Station Four: Draft Vision, Strategy and Roadmap

Strategic Framework - DRAFT

Achieving the Vision - DRAFT

A 5 year Digital Health Strategy - DRAFTVision: ‘Integrating the District’s Health and Wellness System to enable well communities’

Horizon 1: Foundations and TransformYears 1 - 3

Horizon 2: ExtendYears 4 - 5

Consumers, Families and Whanau My care/whanau’s care is targeted to my physical, personal, social and spiritual circumstances. I feel well cared for and safe.

I interact with the health and wellness system that works well for me. Care is well co-ordinated and based around my needs.

Our People Information helps me to do the best job I can wherever I am and work effectively as part of the wider health system.

I trust the information I need and I can work collaboratively with Consumers and the Health and Wellness Team

DHB’s, Primary, Community, Whanau Ora and other agencies

Technology helps us do the best we can for our population with the resources we have

We know the services we provide and we are optimizing supply and demand to make good planning and resource decisions

Central Government The MidCentral District for the next decade functions effectively and is in a good state

Investments are realizing benefits and the district is starting to work as one health and wellness system

Strategic Themes Whanau Centred PHO• Implement Indici• Indici Shared Care Record• GP Access to Clinical Portal• GP Access to MIYA Patient Flow• Indici Shared Care Plan• eReferrals• Health Care HomeDHB• RHIP Phases 2 – 4• eScheduling• MIYA Patient Flow• eReferrals• eTriage• Radiology Orders• Lab Orders• Meds Reconciliation• Smart Forms• District Nurse Integration• Virtual Health• Advance Care Plans• Patient Track• Smart Page• Event Detection• District Nurse IntegrationWhanau Ora• Implement Whanau Tahi CRM

DHBConsumer booking of appointments

A 5 year Digital Health Strategy - DRAFTVision: ‘Integrating the District’s Health and Wellness System to enable well communities’

Horizon 1: Foundations and TransformYears 1 - 3

Horizon 2: ExtendYears 4 - 5

Strategic Themes Data and Analytics PHO• Upgrade Dr Info• Implement SNOMED CT• Health Intelligence Transition• Data WarehouseDHB• Analytics Visualisation• Schema- Less Data Warehouse• Population Health/CRMCross Agency• SIA Pilot of 150 Households

Innovation PHO• tbcDHB• Mobile Dev Ops• AI/Machine LearningWhanau Ora• Ora Connect and the Cutting Edge

Infrastructure and IT Services PHO• Active Directory• Service Desk L1 and L2• Central Net• Telephony Refresh• Mobile Fleet RefreshDHB• New Operating Model• Move to Hybrid Cloud• API Mgmt e.g. PAS• Telecommunications as a Service• UC• WiFi• Identity and Access Management Roadmap• Self Service Management Tools• Application Modernisation• Moblise AppsWhanau Ora• tbc

A 5 year Digital Health Strategy - DRAFTVision: ‘Integrating the District’s Health and Wellness System to enable well communities’

Horizon 1: Foundations and TransformYears 1 - 3

Horizon 2: ExtendYears 4 - 5

Strategic Themes Knowledge Management PHO• Provider Portal• External Website• Intranet• Compass MAPs Replacement• Document Management SystemDHB• Enterprise Content ManagementWhanau Ora• tbc

Business Management PHO• Claims and Payments• Quality Improvement• Capitation Processing • System Level MeasuresDHB• Windows 10/Office 365Whanau Ora• tbc

Workforce Management PHO• tbcDHB• HRISWhanau Ora• tbc

THEDistrict NurseWe now take it for granted that the consumer care is virtual across providers and time. Our role is to create and integrate personalised wellness experience for every consumer

What OUR WORLD ofdelivering wellness looks like

OUR EXPERIENCEThe TOOLS, SYSTEMS, and INFORMATION

which supports us

MY RESOURCESAND WHAT’S IMPORTANT TO THEM

MY CONNECTIONS

WITHIN THECOMMUNITY DISTRICT NURSES

will:

Focus on the Consumer outcome

Collaborate with care teams

Activate self management

support

Hereare Our Needs

Access to DHB Clinical Portal

Access, retrieve, document, and store care records (remotely and at point of care) in the GP Patient Record

Care coordination between District Nurses and consumers is enabled (such as communicating District Nurse visiting times, delays, appointments)

GP Teams' (and other health services / departments) can refer to the DNS electronically, using standardised templates that populate with key patient details and DNS can transfer care back to the GPT electronically

GP Teams and District Nurses will be able to communicate electronically with each other about patient care in a timely manner and with its workforce across the region

