SlideShare a Scribd company logo
1 of 16
Linking Systems to Strategy Health Information New Zealand Seminar 30 September 2008 Deborah Roche Deputy Director-General Ministry of Health
Overview ,[object Object],[object Object],[object Object]
The Government has invested significantly in the health system Vote Health has had a real  average increase in funding  per capita of 4.9% each year  since 2001/02, but still well  below OECD median spend  per capita (by 20% in 2005) Prevention and Public Health Spending  Per Capita in 2005 (Adjusted for Differences in Cost of Living) NZā€™s spending on prevention and public health is above the OECD average  Source: OECD 2007
This investment is showing real dividends - significant indicators of health status are improvingā€¦   ,[object Object],[object Object],[object Object],[object Object],Source: NZ health surveys, 1996/97, 2002/03 & 2006/07 People rating their health status very good or excellent (age standardised by gender) increased in 2006/07 from previous surveys
ā€¦ and there is some evidence that health inequalities are reducing. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
An ageing population will add to financial pressures ,[object Object],[object Object],[object Object],[object Object],[object Object],OECD predict that  ageing alone  will increase total health-care spending by an average of nearly 2 percent of GDP over the period 2000 ā€“ 2050. But $100m question - will the ā€˜new elderlyā€™ be fit and healthy or frail and  dependent?
Impact of population ageing on DHBs
The burden of long term conditions is rising and  will increase strain on financeā€¦ ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ā€¦  although improving in some cases, current lifestyle trends are likely to continue to exacerbate chronic illness for some time Obesity rates have increased ā€¦ ,[object Object],Adult daily smoking 26.7% m, 23.8% f, 1996/97 24.0% m, 22.9% f, 2002/03 20.0% m, 17.5% f, 2006/07 But are still high!  34.8% Maori men, 40.1% Maori women   We have a real opportunityā€¦. * Modifiable risk factors * Upstream investment * Improved interventions  * New models of care Adult obesity 16.6% m, 20.6% f, 1996/97 23.4% m, 24.8% f, 2002/03 24.8% m, 26.0% f, 2006/07 And disparities are striking!  43.2% Maori men and women
And we have many other challenges to address, for exampleā€¦  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Rising public expectations  ā€œ Rising public expectations have their own momentum. Rising expectations lead to improvements, which in turn creates pressure for more improvementsā€   (Rankin et al 2007) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The more fundamental and longer-run demand and cost pressures are significant ,[object Object],[object Object],[object Object],Historic Trends 2000  2050   ,[object Object],Future Predictions 0 2 4 6 8 Projected Range of Average Increases of Healthcare Spend across OECD countries % points increase in GDP ,[object Object],[object Object],Implications for New Zealand
It is likely that better patient care saves moneyā€¦ ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Geisinger Health System, Pennsylvania USA  ā€“ ā†“20% hospital admissions with 7% savings, suggest links to operation of an EHR (Health Affairs, 2008)  IZIP EHR, Czech Republic  web-based EHR with 80% pop coverage, 8yrs for net benefit, suggest productivity gain of 74% measured as decrease in cost of using an EHR (European Commission 2006)  Quality $ Cost per patient treatment
ā€¦ part of this is a rigorous improvement in efficiency and productivity Source: Quarter 3 HBI reports, 2007/2008. ,[object Object],[object Object],[object Object],[object Object]
Service efficiency to service utilisation ā€“ a future model of care? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],The Long Term System Framework Long term service planning Quality improvement, safety & innovation Delivering improved performance System leadership and decision-making Developing the health workforce Developing health information systems Defining and developing new models of care
Some key challenges  Possible information responses  Current situation Targets and performance management provide clear organisational and professional challenge Comparative performance information available at individual, department and provider level  Quality & safety: improvements in national system  (QIC) Best practice process & learning available to drive improvement eg. decision support  Information for the public and patients  PHOs and local community providers show potential for bringing together services more effectively within the community Use mobile technologies to enhance care in deprived populations.  Driving system co-operation and collaboration  Common clinical pathways and business processes requiring common IT systems  Implementing comprehensive preventive and public health programmes to stem rise in long term conditions Monitoring and surveillance information  Information and care processes supporting self-care, early diagnosis & effective management
In the face of these challenges, there are competing views about the shape of the future NZ health system ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],How can an innovative health system maximise the benefit for health, and the economy, of new (information) technology?

