Terminologies and Standards to Support eMM Implementing Electronic - - PowerPoint PPT Presentation

National E-Health Transition Authority www.nehta.gov.au

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Terminologies and Standards to Support eMM

Implementing Electronic Medication Management Systems ‘EMM 101 for Hospitals’ Workshop HIC, August 2015

Elizabeth Donohoo, NEHTA

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National E-Health Transition Authority www.nehta.gov.au

NEHTA is a corporate entity owned by the Australian Federal, state and territory governments, to identify and jointly develop the necessary foundations and services for a national eHealth capability.

• Identifiers
• Authentication
• Terminology
• Secure Messaging
• Clinical Documents
• Supply Chain

About NEHTA

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National E-Health Transition Authority www.nehta.gov.au

Standards in eMM systems

Multiple national and international technical and information standards applicable to eMM systems including:

• Data
• Data security
• Data messaging, e.g. HL7, CDA
• User identification
• Barcoding
• Web services
• eHealth interoperability, e.g. NEHTA clinical information models,

technical specifications, terminology products and national product catalogue

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National E-Health Transition Authority www.nehta.gov.au

eHealth interoperability challenges

Provision of care can be complex and challenging with many interactions, communication and exchange of information.

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National E-Health Transition Authority www.nehta.gov.au

Healthcare system challenges

• APO-Pantoprazole 40mg

Tablets OR

• Pantoprazole (Apotex) 40 mg

tablet: enteric-coated OR

• APOTEX PANTOPRAZOLE

TABLET 40mg

Medicine files

ARTG PBS Pharmacy wholesalers Formularies Proprietary vendor lists Knowledge databases

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National E-Health Transition Authority www.nehta.gov.au

Australian Medicines Terminology

CTPP: 18601 MPP: 8852 TPP: 17530 MPUU: 5053 TPUU: 11904 MP: 1899 TP: 7043

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National E-Health Transition Authority www.nehta.gov.au

Supply chain

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National E-Health Transition Authority www.nehta.gov.au

Benefits of an integrated approach

Terminology

AMT SNOMED CT-AU

Knowledge resource e.g. MIMS, Multum Other, e.g. Pharmacy catalogues, NPC Local customised content National or State formulary

Medication management Integrated Decision support Reference products

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National E-Health Transition Authority www.nehta.gov.au

Implementation process overview

• 1. Understand the business driver
• interoperability, messaging, standardisation, other?
• 2. Obtain a licence and the AMT data

www.nehta.gov.au

• 3. Determine requirements
• what is the anticipated role of the AMT within the CIS?
• 4. Implementation planning
• what does AMT provide? What are the gaps and limitations?
• 5. Implementation & vendor considerations
• mapping vs. native vs. hybrid

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National E-Health Transition Authority www.nehta.gov.au

Implementation options

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National E-Health Transition Authority www.nehta.gov.au

Implementation process overview

• 6. Guidance available
• business processes, technical documentation, website
• 7. Deployment & change management
• Impact to users, business processes
• 8. Data maintenance
• Monthly updates
• 9. Technical and content support
• Product, tooling & implementation specialists, help@nehta.gov.au

10.AMT capability development

• projects, collaborative workshops, AMT support group

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National E-Health Transition Authority www.nehta.gov.au

Considerations

A number of projects are underway to address the following issues raised by stakeholders

• Use cases
• Additional information requirements e.g. for decision support
• GTIN / supply chain link
• Clinical user interface descriptions
• Content coverage
• Distribution formats
• Implementation challenges including infrastructure

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National E-Health Transition Authority www.nehta.gov.au

Clinical Terminology Services Deployment Architecture

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National E-Health Transition Authority www.nehta.gov.au

Where to get help?

Call the NEHTA Help Centre 1300 901 001 or email help@nehta.gov.au