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Larissa Briedis, Policy Manager, NEHTA - National E-Health Transition Authority delivered this presentation at IIR’s PCEHR 2013 conference. For more information about our wide range of medical and health events covering a broad range of industry issues, please visit www.healthcareconferences.com.au
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National E-Health Transition Authority
www.nehta.gov.au
1
Australia’s eHealth Journey: Where are we and what’s
next?
27 May 2013
Larissa Briedis
NEHTA Policy Manager
2 National E-Health Transition Authority
www.nehta.gov.au
1. ehealth and PCEHR
2. Consultation development and adoption
3. What’s next?
eHealth and PCEHR
3 National E-Health Transition Authority
www.nehta.gov.au
• “eHealth is the use of information and communication
technologies (ICT) for health” WHO
• Standards
• Safety
• Interoperability
• Efficiencies
• NEHTA’s role
• Development of standards and solutions
• Support implementation and change
What is eHealth?
4 National E-Health Transition Authority
www.nehta.gov.au
5 National E-Health Transition Authority
www.nehta.gov.au
Shared Health Summary
6 National E-Health Transition Authority
www.nehta.gov.au
eDischarge summary
7 National E-Health Transition Authority
www.nehta.gov.au
Conformant Repositories PCEHR Conformant Repository
Layer
Conformant PCEHR External Interfaces
Registries Personal
Health
Records
Medicare Regional ,State
& Territory
SEHRs
National
Repository Diagnostic
Images
Diagnostic
Reports
Foundation Services
PCEHR System
Standards
Provider Service
Directory (+ELS)
Provider
Portal(s)
B2B
Gateway
Templates
Access Channel
Layer
Core PCEHR Services
Layer
Consumer
Portal(s)
Report
Portal Call
Centre
Service Co-ordination Layer
Repository Access Services
Index
Service
Participation &
Authorisation
Service
Health Identifiers
Clinical
Terminology
NASH
Founda
tion
Inte
gra
tion
Report Service View Service Audit Service
New Foundation
Services
Individuals & Representatives
Health Org 4 Health Org 1 Health Org 2 Health Org 3 Individuals & Representatives
Conformant portal
Local
System
Conforman
t System
Contracted Service Provider Conforman
t Gateway
Local
System
Browser Browser
Local
System Browser
8 National E-Health Transition Authority
www.nehta.gov.au
• Clinical documents
• Consumer documents
• Medicare information
What does this mean?
9 National E-Health Transition Authority
www.nehta.gov.au
Vendor Progress Tracking Report (Commercial-in-Confidence)January 25, 2013
Release NOC and Conformance Testing Sessions
Clinical Information System (CIS) Producer CIS Consumer NASH NPDR Ass. Reg. MDV
PCEHR CIS
requirements
(upload)
Shared Health
Summary
Event
Summary eReferral
Specialist
Letter
Discharge
Summary
CDA
Authoring
CDA
Packaging
PCEHR CIS
requirements
(download)
CDA
Rendering
Use of Digital
Credentials
National
Prescription
and Dispense
Repository
Assisted
Registration
Medicare
Data Views
Contracted vendors
HIE (w/ BP and
MD3)
Released on
November 19Complete Complete Complete Complete Not in scope Not in scope Not in scope Not in scope Complete Complete Complete Complete Complete Not in scope Not in scope
Pen
Projected
release: end-
January
Complete Complete Complete Complete Complete Not in scope Not in scope Not in scope Complete Complete Complete Complete Complete Not in scope Not in scope
ZedmedReleased on
October 30Complete Complete Complete Complete Complete Complete Not in scope Not in scope Complete Complete Complete Complete Complete
Negotiations
commenced
Negotiations
commenced
Medtech
Projected
release: end-
January
Complete Complete Complete Complete Due 28-Feb-13 Due 28-Feb-13 Not in scope Not in scope Complete Complete Complete Complete CompleteNegotiations
commenced
Negotiations
commenced
Best Practice
Projected
release:
February
Complete Complete Complete Complete Due 28-Feb-13 Due 28-Feb-13 Not in scope Not in scope Complete Complete Complete Complete CompleteNegotiations
commenced
Negotiations
commenced
CSC / iSoft
(Practix)
R1 available on
request as of
November 27
Complete Complete Complete Complete Due 28-Feb-13 Due 28-Feb-13 Not in scope Not in scope Complete Complete Complete Complete CompleteNegotiations
commenced
Negotiations
commenced
Communicare
