1. PREPARED BY Standards and interoperability Towards 2014 (Part 1 of 3) Alastair_Kenworthy@moh.govt.nz 7 November 2012

2. The destination is …  Person-centred, integrated health care  Clinicians, consumers and IT people working in co-production  Providers having the confidence to invest in new solutions 2

3. National priorities 2012-14 eMedicines programme  Pharmacy clinical integration  eMR, ePA  NZULM, NZ Formulary Regional information platforms  eReferral and eDS  CDRs, CWS, ED solution  PACS  LIS, pharmacy  PAS National solutions  Cancer information  Cardiac health  Comprehensive clinical assessment  Health identity platform  FMIS, procurement, supply chain Clinical integration  LTC shared care  Maternity and well child  Patient portal  View of primary health info  Urgent and unplanned care 3

4. Realising the 2014 vision  Offered by IFHCs  Personal health info  Appointments  Repeat prescriptions  Email consultations  Common regional CWS and CDR  Accessible both hospital and community  Inter-regional view  Patients with LTCs and high needs  Multidisciplinary input 4

5. Repository-based information sharing 5

6. GP2GP Currently about 4000 medical records transfers per month About 50% of GPs are users Files over 5 MB have to be sent the old fashioned way (a future upgrade will allow files to be sent in pieces) 6

7. The solution space 7

8. Connected care 8

9. Pharmacy clinical integration eRx via NZePS  eReferral via (eg) ERMS  Pharmacy desktop  Dispensing system  Assessment tool  Shared care system Assess eligibility Centrally register Create medications plan 9

10. SHARED CARE PHARMACY SERVICES AGREEMENT 10

11. Emergency care Common ED solution based on hospital PAS and CWS Ambulance sends ePRF (as a kind of referral, but also an event summary) to hospital ED Ambulance accesses primary care info and previous discharge summaries Presenting complaint, diagnoses etc are SNOMED coded eDS shared via R-CDR 11

12. Discharge and follow ups Discharge Rx via NZePS  eDS shared via R-CDR 12

13. My List of Medicines eRx My List of Meds 13

14. My List of Meds – a repository-based application 14