More Related Content

What's hot

DELSA/GOV 3rd Health meeting - Gijs VAN DER VLUGT, Camila VAMMALLE, Claudia H...
DELSA/GOV 3rd Health meeting - Gijs VAN DER VLUGT, Camila VAMMALLE, Claudia H...DELSA/GOV 3rd Health meeting - Gijs VAN DER VLUGT, Camila VAMMALLE, Claudia H...
DELSA/GOV 3rd Health meeting - Gijs VAN DER VLUGT, Camila VAMMALLE, Claudia H...OECD Governance
Ā 
Health policy development jordan who
Health policy development jordan whoHealth policy development jordan who
Health policy development jordan whoMusa Ajlouni
Ā 
Priyanka Bhandari - Australia
Priyanka Bhandari - AustraliaPriyanka Bhandari - Australia
Priyanka Bhandari - AustraliaPriyanka Bhandari
Ā 
Ageing: Fiscal implications and policy responses -- John Beard, World Health ...
Ageing: Fiscal implications and policy responses -- John Beard, World Health ...Ageing: Fiscal implications and policy responses -- John Beard, World Health ...
Ageing: Fiscal implications and policy responses -- John Beard, World Health ...OECD Governance
Ā 
Results from the 2017 Minnesota Health Access Survey
Results from the 2017 Minnesota Health Access SurveyResults from the 2017 Minnesota Health Access Survey
Results from the 2017 Minnesota Health Access SurveyCaroline Au-Yeung, MPH
Ā 
Health policy and health system challenges in Europe and in Turkmenistan
Health policy and health system challenges in Europe and in TurkmenistanHealth policy and health system challenges in Europe and in Turkmenistan
Health policy and health system challenges in Europe and in TurkmenistanWHO Regional Office for Europe
Ā 
A Comparative Analysis Of The UK And US Health Care Systems
A Comparative Analysis Of The UK And US Health Care SystemsA Comparative Analysis Of The UK And US Health Care Systems
A Comparative Analysis Of The UK And US Health Care Systemsabbiemc
Ā 
COUNTDOWN Louis Niessen - Launch 2015
COUNTDOWN Louis Niessen - Launch 2015COUNTDOWN Louis Niessen - Launch 2015
COUNTDOWN Louis Niessen - Launch 2015COUNTDOWN on NTDs
Ā 
Structure and governance of financing - Tamas Evetovits, WHO
Structure and governance of financing - Tamas Evetovits, WHOStructure and governance of financing - Tamas Evetovits, WHO
Structure and governance of financing - Tamas Evetovits, WHOOECD Governance
Ā 
Health Reform and Cost Control
Health Reform and Cost ControlHealth Reform and Cost Control
Health Reform and Cost Controlnashp
Ā 

What's hot (18)

Health at-glance-2015-tokyo-event-how-japan-compares
Health at-glance-2015-tokyo-event-how-japan-comparesHealth at-glance-2015-tokyo-event-how-japan-compares
Health at-glance-2015-tokyo-event-how-japan-compares
Ā 
ACA and Health Reform
ACA and Health ReformACA and Health Reform
ACA and Health Reform
Ā 
Health at a Glance: Europe 2018 - State of Health in the EU Cycle - CHARTSET
Health at a Glance: Europe 2018 - State of Health in the EU Cycle - CHARTSETHealth at a Glance: Europe 2018 - State of Health in the EU Cycle - CHARTSET
Health at a Glance: Europe 2018 - State of Health in the EU Cycle - CHARTSET
Ā 
Value-based healthcare in Japan
Value-based healthcare in JapanValue-based healthcare in Japan
Value-based healthcare in Japan
Ā 
Jeremy Nurse
Jeremy NurseJeremy Nurse
Jeremy Nurse
Ā 
Health Data Governance Recommendation: Presentation
Health Data Governance Recommendation: PresentationHealth Data Governance Recommendation: Presentation
Health Data Governance Recommendation: Presentation
Ā 
DELSA/GOV 3rd Health meeting - Gijs VAN DER VLUGT, Camila VAMMALLE, Claudia H...
DELSA/GOV 3rd Health meeting - Gijs VAN DER VLUGT, Camila VAMMALLE, Claudia H...DELSA/GOV 3rd Health meeting - Gijs VAN DER VLUGT, Camila VAMMALLE, Claudia H...
DELSA/GOV 3rd Health meeting - Gijs VAN DER VLUGT, Camila VAMMALLE, Claudia H...
Ā 
Health policy development jordan who
Health policy development jordan whoHealth policy development jordan who
Health policy development jordan who
Ā 
Priyanka Bhandari - Australia
Priyanka Bhandari - AustraliaPriyanka Bhandari - Australia
Priyanka Bhandari - Australia
Ā 
Ageing: Fiscal implications and policy responses -- John Beard, World Health ...
Ageing: Fiscal implications and policy responses -- John Beard, World Health ...Ageing: Fiscal implications and policy responses -- John Beard, World Health ...
Ageing: Fiscal implications and policy responses -- John Beard, World Health ...
Ā 
Tackling Wasteful Spending on Health: Presentation
Tackling Wasteful Spending on Health: PresentationTackling Wasteful Spending on Health: Presentation
Tackling Wasteful Spending on Health: Presentation
Ā 
Results from the 2017 Minnesota Health Access Survey
Results from the 2017 Minnesota Health Access SurveyResults from the 2017 Minnesota Health Access Survey
Results from the 2017 Minnesota Health Access Survey
Ā 
Health policy and health system challenges in Europe and in Turkmenistan
Health policy and health system challenges in Europe and in TurkmenistanHealth policy and health system challenges in Europe and in Turkmenistan
Health policy and health system challenges in Europe and in Turkmenistan
Ā 
Challenges faced by the uk healthcare system
Challenges faced by the uk healthcare systemChallenges faced by the uk healthcare system
Challenges faced by the uk healthcare system
Ā 
A Comparative Analysis Of The UK And US Health Care Systems
A Comparative Analysis Of The UK And US Health Care SystemsA Comparative Analysis Of The UK And US Health Care Systems
A Comparative Analysis Of The UK And US Health Care Systems
Ā 
COUNTDOWN Louis Niessen - Launch 2015
COUNTDOWN Louis Niessen - Launch 2015COUNTDOWN Louis Niessen - Launch 2015
COUNTDOWN Louis Niessen - Launch 2015
Ā 
Structure and governance of financing - Tamas Evetovits, WHO
Structure and governance of financing - Tamas Evetovits, WHOStructure and governance of financing - Tamas Evetovits, WHO
Structure and governance of financing - Tamas Evetovits, WHO
Ā 
Health Reform and Cost Control
Health Reform and Cost ControlHealth Reform and Cost Control
Health Reform and Cost Control
Ā 

