National Health Information Systems New Zealand

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National Health Information Systems - New Zealand

• Brendan Kelly
• Interim Deputy Director-General
• Information Directorate
• Ministry of Health

www.moh.govt.nz
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New Zealand

• Scenic wonderland
• 4.1 million people (Wales 2.9, UK 60.4)
• 269,000 sq kms (Wales 20,779, UK 244,101)
• Latitude 34-47 South (UK 50-60 North)
• Main income earners primary and tourism
• Two official languages English and Maori

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A Day in a Life of New Zealand
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NZs Primary Care Computing

• e-laboratory results are sent from community
  laboratories to 70 of General Practitioners
  (GPs)
• Patient management systems (PMS) are used by 90
  of GPs for patient administration, such as
  waiting room management, billing and referral
  orders and results
• Over 50 of GPs use their PMS for clinical
  purposes such as electronically generating
  prescriptions and electronic recording details of
  patient health encounters
• 99 of pharmacies are computerised
• Over 80 practices are connected to the internet

Didham et al. 2004. Information Technology
systems in general practice medicine in New
Zealand. New Zealand Medical Journal
117(1198)1-17.
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Our Foundations for Success

• Extensive computerisation of patient information
• Broadly accepted strategy HIS-NZ 2005
• Well-established information anchors
• Patient - National Health Index (NHI)
• Practitioner - Health Practitioner Index (HPI)
• Data standards (HISO Standards)
• Established national health network clear
  direction for health connectivity
• Strong national, regional local relationships
  in clinical, administrative specialist areas

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Balance

• Key to a functioning information environment is
• a balance between the diversity that comes with
  local innovations that meet local requirements,
• and
• the consistency required to support integration,
  coordination of care and decision-makers to
  understand and reflect on their contributions to
  the broader performance of health

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The underpinning principles

• Protect the value, integrity and confidentiality
  of the information.
• Good governance, stewardship and process
• Support the reduction of health inequalities
• Link people through networks rather than
  consolidating data centrally

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The underpinning principles

• Information collected once, at the point of
  contact, and used appropriately to meet multiple
  needs.
• Leverage common solutions to meet diverse users
  needs
• Evolve as requirements, priorities and activities
  change
• Focusing on areas of greatest health gain and
  opportunity cost

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The underpinning principles continued

• Enable information to be collected once, at the
  point of contact, and used appropriately to meet
  multiple needs.
• Meet diverse users needs, while leveraging
  common solutions so to avoid waste and
  fragmentation
• Respond to changing needs of users, evolving as
  requirements, priorities and activities change
• Provide value for the investment by focusing on
  areas of greatest health gain and opportunity cost

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The five uses of data

• Data collected should be available for
• Supporting clinical intervention
• Clinical Governance
• Administration (in all parts of Health)
• Strategy and policy development
• Research

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Architecture
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Primary Health Care Strategy Key Directions
for the Information Environment
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Basic Principles of Data Collection

• Data should provide information to
• enable self-management by individuals, families
  and communities
• identify and responding to population health
  needs
• support the tailoring of care for individuals
• enable the coordination of care and integration
  of services
• improve performance and evidence based decisions

Ministry of Health. Primary Health Care Strategy
Key Directions for the Information Environment.
Policy Consultation Document. April 2007.
Wellington Ministry of Health
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How it all works together
HEALTH OUTCOMES
Better Participation and
Better Health
Reduced Inequalities
Trust and Security
Independence
Strengthen capabilities
Increase early
Increase coordination
Slow rate of progression,
of individuals, families
recognition and
Reduce development of
Strengthen community
across providers,
reduce incidence of
and whanau to make
response to individuals
contributory risk factors
engagement
processes and
avoidable complications
health and well
-
being
and populations
community resources
decisions
KEY DIRECTIONS CAPABILITIES
Identifying and responding
Supporting tailored care
to population health needs
Supporting self
-
care
(individual, whanau, family, community)
Enabling the coordination of care and
Improving performance and
integration of services
evidence based decisions
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Determining the Development/Investment Pathway
Primary Health Care Strategy Key Directions for
the Information Environment
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The depth of the investment
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The depth of the investment
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Why all this is important

• MyDiabetes.Health.NZ

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