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NZ ePrescription Service

IT Health Board. NZ ePrescription Service . Stakeholder Update #4 10 November 2011 Wellington. Agenda. Progress Update Updated Planning Overview Rest Home flow, Douglas/Medtech/Toniq Questions from demonstrations Suggestions for rapid take-up. The NZ ePrescription service.

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NZ ePrescription Service

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  1. ITHealthBoard NZ ePrescription Service Stakeholder Update #4 10 November 2011 Wellington

  2. Agenda • Progress Update • Updated Planning Overview • Rest Home flow, Douglas/Medtech/Toniq • Questions from demonstrations • Suggestions for rapid take-up

  3. The NZ ePrescription service • Complies with HISO business process standard • Uses NZULM • Supports most current process / workflow e.g. cancel, partial fill, substitution, pharmacy generated scripts as well as a range of other features • Transactions are secure end to end • Transactions are locked while downloaded to the pharmacy and once filled cannot be downloaded again • Paper / electronic can coexist • Intended to support hospital and other prescribers where scripts go to community pharmacy

  4. NZePS Benefits

  5. Approach… • Implementation phases: 0. Expression of Interest – NIHI and clinical stakeholders Complete. Simpl selected to provide hosted broking service 1. Pre-trial – electronic transactions/workflow between GP and Community Pharmacy (broker plus 3 x GP / 3 x Pharmacy system – V1 feature set) 2. Trial – multi-vendor, multi location, DHB supported, standards-based 3. National roll-out – electronic transactions/workflow between GP and Community Pharmacy, send data to regional clinical data repositories (initially where these exist)

  6. Scope… • Technical • Implement a ‘Transaction Broker’ • Changes to prescribing and pharmacy systems • Feed a CDR (where available) • Trial • All GP and community pharmacy vendors • 3-4 Geographic locations and multiple sites in each • Confirm Service Readiness, Costs, Commercial Model (vendors), Funding Model & Service Governance

  7. Planned Timeframe

  8. Proof of Concept/State of Play • Initial Participants • 3 Pharmacies: Papatoetoe City Centre, Johnsons Papatoetoe and NetPharmacy Parnell. (St George on hold pending system upgrade) • 3 GP’s: Papatoetoe Family Doctors, Otara Family and Christian Health Centre, My Practice Parnell • Plan • Finalise setup of all sites by end September • Stable operation through October • Review feedback and issues • Close Proof of Concept 30 October 2011 • Issues to date • Lack of access via Connected Health to hosted services • Minimum specification hardware • Health Certificate deployment and Installation processes • Problems with hosted environments and setup of services • Vendor participation. Medtech and Toniq slow to engage.

  9. Phase One – Current Vendors • Vendors • My Practice • Healthsoft • Sites/Region – Waitamata DHB, Northern Region • GP: • Hibiscus Coast Medical Centre • TBC • Pharmacy • Orewa Care Chemist • Orewa Medical Centre Care Chemist • Plan • Develop and Standards Compliant messaging, Mid October 2011 • Install and configure selected sites, end October • Stable operation, November • Review and finalise • Confirm DHB engagement for funding. Mid October

  10. Phase One – New Vendor • Vendors • Healthsoft • Intrahealth • Sites/Region – Lakes DHB, Midland • GP: • Rotorua Site 1 • Rotorua Site 2 • Rotorua site 3 • Rotorua Site 4 • Pharmacy • Rotorua Site 1 • Rotorua Site 2 • Plan • Install and configure selected sites, mid November • Stable operation to mid December • Review and finalise • Confirm DHB engagement mid-November

  11. Phase Two– Additional Vendors • Vendors • Toniq • Medtech, Houston • Sites/Region – Mid Central DHB, Central, plus additional Lakes DHB sites • GP: • Palmerston North, 4 sites each – Houston & Medtech • Pharmacy • Palmerston North 4 Sites - Toniq • Rotorua 2 Sites – Toniq • Plan • Commence development Medtech and Toniq mid November • Install and test February/March 2012 • Stable operation through April 2012 • Review and finalise • Confirm DHB engagement, November 2011

  12. Phase Two– Final region • Vendors • Toniq, Healthsoft (?) • Medtech, Houston (?), Intrahealth (?), My Practice (?) • Sites/Region – Southern DHB, Southern • GP: • Medtech 4 Sites (Others to be confirmed) • Pharmacy • 4 Sites - Toniq • Plan • Install and test Apr/May 2012 • Stable operation through May/June 2012 • Review and finalise

  13. National Rollout • Prerequisites/Trial Outcomes • Successful Trial Completion May 2012 • Independent evaluation completed June 2012– Benefits can be realised • Governance model finalised – June 2012 • Funding model finalised – March 2012 • Operational funding allocated – June 2012 • Vendor deployment and operation funding agreed – May 2012 • User Acceptance testing completed with all vendors and no severity one or two defects outstanding. – May 2012 • Deployment plans and processes, by vendor, finalised and agreed – May 2012 • Support model agreed and setup – June 2012

  14. Timeline Phase 1

  15. Timeline Phase 2

  16. Trial Outcomes

  17. Discussion

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