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Practice Management Systems Review Phase 2

Practice Management Systems Review Phase 2. PCIMG 14 November 2012. Certification Vision. By July 2014 any information system that is used to link to electronic claiming or access to public funds for provider payment (directly or indirectly) will need to be certified. Working principles.

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Practice Management Systems Review Phase 2

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  1. Practice Management Systems Review Phase 2 PCIMG 14 November 2012

  2. Certification Vision • By July 2014 any information system that is used to link to electronic claiming or access to public funds for provider payment (directly or indirectly) will need to be certified.

  3. Working principles • Sector and clinician led change • Eco-system of information – many systems, linked and choice of systems (best system for each job) • Seamless integration of information and systems that allows for choice and use standards to exchange information • Leveraging current technology and future focussed technology • Structure and clarity of vision and path • Partnership – need vendors to be responsive (to sector) • Partnership – recognise that the model needs to be sustainable for (optimum number of) vendors • Alignment to standards – that align internationally (effort to/for NZ should stand in good stead internationally)

  4. Why? • Raising the bar on quality • Information that is available, clinically useful and structured • Linkages with decision support and information mining for quality needs structure • In an environment where the patient is at the centre of care, need integration between a wide eco-system including a number of supporting information systems Reviewing (and influencing?) the quality of PMS to enable effective care

  5. Primary care Practice Management System Evaluation • Independent expert Panel • GPs, Practice Management, Practice Nursing, informatics • Facilitated by NIHI The project would like to thank the following people for contributing to the review Prof Bruce Arroll Dr Koray Atalag Dr Karl Cole Dr Dianne Davis Barb Fredericksen Dr Sandra Hicks Dr Douglas Kingsford Symon McHerron Ros Rowarth Dr Jim Vause (Chair) Dr Jan Whyte

  6. How – The PMS Review Process PMS requirements Project and report Apr- Sept 2010 [Informed] This Review Final report and rating Draft report to vendors for feedback PMS Review Process, EAG established, RFI developed RFI issued for Vendor response Review of vendor responses by panel Draft report compiled Feb- May 2011 Jun – Jul 2011 Aug-Sept 2011 Oct –Nov 2011 Nov-Dec 2011 Dec 2011 [Informs] Next Steps Collate feedback on areas of focus for next review Panel meet/finalise the review areas RFI issued to vendors …process as above (aiming for 6 monthly cycles)

  7. PMS review round 2 • Areas of focus for next review (target Dec 2012) • Prescribing • Portals • Vendor Support • Cloud/hosted options • Integration test harness for round 2 and future rounds – open to all vendors serving the public health space

  8. Reflections – review round 1

  9. Where do we want to be? • Integrated health eco-system • Standards based and choice • Moving up the information value stream (data > information>knowledge>wisdom) • (Regional) Clinical Data respository feeds • Common measures and structured information to support them • Integrated/shared care: access to a core set of health information…

  10. Key messages • PMS Evaluation moving to certification in 3 years • Patients First delegated accountability by NHITB for the process • Process will evolve – it will persist and is part of the landscape • Integration between systems is a key theme to support integrated care • PMS as key player – part of a larger eco-system and need to integrate within the eco-system to support integrated care • About patients and clinicians supporting patients

  11. Focus • Availability of data to travel in a structured and secure way between systems (bi-directional) • Seamless integration between systems - Linkage and click through seamless to clinician • Improved (and consistency of) clinical coding • Improved medications management • Shared care – integration of relevant information • National primary care change process for compliance requirements (6 monthly release cycles) • Consistency of (development) contract and vendor rates for development • Availability of structured and timely data for quality reporting and benchmarking/analysis

  12. Waypoints • PMS Evaluation - current • PMS Certification – 3 year horizon • (common) integration – toolkit/babelfish • (common) summary record set • 4x regional CDRs • eDischarge • NZePrescription Service • Shared Care framework – rollout commenced • eDischarge and eReferral – rollout commenced • Common set of shared information (2014)

  13. Where are we now? • Current Progress: • PMS Review • National primary care change process being drafted • Toolkit/babelfish in use • Integration test environment being planned • Standard contract agreement • Standards review (RSD in CDA, summary record) • ....

  14. Questions

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