National Information Clinical Leadership Group March 2013 Update
The National Information Clinical Leadership Group (NICLG) met on 26 February 2013 in Wellington.
For the key points from the February meeting, click here (PowerPoint file, 1,036 KB).
The next NICLG meeting will be held in Wellington on 7 May 2013.
1. Graeme Osborne, Director of the National Health IT Board - see presentation (PDF, 561 KB)
Graeme highlighted Peter Gow’s leadership of NICLG and talked about the importance of identifying and engaging with regional clinical leaders. National priorities includeRegional IT platforms, eMedicines programme and patient access to their health information.
As a “National customer”, he proposed that NICLG be an assigned group of people use their clinical expertise and knowledge to guide decisions on topics such as;
- Connecting self-care online patient portals and a complex patients with Shared care plans
- Ensuring ‘MedChart’ is the common general prescribing system and that there is an interface between MOSAIQ and MedChart.
2. Dr Tane Taylor, National Health IT Board member - see presentation (PDF, 3MB)
Tane talked about leadership and ways of defining quality. He said Continuous Quality Improvement, or CQI, was needed, and this was created by learning environments. He also talked about standards and accreditation, information and outcomes, and safety.
3. Shared Care Plan – Long Term Conditions: Dr Janine Bycroft and Sarah Tibby - Programme Lead National Shared Care Plan - see presentation (PDF, 1.73 MB)
Janine explained how to use a shared care plan, what we would expect to see, who owns it, templates, what is most useful for the patient, including clear and specific targets, and so on. She also talked about the value of writing an action plan with the patient, with the patient able to add comments about what has worked.
- enables sharing of summary health information and improved communication between shared care team members across Primary, Secondary and Community health providers
- patients with long-term conditions benefit from a patient-centred care plan developed with their care team, improving co-ordination of care and communication
- patients have access to their own record
Expanding practices now – need a good process to prioritise the upgrades.
4. Community Pharmacy Services Agreement(CPSA):Shayne Hunter, National eMedicines Programme - see presentation (PDF, 647KB)
Shayne described the CPSA as the biggest change in 50 years to pharmacy. It involves moving away from a fee-per-item model of dispensing medicines to a services model.
Key features include: handling fee (for dispensing) and services fee (for services provided to various categories of patient).
5. Peri-operative Clinical Information Management System, Dr Engin Ahmed, Specialist Anaesthetist - See presentation (PDF, 564KB)
Engin explained to the group the process Counties Manukau DHB went through to identify and implement an IT system which will enable and encourage change to the peri-operative process for elective and acute surgical patients while improving safety. By providing integrated information during the peri-operative period, the system will link techniques, resources and outcomes to improve safety, while audits will allow identification of clinically effective and cost-efficient care pathways.
6. Consumer update: Stephanie Fletcher, acting chair for the Consumer Panel.
Stephanie spoke about her interest in consumer issues in her personal life and work with the central cancer network, and facilitating regional consumer groups. She talked about the importance of good communication, developing patient portals, the co-design of clinical information technology solutions with consumers, and models of care.
7. MOSAIQ update: Dr Shaun Costello, Radiation Oncologist, Southern Blood and Cancer Service, Director Southern Cancer Network - See presentation (PDF, 252 KB)
Shaun explained that MOSAIQ is a patient management system, rather than an ePrescribing programme, and that ePrescribing is the last building block of the system to be activated.
Medical oncology collaboration means there is integration across all parts of treatment. Losing two to three days means patient’s outcome decreases. Patients can now be tracked across radiation, chemotherapy, etc. Nurses are documenting much better, and enrolling as many patients as possible to be seen within the national target timelines.
9. Peter Gow’s summary of the meeting:
- Transfer of Care (eDS) is a key piece of work for improved quality of information for both patients and clinicians that as a minimum we have a National electronic standardised discharge summary.
- What is happening in your own areas? Please pass examples of things working well on case studies/stories the NHITB.
- Reducing the variation of practice by providing good quality of care with the use of clinical pathways, and clinical guidelines within e-referrals.
10. Dr Sadhana Maraj Manager Health IT Engagement, Information Strategy - summary - see presentation (PDF, 839KB)
- Key focus for 2013: profiling IT achievements, innovations and improvement, with a focus on clinician and consumer experiences.
- Engagement on the Connected Health Brand.
- Minutes from the February 2013 NICLG (270KB, PDF)
- National Medication Safety Programme
- Reduction in medication errors in hospitals due to adoption of computerized provider order entry systems (BMJ article)
- Nursing Review article on Cloud Computing Feb 2013