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HIMMA National Conference 2005 Accelerating E-Health

HIMMA National Conference 2005 Accelerating E-Health Dr Ian Reinecke CEO National E-Health Transition A uthority (NEHTA) Geelong 2 9 July 200 5. n e hta. Nehta’s Role and Function in E-health. 1. What has it been tasked to do? 2. Why did Australia set it up?

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HIMMA National Conference 2005 Accelerating E-Health

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  1. HIMMA National Conference 2005 Accelerating E-Health Dr Ian ReineckeCEONational E-Health Transition Authority (NEHTA)Geelong 29July 2005 nehta

  2. Nehta’s Role and Function in E-health • 1. What has it been tasked to do? • 2. Why did Australia set it up? • 3. How does it go about its work? • 4. What was its performance against objectives in 2004-5? • 5. Where will its focus be during 2005-6?

  3. What Nehta been tasked to do? • Accelerate the adoption of e-health in Australia • Develop a national approach involving all governments • Address the requirements of both primary & secondary care • Enable the more efficient exchange of information across Health • Provide the specifications to enable interoperability between: • Organisations • People • Systems

  4. Why Did Australia Set it Up? • Recognition of the substantial cost and quality penalties of the status quo • Frustration at the slow progress in developing interoperability • Concern about fragmented investment in ICT in Health • Too many organisations pushing incomplete solutions with no national coordination • Major initiatives with similar objectives in the UK, Canada &USA

  5. How Does Nehta Go About its Work? • Annual Work Program approved by all governments • Common method applied to all projects, including: • Scoping the specific initiative • Canvassing the available options for solutions • Identifying the preferred approach • Testing the approach through advisory process • Developing draft business cases and budgets • Testing assumptions, develop risk analysis • Presenting recommendations to Nehta Board and AHMC • Publishing documentation or commission solution • Monitoring implementation to refine solution

  6. Nehta’s performance against the 2004-5 work plan • Clinical Data Specifications • Clinical Terminologies • Product Identification • Patient Identifier • Provider Index • Product Directories • Consent Model • Secure Messaging • Technical Integration • Supply Chain • Resource Centre • Informatics Reform

  7. Clinical Data Specifications • Objective: • National agreement on prioritised clinical event summaries and clinical code sets • Achieved: • Clinical data specifications and user implementation guides for field testing – endorsed by AHMAC (Australian Health Ministers’ Advisory Council), June 2005

  8. Clinical Specifications • Develop business case and recommendation for preferred Australian base-level terminologies • AHMAC endorsed the preferred national solution for clinical terminology using SNOMED CT as the basis for the Australian national terminology, June 2005

  9. Product Identification • Identify standards for identifying medicines, prescribed consumables & medical equipment • Agreed by AWG (AHMAC IM&ICT Working Group) that all jurisdictions include compliance with EAN/GTIN standards as a requirement in future procurement

  10. Patient Identifier • Develop detailed definition of the Patient Identifier Solution • Preferred approach of leveraging relevant existing HIC elements to create national solution endorsed by AHMAC June 2005. Fully costed solution to be presented to Ministers in the context of the 2006-7 budgetary cycle.

  11. Provider Index • Develop business case and definition of technical and functional requirements of recommended solution • AHMAC endorsed June 2005 a centralised model using existing trusted sources; to be developed as costed proposal in consultation with potential providers

  12. Product Directories • Development of national medicines directory in accordance with concept and implementation plan • Proposed approach of developing the directory based on hospital formularies used by Queensland and Tasmania, databases operated by the TGA and Society of Hospital Pharmacists endorsed by AWG June 2005. Proposed transfer of ACOM from Commonwealth to Nehta August 2005.

  13. Consent Models • Define boundaries and scope for a national consent solution and a business case for the preferred option • AWG endorsed in principle June 2005 the consent operating policy framework for application to the electronic health record (EHR), healthcare identifier and provider index projects

  14. Secure Messaging • Develop business case recommendations for preferred national model for secure messaging and information transfer • Recommended approach using web services family of standards for application-to-application messaging and secure Internet-based email for person-to-person messaging, endorsed by AWG June 2005

  15. Technical Integration • Develop nationally agreed technical integration standards and implementation resources • Development of a National Interoperability Framework to support information exchange and as a basis for creation of a strategic roadmap of interoperability standards, noted by AWG June 2005

  16. Supply Chain • Develop implementation plan for capturing procurement savings opportunities through use of standards • Development of a strategic plan for supply chain including national product catalogue, e-procurement and business intelligence tools, noted by AWG June 2005

  17. Resource Centre • Development of online resources through Nehta web site to publish relevant documents • Resource centre created January 2005 and progressively loaded with materials including major presentations, glossary and Nehta fact sheets. Site statistics for June 2005 show 203,000 hits. • www.nehta.gov.au

  18. Informatics Reform • Identify priorities for health informatics vendor reform to enable implementation of national e-health priorities • More than 100 vendor meetings conducted by Nehta to outline work program, solicit feedback and identify issues; series of 10 major conference presentations Dec 2004-June 2005.

  19. NEHTA’s 2005-06 work program Interoperability Framework Shared EHR Specifications Personal Healthcare Identifier Healthcare Provider Identifier Clinical Information Clinical Terminologies Administrators & Funders Researchers Request lab tests Health IT Vendors Health record Consumers Event summary Results of lab tests Hospitals And Other Providers Clinicians LongitudinalHealth Record E-Health Consent Frameworks Secure Messaging Standards Implementation User Authentication Medical Product Directory

  20. Adopting specifications for a national shared EHR and developing national e-health architecture Shared EHR Specifications Administrators & Funders Researchers Request lab tests Health IT Vendors Health record Consumers Event summary Results of lab tests Hospitals And Other Providers Clinicians LongitudinalHealth Record

  21. Ensuring access to patient records is restricted to those with authority to see them Shared EHR Specifications Personal Healthcare Identifier Healthcare Provider Identifier Clinical Information Clinical Terminologies Administrators & Funders Researchers Request lab tests Health IT Vendors Health record Consumers Event summary Results of lab tests Hospitals And Other Providers Clinicians LongitudinalHealth Record Secure Messaging User Authentication Medical Product Directory

  22. Coordinating Nehta specifications with national and global standards planning Shared EHR Specifications Personal Healthcare Identifier Healthcare Provider Identifier Clinical Information Clinical Terminologies Administrators & Funders Researchers Request lab tests Health IT Vendors Health record Consumers Event summary Results of lab tests Hospitals And Other Providers Clinicians LongitudinalHealth Record E-Health Consent Frameworks Secure Messaging Standards Implementation User Authentication Medical Product Directory

  23. Providing a roadmap for system interoperability and a process for certifying compliance Interoperability Framework Shared EHR Specifications Personal Healthcare Identifier Healthcare Provider Identifier Clinical Information Clinical Terminologies Administrators & Funders Researchers Request lab tests Health IT Vendors Health record Consumers Event summary Results of lab tests Hospitals And Other Providers Clinicians LongitudinalHealth Record E-Health Consent Frameworks Secure Messaging Standards Implementation User Authentication Medical Product Directory

  24. The Nehta Mission • Enabling the creation of a connected health sector using a standards-based approach to delivering better quality healthcare Administrators & Funders Researchers Request lab tests Health IT Vendors Health record Consumers Event summary Results of lab tests Hospitals And Other Providers Clinicians LongitudinalHealth Record

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