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Achieving integration – a Primary Care View SYSMEX Conference 2012

Achieving integration – a Primary Care View SYSMEX Conference 2012. Andrew.Terris@patientsfirst.org.nz 12 October 2012. Coverage.

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Achieving integration – a Primary Care View SYSMEX Conference 2012

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  1. Achieving integration – a Primary Care View SYSMEX Conference 2012 Andrew.Terris@patientsfirst.org.nz 12 October 2012

  2. Coverage • The advent of increased focus on quality measures, review and refresh of HISO standards and emergence of a more clinically rich dataset is putting increasing demands on the need for information. • What does this mean for information systems over the next year and • how can the sector use this to best advantage?

  3. Patients First Is • The National Primary Care Quality and Information Programme • Multi-disciplinary • Focus on integration and measures Better health through better systems and better information

  4. Governance

  5. Patients First Model

  6. Where we have come from In the last 2 years, Patients First has delivered or is well down the path of delivery on: • GP2GP • Clinical Pathway tool evaluation • PMS Requirements • Health Quality Measures Library • SMM Primary Care • PMS Toolkit (universal translator) • PMS Certification/validation • eDischarge (framework) • Sector engagement and teamwork • Community ePrescription Service • Building strong relationships pan sector

  7. Health Quality Measures NZ

  8. How does HQMNZ compare?

  9. Creating a Better eco-system • We have a measurements framework for a common language of measurements in health • We have a defined standard for clinical information • We can share information in a structured way • We have the start of a universal translator for systems to share data • We have a PMS certification framework to balance a clinical voice in requirements

  10. Current Sector Context • Integration • BSMC • Primary options for acute care (incl increased community access to diagnostics) • Shared Care • New models of care • IFHCs and IFHNs • Pharmacy Services Agreement • Reducing avoidable (re)admissions • Information sharing • High focus on maternity/child health

  11. Information sharing for? • Patient Care and Safety • Supporting clinical delivery • Population Health analysis • Predictive Risk Modelling • Shared Care • Accountability • Funding • Other?

  12. Eco-system (points of integration)

  13. Main trends in integration • Summary Record • Shared Care (Case Management) • Standards (RSD, ePharmacy, Status Summary Record, Interoperability Reference Architecture) • Pharmacy information for supporting LTC and care provision • PPP - aggregate information currently, some discussion re patient level data for analysis • Maternity/Child integration of care • HQSC driving more quality reporting (HQSI, Atlas of variation)

  14. Standards for reaching the e-health vision

  15. What is Shared Care?

  16. Who is doing what? (a subset view) • Northern Region – Testsafe and CDR review • Northern Region – National Shared Care Project • Midland region – call centre, central triage, patient access to record and booking • Mid Central – A/H and emergency access to information. Ambulance paramedic and call centre triage • Canterbury: eSCRV, Collaborative Care

  17. eSCRV Privacy – Overview GP opt off Roll based filter

  18. eSCRV Privacy – Access Matrix

  19. Integration - Vendor Responses • ORION – Concerto variations (access between secondary and primary – DHB and region driven) • Medtech – Manage My Health • Healthlink – Care Insight (real-time “pull” of data from regional eco-system for up-to-date snapshot of summary data) • HSAGlobal – CCMS (Case management for at-risk/LTC cohort)

  20. Summary reflections • Patient identifiable data is sacrosanct • Need to share and match data to identify frequent fliers • Trend to opt off model for CDR/summary record • Who gets access to what information in a shared care context • Greater degree of community access to diagnostics and focus on referral protocols with corresponding test/orders

  21. Summary reflections • Desire (from a quality perspective) to share information for learning and quality improvement (place higher demand on timeliness and detail of data) • Greater demand from clinical community for information flow to support effective patient care • Ministry of Health looking for increased focus on information for measuring effective primary care integration • Advent of structured information flow highlighting coding quality issues

  22. Questions

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