Health Information Management Association Australia

Peter Fleming, Chief Executive NEHTA

2

Healthcare is a major part of the Healthcare is a major part of the EconomyEconomy

• $94 Billion spent on healthcare in 06/07

• 1314 public and private hospitals• 753,800 people working in

healthcare• 4.7 million hospital admissions• 7.1 million visits to ED• 163 Million Prescriptions Per Year

Australia has a world class health system

But, as Australians get older this system will struggle to keep

up

24%13%

If we know this is a problem, then If we know this is a problem, then why do we continue to run a system using so much why do we continue to run a system using so much

paper?paper?

• The average clinician spends 25% of their time trying to find or collect information

• The reliance on incomplete paper records results in unnecessary waste and risk:• 18% of medical errors are due to the

inadequate availability of patient information

• 14% of pathology tests are repeated unnecessarily

• 35% of referrals are unnecessary• These resources would be far better spent on

preventative care

Meanwhile everyone else is benefiting Meanwhile everyone else is benefiting everyday from getting connectedeveryday from getting connected

How do we get the health sector to How do we get the health sector to the same point?the same point?

National E-Health InfrastructureNational E-Health InfrastructureStandards to support connectivityStandards to support connectivity

Smart policy making to drive the Smart policy making to drive the health sector past the tipping pointhealth sector past the tipping point

Coordinated implementation by the Coordinated implementation by the States and TerritoriesStates and Territories

Innovative Private Sector Solution Innovative Private Sector Solution which leverage the foundationswhich leverage the foundations

NEHTA’s Vision

To enhance healthcare by enabling access to the right information, for the right person, at the right time and place.

www.nehta.gov.au

Strategic overview

• Four strategic priorities:• Urgently develop the essential foundations

required to enable e-health. • Coordinate the progression of the priority e-health

solutions and processes. • Accelerate the adoption of e-health.• Lead the progression of e-health in Australia.

Our work program to date

ePathology eDischarge eReferral eMedications

Terminology Secure Messaging Identifiers Authentication

SharedHealthProfile

EventSummaries

SelfManaged

Care

ComplexCare

Management

ClinicianInformation

IndividualInformation

SharedInformation

(Others)

IndividualElectronicHealth Record

E-HealthServices

E-HealthSolutions

NationalInfrastructureComponents

What will this enable?

Opportunity for connecting in healthcare

Replace existing paper transactions with electronic ones

Sector innovation

Emerging technology and broadband changes the way we think about healthcare.

Sector innovation (cont)

• CSIRO also at the forefront

• New Identifiers for Individuals, Providers and Organizations

• Ensures that the right information is associated with the right person

• Operational July 2010• Leverages Medicare

New IdentifiersNew Identifiers

Getting the Sector Getting the Sector ConnectedConnected

• Over the next 2 years the sector will be supported in taking up a common approach to secure online connectivity

• Based on internet standards and smart cards

• Vendors can be certified, so providers can buy software with confidence

• Incentives are provided to help GPs with the burden of upgrading

• NEHTA will have connectivity projects with every State and Territory

Get key clinical Get key clinical transactions onlinetransactions online

NEHTA will work to drive the NEHTA will work to drive the uptake the uptake of:uptake the uptake of:

Electronic ScriptsElectronic ScriptsElectronic Discharge Electronic Discharge SummariesSummariesElectronic ReferralsElectronic ReferralsElectronic Pathology Electronic Pathology Requests and ResultsRequests and Results

The ability for the The ability for the consumer to choose how consumer to choose how and where their health and where their health

records can be accessedrecords can be accessed

IEHR Business Case IEHR Business Case with COAGwith COAG

What next?What next?