Connected Health Industry Forum

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Connected Health Industry Forum
Information Directorate Ministry of Health, New
Zealand September 2007
www.moh.govt.nz
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Agenda

• Introduction
• Industry Forum role and objectives
• Technical Aspects
• Questions
• Next Meeting

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Health Disability Sector Market Situation

• Business Requirements
• Improved efficiency from staff
• Better return from IT spend
• Better price point performance
• Reinvest in new technology to improve ROI
• More communication between Healthcare providers
• Excellent usability
• Continual efficiency and cost savings from
  Connected Health

• Technical Overview
• Protecting Privacy
• Locate peers for collaboration
• Standardisation
• Integrate heterogeneous technology environments
• Multiple Private and Public Network services
• Number of organisations, connection points,
  systems capabilities
• No common approaches to similar problems

Better Health outcomes for all NZers through
improved use of technology
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Is there an opportunity?
340,000 Cytology requests 180,000 Patient
records 390,000 Vaccination reminders 270,000 New
patient registrations 4,100,000 Pathology
requests 260,000 Patient reports 20,000,000
Prescriptions 1,300,000 Referrals 760,000
Reminders
Annual General Practice information flows
Out
Paper
87
331,000 Cytology results 435,000 Discharge
advices 534,000 Discharge letters 185,000
Mammography results 710,000 After hours
reports 2,163,000 Outpatient letters 6,409,000
Pathology results 426,000 Radiology
results 317,000 Info requests 400,000 Screening
results
Electronic
Phone
5
8
In
Wales 2004
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Connected Health Vision
A New Zealand Connected Health community where ...
participants can easily, effectively and securely
communicate

• This will be achieved by
• providing the Sector with the capability to
  communicate for clinical benefit
• working with suppliers to expand network
  connectivity and improve access to Health and
  Disability applications and services
• supporting increased availability of accessible
  and interoperable health care applications

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Connected Health the path from vision to reality
Standards Review complete
Authentication assessment
Initial Market Research results
Directory in place
Directory RFP
Management structure in place
Procurement plans defined
Procurement Strategy defined
High level Architecture defined
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Connected Heath product process value chain
Sector requirements
Standards
Procurement
Approval
Supplier Product Offering
Connected Health Approved Product
Installed Product
Product Development
Certification
Deployment
Approval
Quality requirements

Clinical Adoption
Collaboration capability
Beneficial Product
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Forum Purpose and Objectives

• Design/definition of interoperable products and
  services
• Promote integration, interoperability and
  communication capability across the Health and
  Disability sector
• Assess barriers and drivers to interoperability
  and integration and develop actions to address
  these
• Prepare recommendations on technical standard
  gaps and issues
• Provide a consistent communication channel to and
  from the Industry
• Foster innovation and share good ideas
• NOT a forum for commercial negotiation,
  certification or procurement

The Forum is owned by, operated by and
accountable to its members
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The Forum opportunity

• Open environment for innovation
• Have input into standards framework development
• Address common technical and product development
  issues
• Gain better understanding of certification
  requirements
• Reduce time to market and design costs
• Receive market research presentations
• Be listened to
• Be kept updated on Connected Health developments
• Market growth opportunity across entire Health
  Sector
• more customers
• creation of new products
• Speak as one (louder) industry voice
• Membership open to all IT and telecommunication
  companies

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Industry Forum
Standards framework
Integration profiles
Sector requirements
Application Providers
Product/ Service specs
HealthSector RFPs/ RFIs
Service Providers
Standards
Network Access Providers
Market opportunity
Broadband Product offerings
Facilitation and Support
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What is needed from you

• Active and ongoing participation take
  responsibility and ownership
• Represent your organisation
• Raise common issues and propose solutions
• Active review of information and provision of
  feedback
• Form and participate in working groups
• Work to achieve agreement on Forum
  recommendations
• Support of agreed standards
• Design/develop products and services to meet
  market needs and defined interoperability/integrat
  ion standards

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Connected Health Industry Forum

• The Connected Health teams role is to
• engage with the Health Sector, and to
• provide opportunities for the Industry to present
  new products and services to the wider Health
  Sector
• Forum sessions will be facilitated by NZ Health
  IT Cluster
• facilitate and manage future Forum sessions
• held every two months
• Working groups to be established
• Nominations
• Potential Groups
• Architecture/standards
• Product Development

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Options considered to achieve Connected Health

• Build a Health Network and lease it to the sector
• Central interconnection hubs
• Prescribed connection requirements
• Limited/no industry input into designs and
  standards
• Or alternatively

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The Connected Health Community will look like
Health Application Providers
Communication Services
Emergency Services
DHBs
Pharmacies
Healthcare Centres
INTEGRATED INTEROPERABLE Access to applications
communication capability
Laboratories
Specialist Clinics
Diagnostic services
Hospitals
Healthcare Workers
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Connected Health Technical Framework
Application y
Application z
Application x
Integration Profile
Integration Profile
Integration Profile
Authentication Authorisation Accounting
Authentication Authorisation Accounting
Authentication Authorisation Accounting
Interoperability Framework
Messaging
Directory Services
Web Portals
Domain Name Service
Network Access Control
Interoperability Framework
Interconnected Broadband Network Access Products
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The Integration Pyramid
Local
Specific Designs
Industry provided
Typical Designs
IHE
Inter-operability
Standards Framework
Connected Health supported
High level Architecture
National
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Key Architecture Characteristics

• 3 Tier Technology Construct
• Disaggregation
• Standardisation
• Openness
• Security
• Dedicated .health.nz 2nd level domain
• End-point segmentation
• Minimum level of broadband access
• Open Network Service provision

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High Level Architecture
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Forum role in standards

• Focus on what is needed for interoperability,
  communication, collaboration and integration
• Health Sector PAS requirements driven
• Consider existing,' open, best practice as first
  choice
• Focus on adoption issues not development
• Develop typical designs
• Connected Health provides results of Standards
  Review, Interoperability Standards Framework
• HISO seeks Forum comment on standards
• Forum recommends candidate standards to HISO

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Next Forum session

• The next Forum session is on 14 November 2007
• The session will cover
• Architecture
• Following session Market Research results
• Verify sector requirements
• Market Research supplier
• Foundation report for Connected Health
• Start thinking about development of...
• DHB Network to Network interface
• GP Network Access
• Directory service integration

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• The Health IT Cluster will be contacting
• you regarding the next Forum meeting
• New Zealand Health IT Cluster
• PO Box 25233 Panama Street Wellington 6146
• www.healthit.org.nz
• Contacts
• Andrea Pettett
• Chief Executive
• 04 472 4691
• a.pettett_at_healthit.org.nz
• John Tailby
• Programme Manager
• 04 472 4691
• j.tailby_at_healthit.org.nz