Health Informatics New Zealand
Health Informatics New Zealand
Health Informatics New Zealand
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
7th Annual Conference and Exhibition<br />
<strong>Health</strong> <strong>Informatics</strong>:<br />
Improving and Exploiting<br />
our <strong>Health</strong> Information<br />
DELEGATE HANDBOOK<br />
15 -17 October 2008 Rotorua, <strong>New</strong> <strong>Zealand</strong>
The specialist is 700km away but he can tell<br />
right away if she’s got a problem<br />
Polycom UltimateHD TM can make the difference<br />
between life and death<br />
Polycom HDX TM 9000 Series<br />
Polycom High Definition solutions make it<br />
possible for doctors to examine off-site<br />
patients as if they were in the same room.<br />
With the ability to obtain a close-up view of<br />
the troubled spot and the crystal clarity of HD StereoSurround TM audio, it’s the<br />
next closet thing to being with the patient. For more details on how Polycom<br />
UltimateHD can help save lives, please visit www.asnettechnologies.co.nz.<br />
www.asnettechnologies.co.nz<br />
0800 POLYCOM (765 926)
Welcome to the <strong>Health</strong> <strong>Informatics</strong> <strong>New</strong> <strong>Zealand</strong> (HINZ)<br />
7th Annual Conference and Exhibition<br />
The theme this year is ‘<strong>Health</strong> <strong>Informatics</strong>: Improving and Exploiting our <strong>Health</strong> Information’. This theme refl ects the wealth of information<br />
already collected across the health and disability sector, and emphasises our determination to further improve the quality, depth and breadth<br />
as well as our ongoing efforts to ensure that information is accessible and available to the right people in the right place at the right time.<br />
Information can’t save lives by itself; people using information can. This year’s conference is dedicated to contemplation on how<br />
timely and accurate health information can best reduce mortality and morbidity, and improve cost effi ciency, in healthcare delivery.<br />
We have seen a record turn-out of paper submissions this year, with forty-two conference papers and research papers in total submitted for<br />
review by the Scientifi c Programme Committee.<br />
We have again chosen Rotorua as the venue. There was a great deal of positive feedback on this location from last year; everyone enjoyed<br />
getting away from work and being able to really concentrate on getting the best value out of attending the annual conference. The 2009<br />
venue will be announced at the end of this conference.<br />
We acknowledge the efforts and support of our industry sponsors and exhibitors, contributing authors, attendees, The Ministry of <strong>Health</strong>,<br />
the CIO Forum, our Scientifi c Programme Committee, the HINZ Executive and our conference organisation team headed by Linda McKay,<br />
No. 9 Productions.<br />
A team effort has made this the biggest and best HINZ conference ever.<br />
Dr Karolyn Kerr Prof Jim Warren<br />
HINZ Chair Conference Programme Chair<br />
2008 Conference Organising Committee<br />
Chairman<br />
Jim Warren, Chair in <strong>Health</strong> <strong>Informatics</strong>, University of Auckland<br />
Scientifi c Programme Committee<br />
Rowena Cullen, Victoria University of Wellington<br />
Karen Day, University of Auckland<br />
Alec Holt, University of Otago Dunedin<br />
Michelle Honey, University of Auckland<br />
Inga Hunter, Massey University<br />
Karolyn Kerr, HINZ Chair<br />
Ray Kirk, <strong>Health</strong> Sciences Centre, College of Science<br />
Amy Lockyer, Ministry of <strong>Health</strong><br />
Dougal McKechnie, <strong>Health</strong> Information Strategy Action Committee<br />
David Parry, Auckland University of Technology<br />
Christopher Peck, Orion<br />
Steve Rayner, Wanganui DHB<br />
Kannan Subramanian, HINZ<br />
Richard Whiddett, Massey University<br />
Jane Winder, <strong>Health</strong> Information Strategy Action Committee<br />
Chris Wong, Ministry of <strong>Health</strong><br />
Finance<br />
Lucy Westbrooke, Auckland DHB<br />
Event Management<br />
Linda McKay AMM – No. 9 Productions<br />
3
Delegate Delegate Information<br />
Information<br />
Registration and Information Desk<br />
Is open from 7.30am – 5pm Wednesday 15th – Friday 17th October and is situated inside the main entrance of the<br />
Rotorua Convention Centre.<br />
Venue<br />
All refreshment breaks and lunches will take place in the exhibition hall (in the Banquet Room).<br />
Main conference presentations<br />
������ ���<br />
will take place in the Civic Theatre. Breakout sessions<br />
������<br />
will<br />
���<br />
take place in the Concert<br />
Chamber (both on the same level as exhibition fl oor) plus the West Room on Level 2 – the venue will be clearly<br />
signposted.<br />
Level One Level Two<br />
������<br />
����<br />
������<br />
����<br />
����<br />
�<br />
���� � �<br />
����<br />
�<br />
�<br />
����<br />
����� �������<br />
�������<br />
����<br />
����<br />
�����<br />
������<br />
����<br />
����<br />
�<br />
�������<br />
���<br />
�<br />
�����<br />
����<br />
����<br />
����<br />
�������� ����<br />
����<br />
����<br />
�<br />
����<br />
����<br />
�����<br />
����<br />
����<br />
����<br />
�����<br />
<strong>Health</strong> and Safety and Personal Information<br />
The ������� Rotorua ������ � ����� ����� ��� ��������� Convention ��� �� ������ ����� ���� ������ Centre ������� �������� meets ����� ���� ������� strict ��������������� health ���� ������������� and ��� ��������� safety ������� regulations. ������ � ����� ����� ��� ��������� There ��� �� ������ ����� is ���� ������ no ������� smoking �������� ����� ���� permitted ������� ��������������� ���� ������������� within ��� ��������� the<br />
������ ������� ��������<br />
������ ������� ��������<br />
building �������� ���� ������although ������� you can smoke outside and use the cigarette �������� trays ���� ������ ������� provided. Neither the Rotorua Convention Centre<br />
��� � � ����� ���� ����<br />
�������<br />
���� ��� � � ����� ���� ����<br />
�������<br />
���� ���� � ����� ���� ����<br />
� � � � � � �<br />
� � � � � � �<br />
nor the HINZ 2008 ���������������������<br />
���� � ����� ���� ����<br />
Organising Committee accept any liability for loss, theft of ���������������������<br />
personal items or any injury to persons<br />
attending the conference. Please keep your valuables with you at all times.<br />
Exhibition and Sponsorship<br />
We extend a very special thanks to all the sponsors and exhibitors who have supported HINZ again this year. Please take<br />
time to visit our vendors over the three days. All refreshment breaks and lunches will be held in the main exhibition area<br />
in the Banquet Room.<br />
Meetings and Special Interest Groups (SIGs)<br />
The Education Working Group and Nurses’ Working Group of HINZ will meet during the lunch break on each day – check<br />
the programme for room allocation. Attendees at these meetings are invited to the lunch buffet tables in the exhibition<br />
area and then take their food to the meeting room. Should other groups require meeting rooms please see the staff at<br />
the registration desk.<br />
Hewlett Packard / Cyber Café and Innovation Centre<br />
Keep in touch with your offi ce via the Cyber Café situated in the Exhibition Hall.<br />
� ����<br />
�������� �������<br />
�����<br />
����<br />
�����<br />
���� �<br />
������<br />
�<br />
����������<br />
���������<br />
����<br />
�������<br />
������<br />
�������<br />
� ����<br />
�����<br />
�����<br />
���� ��������<br />
���������<br />
����� ������ �����<br />
Parking<br />
Public car parking can be found in the surrounding streets off Fenton Street outside the Convention Centre.<br />
Accepted Paper Presenters<br />
On arrival please advise if you are presenting a paper – staff will escort you to the technician who will download your<br />
presentation and ensure this is ready on the laptop in your presenting room to meet the facilitator. Please make yourself<br />
acquainted with the layout of the venue and be ready in the presenting room to meet the facilitator at least 5 minutes<br />
before your presentation session begins. Each presentation has been allocated a speaking time of 20 minutes and<br />
must include the introduction from the facilitator, plus any questions you may take from the audience. Please note that<br />
delegates are moving between sessions so all timings for start and end time must be adhered to.<br />
4<br />
�����<br />
����<br />
������<br />
������ ����<br />
����� � ����� �<br />
�������� ����� ����<br />
�������� �������� ����<br />
����<br />
������<br />
������ ������������������<br />
������ ����<br />
�����<br />
����<br />
����<br />
����<br />
��������
Welcome Function - Elevator Pitch Presentations and LUGE Challenge<br />
Wednesday 15th October 5pm – 9pm<br />
Once again we welcome the generous support of Gen-i, our major sponsor of this years’<br />
welcome function.<br />
The <strong>New</strong> <strong>Zealand</strong> <strong>Health</strong> IT Cluster will host their annual Elevator Pitch Presentations – if you<br />
have something to say and can do it within ONE minute then pop your business card into the hat<br />
on the night. Your presentation will be judged and prizes awarded in various categories.<br />
The 2008 Hewlett Packard Luge Challenge (included in the welcome function)<br />
Enjoy the wonderful sights of Rotorua<br />
from high above the famous luge tracks.<br />
Coast… or speed down the luge tracks,<br />
courtesy of Hewlett Packard – this<br />
years LUGE Challenge sponsors. Before you join your hosts for drinks and supper provided at the Redwoods Marquee<br />
– you can luge right up to the front of the function venue and leave your sled and helmet at the door or you can stroll<br />
through the forest or, we can provide mini bus transport for the brief 3 minute drive down the track. Transport is provided<br />
for this function - coaches will collect guests from the Millennium Hotel between 5.00pm and 5.15pm - and return at<br />
approximately 9.00pm. Entrance to the luge tracks and function venue is via a gondola lift that transports you on a seven<br />
minute journey to the top of the mountain.<br />
HINZ Gala Dinner<br />
Thursday 16th October 7.15pm – Midnight<br />
Bring on the razzmatazz, pull out those jimmy hats and gangster tails - baubles, beads and bling…<br />
You’re invited to a night of 1930-40’s glam at the Historic Rotorua Blue Baths. Come in costume for a night to remember!<br />
This dinner is included as part of the FULL REGISTRATION. Should you require extra tickets please see the staff at the<br />
registrations desk BEFORE morning tea on Thursday. Dress Code is smart or 1930-40’s costume! The venue is a 4 minute<br />
walk from the Millennium Hotel and is located within the Government Gardens.<br />
5<br />
Kindly<br />
sponsored by
Exhibition<br />
HINZ acknowledges their valuable supporting partners who are taking part in this years’ Conference.<br />
All catering will be served in the Exhibition Hall – please frequent this area and take the time to visit all our vendors.<br />
Level One (Ground Floor)<br />
Exhibitors:<br />
1/2 iSOFT<br />
3 Ascribe<br />
4 AY Tech<br />
5 Ministry of <strong>Health</strong><br />
6 Sun Microsystems<br />
7 <strong>Health</strong> Communication Networks<br />
8 Asnet Technologies<br />
9/10 Hewlett Packard Cyber Café<br />
11 Intrahealth<br />
12 Agile<br />
13 Sony<br />
14 Tandberg<br />
15 SAP Australia Ptd Ltd<br />
16 Simpl<br />
17/18 Vodafone<br />
19 IBM<br />
6<br />
20 Vantex<br />
21-30 Sysmex<br />
22 Global <strong>Health</strong><br />
23 Fujitsu<br />
24/25 Gen-i<br />
26/27 Intersystems<br />
28/29 Orion <strong>Health</strong><br />
31 ASPX Ltd<br />
32 Saito Group<br />
33 MedTech<br />
34 Contec Group<br />
35 Vivid Solutions<br />
36 Meditech Australia Pty Ltd<br />
37 University of Auckland<br />
38 Sato <strong>New</strong> <strong>Zealand</strong>
8.45 Registration & Coffee for CIO Forum and SNOMED attendees<br />
Main Conference registration is also open all day from 10 – 4<br />
9.00 – 5.00 DHB CIO FORUM (DHB CIO’s only) WEST ROOM<br />
Wednesday 15th October<br />
WORKSHOPS<br />
9.00 WORKSHOP # 1 (Full Day) CONCERT CHAMBER<br />
SNOMED CT Implementation Workshop<br />
This full day workshop will focus on the challenge of embedding the SNOMED CT terminology into clinical systems in <strong>New</strong> <strong>Zealand</strong>. The day will begin with<br />
a brief introduction to SNOMED CT by Anne Casey RN, MSc, FRCN Editor and Adviser, Royal College of Nursing, UK Clinical Domain Lead, NHS (England)<br />
Information Standards Board. The day will also include discussions by speakers from both overseas and <strong>New</strong> <strong>Zealand</strong>, on the practical aspects of working with<br />
the terminology, transmitting SNOMED CT information via HL7, and embedding SNOMED CT into patient management systems. This workshop would benefi t<br />
people with an interest in implementing SNOMED CT in clinical and research situations.<br />
9.00 Introduction - Anne Casey<br />
9.50 Clinical Information Consultancy - David Markwell (via Video Conference live link up)<br />
10.55 Morning Tea<br />
11.15 NHS Connecting for <strong>Health</strong> - Mike Bainbridge (via Video Conference live link up)<br />
12.20 Lunch<br />
1.10 Ocean <strong>Informatics</strong> - Hugh Leslie<br />
2.10 healthAlliance - HL7 NZ - David Hay<br />
2.55 Afternoon tea<br />
3.15 Workshop Session conducted by Ministry of <strong>Health</strong><br />
4.30 END<br />
WORKSHOP # 2 (10.00 - 2.30 Half Day includes lunch) EAST ROOM<br />
PUBLIC HEALTH UNIT (PHU)<br />
Public <strong>Health</strong> Workshop sponsored by Chai Chuah, Hutt Valley DHB CEO and Chair of the 21 DHB Information Group, with his Ministry of <strong>Health</strong> counterpart.<br />
This workshop will seek out the ‘missing link’ that is holding back Public <strong>Health</strong> sector information systems from meeting the needs of their District <strong>Health</strong><br />
Boards and subsequently, hampering the advancement of key Public <strong>Health</strong> outcomes.<br />
Chair: Frank Booth, Service Manager Auckland Regional Public <strong>Health</strong> Service<br />
10.00 Opening: Hutt Valley DHB CEO and Chair 21 DHB Information Group Chai Chuah/Ministry counterpart. Introduction Frank Booth.<br />
10.15 Presentation: Evon Currie GM Community and Public <strong>Health</strong>, Canterbury DHB - How might a Public <strong>Health</strong> Service (PHS) contribute to joint DHB/<br />
Ministry health goals, targets and aspirations?<br />
10.45 Presentation: Chai Chuah and Ashley Mudford, CIO NZ Food Safety Authority (also representing Customs and MAF) What are DHB and Central<br />
Government expectations of PHSs?<br />
