New Zealand’s Electronic Health Records System 1993-2012
On-Line Queries
ORDER ENTRY
-Pharmacy
-Laboratory
-Radiology
-Hospital
-Specialist
-Pharmacy
ALL
HOSPITAL DOCUMENTS
Patient Connection to GP
EMR Access
Multiple specialised chronic care services
Electronic Messaging Services (50 million messages per annum)
Practice Support Systems
1100 General Practices
Any authorized provider may send a structured online query to any EMR system
4.5 million patients
NB: This is still a work in progress…
Online Referrals
Electronic Clinical Transactions (Per Month)
National Child Immunisation Register
Number of electronic partners (monthly average per general practice)
100% EMR UPTAKE
Number of electronic partners (monthly average per general practice)
100% EMR UPTAKE
Building clinical messaging applications
VALUE
EASE
Our Views on... . Incentives and regulatory requirements to promote
implementation?
Incentives? As long as they are aligned with the overall drivers,
Regulatory requirements? Clear cut but light handed.
· Vender certification and technical assistance?
Light handed certification and encouraging development of a market for technical assistance.
· Strategies for national standards and interoperability?
Clear easy to implement standards, gradually lifting the bar,
An environment that makes interoperability desirable.
. The role of a national health integrator?
Why not open it up to anyone that can chin the bar?
· Privacy and confidentiality safeguards?
It is absolutely critical to have a strong underpinning understanding of privacy and the fundamental importance of privacy to the human condition.
· Use of public/private partnerships to support innovation?
PPPs are a low-risk way of enabling specialised/core bits of infrastructure to be delivered efficiently and in a disciplined, well controlled manner.
Ideally innovation is encouraged not contracted for
CURRENT FOCUS
Electronic Referrals – online submission of very detailed information directly into a hospital’s electronic medical record system
Emergency room access to GPs’ EMRs – immediate, complete and up-to-date
information
Gradually pushing the agenda forward