4.1 million peoplehisac health information strategy action committee epharmac yaction plan epharmacy...
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• 4.1 million People
Maori 14%
Population
Maori 14%
Pacific People 6%
Asian 6%
• 39.9 million sheep
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• The New Zealand Health System
• New Zealand Health Information
Paul Cressey
• New Zealand Health Information
• eMedicine NZ Context
• Safe Medication Management Programme
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NZ Health
• 21% Govt Budget
• $12 billion• $12 billion
• 9.45% GDP
• Government Funded 80%
• Primary Care 40%
• Secondary Care 60%
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National Health Strategies
• NZ Public Health and Disability Act 2000Act 2000
• NZ Health Strategy 2000
• Primary Care Strategy 2001
• Health Information Strategy for NZ 2005
• Accident Compensation Commission
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Counties Manukau District Health Board
• Population 410,000
• Budget $1 billion• Budget $1 billion
• Hospitals and Primary Care
•Primary Options Acute Care
•Chronic Care Management
•Lets Beat Diabetes
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Health Information Strategy Action Committee
• Ministerial Committee
• Governance, Oversight, Leadership• Governance, Oversight, Leadership
• Sector Leaders
• Infrastructure Subcommittee
• Health Information Standards Organisation
• National Collections Subcommittee
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Health Information Strategy for NZ
• National Networking
• Anchoring Framework
• National Health Index
• Health Provider Index • Anchoring Framework
• Primary Care Information
• Chronic Care Management
• Outpatient Information
• National System Access
• Health Provider Index
• e Laboratory
• e Pharmacy
• e Discharges
• e Referrals
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EMRs in New Zealand
9298100
100
Percent 7 (14) functionsPercent uptake EMR
9289
79
42
2823
98
0
25
50
75
100
NET NZ UK AUS GER US CAN
8783
72
59
32
19
8
0
25
50
75
100
NZ UK AUS NET GER US CAN
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Referrals and Discharges in NZ
New Zealand RSD Messages
Jan 05 - Nov 07
235000
95000
115000
135000
155000
175000
195000
215000
235000
January
05
Febru
ary
05
Marc
h 0
5A
pri
l 05
May 0
5June 0
5July
05
Aug
ust
05
Sep
tem
ber
05
Oct
obe
r 05
Novem
ber
05
Decem
ber
05
January
06
Febru
ary
06
Marc
h 0
6A
pri
l 06
May 0
6June 0
6
July
06
Aug
ust
06
Sep
tem
ber
06
Oct
obe
r 06
Novem
ber
06
Decem
ber
06
January
07
Febru
ary
07
Marc
h 0
7A
pri
l 07
May 0
7June 0
7July
07
Aug
ust
07
Sep
tem
ber
07
Oct
obe
r 07
Novem
ber
07
Month
No o
f M
essag
es
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7582
68
76
75
100
Referrals
Receive Information Back from referral (80% or more)
37
6168
62
0
25
50
75
AUSAUSAUSAUS CANCANCANCAN GERGERGERGER NETHNETHNETHNETH NZNZNZNZ UKUKUKUK USUSUSUS
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Hospital Discharges
10015 days or more to receive a report
28
5853
48
17
52
23
0
25
50
75
AUS CAN GER NETH NZ UK US
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New Zealand Approach
Lab
GP (EMR) Radiology
Drug
LabGP
Patient Point of
Care
GP (EMR) Radiology
Pharmacy
Hospital Specialist
EHR
Specialist
Lab
RadiologyHospitals
GP
Centralised (push
and pull)Point-to-point
(push)
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NationalViews
District / RegionalViews
Appropriate views / subsets of the information below.
Relevant views of information above.
Information Flows
Individual
Local Views
Capture, use, and share
information locally at the point of care.
