e-health reform in Australia: Putting the necessary infrastructure in place Stephen Johnston, Head of National Infrastructure Services, NEHTA

Transcription

1 e-health reform in Australia: Putting the necessary infrastructure in place Stephen Johnston, Head of National Infrastructure Services, NEHTA

2 The National Strategy

3 The NEHTA vision To enhance healthcare by enabling access to the right information, for the right person, at the right time and place.

4 E-health: the electronic collection, management, use, storage and sharing of healthcare information Goal is the individual electronic health record for every Australian

5 NEHTA s Purpose To lead the uptake of E-Health systems of national significance; and To coordinate the progression and accelerate the adoption of E-Health by delivering urgently needed integration infrastructure and standards for health information. 5

6 NEHTA s Mission NEHTA is the lead organisation supporting the national vision for E-Health in Australia; working openly, constructively and collaboratively with consumers, providers, funders, policy makers and the broader healthcare industry; to enable safer, higher quality, accessible, equitable, efficient and sustainable healthcare.

7 7 Strategic Priorities and Initiatives

8 Strategic Overview Four strategic priorities: Urgently develop the essential foundations required to enable e-health. Coordinate the progression of the priority e-health solutions and processes. Accelerate the adoption of e-health. Lead the progression of e-health in Australia.

9 Build the foundations Urgently develop the essential foundations required to enable e-health This priority stresses the need to deliver essential e-health services such as Unique Healthcare Identifiers, secure messaging and authentication, and a clinical terminology and information service. These will form the backbone of Australia s e-health systems. 9

10 Priority solutions Coordinate the progression of the priority e-health solutions and processes Some e-health solutions and processes provide the greatest opportunity to improve health practice and deliver benefit. Priorities include referrals and discharge, pathology and diagnostic imaging and medications management.

11 Accelerate adoption Accelerate the adoption of e-health It is critical to increase the awareness and uptake of e-health initiatives by the various stakeholder groups, through collaboration and communication programs, incentives and implementation support.

12 Orchestrate e-health Lead the progression of e-health in Australia This priority reflects that NEHTA has a significant role in leading the direction of the current and future state of e-health in Australia, including future initiatives and the impacts on privacy and policy.

13 Our work program to date Individual Electronic Health Record Clinician Information Individual Information Shared Information (Others) E-Health Services Shared Health Profile Event Summaries Self Managed Care Complex Care Management E-Health Solutions epathology edischarge ereferral emedications National Infrastructure Components Terminology Secure Messaging Identifiers Authentication

14 Aligning Architecture

15 New Identifiers New Identifiers for Individuals, Providers and Organisations Ensures that the right information is associated with the right person Operational July 2010 Leverages Medicare

16 Where are we driving towards? New identifiers by June 2010 Get the sector connected Replace existing paper transactions with electronic ones

17 Getting the Sector Connected Over the next two years the sector will be supported in taking up a common approach to secure online connectivity: Based on internet standards and electronically stored identification data Vendors can be certified, so providers can buy software with confidence Incentives are provided to help GPs with the burden of upgrading NEHTA will have connectivity projects with every State and Territory

18 Get key clinical transactions online NEHTA will work to drive the uptake the uptake of: Electronic Scripts Electronic Discharge Summaries Electronic Referrals Electronic Pathology Requests and Results

19 What next? The ability for the consumer to choose how and where their health records can be accessed IEHR Business Case with COAG

20 National Product Catalogue and eprocurement Ken Nobbs, Program Manager Medical Products, NEHTA

21 What is the National Product Catalogue (NPC)? The NPC is Australia s central data repository (data synchronisation solution) for all healthcare product data Hosted by GS1 Australia on GS1net: Global Trade Item Numbers (GTINs) Standardised data Adheres to established internationally accepted standards Single suite of standards for all Provides a cost effective way of maintaining current and accurate supply information

22 What does the NPC capture? 84 fields of data in total for healthcare items medicines and devices. Data (including GTIN) required for all medicines and medical devices at all levels of packaging. No current requirement for unit of use data and identifier but facility built to accommodate this requirement. Healthcare specific information includes: ARTGID, PBS or RPBS, GMDN classification, TGA risk classification, and Handling Instructions. NPC also collects data on components for multi-component medicines or devices.

23 NPC Data Synchronisation

24 Data Synchronisation It is Central Bedside Scanning / Theatre Management Barcoding & Data Capture Item registry and synchronisations Common data standards Patient safety / Quality Efficient process Lower catalogue maintenance

25 Utilisation in Australia Supply Chain management Basis for eprocurement Linked to our terminology necessary in clinical systems Leveraged for product recall working with GS1 Australia to build a better solution Used for data capture in tender processes Being developed for hospital pharmacy

26 NPC Progress Over 45,000 items to date Around 250 companies committed to the NPC All major wholesalers signed up Most large pharma companies have populated Large medical devices companies either populated or getting data organised All jurisdictions using data Growing demand from the private sector

27 eprocurement Need for a standardised approach Immature industry No standards No guidelines Recognition of a need for a national approach Same suppliers Leverage best practice from other industries Easier for everyone to comply

28 eprocurement Utilising internationally proven standards Utilising standards already used in other industries in Australia Creating and using standards for the first time in Healthcare Standards based approach to mate eprocurement uniform across all jurisdictions GS1xml Specified messages and message content Web services Federated hub model free exchange of messages between hubs, translation and messaging costs only passed on to clients Leveraging the NPC

29 eprocurement

30 Questions