• <strong>Health</strong> Protection (core public health and emergency management <strong>Health</strong> Promotion (DHB Ministry health goals and targets)<br />
• Addressing higher level determinants: The ‘<strong>New</strong> <strong>Zealand</strong> Inc’ brand<br />
• Border control: What is the border?<br />
11.15 Three work streams<br />
1. Connected <strong>Health</strong> includes interoperability, standards, sharing innovation<br />
2. Strategy or plan for public health informatics linking into the NZ <strong>Health</strong> Information Strategy<br />
3. Information interface esp with primary care, NGOs, DHB planning and funding teams<br />
12.00 Lunch<br />
12.45 Work streams resume<br />
1.45 Report back: a work plan to advance this workshop’s priorities? (Representative from the DHB CIO forum to join)<br />
2.30 Panel Wrap Up and End<br />
Coaches depart Millennium Hotel from 5.00 - 5.15 for the Welcome Function at Skyline Skyrides.<br />
7
Thursday 16th October<br />
7.45 Breakfast Session (breakfast provided in Concert Chamber from 7.15 )<br />
AUTOMATING PRIMARY CARE - THE REASONS FOR DOING SO: LESSONS FROM THE JOURNEY SO FAR (Chair, Tom Bowden)<br />
Live video link presentation with Prof. Denis Protti, Chair of <strong>Health</strong> <strong>Informatics</strong> Victoria University, British Columbia<br />
8.15 Registration & Coffee All plenary sessions take place in the Civic Theatre<br />
8.30<br />
WELCOME ADDRESS – HINZ Chair, Dr Karolyn Kerr and Prof Jim Warren, Scientifi c Programme Chair<br />
8.40<br />
A VISION FOR NZ HEALTH INFORMATION<br />
Speakers: Alan Hesketh and Brendan Kelly, Ministry of <strong>Health</strong><br />
9.15<br />
HEALTH INFORMATION STRATEGY FOR NZ - UPDATE<br />
Speaker: Dougal McKechnie, <strong>Health</strong> Information Strategy Action Committee<br />
9.35<br />
ADDRESS BY THE MINISTER OF HEALTH - Hon David Cunliffe, Minister of <strong>Health</strong><br />
9.50 Platinum Sponsor Address - Asnet Technologies<br />
9.55<br />
FOUR KEY LESSONS IN IMPROVING HEALTH CARE SERVICE DELIVERY - THE HEALTH ROUNDTABLE EXPERIENCE<br />
Speaker: David Dean, General Manager of The <strong>Health</strong> Roundtable Limited<br />
10.30 Morning Tea<br />
CONCURRENT SESSION 1 Theatre<br />
CLINICAL SAFETY<br />
Facilitator: Kannan Subramanian<br />
10.50<br />
11.10<br />
P17<br />
Medical Decision Making In Critically Ill Patients<br />
Speaker: Janet Liang<br />
P13<br />
Analysis of Medication Possession Ratio for<br />
Improved Blood Pressure<br />
Speaker: Thusitha Mabotuwana<br />
(BEST student scientifi c paper Nominee)<br />
Concert Chamber<br />
WORKFORCE<br />
Facilitator: Peter Carr<br />
P14<br />
Workforce Supply Forecasting Model<br />
Speaker: Nikolai Minko<br />
11.50<br />
Facilitator: Jim Warren<br />
UNLEASHING THE BENEFITS OF A NATIONAL EHR<br />
Speaker: Sarah Muttitt, Chief Information Offi cer, Ministry of <strong>Health</strong> Holdings, Singapore<br />
12.30 Lunch<br />
Special Interest & Working Group Meetings<br />
Education Working Group meet in South Room at 12.35pm<br />
P33<br />
Standardised Data For Workforce Planning: More Than<br />
Just The HRIS<br />
Speaker: William Hamilton<br />
P30<br />
Workforce Development of Nurses in a Technological Age<br />
Speaker: Michelle Honey<br />
1.30<br />
Facilitator: Peter Carr<br />
DHB CIO OPEN FORUM AND PANEL DISCUSSION<br />
Short presentations from the DHB CIOs representing the four main regions…followed by questions from the fl oor.<br />
3.00 Afternoon Tea<br />
CONCURRENT SESSION 2 Theatre<br />
PRIVACY<br />
Facilitator: Lucy Westbrooke<br />
3.30<br />
3.50<br />
P01<br />
Connecting The Dots: Clarifying <strong>Health</strong><br />
Information Privacy In The Primary Care Sector<br />
Speaker: Sebastian Morgan Lynch<br />
P10<br />
Managing Patient Privacy via Patient Centred<br />
Audit<br />
Speaker: Linda Fletcher<br />
Concert Chamber<br />
CODING<br />
Facilitator: Jim Warren<br />
P38<br />
Developing SNOMED CT Subsets from Clinical Notes<br />
Speaker: Jon Patrick<br />
P35<br />
Working Toward Automated Coding in General Practice<br />
Speaker: S Lean<br />
4.10 - 5.00<br />
Facilitator: Jim Warren<br />
RECENT INSIGHTS REGARDING THE INTEGRATION OF MULTI TECHNOLOGIES FOR MANAGEMENT OF CHRONIC PATIENTS<br />
Speaker: Yuval Shahar, Israel<br />
5.10 – 5.40 HINZ Annual General Meeting to be held in the Concert Chamber Room (All current members of HINZ are requested to attend)<br />
7.00 – Midnight GALA DINNER at The Historic Blue Baths 1930 -40’s theme…<br />
8<br />
West Room<br />
DATA QUALITY<br />
Facilitator: Dave Parry<br />
P22<br />
Ethnicity Data Consultation Findings – Implications<br />
For Ethnicity Data Users And Recorders<br />
Speaker: Alicia Webb<br />
P11<br />
Metadata Repositories in <strong>Health</strong> Care<br />
Speaker: Karolyn Kerr<br />
West Room<br />
RFID<br />
Facilitator: Michelle Honey<br />
P08<br />
Supporting The Visually Impaired Using RFID<br />
Technology<br />
Speaker: Dave Parry<br />
P09<br />
Monitoring Anaesthetic Activity with RFID<br />
Speaker: Bryan Houliston<br />
(BEST student scientifi c paper Nominee)
Friday 17th October<br />
7.45 ‘IN THE ZONE’ BREAKFAST SESSION BOUGHT TO YOU BY HISAC (held in the Concert Chamber)<br />
The <strong>Health</strong> Information Strategy Action Committee warmly welcomes delegates and exhibitors to breakfast on the fi nal day of HINZ 08. HISAC will showcase a number of initiatives<br />
that they have championed and advanced over the past year.<br />
8.45 Registration & Coffee All plenary sessions take place in the Civic Theatre<br />
9.00<br />
Facilitator - Robyn Carr<br />
INFORMATION LITERACY AND e-HEALTH - A NURSING, MIDWIFERY AND ALLIED HEALTH PROFESSIONAL PERSPECTIVE<br />
Speaker: Heather Strachan, The Nursing, Midwifery and Allied <strong>Health</strong> Professions e<strong>Health</strong> Lead in the e<strong>Health</strong> Directorate of the Scottish Government<br />
9.40<br />
NZ HEALTH IT CLUSTER UPDATE ON E-LABS AND CONSUMER HEALTH PORTAL<br />
Speaker: Andrea Pettett, CEO, <strong>New</strong> <strong>Zealand</strong> <strong>Health</strong> IT Cluster<br />
10.00 Morning Tea<br />
CONCURRENT SESSION 3<br />
Theatre<br />
CONSUMERS and the INTERNET<br />
Facilitator: Rowena Cullen<br />
10.30<br />
10.50<br />
11.10<br />
P12<br />
Consumer Led <strong>Health</strong>care: The Potential For The<br />
Mobile Internet To Transform<br />
Speaker: Craig Jones<br />
P27<br />
Young Tech-Savvy Users’ Perceptions of Consumer<br />
<strong>Health</strong> Portals<br />
Speaker: Jim Warren<br />
P02<br />
WWW.thelowdown.co.nz<br />
Using ICT To Target Depression And Save Young Lives<br />
Speaker: Anil Thapliyal<br />
Concert Chamber<br />
SECTOR SYSTEMS<br />
Facilitator: Andrea Pettett<br />
P20<br />
Connected <strong>Health</strong> – Progress Update<br />
Speaker; Ross McKenna<br />
P29<br />
Leveraging Sector ICT Investment<br />
Speaker: Darren Douglass<br />
P26<br />
Green Prescription Expansion Project<br />
– National Information System Build<br />
Speaker: Kim Forbes<br />
CONCURRENT INTERACTIVE PANEL SESSION<br />
11.30 – 12.15<br />
Sharing Good Practice And Innovative Knowledge Management Through The Use Of<br />
Information To Support <strong>Health</strong>care Delivery By Nurses, Midwives And Allied <strong>Health</strong><br />
Professionals.<br />
A panel of four nurses will lead a discussion about “Sharing good practice and innovation in<br />
knowledge management and the use of information to support healthcare delivery by Nurses,<br />
Midwives and Allied <strong>Health</strong> Professionals”. We are pleased to welcome Heather Strachan,<br />
from the e<strong>Health</strong> Directorate of the Scottish <strong>Health</strong> Department, one of our keynote speakers<br />
to join three <strong>New</strong> <strong>Zealand</strong> nurses. From <strong>New</strong> <strong>Zealand</strong> there is Robyn Carr, current chair of<br />
IMIA-NI; Lucy Westbrooke our <strong>New</strong> <strong>Zealand</strong> IMIA-NI representative; and Michelle Honey, chair<br />
of the HINZ Nursing <strong>Informatics</strong> Working Group.<br />
12.15 Lunch<br />
Special Interest & Working Group Meetings<br />
Nurses Working Group meet in South Room at 12.20<br />
CONCURRENT SESSION 4 Theatre<br />
HOME & PERSONAL TECHNOLOGY<br />
Facilitator: Tom Bowden<br />
1.30<br />
1.50<br />
2.10<br />
P25<br />
Shifting Care To The Home: The Value Of Personal<br />
Telehealth<br />
Speaker: George Margelis<br />
PO3<br />
Technology for Independence: Using Technology to<br />
Assist With Care of the Aged<br />
Speaker: Ray Delany<br />
PO6<br />
Designing A Robotic Assistant For <strong>Health</strong> Care<br />
Applications<br />
Speaker: Tony Kuo<br />
Concert Chamber<br />
USABILITY<br />
Facilitator: Peter Carr<br />
PO4<br />
The Challenge Of Developing An Electronic<br />
<strong>Health</strong> Record For Use By Mobile Community.<br />
Speaker: Christine Hendry<br />
P15<br />
The Challenge of Evaluating Electronic<br />
Decision Support in the Community<br />
Speaker: Jim Warren<br />
P07<br />
Mixed Methodology for Improving Usability of<br />
e-<strong>Health</strong> Systems<br />
Speaker: Yousef-Awwad Daraghmi<br />
9<br />
West Room<br />
EXPERIENCE<br />
Facilitator: Karen Day<br />
P28<br />
Information Systems to support Chronic Care Management<br />
– A Regional Approach<br />
Speaker: Kanaka Ramyasiri<br />
P32<br />
Benefi ts and Lessons Learned: An e-Referrals Pilot in the<br />
Waikato<br />
Speaker: Paul Docherty<br />
P24<br />
A Trial Of Text Messaging In Family Planning Clinics<br />
Speaker: Helen MacKenzie<br />
CONCURRENT INTERACTIVE PANEL SESSION<br />
11.30 - 12.15<br />
Facilitator: Rosemary Jarmey<br />
P37<br />
HL7 – FUTURE DIRECTIONS FOR NEW ZEALAND<br />
An opportunity to debate with representatives from across the <strong>Health</strong> sector<br />
on messaging standards and how they may be used in the NZ environment, in<br />
particular HL7 with its various options and the alternatives to it.<br />
West Room<br />
SYSTEMS & METHODS<br />
Facilitator: Karolyn Kerr<br />
P19<br />
Moving Forward: Taking PMS Vendor Management to the<br />
Next Level<br />
Speaker: James Conner<br />
P39<br />
Rescuing Data from Decaying and Moribund Clinical<br />
Information Systems<br />
Speaker: Jon Patrick<br />
P23<br />
Rapid System Development: Variable Service Models for<br />
The Well Child Initiative<br />
Speaker: Leona Latham<br />
2.30<br />
SNOMED CT<br />
FROM PROFESSIONAL STANDARDS TO INFORMATION STANDARDS - EVIDENCE BASED CONTENT IN ELECTRONIC RECORDS AND MESSAGES.<br />
To date, system content development has been largely a local issue but there is growing recognition of the need to agree at regional and national levels both the professional content<br />
standards and the technical representation standards for the content. Standardised terminology, forms, pathways are required if we are to share and compare information about<br />
patients in support of safe effective care and treatment as well as quality improvements. This presentation will look at the UK experience - clarifying the relationship between the<br />
professional and technical standards will be illustrated and approaches to achieving safe, interoperable and implementable electronic record content standards described.<br />
Speaker: Anne Casey, Royal College of Nursing of the United Kingdom<br />
3.15 CONFERENCE END and Icecreams!<br />
Safe travel home…
International International Invited Invited Speakers<br />
Speakers<br />
Anne Casey RN, MSc, FRCN Editor and Adviser, Royal College of Nursing, UK Clinical Domain Lead, NHS (England) Information Standards Board. As the<br />
adviser on health information standards at the Royal College of Nursing, Anne is leading on development of professional nursing content for electronic records<br />
and communications. She is also seconded to the NHS Information Standards Board with a remit to ensure appropriate multi-disciplinary input to the appraisal<br />
of information standards for the NHS in England. Anne’s background is in paediatric nursing and she is currently editor of Paediatric Nursing, the leading UK<br />
journal for nurses caring for children and young people in hospital and community. Anne is a member of the content committee of the SNOMED International<br />
Terminology Development Organisation and of other international health informatics standards groups. She was made a Fellow of the Royal College of Nursing<br />
in 2002 in recognition of her contribution to paediatric nursing and health informatics.<br />
Dr David Dean is General Manager of The <strong>Health</strong> Roundtable Limited, a consortium of over forty public health services across Australia and <strong>New</strong> <strong>Zealand</strong>.<br />
He received his PhD in Interdisciplinary Social Sciences from Syracuse University as a National Science Foundation Graduate Fellow in 1978. He has worked<br />
as a management consultant in a wide variety of industries, primarily in the area of change management, and has focused on the health care industry since<br />
1989. He has been working with the <strong>Health</strong> Roundtable since 1995. The <strong>Health</strong> Roundtable is a data-driven organisation, collecting and analysing over 3<br />
million inpatient episodes, 1.5 million emergency presentations, and almost 4 million allied health interventions per year in an effort to highlight variations in<br />
performance across member organisations. The data collection process is complemented by in-person discussions amongst the members to identify innovative<br />
practices underlying the data differences.<br />
Sarah Muttitt, MD, FRCPC, FAAP, MBA Chief Information Offi cer, Ministry of <strong>Health</strong> Holdings, Singapore. Dr. Muttitt brings more than twenty fi ve years<br />
experience in the healthcare industry with a clinical background in paediatrics and neonatology and private/public sector experience in the development<br />
and implementation of innovative healthcare technologies. She has applied her clinical and business management expertise to the successful planning and<br />
implementation of ehealth initiatives across Canada and the US for the past fi fteen years. Prior to moving to Singapore, Dr. Muttitt was the Vice-President,<br />
Innovation and Adoption at Canada <strong>Health</strong> Infoway, the organization providing strategic leadership for EHR implementation in Canada. Dr. Muttitt joined<br />
Singapore’s Ministry of <strong>Health</strong> Holdings in December 2007. As Chief Information Offi cer, she is responsible for national alignment of health IT initiatives with<br />
a focus on electronic health record solutions and their adoption by clinicians to support current and emerging health care challenges and priorities.<br />
Professor Denis Protti, began his career in <strong>Health</strong> <strong>Informatics</strong> in 1967 in the Faculty of Medicine at the University of Manitoba. Prior to joining the University<br />
