E-Health Reflections: Lessons Learned & Future Opportunities in Nursing

1. The Future is E-Health Reflections, Lesson Learned and current opportunities Coalition of National Nursing Organisations 8 October 2010 Sydney Kathy.Dallest @nehta.gov.au

2. NEHTA’s purpose: establishing the foundations for e-health E-Health: The Foundations Lead the uptake of e-health systems of national significance; and coordinate the progression and accelerate the adoption of e-health by delivering urgently needed integration infrastructure and standards for health information.

3. NEHTA’s purpose: establishing the foundations for e-health E-Health: The Foundations Lead the uptake of e-health systems of national significance; and coordinate the progression and accelerate the adoption of e-health by delivering urgently needed integration infrastructure and standards for health information.

4. Clinical Safety Risk Management in eHealth Aims to improve the quality and safe delivery of healthcare by: • Placing special emphasis on identifying circumstances that put patients at risk of harm • Acting to prevent or control those risks to As Low As Reasonably Practicable • Presenting evidence to internal and external customers that those controls within nehta’s boundary have been managed • Communicating additional controls that need to be implemented by other organisations outside nehta – Healthcare delivery organisations and health IT suppliers Based on principles in other mature industries in which managing risk is very important, for example, aviation and engineering

11. eHealth Capacity and Capability - Benefits • Leadership and Engagement: get together, clarify roles, be known and building influence, and promote the benefits • eHealth Tools: know what you’ve got, learn from others, design for clinical benefits and create easy wins • eHealth Skills: know what skills are needed, get eHealth on the education agenda, make the most of what is there and use champions • Knowledge Management: identify what questions need answers and what information is needed, know what tools and resources exist, maximise the use of knowledge and exploit electronic information.

12. Lessons Learnt • Leadership and mentoring • Understand the journey • Collaboration • eHealth Tools • eHealth skills • Information and knowledge management • Governance

13. Mukesh Haikerwal Chief Clinical Lead/ Head of Clinical Unit Leonie Katekar Director of Clinical Unit Kathy Dallest Head of Clinical Safety Unit David Yee Clinical Safety Manager – BNE Rodney Ecclestone Clinical Safety Manager – SYD Grant Wales Systems Safety Engineer – BNE Programme Clinical Leads NEHTA’s Clinical Unit

14. Stakeholder reference Groups Specific invited participation Specialist areas Specific to product development eg medicines management, eTP, SNOMED CT AU, AMT, eDischarge, eReferrals Communication and Collaboration

15. Clinical Leads Forum Mukesh Haikerwal – Chief Clinical Lead/Head of Clinical Unit Evolutionary becoming more formalised Clinical Representatives from across Australia Professional organisation/colleges Sue McIndoe Trish O’Hara Council of National Nursing Organisations

16. eHealth and Nursing Practice • Professional Governance • Clinical Governance • Organisational governance • Project Governance • Competence and Educational governance • eHealth/Health IT development, deployment and continued service management, procurement

17. Low governance = high risk

18. The Future is E-Health Kathy.Dallest@nehta.gov.au NEHTA Clinical Safety Unit Manager