A nationwide group is being shaped to start out work on linking the nation’s 4 regional medical portals, with approval from the district well being boards’ (DHBs) chief info officers.
The group is being led by Stella Ward, chief digital officer at Canterbury DHB.
If profitable, the mission would permit any clinician concerned in a affected person’s care to view that particular person’s computerised well being knowledge from anyplace throughout New Zealand.
Waitemata DHB medical adviser digital improvements Lara Hopley is a key driver of the mission and says clinicians are very eager to have the ability to see sufferers’ knowledge from different areas as they typically transfer across the nation.
An info paper, Connecting the Regional Scientific Portal to enhance affected person security and high quality of care, went to the Nationwide DHB IS Management Discussion board in November and was famous. The concept was additionally raised at a current assembly of medical IT leads from across the nation, who had been supportive.
The paper says, “security and medical care can be improved if the clinician was conscious of the opposite information, and will seamlessly view, from inside their native Scientific Portal, all of the out there nationally saved pc details about their affected person”.
New Zealand’s 20 DHBs are grouped into 4 areas that every have a shared view of their area’s affected person info by way of Scientific Portal eight from Orion Well being. Of the 20 DHBs, three will not be but utilizing their regional shared portal, however all have imminent plans to maneuver on to at least one.
The southern area has all 5 South Island DHBs utilizing Well being Join South and the Midlands area has 5 DHBs utilizing the e-space Midland Scientific Portal.
The central North Island has 5 DHBs already utilizing the Regional Well being Informatics Programme portal and Capital and Coast DHB has plans to affix. Two Northern DHBs are utilizing the Northern Regional Shared Scientific Portal and Auckland and Northland are as a consequence of take part 2020.
Hopley says the small print of precisely what knowledge might be shared and the right way to technically obtain the sharing nonetheless have to be labored out however she would really like it to start out as a read-only “portal into different portals”, that means they’d have a tab to entry one of many different three portals and land on their dynamic affected person abstract display screen.
“Entry to the newest paperwork is probably going to provide 80–90 per cent of the knowledge you want whereas assessing a affected person,” she added.
Finally, the intention can be to have extra built-in sharing of all the info with paperwork and outcomes from different areas, and the tip clinicians not needing to tab into a unique portal, she says.
Points round auditing additionally have to be agreed, however Hopley says DHBs have already got strong inner auditing processes in place and will lengthen these to observe employees different portals.
She suggests beginning with a proof of idea to show the worth, permitting paediatricians within the Midlands space to entry the Northern Regional portal, as numerous youngsters go as much as Starship Hospital for remedy.
“As we’re already supplying them with entry by way of CareConnect’s TestSafe portal, we aren’t actually altering what they’ll see, we’re simply making it simpler,” explains Hopley.
“This could show the worth and permit a blueprint for the way we are able to do that at least viable product, permitting every area to then perceive the associated fee and prioritise accordingly.”
Auckland DHB chief digital officer Shayne Tong says, “in Auckland metro an enormous variety of our inhabitants come from outdoors the area so linking up the portals nationally can be useful”.
ADHB lately accredited a enterprise case to maneuver on to the Northern Regional Scientific Portal. The mission is underway and ADHB has an estimated go-live date of February 2020, adopted intently by Northland DHB.
“Our docs and clinicians transfer round DHBs so to have that one-stop-shop for the area is fairly unbelievable and with the ability to hyperlink nationally too is an actual profit,” says Tong.