of Victoria, he held senior information systems executive positions in Manitoba and British Columbia hospitals. His research and areas of expertise include:<br />
National <strong>Health</strong> Information Management & Technology Strategies, Electronic <strong>Health</strong> Records, Primary Care Computing, Evaluating Clinical Information Systems,<br />
and the role of Chief Information Offi cers. Denis was a founding member of COACH - Canada’s <strong>Health</strong> <strong>Informatics</strong> organization. He served as its 2nd President<br />
and was granted lifetime member status in 1981. He was also a founding member of the American Medical <strong>Informatics</strong> Association and in 1989 was one of the<br />
fi rst non-Americans elected a fellow of the American College of Medical <strong>Informatics</strong>. He regularly advises and sits on expert panels for health care organizations<br />
and government agencies in both Canada and abroad. In 2006, he was appointed chair of the Informing <strong>Health</strong>care’s International Advisory Group for NHS Wales.<br />
In 1998, Denis was commissioned by the Treasury to review the proposed National <strong>Health</strong> Service (NHS) Information Strategy for England prior to its release.<br />
He later developed the evaluation methodology that was used to monitor the local implementation of their national strategy - a process referred to as the Protti<br />
scores. Since then he has been invited annually by the Government and a variety of English organizations to conduct on-site reviews, give master classes, and<br />
comment on the NHS EHR journey.<br />
Yuval Shahar, M.D., Ph.D. received his B.Sc. and M.D. degrees from the Hebrew University in Jerusalem, Israel (1981), and studied for an M.Sc. in<br />
theoretical computer science at Bar Ilan University, Ramat Gan, Israel until 1988. He received an M.Sc. in computer science (artifi cial intelligence area)<br />
at Yale University, <strong>New</strong> Haven, CT, USA (1990), and a Ph.D. in Medical Information Sciences from Stanford University, Stanford, CA, USA (1994), in which<br />
he stayed as a faculty member. After spending 2 years at Yale University and a decade (1990-2000) at Stanford University as a researcher and as a<br />
full-time faculty member in Medicine and Computer Science, Prof. Shahar has joined Ben Gurion University (BGU) in 2000 to found and head its Medical<br />
<strong>Informatics</strong> Research Center, which focuses on development of Artifi cial Intelligence methods and on their application to medicine, while continuing to<br />
serve as a Consulting Associate Professor (Medical <strong>Informatics</strong>) at Stanford University’s School of Medicine. Prof. Shahar is currently the Chair of BGU’s<br />
Department of Information Systems Engineering, and the deputy Dean for R&D of its Engineering faculty. Prof. Shahar is internationally known mostly for<br />
his research in the areas of temporal reasoning, planning, information visualization, knowledge acquisition, knowledge representation, and knowledgebased<br />
systems (with particular emphasis on biomedical applications), as well as medical decision analysis. He specializes in intelligent interpretation and<br />
exploration of large amounts of time-oriented data and in representation and application of procedural knowledge, such as clinical guidelines. In 2004,<br />
Prof. Shahar’s BGU medical informatics research center won an IBM Shared University Research award as a center of excellence in its area. That year, Prof<br />
Shahar was granted an IBM Faculty Award. In 2005, Prof. Shahar was elected as an International Fellow to the American College of Medical <strong>Informatics</strong>.<br />
Heather Strachan has over 20 years experience in e<strong>Health</strong>. She is currently The Nursing, Midwifery and Allied <strong>Health</strong> Professions e<strong>Health</strong><br />
Lead in the e<strong>Health</strong> Directorate of the Scottish Government. Heather, who is a nurse by background, has held a variety of posts that have involved<br />
management, practice development, research and healthcare governance. Heather has a Masters in Information Science from London’s City University.<br />
She is a Professional Member of the British Computer Society and a member of the Centre for <strong>Health</strong> <strong>Informatics</strong> Research and Development.<br />
Heather is a Senior Member of the International Medical <strong>Informatics</strong> Association and an Honorary Member of their Nursing <strong>Informatics</strong> Group.<br />
10
Invited Workshop Speakers<br />
Snomed Workshop<br />
(via video conference)<br />
David Markwell was a GP until 1986 when he took a full time role developing an early GP computer system that was widely used throughout the<br />
1990’s. In 1989 David founded the Clinical Information Consultancy in1989 and for nearly 20 years his consulting activities have been concerned with health<br />
record structures, use of clinical terminology and communication of clinical information. David is a member of the Research and Innovation Committee of<br />
International <strong>Health</strong> Terminology Standard Organisation and Chair of the SNOMED Concept Model Special Interest Group. He was closely involved in the<br />
technical design of SNOMED Clinical Terms. He provides SNOMED CT consultancy advice and training both in the UK and Internationally. David is the author<br />
of CliniClue the widely used freeware browser for SNOMED CT.<br />
(via video conference)<br />
Dr Mike Bainbridge B.Med.Sci. BM. BS. MRCGP. FBCS. CITP. Mike has been a leading fi gure in Clinical <strong>Informatics</strong> for 25 years working both for Government<br />
and Industry. He has designed and brought to market Clinical Computer Systems for General Practitioners. He was instrumental in the 2003 negotiation of the IT<br />
elements of the current General Practitioner Contracts in the UK. He currently leads the Clinical Architecture, Assistive Technology and Clinical Decision Support<br />
teams at NHS Connecting for <strong>Health</strong> (NHS CFH). These teams are delivering innovations in hardware design, clinical interface design and interfaces for the<br />
both professionals and citizens to the electronic medical record. As a former General Medical Practitioner and medical informatics expert, Mike brings a unique<br />
insight to the fi eld. Mike previously held the position of chairman of the Primary <strong>Health</strong> Care Specialist Group of the British Computer Society. He currently sits<br />
on the Editorial Board for the Journal of <strong>Informatics</strong> in Primary Care. Through his work for the NHS in England, Mike continues to advocate both patient safety<br />
and clinical utility and to demonstrate its relevance and use in an international forum. He was voted ‘UK <strong>Health</strong> ICT champion’ in November 2007.<br />
David Hay, graduated Auckland medical school 1981. Long history of software development including GPDat GP Practice Management System, “LabLink”<br />
elecronic lab results system and “<strong>Health</strong> Care Community” hospital based task management system. Joined healthAlliance in 2004 and currently the<br />
Enterprise Architect for clincial systems and is also the chair of <strong>New</strong> <strong>Zealand</strong> HL7 Users group (NZHUG) an affi liate of HL7 international.<br />
Dr Hugh Leslie (MBBS, FRACGP, FACHI) has a background as a medical doctor specializing in Family Practice. He has had 15 years experience in<br />
<strong>Health</strong> <strong>Informatics</strong> both in Australia and internationally and is currently the Clinical Director at Ocean <strong>Informatics</strong>. Dr Leslie has many years of experience<br />
building clinical systems in Australia in both the primary care space and acute medicine and is experienced in facilitating software development by bridging<br />
the gap between clinicians and technicians. He has designed and built innovative clinical software applications for both primary care and hospitals and led<br />
large software application implementations linking multiple hospitals with primary care clinicians. Dr Leslie has held a number of different positions in the<br />
commercial world of <strong>Health</strong> IT including Director and CEO of a primary care clinical information system company in the late 1990’s, a joint venture with KPMG<br />
Consulting in 2000 - 2002, and has a very practical view of what needs to be done to enable a modern electronic health record to function. Dr Leslie joined<br />
Ocean <strong>Informatics</strong> in 2005 and has been integrally involved in business strategy, Ocean tool development and openEHR consulting. Dr Leslie is a Fellow of<br />
the Australian College of <strong>Health</strong> <strong>Informatics</strong>.<br />
Invited National Speakers<br />
Alan Hesketh was appointed to the role of Deputy Director-General Information Directorate at the Ministry of <strong>Health</strong>, in December 2007. Alan’s previous<br />
role was as Program Manager, Telecommunications for Australia’s largest retailer Woolworths Limited. During November 2005 Woolworths acquired<br />
Progressive Enterprises Limited (PEL) where Alan was the General Manager for Information Technology. PEL is a <strong>New</strong> <strong>Zealand</strong> Supermarket retailer operating<br />
the Foodtown, Woolworths and Countdown banners. Alan held the Chief Information Offi cer role with the Brisbane City Council from early 2001 through to late<br />
2003 and was responsible for all Information Technology facilities of the Council, the largest local government authority in Australasia employing over 7,000<br />
people, 400 of which were employed in the IT division. Alan’s other roles include Vice President, Global Service Delivery Unilever PLC.<br />
Dougal McKechnie, <strong>Health</strong> Information Strategy Action Committee. The Committee is a Ministerial-appointed body established to<br />
provide governance, oversight and leadership for the implementation of the <strong>Health</strong> Information Strategy for <strong>New</strong> <strong>Zealand</strong>. The strategy is about the health<br />
and disability sector using information in innovative ways to improve the health and independence of <strong>New</strong> <strong>Zealand</strong>ers. Dougal leads the offi ce which supports<br />
the Committee to fulfi l its leadership function and to ensure achievement of the strategy. The offi ce works actively to achieve strong engagement across the<br />
health sector and to identify activities that are strategically focused while being realistically achievable. Prior to taking up this role Dougal successfully led<br />
the development of the third iteration of the Justice Sector Information Strategy to 2011, which was approved by the six Justice Sector Ministers in 2006. He<br />
has held a variety of strategic information management roles in the justice sector working closely with the Judiciary, Ministers and the legal profession since<br />
1998. In a career spanning 20 years he has worked for The Treasury, Commerce Commission and Opus International Consultants. In the United Kingdom he<br />
worked for a number of blue chip fi rms including DEGW, British Airways, Price Waterhouse and Arthur Andersen. Dougal has served on numerous committees<br />
involved in eGovernment, information management and legal profession initiatives, and is a Master of Business Information Innovation at RMIT University in<br />
Melbourne. In his spare time he enjoys cinema, Scottish fi ction and wine appreciation.<br />
Brendan Kelly, Acting Group Manager Information Strategy and Architecture (ISA), Information Directorate, Ministry of <strong>Health</strong>. ISA assists the Ministry<br />
of <strong>Health</strong> and the health system to implement national information policies and strategies. Brendan was previously Chief Advisor, <strong>Health</strong> Information Strategy<br />
and Policy. Prior to joining the Ministry of <strong>Health</strong> Brendan was Programme Architect for the E-government Unit at the State Services Commission. Brendan<br />
has a Bachelor of Commerce and Administration, and a Bachelor of Arts in Economic History.<br />
Accepted Paper Authors<br />
Dr James Conner is currently a Vendor Account Manager within the Relationship Management, Group, Information Directorate, Ministry of <strong>Health</strong>.<br />
Previous to this he was Business Manager/ Acting Director at the Centre for Military and Veterans’ <strong>Health</strong>, The University of Queensland. James has a broad<br />
academic, public sector and commercial background in the health, education and defence areas. More specifi cally he has been involved in the professional<br />
development of defence personnel, general practitioners, and chartered accountants. His academic background has included: Visiting Lecturer in Political<br />
Science, University of Canterbury where he was also a Research Fellow at the National Centre for Research on Europe; Teaching Fellow in Defence Studies<br />
at Massey University; and Dean of Public Administration, Military Studies Institute, <strong>New</strong> <strong>Zealand</strong> Army. James’ research/professional interests are varied<br />
and include: public policy, political economy, security and defence studies, health studies, biomedical policy and technology, journalism, and various areas<br />
of psychology. He has published widely, holds a PhD in Political Science and is also a registered psychologist. His reading interests cover several genres<br />
— fi ction and non-fi ction.<br />
11
Yousef-Awwad Daraghmi is A PhD student at Victoria University of Wellington in School of Information Management. His current research interests<br />
include deriving new system development methodologies mainly in healthcare fi eld. He has a master degree of Computer Science and Information Engineering<br />
and a bachelor degree of Electrical Engineering and had a research in the fi eld of E-learning and mobile learning. He has been working for many years in<br />
the Information Technology (IT) and Computer Engineering fi eld. He works as a software developer and IT solutions manager. In the past, he built different<br />
software such as Pharmacies Database software, Fruit and Vegetable market accounting and storage software, and YMCA stores management software. He<br />
also worked in the Palestinian Ministry of Education as a head of computer and technical division. He was responsible for IT solutions in schools, computer<br />
maintenance and networks.<br />
Ray Delany has a passionate interest in the fi eld of information systems in healthcare. He has over 28 years of experience in the utilisation of technology<br />
in many industries and sectors, nearly ten of which have been in the healthcare sector. Ray fi rst worked in health as Chief Information Offi cer for Waitemata<br />
