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Southern District Health Board (DHB) in New Zealand has kicked off its Digital Health Maturity Models project with the Ministry of Health. Southern and Mid Central DHBs were chosen by the Ministry last year to pilot three HIMSS Analytics maturity assessments: the electronic medical record adoption model (EMRAM), outpatient EMRAM (O-EMRAM) and the continuity-of-care maturity model (CCMM). Southern DHB business solutions manager Jack Devereux says the CCMM assessment project started in late February and involves filling out questionnaires based on five care settings: acute, secondary, primary, home support and residential care. For each of these settings there are three stakeholder groups – governance, clinical and information technology. Each of these has 250 questions to answer and around three weeks to respond. The HIMSS website says CCMM focuses on the capabilities needed in order to “seamlessly coordinate patient care across a continuum of care sites and providers”. On March 27, a training workshop with HIMSS, the Ministry, Mid-Central staff and DHB representatives from each region will introduce the assessments nationally. The following training days are an opportunity for the CCMM surveys to be reviewed and discussed with the Southern DHB stakeholder groups. Preliminary findings from all three assessments will be presented back on day four of the workshop. “That’s just a starting point, as the idea around the training is to identify people who can assess progress on an ongoing basis as we look to implement some of the actions identified,” Devereux says. HIMSS EMRAM scores hospitals internationally on their adoption and use of electronic medical records on a scale from 0–7, and O-EMRAM is used to evaluate services provided outside of a hospital or acute care environment. Devereux says the EMRAM and O-EMRAM surveys will be completed predominantly by the information services team, with pharmacy and clinical directors potentially being involved. He says the DHB is focused on implementing electronic health records as part of its digital transformation strategy. “We want to use this opportunity to inform our actions over the next few years as we head towards a new digital hospital being built here,” says Devereux. Mid-Central DHB will be next to assess its digital maturity. Ministry of Health group manager digital strategy and investment Darren Douglass said last year that the success of the pilot programmes will inform whether the assessments are rolled out nationally. This article first appeared on eHealthNews.nz.

Patients across some of Australia’s rural and regional areas now have access to advanced medical imaging technology that aims to help with the early detection and treatment of cancer. Royal Darwin Hospital (RDH) and Siemens Healthineers have partnered in a venture to expand oncology services available in the Northern Territory, providing the hospital with an advanced PET CT scanner that offers patients the capability to scan faster using lower doses of radiation and personalises scans to a patient’s specific medical condition. Siemens Healthineers A/NZ Molecular Imaging Business Manager Tim Lagana told HITNA that the Biograph mCT Flow Edge scanner features advanced capabilities such as improved lesion detectability and reduces unnecessary exposure to radiation with two features. The first is FlowMotion, which eliminates the need for bed-based imaging used by traditional PET scanning forms. “As a result, examination parameters such as speed, image resolution and motion management can be easily adjusted to the precise dimensions of organs and routinely incorporated into a single scan for every patient,” Lagana said. The second feature he identified is the Definition Edge CT scanner. “Due to the full electronic integration of Siemens’ Stellar detector, electronic components like microchips, conductors, etc. are integrated directly at the photodiode. This reduces electronic noise coming from the detector elements and thus, improves the signal-to-noise ratio (SNR) for optimised image quality.” According to the RDH, the new service will be the “first of its kind” available in the territory and is one of only four in Australia. NT Health Senior PET Technologist Jack Anderson told HITNA that following installation, patients who had to previously travel up to 3400km interstate for access to diagnosis and treatment monitoring equipment can access these services much closer to home. “Previously, Northern Territory patients would have to travel interstate to have a PET scan in order to diagnose or help manage their medical condition,” he said. “The new RDH PET service can make a huge impact for these patients by reducing delays to diagnosis and treatment due to the need for interstate travel; better access to specialist diagnostic services for patients with geographic, physical mobility, language or income barriers; and reducing the costs to patients, carers, families and friends incurred during interstate travel for diagnostic services and treatment.” [Read more: New AI tech reshapes skin cancer detection | New bid to map AI’s impact on radiology] Anderson said this installation also puts the Northern Territory on the map with one of Australia’s most advanced medical imaging systems on the market, providing treatment options and pathways for the region’s most complex diagnostic and disease requirements. “RDH now has equivalent medical imaging services to the major hospitals in other capital cities, with enhancement to its provided services,” he said. “The new equipment has the potential to position the territory as a hub for PET research in Northern Australia and the Asia Pacific region, and furthers medical specialty in the territory, increasing the capability and integration of the local cancer services.” Although currently geared towards oncologic applications, Anderson said the system also has the capability to image neurological disorders such as alzheimer's, dementia and epilepsy, and assist in the diagnosis and provision of care for patients with other medical conditions like infections and inflammatory disorders.

The health information management group said it will disseminate standardized, electronic query templates and educational guidance for physicians, CDI and HIM professionals to help clarify clinical documentation.

At the federally qualified health center and patient-centered medical home, telehealth technology has changed the way primary care physicians deliver care.

The new integration will feature a medication decision support platform, RxBenefit Clarity, that can provide prescription price information at the point of care.

Physician informaticists adjusted workflow, optimized EHR documentation and built new tools to improve depression screening, diagnosis and management.

