PREPARED BY

Standards and interoperabilityTowards 2014 (Part 1 of 3)

Alastair_Kenworthy@moh.govt.nz

7 November 2012

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The destination is …

Person-centred, integrated health care

Clinicians, consumers and IT people working in co-production

Providers having the confidence to invest in new solutions

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National priorities 2012-14

eMedicines programme Pharmacy clinical integration eMR, ePA NZULM, NZ Formulary

Regional information platforms eReferral and eDS CDRs, CWS, ED solution PACS LIS, pharmacy PAS

National solutions Cancer information Cardiac health Comprehensive clinical assessment Health identity platform FMIS, procurement, supply chain

Clinical integration LTC shared care Maternity and well child Patient portal View of primary health info Urgent and unplanned care

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Realising the 2014 vision

Offered by IFHCs Personal health info Appointments Repeat prescriptions Email consultations

Common regional CWS and CDR

Accessible both hospital and community

Inter-regional view

Patients with LTCs and high needs

Multidisciplinary input

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Repository-based information sharing

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GP2GP

Currently about 4000 medical records transfers per month

About 50% of GPs are users

Files over 5 MB have to be sent the old fashioned way (a future upgrade will allow files to be sent in pieces)

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The solution space

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Connected care

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Pharmacy clinical integration

eRx via NZePS eReferral via (eg) ERMS

Pharmacy desktop Dispensing system

Assessment tool Shared care system

Assess eligibilityCentrally register

Create medications plan

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SHARED CARE

PHARMACY

SERVICES

AGREEMENT

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Emergency care

Common ED solution based on hospital PAS and CWS

Ambulance sends ePRF (as a kind of referral, but also an event summary) to hospital ED

Ambulance accesses primary care info and previous discharge summaries

Presenting complaint, diagnoses etc are SNOMED coded

eDS shared via R-CDR

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Discharge and follow ups

Discharge Rx via NZePS

eDS shared via R-CDR

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My List of MedicineseRx

My Listof Meds

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My List of Meds – a repository-based application