<strong>Health</strong>, and was part of the management team during the transition of that organisation to a District <strong>Health</strong> Board. Subsequently he was appointed General<br />
Manager of the NZ <strong>Health</strong> Information Service where he was responsible for a number of nationally signifi cant projects following the publication of the Wave<br />
report in 2001. As a consultant he assisted a number of organisations with information systems strategy, including DHBs and residential care organisations.<br />
He has conducted research into models for ensuring the success of IT implementations in healthcare, has published several articles on this and associated<br />
subjects, He is a regular contributor to the <strong>Health</strong>care and <strong>Informatics</strong> Review Online journal, and is a member of the editorial board. Ray resides in Auckland,<br />
where he currently is Chief Executive and part owner of Designer Technology Limited, a innovative IT services company made up of Kiwis from around the<br />
World.<br />
Paul Docherty is currently a project manager at Waikato DHB, where he has worked for the last 7 years. During his time at Waikato DHB, Paul has been<br />
involved with implementing Waikato DHB’s Intranet and with a range of clinical information system projects, focusing on providing information to clinical<br />
decision-makers. Paul is currently managing several electronic referral initiatives at Waikato DHB.<br />
Darren Douglass is Solutions Manager at HIQ Ltd and has worked in a variety of <strong>Health</strong> IT roles in the United Kingdom and <strong>New</strong> <strong>Zealand</strong> for over 15<br />
years. Darren has a passion for providing practical IT solutions to the health sector and is currently focused on delivering clinical systems aligned with national<br />
strategy for HIQ’s customers.<br />
Linda Fletcher is a <strong>Health</strong> Information Manager with 20 years experience in the public health sector in Australia and <strong>New</strong> <strong>Zealand</strong>. Linda has been with<br />
Auckland District <strong>Health</strong> Board for the past 10 years, and managed the implementation of ADHB’s scanned patient record, with over 60 million pages now<br />
available on-line. In her current role, Linda leads the <strong>Health</strong> Information Management Service, and is also responsible for the development of the clinical<br />
workstation strategy to ensure an effective transition to the electronic patient record.<br />
Kim Forbes started writing programmes in 1976 using Cobol. Since then he has managed a chain of retail stores, a factory, national associations, been a<br />
Director in Courts (overseeing the Waitangi Tribunal and Maori Land court), managed a dental practice, worked as an technical consultant for Telecom, Sales<br />
& Marketing manager for an ITO and now as a project manager for SPARC. This diverse career has prepared Kim to manage a complex project such as the<br />
Green Prescription Expansion. Kim is a solo father with two teenage boys and lives in an environmentally friendly earth house on the Paekakariki Hill Road in<br />
Porirua. He plays Rugby, a classical guitar and rides motorcycles.<br />
William Hamilton is the Programme Manager, <strong>Health</strong> Workforce Information Programme (HWIP), a programme being led by District <strong>Health</strong> Boards <strong>New</strong><br />
<strong>Zealand</strong> (DHBNZ). He has over 15 years experience in the Information and Communication Technology (ICT) sector, including experience in the delivery of new<br />
systems and services, covering both technical and business. Outside of the ICT industry William has been involved at a management level in a number of<br />
industries including security, hospitality and marketing.<br />
Chris Hendry is a nurse and a midwife with over 25 years clinical practice experience in a variety of settings. For the past 6 years she has held the position<br />
of Executive Director of the Midwifery and Maternity Provider Organisation (MMPO). Over this time Chris has seen the organisation grow to include over 700<br />
midwife members and manage an annual turnover of $55m per year in Section 88 payments. She has a particular interest in the development of effi ciencies in<br />
collection and transmission of health care activity data to support clinical practice.<br />
Dr Michelle Honey is a nurse with a 30 year history in nursing, over half in nursing education. As a Registered Nurse Michelle specialized in cardiothoracic<br />
and intensive care nursing but now works in nursing education, currently as Senior Lecturer at the University of Auckland, School of Nursing.<br />
Her research interests are in nursing, education and health informatics. Most recently this has included her doctoral study exploring fl exible learning for<br />
postgraduate nurses.<br />
Bryan Houliston has a Bachelors degree in Commerce, a Masters degree in Information Technology, and 13 years experience as a professional software<br />
developer. He’s in his fi rst year of a PhD researching RFID (radio frequency identifi cation) technology, its applications in healthcare, and in particular activity<br />
analysis. He’s a member of the NZ Computer Society, two book clubs, the Auckland Film Society, and Greenpeace.<br />
Craig Jones is Vodafone’s National <strong>Health</strong> Sector Manager responsible for the development and implementation of Vodafone’s health sector strategy in<br />
<strong>New</strong> <strong>Zealand</strong>. Prior to joining Vodafone, Craig lead a consultancy business focused on strategic asset management planning for <strong>New</strong> <strong>Zealand</strong>’s DHBs. He<br />
has acted as a specialist advisor to the Ministry of <strong>Health</strong> and presented internationally on behalf of the Ministry in the area of healthcare capital planning<br />
and funding. Vodafone <strong>New</strong> <strong>Zealand</strong> is part of the UK based Vodafone Group Plc, the world’s largest mobile communications company. Vodafone is a global<br />
leader in mobile health innovation providing solutions to <strong>New</strong> <strong>Zealand</strong>’s largest DHBs, PHOs and private healthcare organizations.<br />
Karolyn Kerr is currently an independent <strong>Health</strong> Consultant focusing on <strong>Health</strong> <strong>Informatics</strong> strategic solutions. Karolyn has a background as a Cardiac Care<br />
Nurse with over 15 years experience in the health sector in <strong>New</strong> <strong>Zealand</strong> and the UK. Following the completion of a Masters in <strong>Health</strong> <strong>Informatics</strong> (Telehealth)<br />
in 2002, Karolyn began working at the Ministry of <strong>Health</strong> advising on health information strategy and policy, bringing together the two disciplines of nursing<br />
and IT. Since completing a PhD in Information Systems on a strategic approach to data quality management, Karolyn has presented widely and internationally<br />
on various health informatics topics. Karolyn has a 1 year old daughter to keep her busy the rest of the time!<br />
Tony (I-Han) Kuo received a BE (1st class) in the Electrical Engineering department of the University of Auckland, Auckland, <strong>New</strong> <strong>Zealand</strong>. He started his<br />
PhD in 2007 and is in his second year of PhD research. His research is to design a socially assistive robots for health care applications.<br />
Leona Latham MBA (Victoria University Wellington), post graduate Diploma in e-Commerce (CIT) has over 30 years experience in the ICT sector. Leona is<br />
currently Portfolio Manager (Co-ordinated Care), Information Strategy and Architecture in the Information Directorate of the Ministry of <strong>Health</strong>. Her expertise<br />
in business and project management, business analysis and technical IT now contributes to the Ministry of <strong>Health</strong> information strategy development including<br />
support to the National Immunisation Register and Well Child initiatives. Leona’s previous roles include IT Director for a crown entity, consultancy roles with<br />
NZ and UK Organisations (all based on apprenticeships in software and solutions development), as well as network, database and systems administration.<br />
12
Leona is a co-operative generalist who brings commitment and enthusiasm, creative with boundaries, clear with communications to deliver answers that fi t.<br />
People are the key to any success, both in getting the right people together and to attending to people carefully. It is about making a difference and working<br />
together! Her vision is for the best health information system in the world, one that enables any person to access to their information from anywhere. She is<br />
looking forward to biological technology and the incorporation of nanotechnology in everyday life.<br />
Stephen Lean - From 1997 to 1998 I worked for NEC Information Systems Australia as a diagnostic and repair technician dealing mostly with NEC’s range<br />
of laptop computers. From 1998 to 1999 I was employed with Digicom Networks Ltd where I supported secondary school networks in the Wellington area e.g.<br />
Wellington High School. This work involved confi guration, troubleshooting, general maintenance and data security. From 1999 to 2003 I worked for Schering<br />
Plough Animal <strong>Health</strong> as their LAN Administrator. This was a large American animal pharmaceutical company and my role included working on approximately<br />
20 projects (large and small) over the course of 5 years as well as the normal duties of a LAN administrator. In 2004 I enrolled at Massey University,<br />
Palmerston North. I completed a double major (Computer Science and Information Systems) for my BSc in 2006 when I was also made a Massey Scholar.<br />
This was followed by BSc (Hons) in 2007. As the Information Systems department at Massey, Palmerston North was disestablished at the end of 2007; I am<br />
now studying at the Computer Science department toward a PhD. I believe the research topic I have chosen has the potential to provide tangible benefi ts to<br />
the Primary <strong>Health</strong>care sector. It will draw together techniques and resources from several areas of study including from both the Information Systems and<br />
Computer Science disciplines. One of the main focuses of this research will be to try and produce a standardized way of applying codes to records, via an IT<br />
system, with the belief that this will improve the quality of the data made available from these records.<br />
Janet Liang was born in Hong Kong and immigrated to <strong>New</strong> <strong>Zealand</strong> when she was three years old. She completed a medical degree at the University<br />
of Auckland, and after that acquired postgraduate fellowships in anaesthesia and intensive care medicine. Since 1997 she has been the clinical director of<br />
the Intensive Care Unit at North Shore Hospital in Auckland. Having always been interested in information technology, she completed a Graduate Diploma in<br />
Business (<strong>Health</strong> <strong>Informatics</strong>) at University of Auckland in 2004 and is presently doing a PhD in health informatics.<br />
Helen MacKenzie has worked for the NZ Family Planning Association in Auckland for the past 15 years and is currently National Clinics Project<br />
Manager. She has a nursing background and her particular areas of interest are health services for women, the use of information and communication<br />
technology in the delivery of primary health care and the management of primary health care services.<br />
Ross McKenna has broad experience in technical and management roles in the ICT industry in Australia and <strong>New</strong> <strong>Zealand</strong>, more recently focusing<br />
on large infrastructure programmes. His experience includes developing and running courses in IT business management for the <strong>New</strong> <strong>Zealand</strong> Institute of<br />
Management, leading Fujitsu’s and Datacom’s Professional Services Groups and management roles in Telecom <strong>New</strong> <strong>Zealand</strong>. Ross joined the Ministry of<br />
<strong>Health</strong> after successfully completing an assignment for the Department of Internal Affairs as Programme Director for the Electronic Monitoring System and<br />
establishing the Strategic Technology and Risk Group within the Gambling Compliance area. Prior to that Ross was employed by St George Bank <strong>New</strong> <strong>Zealand</strong><br />
to set up new banking systems and infrastructure for their <strong>New</strong> <strong>Zealand</strong> operation. Ross has recently moved from the Connected <strong>Health</strong> Programme Leader<br />
role in the Ministry of <strong>Health</strong> to take on the position of Acting Portfolio Manager Connected <strong>Health</strong>, Information Strategy and Architecture, Information<br />
Directorate.<br />
Thusitha Mabotuwana is a PhD student at The University of Auckland working with Prof. Jim Warren. He’s looking at developing a tool to assist<br />
GPs to easily audit their own practice on several specifi c quality indicators related to hypertension. In today’s talk he will be talking about their work towards<br />
identifying hypertensive patients with poor systolic blood pressure control, as a result of poor medication adherence.<br />
Dr George Margelis MBBS M.Optom GCEBus. George took on the role of Industry Development Manager for Intel’s new Digital <strong>Health</strong> Group in<br />
November 2005. For him it was an opportunity to take an active role in changing the way healthcare was delivered in Australia. Prior to moving to Intel<br />
Australia he has been very active in the healthcare informatics arena as the CIO of a private hospital group in Sydney, manager of an innovative software<br />
development group developing solutions for healthcare providers and consumers, and board member at the state and national level of the <strong>Health</strong> <strong>Informatics</strong><br />
Society of Australia. He is a registered medical practitioner having graduated from the University of Sydney. He is also a registered optometrist and holds a<br />
graduate degree in E-Business from the University of Southern Queensland. He ran a successful software company during the heady days of the late 80’s and<br />
early 90’s and has been an active computer enthusiast from the late 70’s when he acquired his fi rst PC, a Sinclair Z80.<br />
Nikolai Minko works at District <strong>Health</strong> Boards <strong>New</strong> <strong>Zealand</strong> as a Senior Data Analyst of the <strong>Health</strong> Workforce Information. Before joining DHBNZ,<br />
Nikolai was working in the <strong>New</strong> <strong>Zealand</strong> radio-electronic industry and at the Russian Academy of Science where he gained his expertise in data analysis,<br />
