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E-Health Challenge in Pathology Jenny Sikorski Chief Executive Officer NCOPP 25 March 2014

Jenny Sikorski, National Coalition of Public Pathology - Identifying the Impact of PCEHR on Pathology Services and Data Control

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Jenny Sikorski, CEO, National Coalition of Public Pathology (NCOPP) delivered this presentation at the 15th Annual Health Congress 2014. This event brings together thought leaders and leading practitioners from across the Australian health system to consider the challenges, implications and future directions for health reform. For more information, please visit http://www.informa.com.au/annualhealthcongress14

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Page 1: Jenny Sikorski, National Coalition of Public Pathology - Identifying the Impact of PCEHR on Pathology Services and Data Control

E-Health Challenge in Pathology Jenny Sikorski

Chief Executive Officer

NCOPP

25 March 2014

Page 2: Jenny Sikorski, National Coalition of Public Pathology - Identifying the Impact of PCEHR on Pathology Services and Data Control

Know Pathology Know Healthcare

Page 3: Jenny Sikorski, National Coalition of Public Pathology - Identifying the Impact of PCEHR on Pathology Services and Data Control

Australian Pathology

50 million MBS pathology tests in last 12 months

100% Cancer Diagnoses

70% Clinical Diagnoses

3% Overall Heath Budget

Page 4: Jenny Sikorski, National Coalition of Public Pathology - Identifying the Impact of PCEHR on Pathology Services and Data Control

Pathology is an essential clinical

information service

Page 5: Jenny Sikorski, National Coalition of Public Pathology - Identifying the Impact of PCEHR on Pathology Services and Data Control

• NCOPP provides representation,

advocacy & support • State Government owned &

operated pathology services

• 20 members nationally

NCOPP

Page 6: Jenny Sikorski, National Coalition of Public Pathology - Identifying the Impact of PCEHR on Pathology Services and Data Control

eHealth & the PCEHR

Page 7: Jenny Sikorski, National Coalition of Public Pathology - Identifying the Impact of PCEHR on Pathology Services and Data Control
Page 8: Jenny Sikorski, National Coalition of Public Pathology - Identifying the Impact of PCEHR on Pathology Services and Data Control

What eHealth means to Pathology • Information shared electronically in a timely & secure manner across different geographic

locations & different parts of the health sector

• Pathologists & medical scientists can be connected & recognised an essential player in a multidisciplinary health care team

• E-requests reduce errors & simply specimen collection processes

• Reduces duplication

• E-reporting minimises input time & errors

• Access to clinical knowledge & evidence

Improved diagnoses &

patient management

Page 9: Jenny Sikorski, National Coalition of Public Pathology - Identifying the Impact of PCEHR on Pathology Services and Data Control

State IT Challenges

LIS

Legacy Systems Limited

Market Support

Integration Issues

Lack of Interfacing

New Hospitals

E - Requesting

E - Reporting

Implementation

Page 10: Jenny Sikorski, National Coalition of Public Pathology - Identifying the Impact of PCEHR on Pathology Services and Data Control

PCEHR Clinical Workflow

Page 11: Jenny Sikorski, National Coalition of Public Pathology - Identifying the Impact of PCEHR on Pathology Services and Data Control

Communication

Page 12: Jenny Sikorski, National Coalition of Public Pathology - Identifying the Impact of PCEHR on Pathology Services and Data Control

Privacy

Page 13: Jenny Sikorski, National Coalition of Public Pathology - Identifying the Impact of PCEHR on Pathology Services and Data Control

Standards

National Pathology Accreditation Advisory Council (NPAAC)

Page 14: Jenny Sikorski, National Coalition of Public Pathology - Identifying the Impact of PCEHR on Pathology Services and Data Control

Key Concern Source: Urbis, Survey of Pathology Workforce, March 2011

Workforce

Page 15: Jenny Sikorski, National Coalition of Public Pathology - Identifying the Impact of PCEHR on Pathology Services and Data Control

Source: Medical Laboratory Scientist 2006 Censes (ANZSCO Code 2346) Health Workforce Australia

Skills Mix: Medical Scientists

Page 16: Jenny Sikorski, National Coalition of Public Pathology - Identifying the Impact of PCEHR on Pathology Services and Data Control

Rationalisation of resources

Functional restructures (sub-specialty) & skill mix

Lack of career pathway

Insufficient incentives to extend qualifications

Low level of recognition & remuneration

Increase in laboratory workload & rostering

Consolidation & technology

Workforce Challenges

Page 17: Jenny Sikorski, National Coalition of Public Pathology - Identifying the Impact of PCEHR on Pathology Services and Data Control

www.knowpathology.com.au

Page 18: Jenny Sikorski, National Coalition of Public Pathology - Identifying the Impact of PCEHR on Pathology Services and Data Control

E-Health Challenge in Pathology

Jenny Sikorski

Chief Executive Officer

NCOPP

Thank you