Viewers also liked

The Role of Telehealth in Emerging Models of Care
The Role of Telehealth in Emerging Models of CareThe Role of Telehealth in Emerging Models of Care
The Role of Telehealth in Emerging Models of CareHealth Informatics New Zealand
Ā 
Transforming the landscape of clinical care: sharing international views and ...
Transforming the landscape of clinical care: sharing international views and ...Transforming the landscape of clinical care: sharing international views and ...
Transforming the landscape of clinical care: sharing international views and ...Health Informatics New Zealand
Ā 
National Health Board: Priorities and Directions
National Health Board: Priorities and DirectionsNational Health Board: Priorities and Directions
National Health Board: Priorities and DirectionsHealth Informatics New Zealand
Ā 
Deriving an ICU Subset of SNOMED CT from Clinical Notes
Deriving an ICU Subset of SNOMED CT from Clinical NotesDeriving an ICU Subset of SNOMED CT from Clinical Notes
Deriving an ICU Subset of SNOMED CT from Clinical NotesHealth Informatics New Zealand
Ā 
People, health professionals and health information Working together in 2014
People, health professionals and health information Working together in 2014People, health professionals and health information Working together in 2014
People, health professionals and health information Working together in 2014Health Informatics New Zealand
Ā 
From openEHR Domain Models to Advanced User Interfaces: a Case Study in Endos...
From openEHR Domain Models to Advanced User Interfaces: a Case Study in Endos...From openEHR Domain Models to Advanced User Interfaces: a Case Study in Endos...
From openEHR Domain Models to Advanced User Interfaces: a Case Study in Endos...Health Informatics New Zealand
Ā 
Health Informatics Professionalism and Improving Patient Care
Health Informatics Professionalism and Improving Patient CareHealth Informatics Professionalism and Improving Patient Care
Health Informatics Professionalism and Improving Patient CareHealth Informatics New Zealand
Ā 
National eHealth Initiatives Effecting Change for Better Outcomes
National eHealth InitiativesEffecting Change for Better Outcomes National eHealth InitiativesEffecting Change for Better Outcomes
National eHealth Initiatives Effecting Change for Better Outcomes Health Informatics New Zealand
Ā 
Electronic Health Record Privacy - District Health Board Perspective
Electronic Health Record Privacy - District Health Board PerspectiveElectronic Health Record Privacy - District Health Board Perspective
Electronic Health Record Privacy - District Health Board PerspectiveHealth Informatics New Zealand
Ā 
Design electronic health record to fit into health system of the future
Design electronic health record to fit into health system of the futureDesign electronic health record to fit into health system of the future
Design electronic health record to fit into health system of the futureHealth Informatics New Zealand
Ā 

Viewers also liked (20)

The Role of Telehealth in Emerging Models of Care
The Role of Telehealth in Emerging Models of CareThe Role of Telehealth in Emerging Models of Care
The Role of Telehealth in Emerging Models of Care
Ā 
Transforming the landscape of clinical care: sharing international views and ...
Transforming the landscape of clinical care: sharing international views and ...Transforming the landscape of clinical care: sharing international views and ...
Transforming the landscape of clinical care: sharing international views and ...
Ā 
National Health Board: Priorities and Directions
National Health Board: Priorities and DirectionsNational Health Board: Priorities and Directions
National Health Board: Priorities and Directions
Ā 
eHealth and Patient Safety
eHealth and Patient SafetyeHealth and Patient Safety
eHealth and Patient Safety
Ā 
Deriving an ICU Subset of SNOMED CT from Clinical Notes
Deriving an ICU Subset of SNOMED CT from Clinical NotesDeriving an ICU Subset of SNOMED CT from Clinical Notes
Deriving an ICU Subset of SNOMED CT from Clinical Notes
Ā 
People, health professionals and health information Working together in 2014
People, health professionals and health information Working together in 2014People, health professionals and health information Working together in 2014
People, health professionals and health information Working together in 2014
Ā 
Developing World Class Health IT
Developing World Class Health ITDeveloping World Class Health IT
Developing World Class Health IT
Ā 
From openEHR Domain Models to Advanced User Interfaces: a Case Study in Endos...
From openEHR Domain Models to Advanced User Interfaces: a Case Study in Endos...From openEHR Domain Models to Advanced User Interfaces: a Case Study in Endos...
From openEHR Domain Models to Advanced User Interfaces: a Case Study in Endos...
Ā 
Making Terminology Work
Making Terminology WorkMaking Terminology Work
Making Terminology Work
Ā 
Telehealth in Australia
Telehealth in AustraliaTelehealth in Australia
Telehealth in Australia
Ā 
Evidence-based Healthcare IT
Evidence-based Healthcare ITEvidence-based Healthcare IT
Evidence-based Healthcare IT
Ā 
Primary Health Care Strategy
Primary Health Care StrategyPrimary Health Care Strategy
Primary Health Care Strategy
Ā 
Health Informatics Professionalism and Improving Patient Care
Health Informatics Professionalism and Improving Patient CareHealth Informatics Professionalism and Improving Patient Care
Health Informatics Professionalism and Improving Patient Care
Ā 
National eHealth Initiatives Effecting Change for Better Outcomes
National eHealth InitiativesEffecting Change for Better Outcomes National eHealth InitiativesEffecting Change for Better Outcomes
National eHealth Initiatives Effecting Change for Better Outcomes
Ā 
Health Data Privacy and Security in the NZDF
Health Data Privacy and Security in the NZDFHealth Data Privacy and Security in the NZDF
Health Data Privacy and Security in the NZDF
Ā 
Electronic Health Record Privacy - District Health Board Perspective
Electronic Health Record Privacy - District Health Board PerspectiveElectronic Health Record Privacy - District Health Board Perspective
Electronic Health Record Privacy - District Health Board Perspective
Ā 
Design electronic health record to fit into health system of the future
Design electronic health record to fit into health system of the futureDesign electronic health record to fit into health system of the future
Design electronic health record to fit into health system of the future
Ā 
E-referrals - Just do it!
E-referrals - Just do it!E-referrals - Just do it!
E-referrals - Just do it!
Ā 
Telehealth: A person-centric perspective
Telehealth: A person-centric perspectiveTelehealth: A person-centric perspective
Telehealth: A person-centric perspective
Ā 
NZ Health IT Cluster
NZ Health IT Cluster NZ Health IT Cluster
NZ Health IT Cluster
Ā 