statistical data analysis, data simulation and model development. His current area of interest is health workforce analysis and forecasting the future health<br />
sector workforce supply.<br />
Sebastian Morgan-Lynch is the <strong>Health</strong> Policy Adviser for the Offi ce of the Privacy Commissioner. He has worked at the Offi ce since 2001 after<br />
obtaining an LLM from Victoria University. He has a strong interest in, and awareness of, a range of current information issues including technology, privacy<br />
and copyright.<br />
Dr. David Parry is a Senior Lecturer in the Auckland University of Technology School of Computing and Mathematical Sciences <strong>New</strong> <strong>Zealand</strong>. His PhD<br />
thesis was concerned with the use of fuzzy ontologies for medical information retrieval. He holds degrees from Imperial College and St. Bartholomew’s<br />
Medical College, London and the University of Otago, <strong>New</strong> <strong>Zealand</strong>. His research interests include internet-based knowledge management and the semantic<br />
web, health informatics, the use of Radio Frequency ID in healthcare and information retrieval.<br />
Professor Jon Patrick, Chair of Language Technology, School of Information Technologies, Faculty of Engineering and Information Technology<br />
University of Sydney. Jon Patrick graduated with his PhD in Computer Science from Monash University in 1977. He also has two degrees in Psychology<br />
and he is a registered psychologist. He has previously held the chairs of Information Systems at Massey University and at Sydney University. His early<br />
natural language processing work concentrated on processing systems for second language learners (English-Basque). More recently he developed the widely<br />
reported Scamseek system for the ASIC to detect fi nancial scams on the Internet for which he was awarded the national Eureka Science prize in 2005. Since<br />
then he has worked on applying language technology to medical contexts. He has built a number of technologies with his collaborators and introduced the<br />
fi rst real-time language processing system for ward rounds with his collaborators at the Intensive Care Service of the Royal Prince Alfred Hospital, Sydney.<br />
His team has done over 60 projects in the last 3 years with many organisations including hospitals, pathology services and medical research groups. Most<br />
recently he has been working with the Sydney West Area <strong>Health</strong> Service to introduce a range of his IT research technologies into their hospitals. He is a<br />
member of the SNOMED CT Concept Model Working Group of the IHTSDO and he collaborates with the National Centre for Classifi cation in <strong>Health</strong> (Australia)<br />
on methodologies for its uptake in health services in Australia. He is currently involved in major projects to automatically map between clinical notes, SNOMED<br />
CT and ICD 10 AM. He is collaborating with Prof Alan Rector on developing a methodological to identify SNOMED CT subsets from analysis of the clinical notes<br />
and applying it to materials from Intensive Care Services.<br />
Gerard Paver (BSc Hons) is an Enterprise Architect working within the Ministry of <strong>Health</strong>’s Information Strategy and Architecture Group. Gerard has<br />
over 30 years experience in the Information Industry spanning the roles of designer, developer and Manager Information Systems (MIS). Prior to the Ministry,<br />
Gerard worked with the ACC as the Chief Architect, his main responsibilities being the technical layers of the Enterprise Architecture, and providing traceability<br />
13
etween business strategy and project goals. Gerard worked on a number of ACC’s major projects, and the development of ACC’s Information systems<br />
standards guidelines and policies. As the Colonial Group (<strong>New</strong> <strong>Zealand</strong>) MIS manager Gerard was responsible for the development of a number of strategic<br />
insurance and fi nancial systems. These initiatives where implemented across, Australia, Asia and the United Kingdom. Gerard has a passion for making<br />
strategic vision a reality through pragmatic, functional solutions. Currently he is developing an Enterprise Architecture Framework and contributing to the<br />
architectural direction to the Well Child framework. He represents the Ministry across a number of sector projects such as the Northern Region Cancer and<br />
Blood Electronic Patient Management System, and the Northern Regions Kidslink+ initiative. Gerard has a vision for an integrated health service where access<br />
to information is not a barrier to providing excellence of service to the citizen and an effective health system for the country as a whole.<br />
Andrea Pettett is currently the Chief Executive of the NZ <strong>Health</strong> IT Cluster, a position she has held since January 2005. Her involvement with the health<br />
care industry includes six years as Executive Director of the <strong>Health</strong> Funds Association of NZ representing the NZ <strong>Health</strong> Insurance Industry, and four years<br />
as Chief Executive of the <strong>New</strong> <strong>Zealand</strong> General Practitioners’ Association. Prior to joining the health sector, Andrea worked as a Patent Attorney specialising<br />
in biotechnology and pharmaceutical patents. Andrea is the past Chairperson of the Board of Wellington Free Ambulance, previously a Trustee of Life Flight<br />
Trust, an Executive member of HINZ, and a former member of HISAC (a Ministerial Committee established to oversee the implementation of the NZ <strong>Health</strong><br />
Information Strategy). Her qualifi cations include an Honours degree in biochemistry, a law degree, and she is a Registered Patent Attorney.<br />
Kanaka Ramyasiri trained as a medical doctor, graduated Auckland School Medicine 1999 and worked as an RMO in a number of hospitals within NZ<br />
and the UK. He subsequently undertook technical IT support roles in the UK before returning to NZ to continue working as an RMO, and completing a diploma<br />
in health informatics. After joining HIQ Limited in 2005 on an EHR project he then continued as Clinical Advisor within the HIQ Solutions team. Since then he<br />
has been heavily involved in ISSP creation, analysis of Midland regional requirements for CCM and other IS strategy work.<br />
Anil Thapliyal is General Manager of Lifeline Aotearoa which is the largest telephone and informatics based service provider of Primary and Secondary<br />
Mental <strong>Health</strong> services in <strong>New</strong> <strong>Zealand</strong>. Anil has worked in a variety of leadership roles ranging from organizational management, researcher to being a<br />
practitioner in the Mental <strong>Health</strong> & Disability sector in <strong>New</strong> <strong>Zealand</strong>. His multi-disciplinary background includes being investigator for Ministry of <strong>Health</strong><br />
commissioned projects on policy, work force development and has led the development & deployment of several innovative community based ICT solutions in<br />
mental health and addictions sector in <strong>New</strong> <strong>Zealand</strong>.<br />
Jim Warren is Professor of <strong>Health</strong> <strong>Informatics</strong> at the University of Auckland, a joint appointment between the Department of Computer Science and the<br />
School of Population <strong>Health</strong>. At the School of Population <strong>Health</strong> he is Chief Scientist for the National Institute for <strong>Health</strong> Innovation (NIHI). His main interest<br />
is in IT for chronic disease management. Prior to moving to <strong>New</strong> <strong>Zealand</strong> in 2005, he had been with the University of South Australia for 12 years. He has a<br />
BSc in Computer Science and PhD in Information Systems, both from the University of Maryland. He is a member of the Executive of HINZ and a Fellow of the<br />
Australian College of <strong>Health</strong> <strong>Informatics</strong>.<br />
Alicia Webb spent a number of years spent working in health sector organisations such as District <strong>Health</strong> Boards and private accident and medical<br />
clinics has given Alicia a broad understanding of data management issues and challenges. Following information management roles at Auckland and Bay of<br />
Plenty District <strong>Health</strong> Boards from 2000-2006, Alicia relocated to Wellington to join the Ministry of <strong>Health</strong>. She currently leads the Identity Data Management<br />
team, responsible for the very well-established National <strong>Health</strong> Index (providing unique identifi ers for healthcare recipients) and the newly-established<br />
<strong>Health</strong> Practitioner Index (providing unique identifi ers for healthcare providers, facilities and organisations). She is passionate about this work because of<br />
the importance of unique identifi ers in enabling the linking of information for analysis and planning of health services and reduced clinical risk and better<br />
outcomes for individuals. Because ethnicity is a key data element associated with identity, Alicia also facilitates the pan-Ministry co-ordination of activity<br />
around ethnicity data collection, recording and use. Alicia has a Bachelor of International Communication (Unitec 1999) and she has partially completed a<br />
Bachelor of Science (<strong>Health</strong> Information Management) Curtin University, Perth.<br />
14
Accepted Papers - Thursday 16th October<br />
Clinical Safety (Theatre)<br />
Facilitator: Kannan Subramanian<br />
P17 Medical decision making in critical illness<br />
Janet Liang<br />
University of Auckland, Morrin Road, Glen Innes, Auckland, <strong>New</strong> <strong>Zealand</strong><br />
Specialist Intensivist, North Shore Hospital, Shakespeare Road, Takapuna, Auckland, <strong>New</strong> <strong>Zealand</strong><br />
15<br />
jathga@internet.co.n<br />
jathga@internet.co.nz<br />
Karen Day<br />
University of Auckland, Morrin Road, Glen Innes, Auckland, <strong>New</strong> <strong>Zealand</strong><br />
k.day@auckland.ac.n<br />
k.day@auckland.ac.nz<br />
Jim Warren<br />
University of Auckland, Morrin Road, Glen Innes, Auckland, <strong>New</strong> <strong>Zealand</strong><br />
jim@cs.auckland.ac.nz<br />
Abstract<br />
When a patient’s condition deteriorates into critical illness they need referral to advanced clinical intervention to save their life. Adverse events in hospitals<br />
sometimes lead to death and some of these events are preventable if the diagnosis is accurate and timely and urgent action follows. However, the complexity<br />
of the decision making moment appears to overshadow the imperative for action. An action research project has been established in an urban general hospital<br />
with an ICU and HDU – nurses and doctors of different ranks are participating in the project with the aim of identifying factors that could contribute to improved<br />
decision making in the context of a patient’s deteriorating condition in hospital. The early fi ndings have shown up the complexity of mutual decision making<br />
between junior and senior doctors, the infl uence of professional relationships up and down the clinician hierarchy, and diffi culties associated with information<br />
transfer during mutual decision making and action planning. These fi ndings will inform the next action research cycle with nurses and senior doctors, and<br />
ultimately the mutual design of a possible intervention aimed at improving the process of determining if a patient is becoming critically ill and needing<br />
advanced clinical intervention.<br />
P13 Analysis of Medication Possession Ratio for Improved Blood Pressure Control -<br />
Towards a Semantic Web Technology Enabled Workbench<br />
Thusitha Mabotuwana 1 , Jim Warren 1,2 , Rekha Gaikwad 2 , John Kennelly 3 , Timothy Kenealy 3<br />
1 Department of Computer Science, 2 Section for Epidemiology and Biostatistics, 3 Department of General Practice,<br />
The University of Auckland, Private Bag 92019, Auckland 1142, <strong>New</strong> <strong>Zealand</strong><br />
thusitha@cs.auckland.ac.nz<br />
Abstract<br />
Using a patient management ontology developed on Semantic Web technologies, we have provided a framework and workbench to identify hypertensive<br />
patients with inadequate systolic blood pressure (SBP) control. We have populated our ontology with production electronic medical record data from a general<br />
medical practice in <strong>New</strong> <strong>Zealand</strong>. Medication Possession Ratio (MPR) is used as a key concept in grouping patients whose SBP control can be improved. We<br />
also provide a prescription timeline visualisation scheme to aid a clinician in understanding a patient’s antihypertensive prescribing patterns. Both to validate<br />
our workbench and to enable immediate care improvement and research, we have utilised our framework to model the association of prescribing-based MPR<br />
to SBP. While the aggregate observed improvement in SBP is 18.55 mmHg from full as compared to nil MPR, there are poorly controlled patients among both<br />
high and low MPR groups, indicating distinct cohorts for quality improvement follow-up.<br />
Workforce (Concert Chamber)<br />
Facilitator: Peter Carr<br />
P14 Workforce supply forecasting model<br />
Nikolai Minko and Michael Rains<br />
District <strong>Health</strong> Boards <strong>New</strong> <strong>Zealand</strong>, PO Box 5535, Wellington, <strong>New</strong> <strong>Zealand</strong><br />
nikolai.minko@dhbnz.org.n<br />
nikolai.minko@dhbnz.org.nz<br />
Abstract<br />
This paper describes the general approach to the workforce supply forecasting model as a part of activity of the <strong>Health</strong> Workforce Information Programme<br />
(HWIP) running by District <strong>Health</strong> Boards <strong>New</strong> <strong>Zealand</strong> (DHBNZ). The sample of the forecast is presented although work is still in progress.<br />
P33 Standardised data for workforce planning: more that just the HRIS<br />
<strong>Health</strong> Workforce Information Programme Team<br />
District <strong>Health</strong> Boards <strong>New</strong> <strong>Zealand</strong>, PO Box 5535, Wellington, <strong>New</strong> <strong>Zealand</strong><br />
William.hamilton@dhbnz.org.n<br />
William.hamilton@dhbnz.org.nz<br />
Abstract<br />
Workforce planning is made much more accessible if standardised data is used. Concentrating solely on HR and HRIS data is limiting as this only makes up<br />
part of the overall process. Demand data also needs to be used and comes from a range of sources. It is up to us, as part of <strong>New</strong> <strong>Zealand</strong>’s <strong>Health</strong> Sector, to<br />
do what we can to improve the overall health “system”.
