Sadhana Maraj eHealth Group National IT Health Board (Thursday, 9.30am, Forum Room)

1. CLINICAL LEADERSHIP:
At the Heart of IT Transformational
Change
Dr Sadhana Maraj
eHealth Group (NHITB)
PREPARED BY

2. eHealth Vision
• Enabler of newer models of care
• Proposes greater sharing of information and greater accessibility to a core
set of health information for both clinician and consumer
• Promotes a Standards based environment that provides interoperability and
connectivity
• Supports greater self-care and the value of the consumer in the
management of their health care
• Challenges clinicians to enhance multi-disciplinary team behaviour
• Enables clinicians to work to the top of their scope and to work differently to
manage areas that have inequities of access to health services etc.
• Supports the delivering of healthcare through clinical pathways and
networks

3. Enabling an Integrated Healthcare Model
Key Guiding Principles
To support IT Transformational Change
Quality Improvement
Evidence-Based Best Practice

4. Clinical Change Management
“The search for static security – in the law and elsewhere – is
misguided. The fact is security can only be achieved through
constant change, adapting old ideas that have outlived their
usefulness to current acts.”
Sir William Osler
• Reinforcing the value of Preventative Medicine and a robust Primary Care
system
• Working towards standard clinical process models supported by strong
technical and business models
• Providing and promoting access to information to other clinicians and
consumers to enable interaction with their healthcare
• Enabling a secure and effective shared care environment

5. Partnership/Leadership/Decision-Making
•The NHITB has attracted and retained clinical leadership in the National
Information Clinical Leadership Group (NICLG)
•35-40 clinicians in a self governed group that set national direction and
promote standard approaches
•Works closely with the Consumer Panel and vendors where possible to
maximise the value proposition of any innovation or deliverable to the
consumer
•Try to achieve greater impact on executive/management decision-making over
prioritisation and investment decisions – based on patient safety and quality
improvement

6. NICLG – supporting implementation of the NHITPlan

7. Achievements

8. Significant progress includes
eMedicines Programme
•The New Zealand Medicines Formulary was launched 19
July 2012
•Focus on Phase Two pilots / ‘Go for Gold’ campaign
•Developing a clinical process model to support a national
solution
National Shared Care Programme for LTC in
Auckland: now has over 400 patients enrolled
eReferrals
eReferrals in 2009 – only one DHB with eReferrals
•14 DHBs using eReferrals and more DHBs planning to
Electronic Discharge Summary
• development of the clinical standard and now working on
a technical solution to support this

9. Significant Progress cont’d
National Solutions
Emergency Department
clinical workflow requirements have been agreed
nationally
Cardiac Solution
NZ Cardiac Network goal is to ensure equity of access
to high quality cardiac services for all Nzers
Other areas of significant innovation
eSCRV, Comprehensive Clinical Assessment for Aged
Care (InterRAI)

10. “Medicine is a science of uncertainty and an art of
probability.” Sir William Osler
• Ensuring sufficient investment in change management to support
sustainable delivery
• Constantly refer to evidence based practice to provide the right
clinical outcomes, reduce variability and encourage standardisation
– using IT as the enabler
• Drive good clinical behaviour through the development and use of
clinical guidelines, pathways, checklists and audit tools to monitor
practice
• Ensure IT is aligned to clinical processes and other determinants of
good quality care
• Partnership/Leadership and Decision-making