Director, Integrated Care Portfolio eHealth NSW Strategic - - PowerPoint PPT Presentation

SLIDE 1

Steve Badham Director, Integrated Care Portfolio eHealth NSW

SLIDE 2

Strategic Partnership in Support of Children’s Health and Wellbeing

SLIDE 3

Federal and Jurisdictional Partners

SLIDE 4

The Collaborative Vision

• Harnessing the power of digital

technology to:

• Make Australia the best place in the

world to raise healthy children, and to be raised;

• Ensure all Australian children,

irrespective of location, socioeconomic status, or cultural background, have the same opportunity to be healthy, safe and thriving.

SLIDE 5

National Digital Solutions

supporting pregnancy, childhood and early adolescence

Digital Pregnancy Health Record Child Digital Health Record Child Digital Health Record

(5-14)

Research

SLIDE 6

Clinical and Consumer Co-design

Child Digital Health Record:

• 335 co-design workshops and

interviews / 118 participants.

• Research with Aboriginal and Torres

Strait Islander communities, as well as culturally and linguistically diverse (CALD) consumers.

• Leading to:
• 27 Personas
• 10 Journey Maps
• Business Requirements & User Stories
• 31 Wireframes

SLIDE 7

Health Interactions

Child Digital Health Record

Hospital Visit (Birth)

Birth Hearing Screening Newborn Assessment Newborn Discharge Health Assessment Update Family History View Record Consumer Entered Milestone

GP Visit Consumer Interaction

• Health interactions represent a point in time exchange of information, aligned

with a function of care delivery or information management.

SLIDE 8

Informatics Co-Design

Eight State & Territory Paper-Based Child Health Records One National Digital Child Health Record

Harmonisation Record Clinical Information Model Fast Healthcare Interoperability Resources (FHIR)

SLIDE 9

Jurisdiction Baby Books Paper Record Harmonisation

✓ Review of every paper-based child health record around Australia. ✓ Harmonising the clinical & consumer content. ✓ Extensive consultation. ✓ Nationally agreed core components of a child health record ✓ Every jurisdiction is represented in the

From Paper Records

national dataset.

H i g h ( ≥ 5 % U s e ) M e d i u m ( 3

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9 % U s e ) L

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( < 3 % U s e )

C h i l d I n f

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N a t % U s e W / S O u t c

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e B a b y ' s N a m e 6 3 C N a m e

• f

B i r t h F a c i l i t y 1 A D a t e

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B i r t h 1 C T i m e

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B i r t h 7 5 A Sex (Male) 75 C Sex (Female) 75 C C h i l d I n f

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m a t i

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N a t % U s e W / S O u t c

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e T h i s s e c t i

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a l 3 8 E B a b y ' s G i v e n N a m e / s 3 8 C B a b y ' s F a m i l y N a m e 3 8 C Address 38 C Baby's Blood Group 38 E C h i l d I n f

• r

m a t i

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e U R ( U n i q u e R e f e r e n c e ) 1 3 E E x a m i n e r N a m e 2 5 E M a t e r n a l I n f

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s 6 3 A M

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p 6 3 E Labour (Spontaneous) 63 A L a b

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r ( I n d u c e d

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B i r t h ( N

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m a l / V a g i n a l ) 7 5 A T y p e

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B i r t h ( B r e e c h ) 7 5 A T y p e

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B i r t h ( F

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c e p s ) 7 5 A T y p e

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B i r t h ( C a e s a r e a n ) 7 5 A T y p e

• f

B i r t h ( V a c E x t ) 7 5 A Maternal Information N a t % U s e W / S O u t c

• m

e Anti D Given 38 E Labour Complications 38 E Type of Birth (Home) 38 E Type of Birth (Other) 38 E Type of Birth (Other, Specify Details) 38 E Postpartum issues 38 E Maternal Information N a t % U s e W / S O u t c

• m

e Mother's Given Name 25 C Mother's Family Name 25 C Father's Name 13 C Mother's Date of Birth 13 E Mother's Home & Mobile Phone 25 E MRN (medical record number) 25 C Type of Birth (write) 25 E Type of Birth (water) 25 E Delayed cord clamp 13 T Birth Complications 25 E Maternal GBS Status 13 E M a t e r n a l G B S S t a t u s

• A

n t i b i

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i c s g i v e n ? 1 3 E M a t e r n a l r u b e l l a T I T R E 1 3 E M

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h e r h a s h a d i n p r e g n a n c y ( C M V / T

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I d e n t i f i e d N a t % U s e W/S Outcome F a t h e r s G i v e n & F a m i l y N a m e s A S e x O t h e r T O t h e r P a r e n t A Legend A Agreed (Include) AA Agreed for ATSI T To be Agreed C Core Data O Out of Scope E Exclude

To a Harmonised Dataset

Baby’s Name Date of Birth Type of Birth Birth Facility

SLIDE 10

Clinical Information Model

Internal reviews, Clinical Tiger Team, and clinical engagement Clinical Informatics Endorsement Committee (peak bodies and colleges) Identify clinical information specifications for the record

• Working with the Australasian College of Health Informatics (ACHI)

SLIDE 11

FHIR - Australian National Child Digital Health Implementation Guide

SLIDE 12

Conceptual Architecture

Health Provider Dashboard My Health Record CIS National Interoperability APIs Digital Child Health APIs

Jurisdictional Systems

CIS

Other Provider Systems (GPs, AMS, Specialists) National Infrastructure

Repository Orchestration Business Logic Processing

Web Portal SMART on FHIR Web Portal SMART on FHIR CHILD DATA HUB Consumer Apps

1 2 3 4 5 6 7 8 HI Service

SLIDE 13

Agile Delivery Method

• Health Interaction

Epic Business Requirements Component Requirements Analysis Stage Development Testing & Showcases PSAF Assurance Path to Production Assurance

SLIDE 14

Child Digital Health Record – Trial

Dubbo Coonamble Blacktown Mount Druitt Test clinical & consumer utility, and functionality of digitised baby book Trial will seek to enrol 300 babies and children, and will run for 6 months Results will inform future roadmap

SLIDE 15

Evaluation of Trials

Murdoch Children’s Research Institute has partnered with UNSW to evaluate the Child Digital Health Record Trial The University of Queensland has been commissioned to evaluate the Digital Pregnancy Health Record trial Researchers will assess the clinical and consumer utility of the solutions, and provide continuous feedback into the product delivery & implementation process

SLIDE 16

National Infrastructure Transition & Roll-out Business Case

National jurisdictional scoping exercise underway Assessing how deployment can be staged across jurisdictions and nationally Defining product roadmaps

SLIDE 17

Thank You – Questions?

www.childrenscollaborative.com.au