Please check out the draft Action Plan suggested by the CiLN Advisory Group:
https://ehealthforum.nz/t/ciln-draft-action-plan/22634
The role of clinicians in health informatics is crucial, so the more clinical perspectives the better.
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Emily, Iām new to the EHealth Forum and very interested in helping with the action plan but I need to be invited to join CILN so I can comment. Can you do that? Or how do I apply for membership?
I have an EHealth profile https://ehealthforum.nz/u/wadeschuette/preferences/profile
Thank you!
Wade
Good morning Emily
Iām keen to have a look at this but I get the following error message.
I suspect it might be because of my HINZ membership statusā¦?
Thanks very much.
Hi again Emily.
Apologies - I forgot to paste the error message as per my earlier email.
CONFIDENTIALITY/DISCLAIMER: This email contains information which may be confidential or privileged. If you are not the intended recipient please advise the sender by return email, do not use or disclose the contents and delete the message and any attachments from your system. Unless specifically stated, this email does not constitute formal advice or commitment by the sender. Please consider the environment before printing this email
Kia ora Gary- I cannot tell from your profile, are you a registered clinician? This call is for members of CiLN, which is a network of people with a registered clinical background. NgÄ, EMily
Thanks Emily
No Iām not. GS1 is the global standards organisation around such things
as barcodes and barcoding, RFID and data synchronisation platforms as used
by Health Partnerships in NZ. My interest is providing assistance, if needed,
that in developing/ implementing digital capability, we can provide support from
a global standards perspective.
Thanks for reply to me Emily.
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The word clinician has multiple definitions. I have a Master of Public Health degree from Johnās Hopkins but am not a doctor or nurse. I spent a decade at the 900 bed University of Michigan teaching hospital defining supporting and managing the EHR and Implementations of upgrades. I spent 5years building and managing a virtual hospital for the University of Colorado College of Nursing remote RN training program and supporting informatics. I am a member of HiNZ, HIMSS, AMIA and the National League for Nursing. I wrote the first web based NCI clinical trial system in theUSA and gave a paper At the Society for Clinical Trials in Boston. I have spent hundreds of hours deep inside Cerner data bases and meeting with nurses over med management functioning, e orders and Nursing care plans. I worked in the Office of Clinical Affairs evaluating doctorsā¦ but I am not one. I ran the team that cut intake time for dictated medical documents from 8hours to 3 minutes. I retired in 2009 but donāt think that should count against me But it is your call who you want Input from and how you define your group to maintain its culture.
Well Wade, that is an impressive record!!
CiLN itself is a clinician-only organisation at present, with this joining criteria:
- identify as a clinician, having trained and worked in a clinical capacity
- posess an interest in data and digital services
- have a significant connection to New Zealand
However, we are acutely aware of our inability to positively impact health information systems without partnering with our technical colleagues. And any help towards the goal of deeper clinical / technical partnership (and thus hopefully better digital health for NZers) is gratefully received.
Nathan, I am a little confused? Are you supportive of Wade being part of the group or not?
I would argue he should be as his passion and drive align well with the direction of the CILN network. Being neither a real-Doctor nor a real-Informaticist, despite having qualifications in both, I would support his joining us. While the clinical perspective is important for functionality, Informatics and technology are important for any product to be sustainable and scalable.
Frontline informaticists who have delivered clinical products into production are thin on the ground. We need to welcome those in the group who have the skills and experience, so often lacking in the debate.
Just my thoughts for what they are worth.
OK, two new ideas. Forget that I asked to join.
(1) Leave the boundaries of CiLN untouched. Create an outsider TEP - Technical Expert Panel to consult
and run reports by before finalizing them. Possibly under a non-disclosure agreement. I might be a good person to have
on such a panel provisionally unless I prove unhelpful in which case, remove me from the panel.
(2) After CiLN and the TEP have worked out all obvious issues, have a Public Comment period to see what
that unearths, before going āfinalā final.
These suggestions are modeled after the USAās CMS:
https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/QMY-Clinicians
Wade
Often a peer-review sanity check before publishing will find things that were missed.
Wade
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That is one for @ciln-advisory to decide Iām afraid.
Personally Iām all for pulling in as many allies as possible (especially those with a pedigree like Wadeās), but I donāt actually hold a voting position on the Advisory Panel at present. I am there to represent the community platform / IT side of things in an ex-officio capacity.
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I am in two minds. I hear the desire to get people with Wadeās experience on board, but I feel like the āClinicalā side of the CILN is already undercooked. We have a significant membership of people who are probably better described as āex-clinicianā - they have stepped into a more managerial or leadership type role, and nolonger have much direct face to face clinical contact.
My preferred way forwards is something like what Wade himself recommendsā¦ as secondary group of technical advisors which gives thought and practical comment to any proposals from CILN.
Thatās my 10c
Mat
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Hi Emily is it possible to have access to this link please.
Hi Kerry - great to see you back on the eHealth Forum! You should be able to access https://ehealthforum.nz/t/ciln-draft-action-plan/22634 now - for some reason you werenāt identified as a clinician (and therefore CiLN member), so I have fixed that for you.
I look forward to anaesthesia informatics chats with you soon!
If any other clinicians find themselves locked out of @clinicians stuff, or you would like to join our newly minted @friends-of-CiLN group and contribute then click on the group name twice and then 
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