Dr Chris Mount Director Clinical Communications e Health Primary and Ambulatory Care Division

1. Aligning Health Information Standards Development with the National eHealth AgendaHEALTH INFORMATION MANAGEMENT ASSOCIATION OF AUSTRALIA LIMITED26 September 2008 Dr Chris Mount Director Clinical Communications eHealth Primary and Ambulatory Care Division

2. Agenda An overview of eHealth Challenges and Issues Key Priorities Current eHealth Activity Standards

3. eHealth is an enabler not an end in itself Improved safety and quality outcomes Improved clinical and administrative decision-making Optimal health care delivery Health system efficiency Why eHealth?

4. Governance Knowledge Management (Creation through research and dissemination through education and electronic decision support) Evidence-based shared care tools Individual EHR (PHRs and SEHRs National, Regional, Local, Population specific) Monitoring and Surveillance (eg eClinical Registries) Smart requesting Online Clinical knowledge resources Clinical Practice Guidelines Research Online education services Secure Information Exchange (Referral, Prescriptions, Discharge, Orders, Results, Reports, Notifications, Bookings) Regulation Workforce Clinical Information Systems (GP Desktops, Hospital systems, Laboratory services, Pharmacy systems) eBusiness Systems (Booking, scheduling, claiming, billing, finance, HR, asset management) Infrastructure Services (UHI, Terminology, User Authentication, Conformance and Accreditation) Standards Data, structured documents, terminology, classifications Identity, security, information exchange

5. Challenges and Issues Enabling the whole system including allied health and primary care Supporting a consumer focused approach Primary care systems that can reliably handle electronic transfer of information Change management and business processes Technology is sometimes ahead of the required change process (i.e. digital diagnostic imaging) Clinical services within RACFs and connectivity to primary and acute care

6. Governance Regulation Workforce Unique identifiers Data & terminology standards Exchange of clinical information Individual Electronic Health Records Key Priorities for a national approach to eHealth

7. Current eHealth Activity The National E-Health Transition Authority (NEHTA) has the task of developing standards and key infrastructure i.e. UHI, supply chain, standards and terminology, IEHR Regulation – Privacy, UHI, oversight Incentives for technology uptake eg PIP Research, development and prototyping implementation of the IEHR, point to point messaging enabling clinical communications i.e. ePrescribing, web based care planning, IEHR trial AHMAC has approved the development of an eHealth Strategy and implementation plan to be managed by the National E-Health Information Principle Committee (NEHIPC)

8. Two problems with current standards for information exchange Lack of detailed implementation guides Standards often allow more than one way to do something Lack of business need for their adoption Which would force implementation issues to be addressed Standards exist but have not been effectively used Standards

9. Work of NEHTA and Standards Australia is now coming together Standards Australia IT-014 Health Informatics Committee focussed on current use NEHTA has been focussed on the future NEHTA implementation activities are bridging the gap National eHealth Strategy will clarify priorities for standards development Standards

10. In Conclusion eHealth is an enabler of improved health service delivery, not an end in itself National eHealth Strategy will determine the next steps

11. Questions ?