A new study shows that effective pre-triage for telehealth could reduce patient pressure on GPs by up to 73 percent.

Learn how healthcare organizations are reimagining their digital infrastructure to meet rapidly changing patient expectations and the continuing shift to value-based care.

Hong Kong’s Food and Health Bureau (FHB) announced on March 1, 2019 the establishment of the Primary Healthcare Office (PHO) to oversee and steer the development of primary healthcare services at the bureau level. “It is high time for us to actively promote primary healthcare services to change the present treatment-oriented healthcare system. The PHO will focus on the development of District Health Centres (DHCs) as a new model to leverage on public-private partnership and medical-social collaboration in providing primary healthcare service, to cater for the needs and characteristics of the districts and enhance public awareness of healthy living, disease prevention and self-management of health,” said a spokesperson for the FHB. The first DHC in Kwai Tsing is expected to start operation around the third quarter of this year. With the experience gained from the first DHC, the PHO will plan and set up DHCs in all 18 districts progressively. “The PHO will be responsible for monitoring the performance of DHC operators and driving DHC service development based on evidence and data as well as developing standards. It is also tasked to review the role of different key service providers in primary healthcare and to enhance cross-sectoral and inter-organisational co-ordination, as well as to oversee development and promotion strategies on primary healthcare,” the spokesperson added. Origins of the Primary Healthcare Office In her 2017 Policy Address, Chief Executive Carrie Lam said that the government “will set up a committee on primary healthcare development and its work will include drawing up a model for district-based medical-social collaboration, using big data to identify areas of medical services.” She also mentioned in the same address that the FHB should set up a DHC with a brand new operation mode in Kwai Tsing District within two years. In November 2017, the FHB established the Steering Committee on Primary Healthcare Development to formulate the development strategy and devise a blueprint for primary healthcare services. It also established the Working Group on DHC Pilot Project in Kwai Tsing District, to provide advice on the planning, implementation and evaluation of the DHC pilot project. The launch of the DHCs will likely alleviate the manpower and capacity crunch of Hong Kong’s public hospitals, which often operate beyond capacity during winter periods and patients have to endure with long lines and waiting times.

The rise of digital technology and the availability of data means that it’s now within the reach for consumers to be critical enablers of change in the healthcare system, a panel of industry experts said. Speaking at the recent AFR Healthcare Summit, Queensland Health Director-General Michael Walsh said a stronger focus on the consumer will improve the quality and safety of healthcare in Australia, and support a more sustainable local healthcare system. “Consumers are increasingly becoming activated to drive transformation and innovation in healthcare. As with other sectors, it is the consumer experience that counts the most; not the product or device. It is how the life and health of the consumer is enhanced, that will be the true measure of success,” he said. “Digital health allows the information asymmetry to be more equalised. As a steward of a large public health system, I’m acutely aware of the need to listen and foster this driving force.” But, with the structure of the health ecosystem changing to give patients more control over their healthcare, there are steps that government, care providers, clinicians, insurers and patients themselves can take to achieve better patient outcomes sooner in a reimagined healthcare system. According to Walsh, it is an open, collaborative and measured approach that will deliver the benefits of digital health. “Government, industry and the diverse healthcare sector have critical roles to play in openly and carefully progressing digital health. In a system where consumers are truly at the centre, the governance of health needs to be better aligned and more enabling of digital health,” he said. “Although the roles within a healthcare sector and the different levels of government are unlikely to change rapidly… we are seeing a greater shift towards shared investment models alliancing or joint commissioning programs at the local health district and primary health network level. We will see more movement to flexible investment models at a regional level, supported by joint governance.” NSW Health Chief Information Officer and eHealth NSW Chief Executive Dr Zoran Bolevich added that the organisation recently introduced patient-reported measures to its system. “There are two types of measures that we collect from patients on a weekly basis; experience measures and outcome measures. Using this, we are now starting to design and help implement the technology platform that will enable us to do that,” he said. “We have started small, and intend on growing its potential further with industry partnerships. We are also working on using that information for secondary purposes like research. We have to be aware of the need to distill data, otherwise we’ll be overloaded with it.” [Read more: Deakin Uni launches Institute for Health Transformation | We need to get the digital basics right and quickly: Tim Kelsey] AMA President Dr Tony Bartone said collaboration was a complex journey, but healthcare providers that don’t partake in it will lose out on delivering patient outcomes that they need. “It’s about using opportunities for advocacy at different parts of the system – whether it be ensuring that the centrality of primary care of general practice is part of the discussion, advocacy for appropriate funding models that need to underpin innovations, advocacy in ensuring public views are implemented or getting all players in the system together to collect best evidence to form a solution,” he said. “It isn’t just about beds and hospitals anymore, it’s about partnerships and enabling patients to make the decisions necessary for the path they wish to take. The best way for this is to give them information and health literacy.” Medicines Australia Independent Chair Dr Anna Lavelle added that ‘coopetition’ – the concept of cooperation with organisations that a business may be in competition with – is a part of appropriate healthcare. “You can agree on things that both parties want and go in together to achieve those aims, and then you can choose to agree to disagree on other things. You don't have to be 100 per cent in alignment all the time,” she said. “Being tolerant to that and respecting others’ views and needs is completely legitimate.”