Projected
release: March
31 (see
comment)
Complete Complete Complete Complete Due 31-Mar-13 Due 31-Mar-13 Not in scope Not in scope Complete Complete Complete Complete CompleteNegotiations
commenced
Negotiations
commenced
GenieReleased on
October 31 Complete Complete Complete Complete Complete Complete Complete Not in scope Complete Complete Complete Complete Complete
Negotiations
commenced
Negotiations
commenced
HCN (MD3)
Projected
release: end-
January
Complete Complete Complete Complete Complete Complete Complete Not in scope Complete Complete Complete Complete CompleteNegotiations
commenced
Negotiations
commenced
iCare March Complete Complete Complete Complete Complete Not in scope Not in scope Not in scope Complete Complete Complete Complete CompleteNegotiations
pending
Negotiations
pending
LeecareTBC, but
Feburary or later
In progress - due
30-Nov-12Complete Due 30-Jun-13 Due 30-Jun-13 Due 30-Jun-13 Not in scope Not in scope Not in scope Due 30-Jun-13 Due 30-Jun-13 Due 30-Nov-12 Due 30-Nov-12 Due 30-Nov-12
Negotiations
pending
Negotiations
pending
Database
Consultants
Australia (TCM)
R1 released in
November. R2
release TBC
Complete Complete Complete Due 30-Jun-13 Due 30-Jun-13 Not in scope Not in scope Not in scope Due 30-Jun-13 Due 30-Jun-13 Complete Complete CompleteNegotiations
pending
Negotiations
pending
Autumncare (aka
Unleashed
Technology)
Projected
release: TBC
In progress - due
30-Nov-12Complete Due 30-Jun-13 Due 30-Jun-13 Due 30-Jun-13 Not in scope Not in scope Not in scope Due 30-Jun-13 Due 30-Jun-13 Due 30-Nov-12
In progress - due
30-Nov-12Due 30-Nov-12
Negotiations
pending
Negotiations
pending
Silverchain / EOSProjected
release: TBCComplete Complete
In progress - due
30-Jun-13Due 30-Jun-13 Due 30-Jun-13 Not in scope Not in scope Not in scope Due 30-Jun-13 Due 30-Jun-13
In progress - due
30-Nov-12Due 30-Nov-12 Due 30-Nov-12
Negotiations
pending
Negotiations
pending
Simple Retail TBC Complete Complete Due 30-Mar-13 Not in scope Due 30-Mar-13 Not in scope Not in scope Not in scope Due 30-Mar-13 Due 30-Mar-13 Complete Due 30-Mar-13 CompleteIn progress - due
May 6
Negotiations
pending
Corum Group TBC Due 30-Mar-13 Due 30-Mar-13 Due 30-Mar-13 Not in scope Due 30-Mar-13 Not in scope Not in scope Not in scope Due 30-Mar-13 Due 30-Mar-13 Due 30-Mar-13 Due 30-Mar-13 Due 30-Mar-13Negotiations
pending
Negotiations
pending
Fred IT TBC Complete Complete Due 30-Mar-13 Not in scope Due 30-Mar-13 Not in scope Not in scope Not in scope Due 30-Mar-13 Due 30-Mar-13 Complete Complete Due 30-Mar-13In progress - due
May 6
Negotiations
pending
VendorHI Service
PCEHR
Connectivity
Prerequisites
PCEHR
Notice of
Connection
Tests
Negotiations w ith
vendors w ill
commence upon
finalisation of
specif ications
10 National E-Health Transition Authority
www.nehta.gov.au
• Extensive consultation
• User (clinically) lead
• Policy neutral
Clinical utility and policy development
How has it been done?
11 National E-Health Transition Authority
www.nehta.gov.au
• Embedding and consolidating • Core system and supporting foundations
• Release 3 and beyond • Prescription and dispense information
• Child development information
• Mobile gateway
• Advance Care Directives
• Pathology
• Apps and devices
• Electronic prescriptions
• Meaningful use
What’s next?
12 National E-Health Transition Authority
www.nehta.gov.au
• Clinical utility and benefit
• Currency of information
• Accuracy of information
• System security
• Privacy
• Change management
• Complexity
Clinicians, administrators, lawyers and architects!
Challenges
13 National E-Health Transition Authority
www.nehta.gov.au
• Interoperability- connecting care
• Decision support
• Reporting and learning
Quality, quality, quality!
Opportunities
14 National E-Health Transition Authority
www.nehta.gov.au
• Major ICT project
• BUT health ICT
• Real world patients, practitioners, systems
• Complex change management
• Gradual implementation
What’s next?
15 National E-Health Transition Authority
www.nehta.gov.au
Contacts and resources
http://www.nehta.gov.au/
eHealth.gov.au
Yourhealth.gov.au
16 National E-Health Transition Authority
www.nehta.gov.au
Contacts and resources
Nehta.gov.au
eHealth.gov.au
Yourhealth.gov.au
17 National E-Health Transition Authority
www.nehta.gov.au
Thank you