Terminologies and Standards to Support emm

Transcription

1 Elizabeth Donohoo, NEHTA Terminologies and Standards to Support emm Implementing Electronic Medication Management Systems EMM 101 for Hospitals Workshop HIC, August National E-Health Transition Authority

2 About NEHTA 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 2 National E-Health Transition Authority

3 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 3 National E-Health Transition Authority

4 ehealth interoperability challenges Provision of care can be complex and challenging with many interactions, communication and exchange of information. 4 National E-Health Transition Authority

5 Healthcare system challenges ARTG APO-Pantoprazole 40mg Tablets Knowledge databases Medicine files PBS OR Pantoprazole (Apotex) 40 mg tablet: enteric-coated OR Proprietary vendor lists Pharmacy wholesalers APOTEX PANTOPRAZOLE TABLET 40mg Formularies 5 National E-Health Transition Authority

6 Australian Medicines Terminology MP: 1899 TP: 7043 MPUU: 5053 TPUU: MPP: 8852 TPP: CTPP: National E-Health Transition Authority

7 Supply chain 7 National E-Health Transition Authority

8 Benefits of an integrated approach Knowledge resource e.g. MIMS, Multum National or State formulary Terminology AMT SNOMED CT-AU Other, e.g. Pharmacy catalogues, NPC Integrated Decision support Reference products Medication management Local customised content 8 National E-Health Transition Authority

9 Implementation process overview 1. Understand the business driver - interoperability, messaging, standardisation, other? 2. Obtain a licence and the AMT data 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 9 National E-Health Transition Authority

10 Implementation options 10 National E-Health Transition Authority

11 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 11 National E-Health Transition Authority

12 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 12 National E-Health Transition Authority

13 Clinical Terminology Services Deployment Architecture 13 National E-Health Transition Authority

14 Where to get help? Call the NEHTA Help Centre or 14 National E-Health Transition Authority