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HIMAA Symposium 09:10am Friday 20 October 2006 National Health Data and the New Health Informatics Ken Tallis AIHW. National Health Data and the New Health Informatics. www.aihw.gov.au. National eHealth Agenda. Evidence for Policy. National Statistical System. Work to Do!. Work to Do!.
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HIMAA Symposium 09:10am Friday 20 October 2006 National Health Data andthe New Health Informatics Ken Tallis AIHW
National eHealth Agenda Evidence for Policy National Statistical System Work to Do! Work to Do!
PRIMARY purposes… Improving quality of health care Streamlining multidisciplinary care Improving clinical / administrative efficiency
SECONDARY purposes… Improving policy and planning Improving public health Disease detection Research and education
Improving policy and planning… policies programs services What services? Who receives services? design What settings for services? Who provides services? monitor Are complementary services integrated? What locations for services? What health outcomes? evaluate
Overweight & Obesity Drug Use
Mortality Trends Disability Trends Burden of Disease
Australia’s Hospitals Mental Health Services General Practice
Health Expenditure Medical Labour Force Nursing Labour Force
The Safety and Quality Agenda Interventions Outcomes L
National Policy Agendas • Health workforce • Human capital • …
early childhood – supporting families in improving childhood development outcomes in the first five years of a child’s life, up to and including school entry diabetes– improving health outcomes, focusing initially on diabetes and building on the national Chronic Disease Strategy and the Australian Better Health Initiative literacy and numeracy – improving student outcomes on literacy and numeracy child care – encouraging and supporting workforce participation of parents with dependent children Indicative Outcomes COAG NRA – Human Capital Agenda Indicative Progress Measures Human Capital – Data Sub-Group
early childhood – supporting families in improving childhood development outcomes in the first five years of a child’s life, up to and including school entry diabetes– improving health outcomes, focusing initially on diabetes and building on the national Chronic Disease Strategy and the Australian Better Health Initiative literacy and numeracy – improving student outcomes on literacy and numeracy child care – encouraging and supporting workforce participation of parents with dependent children Indicative Outcomes COAG NRA – Human Capital Agenda Indicative Progress Measures
AHMAC Health Protection Information Management Population Health PHIDG Statistical Information Management Health Performance NAGATSIHID Health Data Standards
Heather Grain Standards Administrative databanks Clinical activity National databases Clinical data National statistics
Standards Administrative databanks Clinical activity National databases Clinical data National statistics
Standards Administrative databanks Clinical activity National databases Clinical data National statistics
National databases Mental Health Establishments Community Mental Health Public Hospital Establishments Admitted Patient Care Admitted Patient Mental Health Care Cancer (clinical) Admitted Patient Palliative Care Cardiovascular disease (clinical) Elective Surgery Waiting Times Diabetes (clinical) Non-Admitted ED Patient Care Acute coronary syndrome (clinical) Perinatal
National statistics Overweight & Obesity Drug Use Mortality Trends Disability Trends Burden of Disease Australia’s Hospitals Mental Health Services General Practice Health Expenditure Medical Labour Force
Australian Hospital Statistics • Number of separations • Length of stay • Waiting times • Procedures • Cost per (cma) separation by • DRG • Age and sex • State; Region (remoteness) • Public / private
Standards Administrative databanks Clinical activity National databases Clinical data National statistics
2004-05 2005-06 2006-07 Rich data, but they’re episode-based…
2004-05 2005-06 2006-07 L V
2004-05 2005-06 2006-07 • Data linkage • eHr • RFID
The New Informatics Zoo terminologies archetypes ontologies
terminologies Content Lifecycle management Metadata management archetypes ontologies
National eHealth Agenda Evidence for Policy National Statistical System Work to Do! Work to Do!