World Class ICT Platform for Primary Care

How do we use next generation IT systems to improve quality outcomes?

Feedback loops – OODA or Study act do, becomes real time and

improves, situation awareness for individual and population health.

Actionable outcomes. Improve presentation of data

Communications – Async

Series of one way communications....– peer to peer communication can be very short but rich with implied knowledge

Sync Peer to peer (knows the jargon) Shared screen in web meetings –

removes all integration issues One of the most asked for features by

GPs

Complex?

Hospital care Small, acute, disease centred, concentrated, Staff ?

Primary Care Large , everything, patient centred, spreadout Staff ?

GP Web access to health care data

Patient access via web Integration with common

practice management and billing systems

Support of practice-based clinical research:AuditsCosts, processes, outcomes

Just in time information Knowledge Management

Do the same thing?

Massive increase in knowledge Demand up , practitioner supply down?

- Do more with less and spend more time learning (there is plenty of time between 2 and 4am)

Why

On look out for developments that may help GP Doing nothing is like choosing the same thing Unnecessary variation is HUGE pain.

Thin client not new concept. Proposal to board – time is right Found vendor – approval process..

Cloud????

System to provide private outsourced network and Servers etc, that are not locked to one piece of hardware and allows economies of scale while keeping...

individual practice autonomy”

QuestionIs GP small fast adapting businesses?

Or stuck in the mud that is the Current ICT environment

Multiple vendors with multiple standards all have access to my server!!!!!

Patient centered medicine

Evidence based medicine

Real time population healthPersonal medical Home

ICT Platform - Current Almost all computers hosted locally at GP Practice (few exceptions) Some Practices have power supply and data backup devices in place,

many haven’t PMS software, data security requirements and integration with other

systems are becoming too complex for Practice staff to maintain properly

Next generations of PMS software require in most cases expensive hardware upgrades

Variability in Practice configurations and network connections is creating performance problems

Where needed, Practices have independently contracted IT companies and receive varying quality support

What I say to Practices

If brought a new server todayWill it cope with Future Health net requirementsGP2GP, e prescribing, up grades, shared record,

other?

Is it designed fit for purpose, fit for whole system

Do you lead it or it lead you?

ICT Platform - Current

ICT Platform - New

Cutting edge?

Wx East Tamaki Apollo Rotorua IPA

Just as if local

Benefit

Consistent platform More time on User centred design

Moving to the cloudthe 2 Onion way

40 practices 100 000 enrolled , 120 GPs Over next three years...

Importance of independence for PMS. Feedback

Shared helpdesk

Future

HML nursing integration. Shared care project. PMS not geo locked

DHBReal time case discussionsOne log in for concerto/PMS?All roll outs testing in 2 Onion environment first