Friday, August 16, 2019

NSW May Be Heading Down A Very Dangerous Rabbit Hole. I Hope They Stop Soon.

This appeared last week:

NSW seeks better analytics, consistency with digital health record initiative

NSW Health seeks input on Single Digital Patient Record
Rohan Pearce (Computerworld) 09 August, 2019 10:22
NSW Health has launched a formal market engagement process to as it seeks to boost the capabilities of the state’s electronic medical record system.
“NSW Health is considering a range of options to enhance its electronic medical record capability into the future,” an eHealth NSW spokesperson told Computerworld.
A Single Digital Patient Record (SDPR) “will provide a holistic, state-wide view of a patient’s health care information,” states a request for information (RFI) document released this week by NSW Health.
“The SDPR will support safe, high-quality healthcare for patients and a more consistent ICT user experience for healthcare providers.”

The state government’s 10-year eHealth strategy, launched in 2016, called for NSW Health to “continue its journey toward an integrated digital patient record so patients have consistent health and wellbeing engagement no matter when or where they interact with it.”
 “This includes developing enhanced functionality and integration of core clinical information systems across care settings, clinical specialties, NSW Health Organisations, Jurisdictional Health Organisations, and private care providers,” the document stated.
The NSW Treasury in 2006-07 funded the initial tranche of work on the state’s Electronic Medical Record (eMR) system.
The SDPR initiative “aims to build on current EMR capabilities and harmonise approaches to create greater consistency across the state,” the eHealth NSW spokesperson said.
eHealth NSW expects a range of benefits from the SDPR, including improved safety and quality in the continuity of patient care, a consistent patient experience, and a “consistent and enhanced clinician experience” with electronic medical record systems.
The SDPR is expected to be easier to integrate with community-based and private healthcare providers, the spokesperson said. In addition, it’s expected to make it easier to implement consistent data analytics and clinical decision support.
More here:
There is also coverage here:

NSW to consider opening ehealth records to patients

By Justin Hendry on Aug 9, 2019 12:12PM

As part of system upgrade proposal.

NSW Health has begun considering what the state's future electronic medical record might look like, including whether to give patients access to their clinical information.
Last week the department's digital arm eHealth NSW approached the market to inform its plan to develop a single digital patient record (SDPR).
The SDPR is pitched as “a holistic, state-wide view of a patient’s health care information” that will “support safe, high quality healthcare for patients”.
The project is expected to build on the state’s existing electronic medical record (eMR2), which is currently found in more than 90 percent of public hospitals.

Last year eHealth NSW's chief information officer Zoran Bolevich said more than 50,000 clinicians were using the EMR everyday as part of their work.
But NSW Health is planning to shift to an increasingly integrated and digitally-enabled healthcare system over the next nine years, according to Bolevich.
It follows a $500 million funding injection in digital patient records and a system-wide digital platform in the state’s 2017 budget.
A spokesperson for eHealth NSW told iTnews the SDPR initiative would “enhance” and “harmonise” the existing ehealth record to provide greater consistency across public hospitals.
More here:
Here is how the Tender is described:

NSW Health / RFI NSW Health - Single Digital Patient Record - RFT-10025641

RFT ID RFT-10025641
RFT Type Notice
Published 1-Aug-2019
Closes 16-Aug-2019 5:00pm
Covered Procurement Yes
Category (based on UNSPSC)
81160000 - Information Technology Service Delivery
Agency HealthShare NSW
Contact Person
Justin Pleass
Phone: 02 8644 2000
HSNSW-HealthTechnologyContracts@health.nsw.gov.au

Tender Details

The eHealth Strategy aims to create ‘a digitally enabled and integrated system delivering patient-centred health experiences and quality health outcomes’ in NSW.
NSW Health is considering options to develop a Single Digital Patient Record (SDPR), which will provide a holistic, state-wide view of a patient’s health care information. The SDPR will support safe, high-quality healthcare for patients and a more consistent ICT user experience for healthcare providers. 
To support development of this strategic initiative, eHealth NSW is now seeking to engage the market through an open Request for Information (RFI).  This will help to inform any future business case development and enable industry to offer valuable input into the SDPR initiative. 
The RFI will outline the current NSW Health electronic medical record (EMR) landscape and overall vision for the SDPR.  This will also include key considerations for future directions and options. 
NSW Health is seeking input regarding solutions, services, and experiences that your organisation can provide to support this direction.  This is expected to include key products, services, approaches, costs, options and lessons learnt from previous experiences.
Here is the link:
The good thing about this is that this is really a ‘fishing expedition’, and an attempt to gain free consulting perspectives on what might be considered to further integrate the Health IT used in NSW Health to improve health care delivery. As far as it goes that is great, BUT all this about a single digital patient record (unless a really virtual one) needs to be taken with a huge ‘grain of salt’.
If what we are seeking is easier access to records held all over the state on the same patient that is both sensible and would be useful – but let’s be careful to avoid expensive overreach! I am sure the eHealth NSW team know how sensible it is to hasten slowly!
David.

1 comment:

  1. When you have a run of measurable success as the NSW Health CEO is you can push to far, over confidence is a dangerous thing. Let’s see in a few years if the curse of the PCEHR/MyHR comes to bite him

    ReplyDelete