Leveraging Assets: Experiences and challenges in ensuring finances, human resources, asset management and legislation enable a functioning health information system at all levels. Dr Robyn Lawrence Executive Director Innovation and Health System Reform Delivering a Healthy WA
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Leveraging Assets: Experiences and challenges in ensuring finances, human resources, asset management and legislation enable a functioning health information.
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Leveraging Assets: Experiences and challenges in ensuring finances, human resources, asset management and legislation enable a functioning health information system at all levels.
Dr Robyn Lawrence
Executive Director
Innovation and Health System Reform
Delivering a Healthy WA
Alternative Title
Outline
• Value of health information• What is needed• Leveraging resources for health information• Leveraging health information to maximise
resource uitilisation• Overcoming the challenges
Value of Health Information
• Health multi-billion dollar business• Financial information alone not sufficient• Require knowledge about:
– the volume of services provided– the outcome of the services– service gaps
• Inform public and government• Plan for the future
Value for Who?
• Patients and carers • Health providers• Health administrators• Researchers• Government
Requirements
• Data Reliability:– Timeliness– Consistency– Standardisation
• Data Integrity• Analysis and interpretation
Human Resources
• Data only as good as the point of entry / collection
• In general people enter much of the data – Variability
• Clear consistency:– Definitions– Process
• Sufficient numbers and skill
Human Resources
• Involving the patient in consent• Data analysis and communication to all
stakeholders• Ensuring appropriate use
– Risk of excessive requirements for inappropriate purposes
• Ensuring appropriate governance– Data custodian process
• Asset management, including ICT support
Asset Management
• Timely data requires input points
• Automation of collection• Forced standardisation of
inputs• Integration of new assets with
data collection systems – data linkage
Legislation
• Required to comply with legislation – both Commonwealth and State / Territory– Varying Acts covering public vs private– Additional legislation also with impact
• Lack of understanding:– Limit appropriate use– Loss of trust of consumers– Loss of trust of providers
• Legislative compliance must be built into systems.
Finances
• Everything has a cost…..– Legislative compliance– Sufficient skilled human resources– Appropriate asset management– Overarching controls
• But, should be able to offset the cost and measure the benefit if we do it right
Why the Challenge
• HR• Assets• Finance• Legislation
• But really:-– Trust– Independence– Alignment of outcomes to provision
The HR Challenge
• Inputs:– Relevance of the information for more than the
immediate task – clinical and non-clinical– Adequate skilled staff numbers
• Output:– Skills to ensure reliable data addressing the issue
• Interpretation and use:– Information can often have multiple interpretations– Frequently source of distrust by all involved
The Asset Challenge
• Supporting infrastructure to collect robust information.
• Value of electronic collection.• Automation probably better than
manual.
The Legislation Challenge
• Too many variables.• Designed to address the “use” issue.• Health care provided in multiple sectors /
providers.• Patients frequently belong to high risk vulnerable
groups.
The Finance Challenge
• Costs• ROI can be difficult to
measure– usually done by surrogate
means, but underpinning success factor may be good health information:
• Access to appropriate information
• Timely access to clinical information which is shared.
Overcoming the Challenge
• Return on investment for all stakeholders.• Identify key drivers of need
– not information for information’s sake
• Even bad data can sometimes bring about change– both in practice and in improving the data quality
• Leadership and commitment to make a difference for the PATIENT and our community
Safety and Quality
• Many key indicators monitored using health information at local level
• VLADs in Queensland• Timely response to clinical practice concerns
Safety and QualityVLAD Plot – Mortality-Acute Myocardial Infarction