How are my needs supported

Acute Clinical portal

eReferrals/eScheduling

Primary Care Shared care records and PMS System

Office 365/Collaboration Tools

Standardised Smart eForms

Virtual Care consult tools

IOT Tools

Predictive Analytics

Machine Learning

Easy access to range of diagnostics

Business Contingency Plan

24/7 IT Support and Education

GENERALPRACTICE

CARE TEAMSTimely

Communication

Real time data

Virtual consults

Prepared and proactive

Consumer/Whanau

Updated and accurate patient information

An integrated experience of wellness

OUR CONNECTED COMMUNITY

Here’swhat Outcomes our Consumers

want

Consumer/Whanau

• Access to healthcare services 24/7 and flexibility of care options

• My information is secure • but accessible by those I

authorise (don’t have to repeat my story)

• Easy access to a prepared proactive practice team

OURSYSTEMSUPPORT

SPECIALISTS

Accurate real time patient information

Digitally Enabled Provider: District Nursing and Home Health Care

District Nurses

Laptop/Tablet and Smart Mobile Device

Key Support ServicesCore Services

Virtual Services

Contractual Reporting

Friends

Community

Warm house

Access to healthy food

Social

Easy access to diagnostics

District Nurse

THEConsumerNow expects that information is available where & when it is needed and that services are provided close to home

What OUR WORLD ofdelivering wellness looks like

OUR EXPERIENCE

The TOOLS, SYSTEMS, and INFORMATIONwhich supports us

MY RESOURCES

AND WHAT’S IMPORTANT TO THEM

MY CONNECTIONS

WITHIN THECOMMUNITY I WANT TO:

Decide what is right for me

Live well and locally

Be there for my family & whanau

Hereare Our Needs

Access to my clinical information

Coordinated appointments

More options for appointments like extended hours or telehealth

A shared care plan, so everyone has the same information and knows what is happening

Services I need, close to where I live

How are my needs supported

A wellness portal

Appointment Scheduling

Shared care plan

Online self help programs

Decision support tools

Virtual Care consult tools

IOT Tools

Predictive Analytics

Machine Learning

Easy access to range of diagnostics

Affordable & accessible care

24/7 support

GENERALPRACTICE

CARE TEAMSTimely

Communication

Real time data

Virtual consults

Prepared and proactive

Family/Whanau

Updated and accurate patient information

An integrated experience of wellness

OUR CONNECTED COMMUNITY

Consumer

Here’swhat

Outcomes we want

Whanau

Access to healthcare services 24/7

My information is readily available to me and those who help me

Care is close to home & relevant

OURSYSTEMSUPPORT

SPECIALISTS

Accurate real time patient information

Digitally Enabled Consumer/Whanau

Access via any device, anywhere

Key Support ServicesCore Services

Virtual Services

Online support groups

Friends

Community

Warm house

Access to healthy food

Social

Easy access to diagnostics

THEGP teamNow expects all our team to use multi-channel communications to support consumers to remain well at home.

What OUR WORLD ofdelivering wellness looks like

OUR EXPERIENCE

The TOOLS, SYSTEMS, and INFORMATIONwhich supports us

MY RESOURCES

AND WHAT’S IMPORTANT TO THEM

MY CONNECTIONS

WITHIN THECOMMUNITY I WANT TO:

Support our consumers to stay

well

Provide care in the hard times

Be an effective team

Hereare Our Needs

Multiple ways of communicating

Working across different locations

Knowing when our consumers and communities need us

A shared care plan, so everyone has the same information and knows what is happening

Easy links to Hospital and specialist services.

How are my needs supported Mobile applications

District wide shared care plan

Access to Hospital systems

eReferrals

Virtual Care consult tools

IOT Tools

Risk stratification

Point of care lab tests

Easy access to range of diagnostics

24/7 support

GENERALPRACTICE

CARE TEAMSTimely

Communication

Real time data

Virtual consults

Prepared and proactive

Consumer/Whanau

Updated and accurate patient information

An integrated experience of wellness

OUR CONNECTED COMMUNITY

Here’swhat

Outcomes we want

To provide comprehensive services across the lifespan

Have access to the information where and when we need it

That support is coordinated across the district

OURSYSTEMSUPPORT

SPECIALISTS

Accurate real time patient information

Digitally Enabled Provider: The GP team

Cloud based health records

Key Support ServicesCore Services

Virtual Services

Decision support

Friends

Community

Warm house

Access to healthy food

Social

Easy access to diagnostics

Consumer/Whanau

GP Team

Making it happen • The Digital Health Strategy is a living strategy• Delivery Approach

• Five year workplan• Roles and Responsibilities

• Overseeing the Digital Health Strategy and it’s execution• Role of District IT Teams• System participants involved in the execution of the Digital

Health Strategy• Key Risks and Dependencies