Elizabeth Donohoo, NEHTA Terminologies and Standards to Support eMM Implementing Electronic Medication Management Systems ‘EMM 101 for Hospitals’ Workshop HIC, August 2015 1 National E-Health Transition Authority www.nehta.gov.au
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 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 3 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. 4 National E-Health Transition Authority www.nehta.gov.au
Healthcare system challenges APO-Pantoprazole 40mg • ARTG Tablets OR Knowledge PBS databases Pantoprazole (Apotex) 40 mg • tablet: enteric-coated Medicine OR files APOTEX PANTOPRAZOLE • TABLET 40mg Pharmacy Proprietary vendor lists wholesalers Formularies 5 National E-Health Transition Authority www.nehta.gov.au
Australian Medicines Terminology MP: 1899 TP: 7043 MPUU: 5053 TPUU: 11904 MPP: 8852 TPP: 17530 CTPP: 18601 6 National E-Health Transition Authority www.nehta.gov.au
Supply chain 7 National E-Health Transition Authority www.nehta.gov.au
Benefits of an integrated approach Knowledge resource e.g. MIMS, Multum Reference products Terminology Other, e.g. National or Pharmacy State catalogues, AMT Integrated formulary NPC Decision SNOMED CT-AU support Medication management Local customised content 8 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 9 National E-Health Transition Authority www.nehta.gov.au
Implementation options 10 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 11 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 • 12 National E-Health Transition Authority www.nehta.gov.au
Clinical Terminology Services Deployment Architecture 13 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 14 National E-Health Transition Authority www.nehta.gov.au
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