P30 Supporting Workforce Development of Nurses:<br />
Exploiting the Synergies Between Technology In Education And Practice<br />
Michelle Honey<br />
School of Nursing, University of Auckland, Private Bag 92019, Auckland 1142, <strong>New</strong> <strong>Zealand</strong><br />
m.honey@auckland.ac.n<br />
m.honey@auckland.ac.nz<br />
Nicola North<br />
<strong>Health</strong> Systems Group, School of Population <strong>Health</strong>, University of Auckland, Private Bag 92019, Auckland 1142, <strong>New</strong> <strong>Zealand</strong><br />
n.north@auckland.ac.nz<br />
Abstract<br />
Nursing, claims Christine Hancock [1], is rightly recognised as vital to a nation’s health. As President of the International Council of Nurses, Hancock highlighted<br />
the central role of nurses in meeting the health care challenges of the 21st century. The context of nursing is characterised by rapid technological change,<br />
bringing into focus the importance of advanced nursing education and life-long learning. Postgraduate education equips nurses for advanced clinical practice,<br />
supports safe and effective practice and, moreover, is key to retaining experienced nurses in the workforce. Flexible learning is a contemporary approach to<br />
learning that utilises the benefi ts of technology. This paper refl ects on a completed doctoral study about technology-enabled advanced education to argue<br />
that technology in education is not just a means to an end but impacts synergistically on the use of technology in practice and thereby on the workforce<br />
development of nurses.<br />
Data Quality (West Room)<br />
Facilitator: Dave Parry<br />
P22 Ethnicity data consultation fi ndings – implications for ethnicity data users and recorders<br />
Alicia Webb<br />
Ministry of <strong>Health</strong>, 133 Molesworth St, PO Box 5013, Wellington, <strong>New</strong> <strong>Zealand</strong><br />
alicia_ alicia_webb@moh.govt.n<br />
webb@moh.govt.nz<br />
Peter Aagaard<br />
Ministry of <strong>Health</strong>, 133 Molesworth St, PO Box 5013, Wellington, <strong>New</strong> <strong>Zealand</strong><br />
peter_aagaard@moh.govt.nz<br />
Abstract<br />
Collecting high-quality ethnicity data enables the Government, and other organisations, to track health trends by ethnicity, effectively monitor improvements in<br />
health outcomes, and reduce inequalities for populations. Being able to provide organisations with an interest in specifi c ethnic groups with quality information<br />
about the health status of that group enables them to participate in, and contribute to, strategies for health improvement. The health system has traditionally<br />
stored ethnicity by using the level two codes from the Statistics <strong>New</strong> <strong>Zealand</strong> Classifi cation Structure. This level of coding was historically acceptable, but<br />
as the population has become more ethnically diverse, coding at level three or four may be necessary. During June/July 2008, as part of the process for<br />
the health system aligning with Statistics <strong>New</strong> <strong>Zealand</strong>’s Statistical Standard for Ethnicity 2005, the Ministry of <strong>Health</strong> surveyed stakeholders on a series of<br />
questions, including whether storing ethnicity data at level four – the same level as the Census – would be of value. The proposition was that recording and<br />
storing ethnicity data at level four would allow better analysis of health need, the ability to develop more effective health services for immigrants and other<br />
ethnic groups, and to monitor outcomes more precisely. Feedback from stakeholder consultation and its implications for health information systems and health<br />
care providers will be presented.<br />
P11 Metadata Repositories in <strong>Health</strong> Care<br />
Dr Karolyn Kerr<br />
karolynkerr@hotmail.co<br />
karolynkerr@hotmail.com<br />
Abstract<br />
Access to detailed information about the data held in the Enterprise Data Warehouse will assist in the overall management of data quality, including<br />
increasing the usability of the data. To make effective improvements to data quality the organisation needs to provide contextual information and clear<br />
standards on data defi nitions through a metadata repository that is adequately maintained and available to all stakeholders. Problems can arise where users<br />
and practitioners are not informed of the context of data collection and assumptions on the quality of the data can be made without access to suffi cient<br />
data quality information. Most health care organisations now have complex data sets that require the support of a metadata repository. One approach is to<br />
utilise Total Data Quality Management to strategically manage data quality. By defi ning master data that is essential to the organisation, the DHB can then<br />
prioritise data quality improvements.<br />
16
Privacy (Theatre)<br />
Facilitator: Lucy Westbrooke<br />
P01 Connecting the Dots: Clarifying <strong>Health</strong> Information Privacy in the Primary Care Sector<br />
Sebastian Morgan-Lynch Policy Adviser (<strong>Health</strong>)<br />
Offi ce of the Privacy Commissioner , PO Box 10 094, Wellington 6143, <strong>New</strong> <strong>Zealand</strong><br />
sml@privacy.org.n<br />
sml@privacy.org.nz<br />
Conference Presentation: Vision/Opinion<br />
Abstract<br />
The primary care sector in <strong>New</strong> <strong>Zealand</strong> has a high rate of uptake of technology, by international standards. 1 This has the potential to improve outcomes for<br />
health care consumers and reduce costs for the sector. 2 Commentators have noted the need to “increase the willingness of providers to share information with<br />
other providers where that will improve the care consumers receive”. 3 However this willingness to share consumers’ health information is constrained both<br />
by legislative and ethical obligations. Concerns have been raised about the scope of GPs’ obligations to ensure that information, whether for use in regional<br />
repositories or for payment or public health purposes, is being provided with appropriately informed consent. 4 The <strong>Health</strong> Information Privacy Code 5 regulates<br />
agencies that use and disclose health information. The key obligations in the Code are to clarify purpose and to maintain openness in information handling.<br />
This presentation sets out the legal and ethical implications of information sharing in various contexts, reviews guidance material provided by the Privacy<br />
Commissioner and clarifi es the requirements on the sector when sharing or disclosing information.<br />
P10 Managing Patient Privacy via Patient Centred Audit<br />
Linda Fletcher<br />
Auckland District <strong>Health</strong> Board, Private Bag 92-189, Auckland 1142, <strong>New</strong> <strong>Zealand</strong><br />
lfl etcher@adhb.govt.n<br />
etcher@adhb.govt.nz<br />
Abstract<br />
Auckland District <strong>Health</strong> Board’s (ADHB) entire patient record is available on-line. Various mechanisms are in place to prevent inappropriate access and to<br />
detect occasions of inappropriate access if and when they do occur. However with increasing demand to share patient information on a regional basis across<br />
the primary and secondary care sectors, it is becoming more challenging to proactively manage the privacy of patient information and to ensure that all access<br />
is appropriate. The Auckland Regional Privacy Advisory Group has identifi ed Patient Centred Audit as a potential means of effectively managing the security of<br />
electronic patient information. Patient Centred Audit involves the patient auditing access to their own record. ADHB conducted a pilot Patient Centred Audit<br />
in July – August 2008. The primary objective of the pilot was to provide insight into the logistics, effort, implications and likely cost of managing a Patient<br />
Centred Audit for the general public.<br />
Coding (Concert Chamber)<br />
Facilitator: Jim Warren<br />
P38 Developing SNOMED CT Subsets from Clinical Notes for Intensive Care Service<br />
Jon Patrick, Yefeng Wang, Peter Budd<br />
School of Information Technologies, University of Sydney, Sydney, Australia.<br />
{jonpat, ywang1, pbudd@it.usyd.edu.a<br />
pbudd@it.usyd.edu.au} u} u<br />
Alan Rector , Sebastian Brandt, Jeremny Rogers<br />
Department of Computer Science, University of Manchester, Manchester, UK.<br />
arector@cs.man.ac.uk, k, k, brandt@cs.manchester.ac.uk, k, k, jeremy.rogers@nhs.ne<br />
jeremy.rogers@nhs.net<br />
Robert Herkes, Angela Ryan<br />
Intensive Care Service, Royal Prince Alfred Hospital, Sydney, NSW, Australia<br />
roberth@mail.usyd.edu.a<br />
roberth@mail.usyd.edu.au, u, u angela@cs.usyd.edu.a<br />
angela@cs.usyd.edu.au<br />
Bahram Vazirnezhad<br />
Department of Biomedical Engineering, Tehran University of Technology, Iran.<br />
bahram@live.com.au<br />
Abstract<br />
This paper describes the development of a SNOMED CT subset derived from clinical notes. A corpus of 44 million words of patient progress notes was<br />
drawn from the clinical information system of the Intensive Care Service (ICS) at the Royal Prince Alfred Hospital, Sydney, Australia. This corpus was<br />
processed by a variety of natural language processing procedures including the computation of all SNOMED CT candidate codes. There are about 13 million<br />
concept instances comprising about 30,000 unique concept types detected in the corpus. These instances have been processed by a tool which computes<br />
the closure of the minimal sub-tree of concept types in the SNOMED hierarchy thus inferring the complete subset of SNOMED CT that would be necessary<br />
for an intensive care unit. A subset of about 2700 concepts gives a coverage of 96% of the corpus and the transitive closure uses less than 1% of SNOMED<br />
concepts and relationships. Use of this subset will enable clinical information systems to effi ciently deliver SNOMED CT terminology to the presentation<br />
interface.<br />
17
P35 Working Toward Automated Coding in General Practice<br />
Stephen Lean<br />
Massey University, School of Engineering and Advanced Technology, Private Bag 11222, Palmerston North, <strong>New</strong> <strong>Zealand</strong>.<br />
s.lean@clear.net.nz<br />
Hans W. Guesgen<br />
Massey University, School of Engineering and Advanced Technology, Private Bag 11222, Palmerston North, <strong>New</strong> <strong>Zealand</strong>.<br />
h.w.guesgen@massey.ac.nz<br />
Inga Hunter<br />
Massey University, Department of Management, Private Bag 11222, Palmerston North, <strong>New</strong> <strong>Zealand</strong>.<br />
i.hunter@massey.ac.n<br />
i.hunter@massey.ac.nz<br />
Alexei Tretiakov<br />
Massey University, Department of Management, Private Bag 11222, Palmerston North, <strong>New</strong> <strong>Zealand</strong>.<br />
a.tretiakov@massey.ac.n<br />
a.tretiakov@massey.ac.nz<br />
Abstract<br />
Presented here is a summation of an investigation into the domain of coding of electronic medical records at the primary healthcare level. This looked<br />
specifi cally at the issues of the time taken to code records by the General Practitioner and at the lack of a standardised way in which the codes are applied. The<br />
problems these issues cause are identifi ed and an IT system design, based on natural language processing techniques, which would allow for the automated<br />
application of codes, is put forward as a way of reducing the effects of these two issues. Design decisions are highlighted and justifi ed and a prototype design<br />
concept is produced. Finally, it highlights what is believed should be the focus of further investigation in the fi rst year of a proposed PhD thesis which will<br />
continue research in this same fi eld.<br />
RFID (West Room)<br />
Facilitator: Michelle Honey<br />
P08 Supporting the visually impaired using RFID technology<br />
David Parry (1), Hazel Jennings(2), Judith Symonds(1), Kalyan Ravi,(1), Myles Wright(1)<br />
(1) AURA laboratory, School of Computing and Mathematical Sciences, Auckland University of Technology<br />
(2) Royal <strong>New</strong> <strong>Zealand</strong> Foundation of the Blind<br />
Abstract<br />
Around 11,700 people in <strong>New</strong> <strong>Zealand</strong> are members of the Royal <strong>New</strong> <strong>Zealand</strong> Foundation of the Blind (RNZFB) and suffer from some form of visual impairment.<br />
The foundation supplies a wide range of assisted living devices along with advice and support. Recently the RNZFB has begun working with AUT to investigate<br />
potential applications of Radio Frequency identifi cation Devices (RFID) for particular problems. This paper describes some of the application areas currently<br />
being investigated and the proof of concept prototypes that are currently being developed.<br />
P09 Sensors and Insensibility: Monitoring Anaesthetic Activity with RFID<br />
Bryan Houliston, Dave Parry<br />
AURA Laboratory, School of Computing & Mathematical Sciences, Auckland University of Technology<br />
Level 1, 2-14 Wakefi eld Street, Auckland 1010, <strong>New</strong> <strong>Zealand</strong><br />
bryan.houliston@aut.ac.n<br />
bryan.houliston@aut.ac.nz z , dave.parry@aut.ac.n<br />
dave.parry@aut.ac.nz<br />
Alan Merry<br />
Department of Anaesthesiology, University of Auckland, Private Bag 92019, Auckland 1010, <strong>New</strong> <strong>Zealand</strong><br />
a.merry@auckland.ac.n<br />
a.merry@auckland.ac.nz<br />
Abstract<br />
This paper documents work-in-progress to use Radio Frequency Identifi cation (RFID) technology as part of the clinical assessment of a system to improve<br />
patient safety during anaesthesia. RFID equipment has been selected and set up to record anaesthetists’ movements. The next stage will analyse the collected<br />
data to accurately identify anaesthetic activity.<br />
Friday 17th October<br />
Consumers and the Internet (Theatre)<br />
Facilitator: Rowena Cullen<br />
P12 Consumer led healthcare:<br />
The potential for the mobile internet to transform how consumers engage in their healthcare<br />
Craig Jones<br />
Vodafone <strong>New</strong> <strong>Zealand</strong>, Private Bag 92161, 20 Viaduct Harbour Avenue, Auckland 1030, <strong>New</strong> <strong>Zealand</strong><br />
Craig.J@vodafone.co<br />
Craig.J@vodafone.com<br />
Abstract<br />
The internet has bred a generation of health consumers who are now more informed about their healthcare than ever before. The development of new internet<br />
based technologies, including social networking and user generated content, coupled with the evolution of the mobile internet, offer signifi cant potential to<br />
transform how consumers engage in their healthcare. This paper details how the emergence of these technologies are being used globally to enhance mobile<br />
access to health information, including electronic patient records, develop support networks for health consumers, manage chronic conditions, and to deliver<br />
public health initiatives to communities.<br />
18
P27 Young Tech-Savvy Users’ Perceptions of Consumer <strong>Health</strong> Portals<br />
Jim Warren<br />
Department of Computer Science / School of Population <strong>Health</strong><br />
The University of Auckland, Private Bag 92019, Auckland 1142, <strong>New</strong> <strong>Zealand</strong><br />
jim@cs.auckland.ac.n<br />
jim@cs.auckland.ac.nz<br />
Abstract<br />
Final year undergraduate students taking an elective course in human-computer interaction were invited to undertake a one-hour independently-worked exercise<br />
wherein they sought information on a self-selected health issue. Each student was offered one major Australasian website (<strong>Health</strong>Insite or everybody.co.nz)<br />
and one major non-Australasian website (MedlinePlus, the <strong>Health</strong> On Net [HON] foundation, or the Mayo Clinic) to try. Students provided specifi c feedback<br />
on the two websites they tried as well as general feedback on desirable features of health websites. 44 of 143 students (31%) submitted questionnaires and<br />
