Progressing And Transforming Health - The PATH to the Future of Health Information
←
→
Page content transcription
If your browser does not render page correctly, please read the page content below
Progressing And Transforming Health The PATH to the Future of Health Information
2
REGIONAL INFORMATION STRATEGY 2010 - 2020
INTRODUCING PATH
Progressing and Transforming Health (PATH) sets themselves, to more timely and effective medical
out the direction for health information in the treatment and better planning for health
northern region to 2020. resources.
Health information systems need to change to This document is a summary of the comprehensive
support new models of healthcare. Any PATH strategy which describes what this new
improvement in healthcare can only occur with health information system will look like, and what
better information and universal sharing of that we need to do to put it in place. It has been
information between hospitals, GPs, pharmacists, developed with the involvement of primary,
laboratories, physiotherapists and other health community and secondary care and has been
providers, and patients themselves. Access to formally accepted by the region’s four District
information is key to people looking after Health Boards.
THE CHANGING ENVIRONMENT
For many years, we have been aware of the complete and instantly accessible information
pressures the health system is under, and ensure patients receive the best treatment.
predicting the need for change. The pressures are
We now know that for healthcare to work
becoming greater with escalating demand for
properly, patients need to be at the centre of
services.
services, and this is the case for health
In the years ahead, DHBs and their community information. Individual health data belongs to an
partners will face greater demand from a growing individual patient, so they should have access to
and ageing population with higher expectations use it, edit it and decide who sees it.
about what can be done. This means increased
People’s information has been locked up in
volumes of work and complexity, while at the
separate primary, community and secondary
same time there will be constrained resources and
health systems. Change requires clinicians,
difficulties filling clinical positions.
managers and information services personnel to
It will not be possible to continue to work in the work in partnership to integrate current systems
same way as in the past. We require new models so they can share the necessary patient details
of care to successfully meet the health needs of when needed – medical history including tests,
our populations. treatments, pharmaceuticals, as well as carer
contacts and family circumstances.
Information technology is often seen as a
competing demand for funding, along with Getting everyone to use the same core set of data
hospital and community services. Yet all health is a fundamental change from previous
personnel would have a story about care information strategies and aims to give clinicians
compromised by a lack of up-to-date and timely certainty that they have complete and up to date
data. Dependable IT systems providing accurate, information about their patients.
WHY WE NEED PATH
The strategy of the last ten years has been to into chronic care, children’s health, disability and
exchange information between the many systems mental health for instance, and separate systems
of primary, community and secondary care. This developed around these, creating further divisions.
resulted in health information being segmented3
Millions of dollars and years have been spent on individual and staff immediately. We should be
integrating an increasing variety and complexity of able to provide this level of access to personal
provider systems for each of these segments. health information.
While there has been some success, this approach
An individual can book holiday flights and
does not support the new models such as shared
accommodation on-line, and in the same way, they
care and multidisciplinary teams, where
should be able to book in a time for medical
information is needed from across the sector. It is
treatment or tests. Currently it requires a number
not sustainable.
of letters and phone calls if the scheduled time is
People now use web based technology to manage not suitable, as well as the time of practice or
their personal information. They can keep secure hospital booking clerks.
their banking data and move their money around.
Every transaction is recorded, even down to the
last cent, and it can be viewed by both the
HOW PATH WILL SUPPORT NEW MODELS OF CARE
Health professionals
At present, information is stored (or lost), as electronic health record (EHR) and be able to
emails, faxes, scans and letters in filing cabinets contribute to it. This shared record is becoming
and on different computer networks. Critical essential, as people will increasingly see a range of
clinical information about a patient is not providers, through new multi-disciplinary teams
accessible by those who need it especially in and Integrated Family Health Centres.
emergencies. GPs do not have access to specialist
Health professionals will also be able to confer
or hospital information about their patients and
through the web, making consultations more
vice versa.
effective and less time consuming for all, including
In the future patients will benefit from a more the patient.
continuous flow of information between their GP,
Doctors will know more about the cost of
community care giver and specialist. Health
treatments and alternatives, so they can be better
providers will have instant, 24 hour access to up-
informed about the resource implications of their
to-date patient history in the form of a secure
decisions.
The public
Individuals can decide to keep family members
People can take better care of themselves if they
informed so they can help with care. For instance,
understand their medical problems and health
a GP could make available health information for
indicators, such as weight or blood pressure, and if
an older relative to a carer if it was agreed.
they can share this and other information with
new providers if they visit or move. Individuals will Health organisations in the northern region will
be able to view laboratory results, update their define the core set of information about a person
information such as care plan goals, and make required by health professionals and automate its
appointments or consult electronically with their collection for this new single electronic health
GP. record.
With all interventions listed and available, we can The electronic health record will be made available
eliminate the waste and inconvenience of through the implementation of a regional Health
duplicating tests and other (often painful) Management Information System. This will
procedures. Allergies and drug reactions as well as interface to a range of specialist systems such as
medication regimes need to be known by all laboratory, radiology, pharmacy; to national
involved in a patient’s care. systems such as the National Health Index (NHI)
and to community providers.Health providers, planners and funders
consistent analysis is difficult. Under PATH, there
To plan health services, providers, planners and
will be standardised business processes, data
funders need an overview of population health
definitions, coding and reporting, such as a single
status, trends and determinants of ill health and
chart of accounts and product catalogue, all
wellness. A common core set of data is key to
supported by a regional or national system.
analysing trend information. PATH will establish
guidelines for the access, aggregation and Today people using a health service or working in a
reporting of population information so it can be health service often find it difficult to get access to
systematically collected and interpreted according basic information such as contact details, where to
to a particular provider, iwi, patient group, funder, go for help or how to complete a particular task.
region or location. Delivering new models of care requires much
better tools to manage ‘knowledge’ and give easy
The current staffing shortages are expected to
access to the right information at the right time.
worsen over the next ten years, so managers will
need to know how many health professionals to A single northern region DHB IT service
recruit and train and where to deploy them around organisation will be established to support the
the region. new regional systems. Services and systems will
be offered to primary, community, and secondary
Currently organisations use a variety of processes
health providers.
and systems, data collection is fragmented, and
WHAT INVESTMENT IS NEEDED
Implementing systems in the northern region to In the coming years we will face significant
support new models of care is estimated to financial constraints so this spend will need to be
require an investment of between $75M and justified and prioritised within the existing health
$150M over a five year period. budget by showing clearly how it will improve
services and reduce or hold costs.
WHAT HAPPENS NEXT
PATH will be implemented in stages over the next • Develop implementation plans and identify
ten years with the immediate priority being to set ‘cornerstone’ projects to get underway.
up the Regional Information Governance Group • Engage with clinicians, patients, managers and
(RIGG) with representation from across the staff on priorities and supporting principles to
region’s health organisations. The RIGG will:- guide the implementation.
• Establish the northern region IT service
• Review and confirm existing Programme
organisation to deliver and support the
Steering Groups.
regional systems.
• Establish three new Programme Steering
Groups for person centred health information,
population health information and business
information.5
THE PATH
Improving Improving
Planning
population clinical Research
and funding
health status quality
Supporting
anonymised
integrated
person data
Electronic
Supporting Health Supporting
shared care and patient access
multidisciplinary Record and managed
teams self care
Supporting
routine and 24
hour patient
care
FURTHER INFORMATION
For further information about PATH, refer to the online version of the full regional information strategy and
summary documents available from each DHB's website at:-
http://www.adhb.govt.nz
http://www.cmdhb.org.nz
http://www.northlanddhb.org.nz
http://www.waitematadhb.govt.nz.You can also read