Similar to Linking Systems to Strategy - Key Challenges

Where is the NHS now?
Where is the NHS now?Where is the NHS now?
Where is the NHS now?The King's Fund
Ā 
DELSA/GOV 3rd Health meeting - Ankit KUMAR
DELSA/GOV 3rd Health meeting - Ankit KUMARDELSA/GOV 3rd Health meeting - Ankit KUMAR
DELSA/GOV 3rd Health meeting - Ankit KUMAROECD Governance
Ā 
Using information to deliver world-class care at lower cost. Cerner
Using information to deliver world-class care at lower cost. CernerUsing information to deliver world-class care at lower cost. Cerner
Using information to deliver world-class care at lower cost. CernerFundaciĆ³ TicSalut
Ā 
Prof David Hunter - Meeting the Challenge - Does the new NHS promote or hinde...
Prof David Hunter - Meeting the Challenge - Does the new NHS promote or hinde...Prof David Hunter - Meeting the Challenge - Does the new NHS promote or hinde...
Prof David Hunter - Meeting the Challenge - Does the new NHS promote or hinde...Cumbria Partnership
Ā 
SILS 2015 - Future Longevity and Population Health Improvements: An Economic ...
SILS 2015 - Future Longevity and Population Health Improvements: An Economic ...SILS 2015 - Future Longevity and Population Health Improvements: An Economic ...
SILS 2015 - Future Longevity and Population Health Improvements: An Economic ...Sherbrooke Innopole
Ā 
Financing Of Hong Kongs Healthcare
Financing Of Hong Kongs HealthcareFinancing Of Hong Kongs Healthcare
Financing Of Hong Kongs Healthcarealtheaangelcherrio
Ā 
1362574283 economic burden dm sl
1362574283 economic burden dm sl1362574283 economic burden dm sl
1362574283 economic burden dm sldfsimedia
Ā 
Reducing Readmissions and Length of Stay
Reducing Readmissions and Length of StayReducing Readmissions and Length of Stay
Reducing Readmissions and Length of StayVITAS Healthcare
Ā 
Michael scanlon march 2011 national healthcare conference slides
Michael scanlon march 2011 national healthcare conference slidesMichael scanlon march 2011 national healthcare conference slides
Michael scanlon march 2011 national healthcare conference slidesInvestnet
Ā 
Managing National Health: An Overview of Metrics & Options
Managing National Health: An Overview of Metrics & OptionsManaging National Health: An Overview of Metrics & Options
Managing National Health: An Overview of Metrics & OptionsDale Sanders
Ā 
Healthcare update 2013
Healthcare update 2013Healthcare update 2013
Healthcare update 2013kjemd
Ā 
Ageing: fiscal implications and policy responses -- Chris James, OECD
Ageing: fiscal implications and policy responses -- Chris James, OECDAgeing: fiscal implications and policy responses -- Chris James, OECD
Ageing: fiscal implications and policy responses -- Chris James, OECDOECD Governance
Ā 
Ageing: Fiscal implications and policy responses -- Chris James, OECD
Ageing: Fiscal implications and policy responses -- Chris James, OECDAgeing: Fiscal implications and policy responses -- Chris James, OECD
Ageing: Fiscal implications and policy responses -- Chris James, OECDOECD Governance
Ā 
The fiscal sustainability of long-term care and its impact on health systems ...
The fiscal sustainability of long-term care and its impact on health systems ...The fiscal sustainability of long-term care and its impact on health systems ...
The fiscal sustainability of long-term care and its impact on health systems ...OECD Governance
Ā 
eHealth_Challenges_and_Opportunities.ppt
eHealth_Challenges_and_Opportunities.ppteHealth_Challenges_and_Opportunities.ppt
eHealth_Challenges_and_Opportunities.pptAlexandruGasnas1
Ā 
Healthcare trends and opportunities
Healthcare trends and opportunitiesHealthcare trends and opportunities
Healthcare trends and opportunitiesFounding Fuel
Ā 
Corporate Wellness
Corporate WellnessCorporate Wellness
Corporate Wellnessguestabd728
Ā 

