Health and Disability System Review Interim Report now out

Discussions
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The highlight is the full Digital and Data chapter: Chapter 12 - Data and Digital.pdf (934.7 KB)

Here is the Digital and Data bit of the Executive Summary (page 18):

Advances in digital technologies have huge potential to enable an information-rich, data-driven, people powered approach to health care and to support the health sector in achieving better outcomes. New technologies such as genomics, artificial intelligence, and digital medicine are already transforming healthcare services, and other digital technologies, such as mobile, social media, cloud services, and analytics are changing the way healthcare services are delivered and consumed.

Good data needs to be one of the foundations of the health and wellbeing system. It enables consumers and providers to access and share information, plan, and make decisions about appropriate care. It can also help consumers to take control of their own health and wellbeing. For organisations and government, good data supports better decision making and planning, drives research and innovation, and enables monitoring and measurement of outcomes.

ROBUST AND ACCESSIBLE DATA

  • The system is becoming increasingly dependent on data and digital solutions. The Panel believes that the system needs to be better informed at every level by robust and timely data that is readily accessible to all who work in the system and all who use the system. Better data and more use of digital solutions is not only a necessity but it also provides an opportunity to free up clinician time to focus on more caring and to support those people who wish to use technology to help take greater control of managing their own health and wellbeing.

STRONG LEADERSHIP TO DRIVE DATA STANDARDS AND OTHER MANDATES

  • The Panel believes that implementation of data standards, data stewardship, identity management, and interoperability must be accelerated. This will require strong national leadership, but will be essential for improving effectiveness and supporting collaborative and team-based working.

DIGITAL LITERACY AND NEW WAYS OF WORKING

  • The Panel supports digital development at every level of the system. Training in new skills and ways of working will need to be embedded in an overall workforce strategy and development plan. New roles, such as for data analysts, will be required, and the system will need to make these roles attractive, as demand will be significant across the economy.

Here is the full Executive Overview (24 pages):
HDSR-InterimReport-Executive-Overview-final.pdf (1014.1 KB)

Here is the link to the full thing: https://systemreview.health.govt.nz/interim-report/

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Thanks for this, Nathan

I also think it is absolutely crucial that data capture is timely, efficient and appropriate and does not detract from Nursing hours.

We spend a lot of time filling in data that can’t be accessed by others outside of the neonatal unit!

Its not so much the data input, although having to enter all the medical details like medications that the baby is on, which takes so much time, its having to find that time when looking after a challenging, stressful, unstable infant.

Currently there is a great deal of data being captured but not accessible as intended in my specialty practice. We are only 2units using badgernet In NZ

I believe it is widespread in the UK and I can imagine it would be far more use when transfering infants back to their local neonatal unit as the history can be accessed.

There are challenges with areas of discharge planning that can’t populate the final discharge letter: time wasting issues like that.

Nurses are masters at mulri tasking so speech to text would be an amazing asset instead of having to type, which takes your eyes and hands away from the baby.

In summary

Its essential that nurses are educated to understand the rationale for data capture

and support is given for those senior, experienced nurses who are not so IT confident.

It is essential.that nurses are involved with data capture design

Currently there are many online forms that are not user friendly, don’t save, and don’t allow for variances

(Ie if a baby is feeding on demand, it can only fit into rigid time frame choices)

The computer system has to be reliable and not freeze. There needs to be IT support to address software issues.

When I work in remote rural Australia, we need reliable stable internet for everyone.

That’s my two pennyworth

Thanks

Judy

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eHealthNews article on the report https://www.hinz.org.nz/news/468228/Implementation-of-data-and-digital-services-must-be-accelerated-report-says.htm

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I’ve had a good read of the full report now - it is a brilliant ‘state of the nation’ of our informatics landscape in NZ, and is very readable. Look for Chapter 12 - I have put it in the 1st post of this topic.

We are fortunate to have one of the authors amongst our number; great work @michael.hosking!

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Thanks for sharing the the post around Chapter 12 @NathanK. Good work on the report @michael.hosking. Looking forward to recommendations document due next year.

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