himma national conference 2005 accelerating e-health dr ian reinecke ceo national e-health...

HIMMA National Conference2005

Accelerating E-Health

Dr Ian ReineckeCEO

National E-Health Transition Authority (NEHTA)

Geelong29 July 2005

nehta

- 2 -National E-Health Transition AuthorityIR presentation EH Records Congress 27 June 2005.ppt

nehtaNehta’s Role and Function in E-health

1. What has it been tasked to do?

2. Why did Australia set it up?

3. How does it go about its work?

4. What was its performance against objectives in 2004-5?

5. Where will its focus be during 2005-6?


nehtaWhat Nehta been tasked to do?

Accelerate the adoption of e-health in Australia Develop a national approach involving all governments Address the requirements of both primary & secondary care Enable the more efficient exchange of information across Health Provide the specifications to enable interoperability between:

- Organisations

- People

- Systems


nehtaWhy Did Australia Set it Up?

Recognition of the substantial cost and quality penalties of the status quo

Frustration at the slow progress in developing interoperability Concern about fragmented investment in ICT in Health Too many organisations pushing incomplete solutions with no national coordination

Major initiatives with similar objectives in the UK, Canada &USA


nehtaHow Does Nehta Go About its Work?

Annual Work Program approved by all governments Common method applied to all projects, including:

• Scoping the specific initiative

• Canvassing the available options for solutions

• Identifying the preferred approach

• Testing the approach through advisory process

• Developing draft business cases and budgets

• Testing assumptions, develop risk analysis

• Presenting recommendations to Nehta Board and AHMC

• Publishing documentation or commission solution

• Monitoring implementation to refine solution


nehtaNehta’s performance against the 2004-5 work plan

• Clinical Data Specifications

• Clinical Terminologies

• Product Identification

• Patient Identifier

• Provider Index

• Product Directories

• Consent Model

• Secure Messaging

• Technical Integration

• Supply Chain

• Resource Centre

• Informatics Reform


nehtaClinical Data Specifications

Objective: National agreement on prioritised clinical event summaries and clinical code sets

Achieved: Clinical data specifications and user implementation guides for field testing – endorsed by AHMAC (Australian Health Ministers’ Advisory Council), June 2005


nehtaClinical Specifications

Develop business case and recommendation for preferred Australian base-level terminologies

AHMAC endorsed the preferred national solution for clinical terminology using SNOMED CT as the basis for the Australian national terminology, June 2005


nehtaProduct Identification

Identify standards for identifying medicines, prescribed consumables & medical equipment

Agreed by AWG (AHMAC IM&ICT Working Group) that all jurisdictions include compliance with EAN/GTIN standards as a requirement in future procurement


nehtaPatient Identifier

Develop detailed definition of the Patient Identifier Solution

Preferred approach of leveraging relevant existing HIC elements to create national solution endorsed by AHMAC June 2005. Fully costed solution to be presented to Ministers in the context of the 2006-7 budgetary cycle.


nehtaProvider Index

Develop business case and definition of technical and functional requirements of recommended solution

AHMAC endorsed June 2005 a centralised model using existing trusted sources; to be developed as costed proposal in consultation with potential providers


nehtaProduct Directories

Development of national medicines directory in accordance with concept and implementation plan

Proposed approach of developing the directory based on hospital formularies used by Queensland and Tasmania, databases operated by the TGA and Society of Hospital Pharmacists endorsed by AWG June 2005. Proposed transfer of ACOM from Commonwealth to Nehta August 2005.


nehtaConsent Models

Define boundaries and scope for a national consent solution and a business case for the preferred option

AWG endorsed in principle June 2005 the consent operating policy framework for application to the electronic health record (EHR), healthcare identifier and provider index projects


nehtaSecure Messaging

Develop business case recommendations for preferred national model for secure messaging and information transfer

Recommended approach using web services family of standards for application-to-application messaging and secure Internet-based email for person-to-person messaging, endorsed by AWG June 2005


nehtaTechnical Integration

Develop nationally agreed technical integration standards and implementation resources

Development of a National Interoperability Framework to support information exchange and as a basis for creation of a strategic roadmap of interoperability standards, noted by AWG June 2005


nehtaSupply Chain

Develop implementation plan for capturing procurement savings opportunities through use of standards

Development of a strategic plan for supply chain including national product catalogue, e-procurement and business intelligence tools, noted by AWG June 2005


nehtaResource Centre

Development of online resources through Nehta web site to publish relevant documents

Resource centre created January 2005 and progressively loaded with materials including major presentations, glossary and Nehta fact sheets. Site statistics for June 2005 show 203,000 hits.

www.nehta.gov.au


nehtaInformatics Reform

Identify priorities for health informatics vendor reform to enable implementation of national e-health priorities

More than 100 vendor meetings conducted by Nehta to outline work program, solicit feedback and identify issues; series of 10 major conference presentations Dec 2004-June 2005.


nehta

Healthcare Provider Identifier

E-Health Consent Frameworks

NEHTA’s 2005-06 work program

User Authentication

Hospitals And Other Providers

Administrators & Funders

Researchers

Results of lab tests

Request lab tests

Health record

Event summary

Consumers

LongitudinalHealth Record

Health ITVendors

Personal Healthcare Identifier

Standards Implementation

Clinicians

Interoperability Framework

Clinical Information

Clinical Terminologies

Shared EHR Specifications

Medical Product Directory

Secure Messaging


nehtaAdopting specifications for a national shared EHR and developing national e-health architecture



Researchers


Request lab tests

Health record

Event summary

Consumers


Health ITVendors

Clinicians



nehtaEnsuring access to patient records is restricted to those with authority to see them



Researchers


Request lab tests

Health record

Event summary

Consumers


Health ITVendors

Clinicians


User Authentication






Secure Messaging


nehtaCoordinating Nehta specifications with national and global standards planning



Researchers


Request lab tests

Health record

Event summary

Consumers


Health ITVendors

Clinicians



User Authentication







Secure Messaging


nehta



User AuthenticationSecure MessagingMedical Product

Directory






Providing a roadmap for system interoperability and a process for certifying compliance



Researchers


Request lab tests

Health record

Event summary

Consumers


Health ITVendors

Clinicians

Interoperability Framework


nehtaThe Nehta Mission

Enabling the creation of a connected health sector using a standards-based approach to delivering better quality healthcare



Researchers


Request lab tests

Health record

Event summary

Consumers


Health ITVendors

Clinicians

himma national conference 2005 accelerating e-health dr ian reinecke ceo national e-health...

Documents

nehta slide

nehta clinical specifications

national approach

records congress

national agreement

nehta board

preferred national solution

adoption of e