agreed to their use in research. Students were signifi cantly more likely to respond that they were able to fi nd relevant information using HON and MedlinePlus<br />
as compared to the other sites (odds ratio [OR] 5.74, 95% confi dence interval [CI] 1.21-25.16) and more likely to respond that they found enough information<br />
with HON or MedlinePlus (OR 6.26, 95% CI 2.10-18.70). Among features students valued in a health website the site search engine was given the highest<br />
importance rating (82% ‘very important’). The fi ndings highlight the scale of challenge in putting up a comprehensive health Internet portal and indicate that<br />
users are coming to expect a result directly from ‘search’ rather than as the result of navigation in a site.<br />
P02 WWW.thelowdown.co.nz: Using ICT to target depression and save young lives<br />
Anil Thapliyal, Martin Orr, Bram Kukler<br />
anilt@lifeline.org.nz<br />
Abstract<br />
WWW.thelowdown.co.nz is a Ministry of <strong>Health</strong> funded website that is designed to engage, educate, empower and encourage young people in the process<br />
of self-help or seek appropriate help for depression for themselves and others when required . It forms part of the National Depression Initiative that aims<br />
to reduce the level of depression related suffering and suicide experienced by <strong>New</strong> <strong>Zealand</strong>ers. Lifeline Aotearoa provides the real-time dynamic interactive<br />
functionality of the website, including the ability to communicate via email, text, and a message board . A Web videoconferencing e-coaching service is also<br />
in planning for the site. The development of the website was a combined effort of a consortium of providers, including DraftFCB, Lifeline, Phoenix Research<br />
and the Ministry of <strong>Health</strong>. It utilises a range of social marketing techniques and the latest multimedia web technologies. The development provides some<br />
insights and inspiration as to how ICT can be leveraged to reach an important at risk community, and forms part of an integrated continuum of care across<br />
community and primary care providers.<br />
Sector Systems (Concert Chamber)<br />
Facilitator: Andrea Pettett<br />
P20 Connected <strong>Health</strong> – Progress Update<br />
Ross McKenna<br />
Ministry of <strong>Health</strong>, 133 Molesworth St, PO Box 5013, Wellington, <strong>New</strong> <strong>Zealand</strong><br />
ross_mckenna@moh.govt.n<br />
ross_mckenna@moh.govt.nz<br />
“…it’s amazing actually that the general public have got this concept that we are all interlinked electronically, and they’ll say ‘my GP is down<br />
in Napier but you’d be able to just get the notes won’t you’, and they think it’s all linked but no, it’s not that easy. ” (Urban GP practice)<br />
The presentation will focus on the Connected <strong>Health</strong> initiative being undertaken by the Ministry of <strong>Health</strong>. It will provide an insight into the key drivers and<br />
objectives, show how this initiative fi ts with other National Systems Development Programmes (NSDP), and provide an update on progress so far.<br />
P29 Leveraging Sector ICT Investment<br />
Darren Douglass<br />
HIQ Limited, Solutions Manager , Private Bag 7902, Wellington South 6309, <strong>New</strong> <strong>Zealand</strong><br />
Abstract<br />
Across the public health system a considerable amount of investment is made in designing and implementing technology solutions to support clinical and<br />
business practice. While there are many successful implementations of ICT solutions within individual organizations many are not strategic and few span<br />
multiple organizations in a standard way. Look at a regional or national level and the number of solutions decreases even further. Standardising and consolidating<br />
technology systems and services across organisational boundaries can deliver improved outcomes and return on investment, so why aren’t we doing more?<br />
This paper uses the example of a clinical application recently implemented across multiple organisations to highlight and challenge the barriers.<br />
19
P26 The SPARC Green Prescription Expansion Project<br />
Kim Forbes<br />
SPARC - PO Box 2251, Victoria Street, Wellington 6011, <strong>New</strong> <strong>Zealand</strong><br />
Kim.forbes@sparc.org.n<br />
Kim.forbes@sparc.org.nz<br />
Abstract<br />
A Green Prescription (GRx) is a health professional’s written advice to a patient to be physically active, as part of the patient’s health management. Green<br />
Prescriptions are available nationwide, thanks to a partnership with general practitioner groups and funding from SPARC and the Ministry of <strong>Health</strong>. The<br />
programme encourages general practitioners and the community to work together. The GRx Expansion will require a redesign of the infrastructure in order to<br />
support a sustainable and scalable programme. The redesign also aims to improve performance and support improved measurement of activity, outputs and<br />
outcomes. Green Prescription referrals for support currently exceed 26,000 per annum. SPARC has been funded to expand the current successful programme<br />
to 50,000 referrals and 500 GRx Active Families by 2010. This presentation will explore the Information systems project, its scope, challenges and areas of<br />
relevance to those within the health informatics sector. It will provide an overview of:<br />
• the project approach used to address a complex situation<br />
• the current GRx IS environment<br />
• how Maori, Pacifi c and high need communities were involved<br />
• what approach we made to involve users<br />
• future needs.<br />
Experience (West Room)<br />
Facilitator: Karen Day<br />
P28 Information Systems to Support the Management of Patients<br />
with Chronic Conditions – A Regional Approach<br />
Kanaka Ramyasiri<br />
HIQ Limited, Clinical Advisor, Private Bag 7902, Wellington South 6309, <strong>New</strong> <strong>Zealand</strong><br />
Darren Douglass<br />
HIQ Limited, Solutions Manager, Private Bag 7902, Wellington South 6309, <strong>New</strong> <strong>Zealand</strong><br />
Abstract<br />
The effective management of patients with chronic conditions is a national priority. Current information systems do not adequately meet the needs of the<br />
key stakeholder groups involved in the management of chronic conditions. A regional approach to the implementation of systems to aid the management of<br />
chronic conditions is a high priority for the Midland Region District <strong>Health</strong> Boards. A region-wide analysis of Information System Requirements was completed<br />
to inform the design and implementation of solutions. The aim is to leverage knowledge from the region as a whole and where appropriate design solutions<br />
that can be implemented region-wide. Adopting a regional approach to the implementation of information systems capability will better support planning,<br />
management and deliver enhanced access to clinical information region-wide. The region can then maximise the value to be gained from investment in<br />
information systems.<br />
P32 Benefi ts and Lessons Learned: An e-Referrals Pilot in the Waikato<br />
Paul Docherty<br />
Waikato District <strong>Health</strong> Board, PO Box 934, Selwyn Street, Hamilton, <strong>New</strong> <strong>Zealand</strong><br />
dochertp@waikatodhb.govt.n<br />
dochertp@waikatodhb.govt.nz<br />
Abstract<br />
From November 2007 to May 2008, Waikato DHB and Waikato Primary <strong>Health</strong> piloted the electronic transmission of patient referrals to Waikato DHB, with<br />
fi ve general practices; representing large and small, rural and urban sites. The pilot used a generic referral template integrated within the GP’s practice<br />
management software and sent electronically to Waikato DHB. On arrival at Waikato DHB the referrals were printed and the existing triage process used.<br />
Formal evaluation indicates benefi ts for all parties involved, predominantly for general practices. Lessons learned include the value of GP knowledge of<br />
hospital processes and clearer defi nition of technological and process requirements for the future. GPs found direct import of patient and clinical elements into<br />
the template reduced administrative load. GPs also found that triage specialists appeared to require less information than previously thought; while triage<br />
specialists found the value of consistent presentation and readability key to improving decision making. Waikato DHB processes were improved by consistency<br />
and completeness of patient information. Although not intended to be the fi nal solution, the tangible benefi ts were such that Waikato DHB continues to<br />
maintain the system for the pilot practices, while the options for wider provision of an electronic referrals systems are considered.<br />
P24 A trial of text messaging in Family Planning Clinics<br />
Helen MacKenzie<br />
National Clinic Project Manager<br />
<strong>New</strong> <strong>Zealand</strong> Family Planning Association, Private Bag 9992, <strong>New</strong>market, Auckland, <strong>New</strong> <strong>Zealand</strong><br />
helen.mackenzie@familyplanning.org.n<br />
helen.mackenzie@familyplanning.org.nz<br />
Abstract<br />
The <strong>New</strong> <strong>Zealand</strong> Family Planning Association (Family Planning) is a national not-for-profi t organization providing sexual and reproductive primary care health<br />
services as well as health promotion, professional training and advocacy on issues of sexual and reproductive health. By 2006 Family Planning had become<br />
acutely aware of the increasing amount of staff time being used to make phone calls to clients, particularly about appointment reminders and laboratory<br />
results, and the associated escalation in telephone costs. Much of the increased cost related to the trend for the clients, who are predominantly under 25 year<br />
of age, to have only a mobile phone as their phone contact. This paper describes a project to identify and implement an alternative means of communication<br />
with these clients, with the outcome being the introduction of a text messaging programme( txt2remind) integrated with the Practice Management System (<br />
Medtech 32) into clinics by June 2008.<br />
20
HL7 – Future Directions Panel (Theatre)<br />
Facilitator: Rosemary Jarmey<br />
P37 HL7 – Future Directions for <strong>New</strong> <strong>Zealand</strong><br />
Author/Presenter – Rosemary Jarmey<br />
HISAC, 133 Molesworth St, Wellington<br />
In November 2004, the <strong>New</strong> <strong>Zealand</strong> <strong>Health</strong> Information Standards Organisation (HISO) endorsed <strong>Health</strong> Level 7 (HL7) Standards for <strong>Health</strong> Information<br />
Communications as a national standard for <strong>New</strong> <strong>Zealand</strong>. HISO has not endorsed a particular version of HL7 as there are a number of versions in use in <strong>New</strong><br />
<strong>Zealand</strong>. The implementation of HL7 messaging standards has helped to reduce or eliminate incompatibilities between systems, thus achieving a speedier and<br />
more consistent fl ow of patient information between hospitals, general practitioners and other health professionals. Most of these implementations have been<br />
done using HL7 version 2. However, there are now pockets of work underway that are using aspects of HL7 version 3 and interoperability issues are arising.<br />
This paper, while raising the level of understanding, gives a balanced view of the options available with HL7 version 3 - HL7 V3 Reference Information<br />
Model(RIM) versus HL7 V3 Clinical Document Architecture (CDA) and it suggests a possible timetable. It also looks at the lessons that can be learned from the<br />
global arena which provide a better understanding of what the implications are for <strong>New</strong> <strong>Zealand</strong> in moving to HL7 version 3.<br />
Home and Personal Technology (Theatre)<br />
Facilitator: Tom Bowden<br />
P25 Shifting care to the home: The value of personal telehealth?<br />
Dr George Margelis<br />
Intel Australia, Level 17 111 Pacifi c Hwy, North Sydney NSW 2060 Australia<br />
George.margelis@intel.co<br />
George.margelis@intel.com m +61 409 744 351<br />
There is strong demand for a new model of healthcare that shifts care away from the acute care setting and back in to the community. In particular for the<br />
aged and those with chronic disease this model provides them with a better quality of life, and frees hospital beds for more acute needs. In this presentation<br />
we look at the advances in personal telehealth technologies and look at the value they provide to the consumer, the healthcare provider, and to the healthcare<br />
system in general. Based on work by the Continua Alliance, and Intel’s research group I will look at some of the new technologies on the horizon, and how they<br />
may change the value equation for the use of this technology.<br />
P03 Technology for Independence: Using Technology to Assist With Care of the Aged<br />
Ray Delany, DipBus, MMgt, FNZCS<br />
Chief Executive Offi cer<br />
Designer Technology Ltd, Auckland, <strong>New</strong> <strong>Zealand</strong><br />
rayd@designertech.co.n<br />
rayd@designertech.co.nz<br />
Abstract<br />
In the next ten years, the proportion of the population over retirement age is expected to increase dramatically due to increased life expectancy and changing<br />
demographics. Forward-looking organisations are starting to consider ways in which technology can improve the quality of care delivery and safety provisions<br />
for the elderly. A leading retirement centre in Auckland has established a visionary strategic plan for developing the utilisation of technology in its retirement<br />
complexes. This paper describes how the above strategy was conceived and the objectives established. Plans to meet business objectives are outlined<br />
along with the technology components that will be used. These include personal electronic devices worn by the individual, environmental control systems in<br />
residences and an organisational management centre to monitor for adverse events. Issues of ethics and privacy, practical usability and end-user consultation<br />
are also discussed.<br />
P06 Designing a robotic assistant for healthcare applications<br />
Tony Kuo, Elizabeth Broadbent and Bruce MacDonald<br />
University of Auckland, <strong>New</strong> <strong>Zealand</strong><br />
Ikuo005@ec.auckland.ac.nz<br />
Abstract<br />
The population of the world is ageing rapidly. By 2050, the population aged 85 and over will be three times more than it is now. This phenomenon has caused<br />
several issues in the current health service system, especially workforce shortages in the health sector and a lack of space in aged care facilities (ACFs). In the<br />
face of these issues, home-based and community-based healthcare services have been identifi ed as necessary in many developed countries to promote ageingin-place<br />
and independent living in order to: 1. Lower the demands on health services and hence improve the quality of the services delivered, and 2. Maintain<br />
the quality of life of the older population by enabling them to be close to their families. For the last decade, a rising interest in personal robots as part of the<br />
technical solution in decentralised health services has led to an extensive range of research and implementations of health service and personal assistant<br />
robots. This paper describes a new research project to develop an assistant robot capable of interacting with patients, taking vital signs measurements and<br />
recording the data in healthcare environments such as aged care facilities, hospitals or personal homes. Current progress includes a comprehensive literature<br />
survey on recent health service robots with a list of issues in the area and an initial human-robot interaction study. The robot is currently interfaced with a blood<br />
