Current topics in Health Information Management in Australia

1. Current topics in Health Information Management in Australia Vicki Bennett President, HIMAA

2. What is a HIM? Health Information Managers provide information for evidence-based decision making at all levels of the health system

3. For Clinical Care • Provision of patient records for continuity of care • Timely access to paper or electronic information can save lives • Clinical Trials • Clinical Register

4. For Facility Management • Casemix data for funding • Information for quality monitoring • Resource allocation

5. For Government • Policy decision • Data standardisation • Public accountability reporting

6. HIMAA(draft) • Vision: Improving the health of Australians through information management • Mission: HIMAA seeks to promote our members as the universally recognised specialists in information management at all levels of the healthcare system

7. HIMAAStrategic Planning • Strategic Objectives: • Professional development • Membership • Education services • Positioning & advocacy • Communication • Knowledge domain • Organisation structure

8. HIMs are chameleons • HIMs have always been adaptive • Medical Record Librarians • Medical Record Administrators • Health Information Managers • ?????

9. HIM Supply issues • Closure of 2 of the 4 undergraduate programs: • QUT is now moving to post-grad only • University of Sydney has now moved to a Master of Health Informatics only • La Trobe - Bachelor of Health Science/Master of HIM (continuing) • Curtin - Bachelor of Health Science (HIM major) (continuing)

10. HIM Graduate Numbers- 2004 and 2008

11. HIM Supply issues • Lack of entry level professionals to do the base level work • Cannot be replaced by post-graduate programs – ‘stealing’ from other professions with shortages • Informatics programs do not replace this entry level health information professional

12. “A Review of the Australian Health Informatics Workforce”, Health Informatics Society of Australia, August 2009

13. HIMs – an endangered species?

14. Current environment • e-Health • Individual health identifiers • SMOMED, etc. • Primary Health Care • Health Care Reform • COAG data requirements • Globalisation of health

15. Coding Workforce • AIHW are preparing for DoHA “A Report on the Clinical Coders, Health Information Managers and Costing Specialists (Coding Workforce) Shortfall” • Survey of current workforce and projected numbers for the future • Activities currently being undertaken by the Jurisdictions • Recommendations for a national strategy to address the needs

16. Activity Based Funding • Healthcare reform • New classifications for other areas of health, eg primary care, aged care, etc

17. COAG – National Healthcare Agreement • Objective: to improve health outcomes for all Australians and the sustainability of the Australian health system. • Includes the objectives, outcomes, outputs and performance measures, and clarifies the roles and responsibilities . • 70 Performance Indicators and 9 Benchmarks

18. COAG • Policy and Reform Directions • Prevention • Primary and Community Health • Hospital and Related Care • Aged Care • Patient experience • Social Inclusion and Indigenous Health • Sustainability • http://www.coag.gov.au/intergov_agreements/federal_financial_relations/docs/IGA_FFR_ScheduleF_National_Healthcare_Agreement.rtf

19. ICD-11 • Mission: • To produce an international disease classification that is ready for electronic health records that will serve as a standard for scientific comparability and communication. • Deliverables: • ICD-11 alpha draft will be ready by 10 May 2010 • ICD-11 beta draft will be ready by 10 May 2011 • ICD final draft will be submitted to WHA by 2014

20. e-Health • Healthcare Identifiers Bill 2010 and Healthcare Identifiers (Consequential Amendments) Bill 2010 tabled in February. • Referred for inquiry and report to the Senate Community Affairs Committee • Report back to Senate by 15 March 2010 • HIMAA made submission to the drafting

21. GlobalInitiatives • IFHRO Congress, Milan, Italy, 15th – 19th November 2010 • “Better Information for Better Health; The way forward to a safe, responsive and integrated healthcare”

22. WHO Framework on Health System Strengthening System Building Blocks Overall goals World Health Organisation (WHO) Everybody’s Business: Framework for Action Strengthening Health Systems to Improve Health Outcomes http://www.who.int/healthsystems/round9_2.pdf

23. Health Metrics Network “Framework and Standards for Country Health Information Systems” • http://www.who.int/healthmetrics/en/

24. What is HIMAA doing? • Australian Health Informatics Education Council (AHIEC) • State HIM award debates • Writing to all Health Ministers re course closures • Written submissions • Health Identifiers • Safety and Quality • NHHRC

25. The American model could offer a solution?

27. What are you doing about this? • Membership • Active participation in the Association • Re-activation of state branches in Qld and NSW • Promote the profession • If each HIMAA member recruited one new student per year – 600 new undergrads! • Promote yourself!