Similar to Linking Systems to Strategy - Key Challenges (20)

Where is the NHS now?
Where is the NHS now?Where is the NHS now?
Where is the NHS now?
Ā 
DELSA/GOV 3rd Health meeting - Ankit KUMAR
DELSA/GOV 3rd Health meeting - Ankit KUMARDELSA/GOV 3rd Health meeting - Ankit KUMAR
DELSA/GOV 3rd Health meeting - Ankit KUMAR
Ā 
Using information to deliver world-class care at lower cost. Cerner
Using information to deliver world-class care at lower cost. CernerUsing information to deliver world-class care at lower cost. Cerner
Using information to deliver world-class care at lower cost. Cerner
Ā 
Prof David Hunter - Meeting the Challenge - Does the new NHS promote or hinde...
Prof David Hunter - Meeting the Challenge - Does the new NHS promote or hinde...Prof David Hunter - Meeting the Challenge - Does the new NHS promote or hinde...
Prof David Hunter - Meeting the Challenge - Does the new NHS promote or hinde...
Ā 
SILS 2015 - Future Longevity and Population Health Improvements: An Economic ...
SILS 2015 - Future Longevity and Population Health Improvements: An Economic ...SILS 2015 - Future Longevity and Population Health Improvements: An Economic ...
SILS 2015 - Future Longevity and Population Health Improvements: An Economic ...
Ā 
Financing Of Hong Kongs Healthcare
Financing Of Hong Kongs HealthcareFinancing Of Hong Kongs Healthcare
Financing Of Hong Kongs Healthcare
Ā 
1362574283 economic burden dm sl
1362574283 economic burden dm sl1362574283 economic burden dm sl
1362574283 economic burden dm sl
Ā 
Reducing Readmissions and Length of Stay
Reducing Readmissions and Length of StayReducing Readmissions and Length of Stay
Reducing Readmissions and Length of Stay
Ā 
Michael scanlon march 2011 national healthcare conference slides
Michael scanlon march 2011 national healthcare conference slidesMichael scanlon march 2011 national healthcare conference slides
Michael scanlon march 2011 national healthcare conference slides
Ā 
Managing National Health: An Overview of Metrics & Options
Managing National Health: An Overview of Metrics & OptionsManaging National Health: An Overview of Metrics & Options
Managing National Health: An Overview of Metrics & Options
Ā 
Healthcare update 2013
Healthcare update 2013Healthcare update 2013
Healthcare update 2013
Ā 
A Workshop Looking At The Evidence on Workplace Health Wellness Programmes:
A Workshop Looking At The Evidence on Workplace Health Wellness Programmes:A Workshop Looking At The Evidence on Workplace Health Wellness Programmes:
A Workshop Looking At The Evidence on Workplace Health Wellness Programmes:
Ā 
Ageing: fiscal implications and policy responses -- Chris James, OECD
Ageing: fiscal implications and policy responses -- Chris James, OECDAgeing: fiscal implications and policy responses -- Chris James, OECD
Ageing: fiscal implications and policy responses -- Chris James, OECD
Ā 
Ageing: Fiscal implications and policy responses -- Chris James, OECD
Ageing: Fiscal implications and policy responses -- Chris James, OECDAgeing: Fiscal implications and policy responses -- Chris James, OECD
Ageing: Fiscal implications and policy responses -- Chris James, OECD
Ā 
The fiscal sustainability of long-term care and its impact on health systems ...
The fiscal sustainability of long-term care and its impact on health systems ...The fiscal sustainability of long-term care and its impact on health systems ...
The fiscal sustainability of long-term care and its impact on health systems ...
Ā 
Eq 4.1 impacts of issues
Eq 4.1 impacts of issuesEq 4.1 impacts of issues
Eq 4.1 impacts of issues
Ā 
eHealth_Challenges_and_Opportunities.ppt
eHealth_Challenges_and_Opportunities.ppteHealth_Challenges_and_Opportunities.ppt
eHealth_Challenges_and_Opportunities.ppt
Ā 
Healthcare trends and opportunities
Healthcare trends and opportunitiesHealthcare trends and opportunities
Healthcare trends and opportunities
Ā 
3.4.1 dr gwendolyn gray
3.4.1 dr gwendolyn gray3.4.1 dr gwendolyn gray
3.4.1 dr gwendolyn gray
Ā 
Corporate Wellness
Corporate WellnessCorporate Wellness
Corporate Wellness
Ā 

