HIMMA National Conference 2005 Accelerating E-Health Dr Ian Reinecke CEO National E-Health Transition Authority (NEHTA) Geelong 29 July 2005 nehta

- 1 - National E-Health Transition Authority IR presentation EH Records Congress 27 June 2005.ppt nehta Nehta’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 ? 5.Where will its focus be during ?

- 2 - National E-Health Transition Authority IR presentation EH Records Congress 27 June 2005.ppt nehta What 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

- 3 - National E-Health Transition Authority IR presentation EH Records Congress 27 June 2005.ppt nehta Why 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

- 4 - National E-Health Transition Authority IR presentation EH Records Congress 27 June 2005.ppt nehta How 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

- 5 - National E-Health Transition Authority IR presentation EH Records Congress 27 June 2005.ppt nehta Nehta’s performance against the 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

- 6 - National E-Health Transition Authority IR presentation EH Records Congress 27 June 2005.ppt nehta Clinical 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

- 7 - National E-Health Transition Authority IR presentation EH Records Congress 27 June 2005.ppt nehta Clinical 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

- 8 - National E-Health Transition Authority IR presentation EH Records Congress 27 June 2005.ppt nehta Product 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

- 9 - National E-Health Transition Authority IR presentation EH Records Congress 27 June 2005.ppt nehta Patient 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 Fully costed solution to be presented to Ministers in the context of the budgetary cycle.

National E-Health Transition Authority IR presentation EH Records Congress 27 June 2005.ppt nehta Provider 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

National E-Health Transition Authority IR presentation EH Records Congress 27 June 2005.ppt nehta Product 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 Proposed transfer of ACOM from Commonwealth to Nehta August 2005.

National E-Health Transition Authority IR presentation EH Records Congress 27 June 2005.ppt nehta Consent 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

National E-Health Transition Authority IR presentation EH Records Congress 27 June 2005.ppt nehta Secure 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 for person-to-person messaging, endorsed by AWG June 2005

National E-Health Transition Authority IR presentation EH Records Congress 27 June 2005.ppt nehta Technical 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

National E-Health Transition Authority IR presentation EH Records Congress 27 June 2005.ppt nehta Supply 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

National E-Health Transition Authority IR presentation EH Records Congress 27 June 2005.ppt nehta Resource 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.

National E-Health Transition Authority IR presentation EH Records Congress 27 June 2005.ppt nehta Informatics 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.

National E-Health Transition Authority IR presentation EH Records Congress 27 June 2005.ppt nehta Healthcare Provider Identifier E-Health Consent Frameworks NEHTA’s work program User Authentication Hospitals And Other Providers Administrators & Funders Researchers Results of lab tests Request lab tests Health record Event summary Consumers Longitudinal Health Record Health IT Vendors Personal Healthcare Identifier Standards Implementation Clinicians Interoperability Framework Clinical Information Clinical Terminologies Shared EHR Specifications Medical Product Directory Secure Messaging

National E-Health Transition Authority IR presentation EH Records Congress 27 June 2005.ppt nehta Adopting specifications for a national shared EHR and developing national e-health architecture Hospitals And Other Providers Administrators & Funders Researchers Results of lab tests Request lab tests Health record Event summary Consumers Longitudinal Health Record Health IT Vendors Clinicians Shared EHR Specifications

National E-Health Transition Authority IR presentation EH Records Congress 27 June 2005.ppt nehta Ensuring access to patient records is restricted to those with authority to see them Hospitals And Other Providers Administrators & Funders Researchers Results of lab tests Request lab tests Health record Event summary Consumers Longitudinal Health Record Health IT Vendors Clinicians Healthcare Provider Identifier User Authentication Personal Healthcare Identifier Clinical Information Clinical Terminologies Shared EHR Specifications Medical Product Directory Secure Messaging

National E-Health Transition Authority IR presentation EH Records Congress 27 June 2005.ppt nehta Coordinating Nehta specifications with national and global standards planning Hospitals And Other Providers Administrators & Funders Researchers Results of lab tests Request lab tests Health record Event summary Consumers Longitudinal Health Record Health IT Vendors Clinicians Healthcare Provider Identifier E-Health Consent Frameworks User Authentication Personal Healthcare Identifier Standards Implementation Clinical Information Clinical Terminologies Shared EHR Specifications Medical Product Directory Secure Messaging

National E-Health Transition Authority IR presentation EH Records Congress 27 June 2005.ppt nehta Standards Implementation E-Health Consent Frameworks User Authentication Secure Messaging Medical Product Directory Clinical Information Clinical Terminologies Shared EHR Specifications Healthcare Provider Identifier Personal Healthcare Identifier Providing a roadmap for system interoperability and a process for certifying compliance Hospitals And Other Providers Administrators & Funders Researchers Results of lab tests Request lab tests Health record Event summary Consumers Longitudinal Health Record Health IT Vendors Clinicians Interoperability Framework

National E-Health Transition Authority IR presentation EH Records Congress 27 June 2005.ppt nehta The Nehta Mission Enabling the creation of a connected health sector using a standards-based approach to delivering better quality healthcare Hospitals And Other Providers Administrators & Funders Researchers Results of lab tests Request lab tests Health record Event summary Consumers Longitudinal Health Record Health IT Vendors Clinicians