Post on 23-Dec-2015
Aligning Health Information Standards Development with the National eHealth Agenda
HEALTH INFORMATION MANAGEMENT ASSOCIATION OF AUSTRALIA LIMITED
26 September 2008
Dr Chris MountDirector
Clinical CommunicationseHealth
Primary and Ambulatory Care Division
Agenda
• An overview of eHealth
• Challenges and Issues
• Key Priorities
• Current eHealth Activity
• Standards
Why eHealth?
eHealth is an enabler not an end in itself• Improved safety and quality outcomes• Improved clinical and administrative
decision-making• Optimal health care delivery• Health system efficiency
Knowledge Management(Creation through research and dissemination through education and electronic decision support)
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sEvidence-based shared care tools
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Infrastructure Services (UHI, Terminology, User Authentication, Conformance and Accreditation)
Individual EHR(PHRs and SEHRs
National, Regional, Local,Population specific)
Clinical Information Systems(GP Desktops, Hospital systems, Laboratory services, Pharmacy systems)
Monitoring andSurveillance
(eg eClinical Registries)
Secure Information Exchange(Referral, Prescriptions, Discharge, Orders, Results, Reports, Notifications, Bookings)
eBusiness Systems(Booking, scheduling, claiming, billing, finance, HR, asset management)
Governance
StandardsData, structured documents, terminology, classifications
Identity, security, information exchange
RegulationWor
kfor
ce
Challenges and Issues
• Enabling the whole system including allied health and primary care
• Supporting a consumer focused approach
• Primary care systems that can reliably handle electronic transfer of information
• Change management and business processes
• Technology is sometimes ahead of the required change process (i.e. digital diagnostic imaging)
• Clinical services within RACFs and connectivity to primary and acute care
Key Priorities for a national approach to eHealth
• Governance• Regulation• Workforce• Unique identifiers • Data & terminology standards• Exchange of clinical information• Individual Electronic Health Records
Current eHealth Activity• The National E-Health Transition Authority (NEHTA) has the task
of developing standards and key infrastructure
– i.e. UHI, supply chain, standards and terminology, IEHR
• Regulation – Privacy, UHI, oversight
• Incentives for technology uptake
– eg PIP
• Research, development and prototyping implementation of the IEHR, point to point messaging enabling clinical communications
– i.e. ePrescribing, web based care planning, IEHR trial
• AHMAC has approved the development of an eHealth Strategy and implementation plan to be managed by the National E-Health Information Principle Committee (NEHIPC)
Standards
• Two problems with current standards for information exchange– Lack of detailed implementation guides
○ Standards often allow more than one way to do something
– Lack of business need for their adoption○ Which would force implementation issues to be addressed
• Standards exist but have not been effectively used
Standards
• Work of NEHTA and Standards Australia is now coming together– Standards Australia IT-014 Health Informatics Committee
focussed on current use– NEHTA has been focussed on the future
• NEHTA implementation activities are bridging the gap– National eHealth Strategy will clarify priorities for
standards development
In Conclusion
eHealth is an enabler of improved health service delivery, not an end in itself
National eHealth Strategy will determine the next steps
Questions ?