PCEHR and eHealth Adoption in Australia - Where are We, What's Next?

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


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?


www.nehta.gov.au


www.nehta.gov.au

Shared Health Summary


www.nehta.gov.au

eDischarge summary


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


www.nehta.gov.au

• Clinical documents

• Consumer documents

• Medicare information

What does this mean?


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


commenced

Negotiations

commenced

CSC / iSoft

(Practix)

R1 available on

request as of

November 27


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


www.nehta.gov.au

• Extensive consultation

• User (clinically) lead

• Policy neutral

Clinical utility and policy development

How has it been done?


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?


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


www.nehta.gov.au

• Interoperability- connecting care

• Decision support

• Reporting and learning

Quality, quality, quality!

Opportunities


www.nehta.gov.au

• Major ICT project

• BUT health ICT

• Real world patients, practitioners, systems

• Complex change management

• Gradual implementation

What’s next?


www.nehta.gov.au

Contacts and resources

http://www.nehta.gov.au/

eHealth.gov.au

Yourhealth.gov.au

[email protected]

[email protected]



mailto:[email protected]



www.nehta.gov.au

Contacts and resources

Nehta.gov.au

eHealth.gov.au

Yourhealth.gov.au

[email protected]

[email protected]




www.nehta.gov.au

Thank you

Health & Medicine

PCEHR and eHealth Adoption in Australia - Where are We, What's Next?