pressure monitor and has a 3D face which is capable of displaying a range of different emotions with lips synchronized to speech.<br />
21
Usability (Concert Chamber)<br />
Facilitator: Peter Carr<br />
P04 The challenge of developing an electronic health record for use<br />
by mobile community based health practitioners.<br />
Chris Hendry RN, RM, MPH, D Mid<br />
Executive Director - Midwifery and Maternity Providers Organisation, PO Box 21106, Christchurch, <strong>New</strong> <strong>Zealand</strong>.<br />
director@mmpo.org.n<br />
director@mmpo.org.nz<br />
Abstract<br />
Clinicians are feeling the pressure to embrace the use of electronic health records. This may well be easy if you have the support of a large organisation or a<br />
fully equipped practice with an offi ce and clinic rooms that have an IT system in place. But what if you practice within a mobile service which is offered from<br />
a variety of different venues including clinics, community hospitals, base hospitals and in people’s homes? What is the reality for mobile health professionals<br />
who would like to (or are expected to) maintain electronic health records for their clients? What are the barriers and how can we work towards developing<br />
enablers?<br />
P15 The Challenge of Evaluating Electronic Decision Support in the Community<br />
Jim Warren 1,2 , Rekha Gaikwad 2 , Thusitha Mabotuwana 1 , Mehnaz Adnan 1 , Tim Kenealy 3 , Beryl Plimmer 1 , Susan<br />
Wells 2 , Paul Roseman 4 and Karl Cole 4<br />
1 Department of Computer Science, 2 Section for Epidemiology and Biostatistics, 3 Department of Medicine<br />
The University of Auckland, Private Bag 92019, Auckland 1142, <strong>New</strong> <strong>Zealand</strong><br />
jim@cs.auckland.ac.n<br />
jim@cs.auckland.ac.nz<br />
4 ProCare, PO Box 105 346, Auckland, <strong>New</strong> <strong>Zealand</strong><br />
Abstract<br />
There is clear room for improvement in all existing clinical decision support systems (CDSS) to more closely meet the needs of their target users and work<br />
processes. Ongoing evaluation serves not just to document benefi ts, but also to provide feedback to the CDSS engineering process to create more usable<br />
and effective tools. This paper discusses the challenges of achieving evaluation data that provides detail on system use at the point of care with a focus on<br />
improvement of decision support in a community setting such as a General Practice clinic. After describing some results of CDSS evaluation from the literature,<br />
as well as our own recent efforts at laboratory evaluation of the PREDICT CVD/Diabetes tool, we identify specifi c challenges that arise in CDSS evaluation.<br />
We suggest and discuss several approaches that may lead to facilitated and improved data gathering to help CDSS developers understand how their tools are<br />
being used and hence how to improve them, including: (a) the challenges and opportunities afforded by automated logging of CDSS usage; and (b) the value<br />
of an electronic health record interchange standard for the creation of realistic test cases.<br />
P07 Mixed Methodology Design for Improving Usability of e-<strong>Health</strong> systems<br />
Yousef-Awwad Daraghmi<br />
Victoria University of Wellington, School of Information Management, PO Box 600, Wellington, <strong>New</strong> <strong>Zealand</strong><br />
tubassi@gmail.co<br />
tubassi@gmail.com<br />
Rowena Cullen<br />
Victoria University of Wellington, School of Information Management , PO Box 600, Wellington, <strong>New</strong> <strong>Zealand</strong><br />
Rowena.Cullen@vuw.ac.nz<br />
Tiong Goh<br />
Victoria University of Wellington, School of Information Management, PO Box 600, Wellington, <strong>New</strong> <strong>Zealand</strong><br />
Tiong.Goh@vuw.ac.n<br />
Tiong.Goh@vuw.ac.nz<br />
Abstract<br />
Different software methods have been used to build e-health systems for improving healthcare quality. Although some of these methods focus on users’<br />
perspectives, the end systems sometimes fail to achieve satisfactory usability. This paper proposes a methodology by integrating rapid development methods<br />
(RAD) with User centred Design (UCD) and Participatory Design (PD) to enhance the acceptance level. The methodology also uses usability engineering theory<br />
to evaluate each development stages. This combination of mixed methodology is rarely used in e-health systems development. The integration of different<br />
methods would overcome the drawbacks of using development methods in isolation. Further, it would minimize the incremental risks as the system moves<br />
forward and reduce post-deployment corrective actions<br />
22
Systems and Methods (West Room)<br />
Facilitator: Karolyn Kerr<br />
P19 Moving Forward: Taking PMS Vendor Management to the Next Level<br />
Dr James Conner<br />
Ministry of <strong>Health</strong>, 133 Molesworth Street, PO Box 5013, Wellington, <strong>New</strong> <strong>Zealand</strong><br />
james_conner@moh.govt.nz<br />
Abstract<br />
Information technology and innovation, collaboration, coordination and whole-of-system outcomes have become increasingly important to obtaining a person<br />
centred, quality and connected health system in <strong>New</strong> <strong>Zealand</strong> and overseas. <strong>Health</strong> system external software vendors are key stakeholders in the successful<br />
delivery of the Ministry of <strong>Health</strong>’s strategic initiatives, such as the Primary <strong>Health</strong> Care Strategy and a population health approach to health care.<br />
To assist in the management of the relationship between the Ministry and external software vendors, the Ministry in 2003 commissioned a review of the<br />
relationship, roles and responsibilities of the parties. A major recommendation from the review was to create a vendor liaison framework that would:<br />
Improve and foster the relationship between the Ministry and primary care external software vendors, and<br />
Establish communication mechanisms that would promote and support these working relationships.<br />
A software vendor liaison/advisor role was created in 2004 and, with the support from the Ministry and software vendors, the software vendor liaison<br />
framework over the past four years has:<br />
Created a consistent approach for engagement between Ministry and external software vendors<br />
Established the Primary Care National Vendor Forum<br />
Centralised Ministry communications to primary care vendors<br />
Established a higher level of trust between the Ministry and external software vendors.<br />
Historically and for practical reasons the above initiatives to-date have been largely within a primary care, practice management systems framework. However,<br />
various drivers, opportunities and challenges now present themselves indicating that the current successful model, particularly from an operational/implementation<br />
and enabling perspective could be replicated for the secondary, tertiary and NGO software vendors and stakeholders.<br />
The engagement framework would focus on a model that enables:<br />
Ministry business owners, units and project managers<br />
· Primary, secondary and tertiary care software vendors<br />
· Positions the Ministry to play a key leadership role towards a more integrated, coordinated health care system whilst strengthening health services<br />
we can trust and taking a strategic and operational view of the key underlying enablers.<br />
This paper will outline the current model, lessons and initiatives to-date, identify drivers and opportunities for change, and discuss how the current framework<br />
can be further developed and enhanced. Interviews have been/will be conducted with key Ministry, health system and software vendor stakeholders.<br />
Trends, examples and case studies from other countries will also be referred to.<br />
P39 Rescuing Data from Decaying and Moribund Clinical Information Systems<br />
Jon Patrick, Peng Gao, Xin Li<br />
<strong>Health</strong> Information Technology Research Laboratory, School of Information Technologies, University of Sydney, Sydney, NSW, 2006, Australia<br />
jonpat@it.usyd.edu.a<br />
jonpat@it.usyd.edu.au<br />
Abstract<br />
This paper outlines a generic methodology to rescuing the data from moribund clinical information systems by reverse engineering the original data model,<br />
minimizing the data model for the archival system and migrating the data. The process was developed and tested on fi ve medical systems: three pathology<br />
legacy information systems (OMNI-Lab, HOSLAB and HOSREP), a cardiology system (CARDS), and a Breast Screening system. If the data is only required<br />
for medico-legal purposes to conform to government regulations then it is not necessary to build any specifi c interface to the database and access by<br />
conventional SQL interface is reasonable. However if it is seen that there is potential to mine the data for research purposes then a more user-friendly<br />
interface needs to be provided. We provide a proposal for a Clinical Data Analytics Language (CliniDAL) that serves this purpose.<br />
P23 Rapid system development: variable service models for the Well Child initiative<br />
Leona Latham<br />
Ministry of <strong>Health</strong>, 133 Molesworth St, PO Box 5013, Wellington, <strong>New</strong> <strong>Zealand</strong><br />
leona_latham@moh.govt.nz<br />
Gerard Paver<br />
Ministry of <strong>Health</strong>, 133 Molesworth St, PO Box 5013, Wellington, <strong>New</strong> <strong>Zealand</strong><br />
gerard_paver@moh.govt.nz<br />
Abstract<br />
Delivering information systems in a compressed timeframe to support health targets as part of a Ministry of <strong>Health</strong> Well Child initiative is a challenge that is<br />
well known by stakeholders in the health system. Rapid systems development is one mechanism to achieve a responsive information system that meets the<br />
needs of a disparate health system – disparate in terms of capacity, capability and connectivity. It is a shared challenge to implement an information system<br />
to support the highly valuable national, regional and local Well Child service initiative, in a fragmented sector, within a compressed timeframe and across<br />
constrained technology. This presentation shares the experience and learnings of just such an implementation. Usability is critical to eventual success. This<br />
includes ease of use, ease of access, ease of connection and an approach to serve the needs of diverse stakeholders. The challenges were, and are, many,<br />
ranging from the infrastructure and technology through to business and service requirements and stakeholder engagement. Collaboration across the health<br />
system, capturing the business (policy), vendors, service providers, service recipients needs for information systems is critical to success, but is also the<br />
hardest activity to do well and to reach agreement on. The rapid development approach highlights the importance of team size, vision, partnering, phasedapproach<br />
(cascade) and leverage of existing opportunities. This observation is familiar to all parties involved in development and the experience captured in<br />
this presentation focuses on shared insights.<br />
23
We invite you to become a member…<br />
<strong>Health</strong> <strong>Informatics</strong> <strong>New</strong> <strong>Zealand</strong> (HINZ) is a national, not-for-profi t organisation whose focus is to facilitate<br />
improvements in business processes and patient care in the health sector through the application of appropriate information<br />
technologies.<br />
We are not about competing with existing organisations or activities, but about helping network key & infl uential partners<br />
to improve the effectiveness of health informatics business in <strong>New</strong> <strong>Zealand</strong>. We act as a single portal for the collection and<br />
dissemination of information about the <strong>New</strong> <strong>Zealand</strong> <strong>Health</strong> <strong>Informatics</strong> Industry. Our membership is for anyone who has<br />
an interest in health and informatics who wants to be part of an organisation that can provide relevant up-to date information<br />
about health informatics. Membership is open to those involved in health IT. The different types of membership refl ect the<br />
range of members from students, clinicians, nurses, CIO’s to IT Managers.<br />
How do you become a member?<br />
Join on-line at www.hinz.org.n<br />
www.hinz.org.nz<br />
admin@hinz.org.n hinz.org.nz<br />
24
✁✁<br />
Conference and Exhibition 2008<br />
We would very much appreciate you taking the time to complete this form and handing into the registration desk at lunchtime on Friday.<br />
A draw for a prize will take place during the last session.<br />
Name: .....................................................................................................................................................................<br />
Organisation: ..........................................................................................................................................................<br />
E-Mail .....................................................................................................................................................................<br />
Evaluation Form<br />
Did you feel the programme delivered the information advertised - was this<br />
information useful?<br />
Did the programme meet your expectations?<br />
Did you feel you had adequate information about the presentations?<br />
List things that did / did not work for you.<br />
What topics would you want next time around?<br />
Where would you like to see future HINZ conferences and seminars run?<br />
❑ Auckland ❑ Wellington ❑ Christchurch ❑ Other (please list)<br />
Did you enjoy the exhibition?<br />
Did you have enough networking time?<br />
Are there other vendors / organisations that you would like to see represented at<br />
future events? Please list:<br />
Concurrent sessions.<br />
• Did the programme work for you?<br />
• Was there a good mix of presentations?<br />
Please list topics/issues you would to see covered in future HINZ conferences and<br />
seminars<br />
25<br />
❑ Yes ❑ No<br />
❑ Somewhat<br />
❑ None<br />
❑ All<br />
❑ Completely Exceeded<br />
❑ Yes ❑ No<br />
...........................................<br />
...........................................<br />
...........................................<br />
❑ Yes ❑ No<br />
❑ Yes ❑ No<br />
❑ Yes ❑ No<br />
❑ Yes ❑ No<br />
Overall your score would be (1 being poor – 10 being excellent) …………/10<br />
General Comments (continue on reverse of this page)<br />
Thank you for taking the time to complete this evaluation form - hand it in at the registration desk staff by lunchtime on the last day.
General Comments/Notes
Still believe HL7 V3.0 is not implementable? …Well Think Again!<br />
These technologies have already been adopted and implemented as core components<br />
of national interoperable systems in an increasing number of countries.<br />
NZHUG exists to support this process, and the signifi cant<br />
benefi ts of membership are available to all:<br />
• Access to locally relevant V3.0 / CDA implementation support<br />
• Access to V3.0 / CDA specifi cations for national projects<br />
• Online tools and resources for local development and<br />
implementation<br />
• Discounts on ongoing training and workshops<br />
• Access to online v3.0 / CDA training<br />
• Access to international experts to help you solve your specifi c<br />
questions and issues<br />
Supported by<br />
Need access to help and advice?<br />
NZHUG is a national forum dedicated to the achievement<br />
of interoperability in healthcare information systems.<br />
It is focused on facilitating the development and adoption<br />
of HL7 Standards, but is not limited to this area alone.<br />
For more information visit<br />
www.hl7.org.nz
HINZ Acknowledges their valuable<br />
supporting partners for 2008<br />
Major Sponsors<br />
Supporting Partners
Change language