More from Health Informatics New Zealand

The Austin Health Diabetes Discovery Initiative: Using technology to support ...
The Austin Health Diabetes Discovery Initiative: Using technology to support ...The Austin Health Diabetes Discovery Initiative: Using technology to support ...
The Austin Health Diabetes Discovery Initiative: Using technology to support ...Health Informatics New Zealand
Ā 
Shaping Informatics for Allied Health - Refining our voice
Shaping Informatics for Allied Health - Refining our voiceShaping Informatics for Allied Health - Refining our voice
Shaping Informatics for Allied Health - Refining our voiceHealth Informatics New Zealand
Ā 
Surveillance of social media: Big data analytics
Surveillance of social media: Big data analyticsSurveillance of social media: Big data analytics
Surveillance of social media: Big data analyticsHealth Informatics New Zealand
Ā 
Laptop computers enhancing clinical care in community allied health service
Laptop computers enhancing clinical care in community allied health serviceLaptop computers enhancing clinical care in community allied health service
Laptop computers enhancing clinical care in community allied health serviceHealth Informatics New Zealand
Ā 
Safe IT Practices: making it easy to do the right thing
Safe IT Practices: making it easy to do the right thingSafe IT Practices: making it easy to do the right thing
Safe IT Practices: making it easy to do the right thingHealth Informatics New Zealand
Ā 
Reducing hospitalisations and arrests of mental health patients through the u...
Reducing hospitalisations and arrests of mental health patients through the u...Reducing hospitalisations and arrests of mental health patients through the u...
Reducing hospitalisations and arrests of mental health patients through the u...Health Informatics New Zealand
Ā 
Using the EMR in early recognition and management of sepsis
Using the EMR in early recognition and management of sepsisUsing the EMR in early recognition and management of sepsis
Using the EMR in early recognition and management of sepsisHealth Informatics New Zealand
Ā 
Allied Health and informatics: Identifying our voice - can you hear us?
Allied Health and informatics: Identifying our voice - can you hear us?Allied Health and informatics: Identifying our voice - can you hear us?
Allied Health and informatics: Identifying our voice - can you hear us?Health Informatics New Zealand
Ā 
Change in the data collection landscape: opportunity, possibilities and poten...
Change in the data collection landscape: opportunity, possibilities and poten...Change in the data collection landscape: opportunity, possibilities and poten...
Change in the data collection landscape: opportunity, possibilities and poten...Health Informatics New Zealand
Ā 
Overview of the New Zealand Maternity Clinical Information System
Overview of the New Zealand Maternity Clinical Information SystemOverview of the New Zealand Maternity Clinical Information System
Overview of the New Zealand Maternity Clinical Information SystemHealth Informatics New Zealand
Ā 
Electronic prescribing system medication errors: Identification, classificati...
Electronic prescribing system medication errors: Identification, classificati...Electronic prescribing system medication errors: Identification, classificati...
Electronic prescribing system medication errors: Identification, classificati...Health Informatics New Zealand
Ā 
Global trends in technology for retailers and how they are impacting the phar...
Global trends in technology for retailers and how they are impacting the phar...Global trends in technology for retailers and how they are impacting the phar...
Global trends in technology for retailers and how they are impacting the phar...Health Informatics New Zealand
Ā 
"Not flying under the radar": Developing an App for Patient-led Management of...
"Not flying under the radar": Developing an App for Patient-led Management of..."Not flying under the radar": Developing an App for Patient-led Management of...
"Not flying under the radar": Developing an App for Patient-led Management of...Health Informatics New Zealand
Ā 
The quantified self: Does personalised monitoring change everything?
The quantified self: Does personalised monitoring change everything?The quantified self: Does personalised monitoring change everything?
The quantified self: Does personalised monitoring change everything?Health Informatics New Zealand
Ā 

More from Health Informatics New Zealand (20)