Standards
Indicators
Health Outcomes
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Shared Health Event Summary “Patient Vitals”
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eMedicine NZ ContexteMedicine NZ ContexteMedicine NZ ContexteMedicine NZ Context
• Only 27% GP Referral letters had accurate medicines
• Only 52% of Surgical wards medication wards medication histories accurate
• 25% inaccuracies in discharge prescriptions
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HISAC Health Information Strategy ActionCommittee
ePharmacyAction
Plan
ePharmacySector Leaders
Forum
Universal “list of medicines”
GP to Rx Pilot
eMedicine NZ ContexteMedicine NZ ContexteMedicine NZ ContexteMedicine NZ Context
HISO Medicine Term Messaging Stds
Expert Advisory Groups
Universal
eRx Message
Medicine Terminology
QICQuality Improvement Committee
DHB Safe Medication
Management Project
Standardised Medication Chart
Bedside Verification
Hospital Medication
Pilots
Sector Plan
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Secondary
Primary
General PracticeCommunity Pharmacy
Rest Home / Private Hospital
Medication
Prescription
DischargeReferral
Report
Claim
eMedicine NZ ContexteMedicine NZ ContexteMedicine NZ ContexteMedicine NZ Context
Hospital Ward
Prescription Repository
CCM Programme
Hospital Clinician
HPaC Payments
Hospital Pharmacy
Prescription
Local NationalRegionalReferral
Prescription
Prescription
Medication
Universal Medicine Message
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Prescribing MIMS
BNF PHARMAC schedule IPA & PHO CME Guides Hospital Lists
New Zealand Australia UK
NHS Dictionary of Medicines & Devices (dm+d)
(Snowmed CT)
Australian Medicine Terminology (AMT)
(Snomed CT)
eMedicine NZ ContexteMedicine NZ ContexteMedicine NZ ContexteMedicine NZ Context
Distribution
Australian Catalogue of Medicines (ACOM)
(GS1 Net)
Hospital Lists
Supply Chain Pharmaceutical Products
(GS1)
DispensingGuild Catalogue
Pharmac Schedule
(Pharmacodes)
Current Lists and Codes
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Decision
Support
Medicines
Terminology
Snomed / Australian Medicine Terminology
eMedicine NZ ContexteMedicine NZ ContexteMedicine NZ ContexteMedicine NZ Context
Medicines
Encyclopaedia
BNFNZ
MIMS
Medicines
Catalogue
Guild
GS1
Terminology
National Medicines Reference System
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Australian Medicines Catalogue
Amoxycillin
Australian Medicines
Amoxycillin 250mg
Amoxil 250mg
Amoxil
Pharmac Schedule
MedsafeSchedule
eMedicine NZ ContexteMedicine NZ ContexteMedicine NZ ContexteMedicine NZ Context
Medicines Catalogue
250mg capsule
Amoxycillin 250mg
capsule 20
Amoxil 250mg
capsule 20
250mg capsule
GS1 Catalogue
Amoxil 250mg
Capsule 20 Blister Pack
Guild Catalogue
NZ Medicine TerminologyNZ Medicine Catalogue
Universal Medicines List
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Safe Medication Management Safe Medication Management Safe Medication Management Safe Medication Management
• 5,000 Patient Medication Errors a year
• 3,500 Patients Temporaily Disabled
Challenge
• 3,500 Patients Temporaily Disabled
• 400 Patients Permanently Disabled
• 150 Patients Die
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Safe Medication Management Safe Medication Management Safe Medication Management Safe Medication Management
• GS1 NZ
• Ministry of Health Official
History
• Ministry of Health Official
• Minister of Health
•“Barcoding Project”
• Quality Improvement Committee
• Lead District Health Board
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Safe Medication Management Safe Medication Management Safe Medication Management Safe Medication Management
• Optimising Patients Journey
• Management Healthcare Incidents
Quality Improvement Committee Projects
• Management Healthcare Incidents
• Infection Prevention and Control
• National Mortality Review Systems
• Safe Medication Management
• Improving Customer Participation
• Education and Training in Quality Improvement
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Safe Medication Management Safe Medication Management Safe Medication Management Safe Medication Management
• Reduce the number of medication errors in NZ
Objectives
errors in NZ
• Reduce the number of patients who are permanently disabled or die as a result of medication errors
• Reduce the costs associated with remedial treatment
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Safe Medication Management Safe Medication Management Safe Medication Management Safe Medication Management
• Standardised Medication Chart
• Medicine Reconciliation
Eight Hospital Projects
• Standardised Hospital Medicine Systems
• eMedication Record, ePrescribing
• Link Medicine Management Systems
• Unit Dose Packaging
• Introduction Bedside Verification
• Training
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Safe Medication Management Safe Medication Management Safe Medication Management Safe Medication Management
• Universal eMedicines List
• Universal eMedicine Messaging
Four Sector Projects
• Universal eMedicine Messaging
• ePrescribing GP to Rx
• Sector Collaboration
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Paul Cressey