Paul Frosdick aligning the interoperability planets
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Colibri Consulting Pty Ltd ALIGNING THE INTEROPERABILITY PLANETS Reflections of an itinerant informatician. 1 Copyright Colibri Consulting Pty Ltd 2013
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Paul Frosdick delivered the presentation at the 2013 eHealth Interoperability Conference. The 2013 eHealth Interoperability Conference program is a balance between updates on state-wide interoperability projects, health service eHealth project case studies, and discussions of overarching principles such as information governance, data standardisation, and the future direction of eHealth in Australasia. For more information about the event, please visit: http://www.informa.com.au/eHealth13
Transcript of Paul Frosdick aligning the interoperability planets
Colibri Consulting
Pty Ltd
ALIGNING THE
INTEROPERABILITY
PLANETS
Reflections of an itinerant informatician.
1Copyright Colibri Consulting Pty Ltd 2013
Colibri Consulting
Pty Ltd
Colibri Consulting
Pty Ltd
• Personal introduction
– How did I get here?
• 3 National eHealth program life cycles
– How did we get here?
• eHealth drivers
– Why are we here?
• Lessons learned
– Was there a best way to get here?
• Aligning the planets
– Where do we go from here in Australia?
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PRESENTATION OVERVIEW
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Colibri Consulting
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PERSONAL INTRODUCTION
Colibri Consulting
Pty Ltd
Colibri Consulting
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3 NATIONAL PROGRAM LIFE CYCLES
• Starting capital
– Extensive , diversified GP computing base
– Very high central investment levels
– New strategic vocabulary partnership
• Program approach
– Patient centred records
– Supplier market rationalisation
– Standards and records centralization
• Current status
– Reintroduction of local system choice
– Vocabulary migration ongoing
– Professional leadership in record standards
http://www.doublejdesign.co.ukImages from
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Colibri Consulting
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3 NATIONAL PROGRAM LIFE CYCLES
• Starting capital
– Extensive, consolidated GP computing base
– COAG commitment
– Significant ‘lessons learned’ collateral
• Program approach
– Patient centred records
– National foundation building
– Supplier market enforcement
• Current status
– Key infrastructure elements maturing
– Vocabulary migration nominal
– Market driver disconnect
http://www.doublejdesign.co.ukImages from
Colibri Consulting
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Colibri Consulting
Pty Ltd
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3 NATIONAL PROGRAM LIFE CYCLES
• Starting capital
– Partial, diversified acute computing base
– Vigorous standards based community
– Strong clinical leadership model examples
• Program approach
– Risk reduction approach
– Vocabulary standard rationalisation
– Stimulation of provider demand
• Current status
– Increasing key data liquidity
– Unprecedented vocabulary migration
– Clinical leadership sector segmented
http://www.doublejdesign.co.ukImages from
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Colibri Consulting
Pty Ltd
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COMMON LIFE CYCLE CHARACTERISTICS
Old paradigm diversity
New paradigm
vision
Rigorous centralisation
New paradigm
innovation
New paradigm diversity
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Colibri Consulting
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• Patient centric care
• Management of complexity
• Reduction of risk
• Control of cost per unit increases
• Improved demand forecasting
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EHEALTH DRIVERS
• Operability to interoperability
• Decreasing numbers of clinicians
• Patient managed care
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AN ESSAY ON INTEROPERABILITY (C1973)
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Colibri Consulting
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Colibri Consulting
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Colibri Consulting
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• Changing the old paradigm diversity was correct.
• The vision of patient centric interoperability was correct.
• Creating urgency, a guiding coalition and whole
community buy-in has been variable.
• Rigorous centralisation has had net benefit.
• Retained centralisation does not necessarily preserve net
benefit.
• Acceleration towards achievement of patient centric
interoperability requires a market-centric investment
model.
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LESSONS LEARNED
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COMMON LIFE CYCLE CHARACTERISTICS
Old paradigm diversity
New paradigm
vision
Rigorous centralisation
New paradigm
innovation
New paradigm diversity
Colibri Consulting
Pty Ltd
Colibri Consulting
Pty Ltd
13Copyright Colibri Consulting Pty Ltd 2013
ALIGNING THE PLANETS
• Infrastructure
– Content
– Structure
– Transport
• Professional standards
– Perceived value
– Record keeping
• Market drivers
– Demand side
– Supply side
Mirror Meaningful Use to focus central investment on stimulating a government – provider –supplier value chain
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Colibri Consulting
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• Financially incentivise critical data return
– Based on confirmed content standards
• Channel critical data return
– Based on confirmed record structure and
transport standards
• Consolidate centralized functions
– Based on standards maintenance and system
accreditation
• Allow new paradigm innovation to create the provider
required functionality necessary to deliver critical data
returns
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ALIGNING THE PLANETS
Colibri Consulting
Pty Ltd
Colibri Consulting
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THANK YOU