The Austin Health Diabetes Discovery Initiative: Using technology to support ...
The Austin Health Diabetes Discovery Initiative: Using technology to support ...The Austin Health Diabetes Discovery Initiative: Using technology to support ...
The Austin Health Diabetes Discovery Initiative: Using technology to support ...
Ā 
Shaping Informatics for Allied Health - Refining our voice
Shaping Informatics for Allied Health - Refining our voiceShaping Informatics for Allied Health - Refining our voice
Shaping Informatics for Allied Health - Refining our voice
Ā 
Surveillance of social media: Big data analytics
Surveillance of social media: Big data analyticsSurveillance of social media: Big data analytics
Surveillance of social media: Big data analytics
Ā 
The Power of Surface Modelling
The Power of Surface ModellingThe Power of Surface Modelling
The Power of Surface Modelling
Ā 
Laptop computers enhancing clinical care in community allied health service
Laptop computers enhancing clinical care in community allied health serviceLaptop computers enhancing clinical care in community allied health service
Laptop computers enhancing clinical care in community allied health service
Ā 
Making surgical practice improvement easy
Making surgical practice improvement easyMaking surgical practice improvement easy
Making surgical practice improvement easy
Ā 
Safe IT Practices: making it easy to do the right thing
Safe IT Practices: making it easy to do the right thingSafe IT Practices: making it easy to do the right thing
Safe IT Practices: making it easy to do the right thing
Ā 
Beyond EMR - so you've got an EMR - what next?
Beyond EMR - so you've got an EMR - what next?Beyond EMR - so you've got an EMR - what next?
Beyond EMR - so you've got an EMR - what next?
Ā 
Empowered Health
Empowered HealthEmpowered Health
Empowered Health
Ā 
Reducing hospitalisations and arrests of mental health patients through the u...
Reducing hospitalisations and arrests of mental health patients through the u...Reducing hospitalisations and arrests of mental health patients through the u...
Reducing hospitalisations and arrests of mental health patients through the u...
Ā 
Using the EMR in early recognition and management of sepsis
Using the EMR in early recognition and management of sepsisUsing the EMR in early recognition and management of sepsis
Using the EMR in early recognition and management of sepsis
Ā 
Allied Health and informatics: Identifying our voice - can you hear us?
Allied Health and informatics: Identifying our voice - can you hear us?Allied Health and informatics: Identifying our voice - can you hear us?
Allied Health and informatics: Identifying our voice - can you hear us?
Ā 
Change in the data collection landscape: opportunity, possibilities and poten...
Change in the data collection landscape: opportunity, possibilities and poten...Change in the data collection landscape: opportunity, possibilities and poten...
Change in the data collection landscape: opportunity, possibilities and poten...
Ā 
Overview of the New Zealand Maternity Clinical Information System
Overview of the New Zealand Maternity Clinical Information SystemOverview of the New Zealand Maternity Clinical Information System
Overview of the New Zealand Maternity Clinical Information System
Ā 
Nhitb wednesday 9am plenary (sadhana first)
Nhitb wednesday 9am plenary (sadhana first)Nhitb wednesday 9am plenary (sadhana first)
Nhitb wednesday 9am plenary (sadhana first)
Ā 
Oncology treatment patterns in the South Island
Oncology treatment patterns in the South IslandOncology treatment patterns in the South Island
Oncology treatment patterns in the South Island
Ā 
Electronic prescribing system medication errors: Identification, classificati...
Electronic prescribing system medication errors: Identification, classificati...Electronic prescribing system medication errors: Identification, classificati...
Electronic prescribing system medication errors: Identification, classificati...
Ā 
Global trends in technology for retailers and how they are impacting the phar...
Global trends in technology for retailers and how they are impacting the phar...Global trends in technology for retailers and how they are impacting the phar...
Global trends in technology for retailers and how they are impacting the phar...
Ā 
"Not flying under the radar": Developing an App for Patient-led Management of...
"Not flying under the radar": Developing an App for Patient-led Management of..."Not flying under the radar": Developing an App for Patient-led Management of...
"Not flying under the radar": Developing an App for Patient-led Management of...
Ā 
The quantified self: Does personalised monitoring change everything?
The quantified self: Does personalised monitoring change everything?The quantified self: Does personalised monitoring change everything?
The quantified self: Does personalised monitoring change everything?
Ā 

Recently uploaded

Asthma Review - GINA guidelines summary 2024
Asthma Review - GINA guidelines summary 2024Asthma Review - GINA guidelines summary 2024
Asthma Review - GINA guidelines summary 2024Gabriel Guevara MD
Ā 
Glomerular Filtration and determinants of glomerular filtration .pptx
Glomerular Filtration and  determinants of glomerular filtration .pptxGlomerular Filtration and  determinants of glomerular filtration .pptx
Glomerular Filtration and determinants of glomerular filtration .pptxDr.Nusrat Tariq
Ā 
Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service Available
Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls ITPL Just Call 7001305949 Top Class Call Girl Service Available
Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
Ā 
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
Ā 
Call Girls Whitefield Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Whitefield Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Whitefield Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Whitefield Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
Ā 
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service MumbaiVIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbaisonalikaur4
Ā 
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...narwatsonia7
Ā 
call girls in green park DELHI šŸ” >ą¼’9540349809 šŸ” genuine Escort Service šŸ”āœ”ļøāœ”ļø
call girls in green park  DELHI šŸ” >ą¼’9540349809 šŸ” genuine Escort Service šŸ”āœ”ļøāœ”ļøcall girls in green park  DELHI šŸ” >ą¼’9540349809 šŸ” genuine Escort Service šŸ”āœ”ļøāœ”ļø
call girls in green park DELHI šŸ” >ą¼’9540349809 šŸ” genuine Escort Service šŸ”āœ”ļøāœ”ļøsaminamagar
Ā 
Sonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Sonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call NowSonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Sonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call NowRiya Pathan
Ā 
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original Photos
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original PhotosCall Girl Service Bidadi - For 7001305949 Cheap & Best with original Photos
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original Photosnarwatsonia7
Ā 
Housewife Call Girls Hoskote | 7001305949 At Low Cost Cash Payment Booking
Housewife Call Girls Hoskote | 7001305949 At Low Cost Cash Payment BookingHousewife Call Girls Hoskote | 7001305949 At Low Cost Cash Payment Booking
Housewife Call Girls Hoskote | 7001305949 At Low Cost Cash Payment Bookingnarwatsonia7
Ā 
Bangalore Call Girls Marathahalli šŸ“ž 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Marathahalli šŸ“ž 9907093804 High Profile Service 100% SafeBangalore Call Girls Marathahalli šŸ“ž 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Marathahalli šŸ“ž 9907093804 High Profile Service 100% Safenarwatsonia7
Ā 
Book Call Girls in Yelahanka - For 7001305949 Cheap & Best with original Photos
Book Call Girls in Yelahanka - For 7001305949 Cheap & Best with original PhotosBook Call Girls in Yelahanka - For 7001305949 Cheap & Best with original Photos
Book Call Girls in Yelahanka - For 7001305949 Cheap & Best with original Photosnarwatsonia7
Ā 
Kolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Kolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call NowKolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Kolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call NowNehru place Escorts
Ā 
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
Ā 
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...Miss joya
Ā 
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.MiadAlsulami
Ā 
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking ModelsMumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Modelssonalikaur4
Ā 
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service ChennaiCall Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service ChennaiNehru place Escorts
Ā 

Recently uploaded (20)

Asthma Review - GINA guidelines summary 2024
Asthma Review - GINA guidelines summary 2024Asthma Review - GINA guidelines summary 2024
Asthma Review - GINA guidelines summary 2024
Ā 
Glomerular Filtration and determinants of glomerular filtration .pptx
Glomerular Filtration and  determinants of glomerular filtration .pptxGlomerular Filtration and  determinants of glomerular filtration .pptx
Glomerular Filtration and determinants of glomerular filtration .pptx
Ā 
Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service Available
Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls ITPL Just Call 7001305949 Top Class Call Girl Service Available
Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service Available
Ā 
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
Ā 
Call Girls Whitefield Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Whitefield Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Whitefield Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Whitefield Just Call 7001305949 Top Class Call Girl Service Available
Ā 
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service MumbaiVIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
Ā 
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...
Ā 
call girls in green park DELHI šŸ” >ą¼’9540349809 šŸ” genuine Escort Service šŸ”āœ”ļøāœ”ļø
call girls in green park  DELHI šŸ” >ą¼’9540349809 šŸ” genuine Escort Service šŸ”āœ”ļøāœ”ļøcall girls in green park  DELHI šŸ” >ą¼’9540349809 šŸ” genuine Escort Service šŸ”āœ”ļøāœ”ļø
call girls in green park DELHI šŸ” >ą¼’9540349809 šŸ” genuine Escort Service šŸ”āœ”ļøāœ”ļø
Ā 
Sonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Sonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call NowSonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Sonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Ā 
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original Photos
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original PhotosCall Girl Service Bidadi - For 7001305949 Cheap & Best with original Photos
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original Photos
Ā 
Housewife Call Girls Hoskote | 7001305949 At Low Cost Cash Payment Booking
Housewife Call Girls Hoskote | 7001305949 At Low Cost Cash Payment BookingHousewife Call Girls Hoskote | 7001305949 At Low Cost Cash Payment Booking
Housewife Call Girls Hoskote | 7001305949 At Low Cost Cash Payment Booking
Ā 
Bangalore Call Girls Marathahalli šŸ“ž 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Marathahalli šŸ“ž 9907093804 High Profile Service 100% SafeBangalore Call Girls Marathahalli šŸ“ž 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Marathahalli šŸ“ž 9907093804 High Profile Service 100% Safe
Ā 
Book Call Girls in Yelahanka - For 7001305949 Cheap & Best with original Photos
Book Call Girls in Yelahanka - For 7001305949 Cheap & Best with original PhotosBook Call Girls in Yelahanka - For 7001305949 Cheap & Best with original Photos
Book Call Girls in Yelahanka - For 7001305949 Cheap & Best with original Photos
Ā 
Kolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Kolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call NowKolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Kolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Ā 
Escort Service Call Girls In Sarita Vihar,, 99530Ā°56974 Delhi NCR
Escort Service Call Girls In Sarita Vihar,, 99530Ā°56974 Delhi NCREscort Service Call Girls In Sarita Vihar,, 99530Ā°56974 Delhi NCR
Escort Service Call Girls In Sarita Vihar,, 99530Ā°56974 Delhi NCR
Ā 
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
Ā 
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Ā 
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Ā 
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking ModelsMumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Ā 
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service ChennaiCall Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
Ā 

Linking Systems to Strategy - Key Challenges

  • 1. Linking Systems to Strategy Health Information New Zealand Seminar 30 September 2008 Deborah Roche Deputy Director-General Ministry of Health
  • 2.
  • 3. The Government has invested significantly in the health system Vote Health has had a real average increase in funding per capita of 4.9% each year since 2001/02, but still well below OECD median spend per capita (by 20% in 2005) Prevention and Public Health Spending Per Capita in 2005 (Adjusted for Differences in Cost of Living) NZā€™s spending on prevention and public health is above the OECD average Source: OECD 2007
  • 4.
  • 5.
  • 6.
  • 7. Impact of population ageing on DHBs
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15. Some key challenges Possible information responses Current situation Targets and performance management provide clear organisational and professional challenge Comparative performance information available at individual, department and provider level Quality & safety: improvements in national system (QIC) Best practice process & learning available to drive improvement eg. decision support Information for the public and patients PHOs and local community providers show potential for bringing together services more effectively within the community Use mobile technologies to enhance care in deprived populations. Driving system co-operation and collaboration Common clinical pathways and business processes requiring common IT systems Implementing comprehensive preventive and public health programmes to stem rise in long term conditions Monitoring and surveillance information Information and care processes supporting self-care, early diagnosis & effective management
  • 16.