Systems Landscape Regional Focus - Actual April 2015 Version 6.0 Final Northern Midland Whanganui Hawkes Bay Nelson Marlborough Canterbury West Coast South Canterbury Southern BPAC eReferrals LITE cReferrals eReferrals LITE Nil Medtech eReferrals LITE Orion cReferrals (via HealthLink & using National Standard based on Northern) ERMS ERMS ERMS ERMS ERMS Regional eReferrals system implemented according to National Standard Inhouse SMT Will not be implemented by 2014. SMT SMT SMT Inhouse [DisSum] SMT SMT Orion SMT's (via HealthLink & using National Standard based on Northern) SMT SMT SMT SMT HV All secondary services providing discharge summary to GPs according to National Standard [SMT] HV HV Concerto Orion Concerto (Single shared instance). Concerto Concerto Concerto Concerto Concerto WebPAS Orion Concerto (Single shared instance) Concerto Concerto Concerto Concerto HV All health practioners will have access to clinical workstation (Concerto) Éclair HV Éclair HV Éclair Regional CDR solution implemented [Multivendor using Sysmex and Orion] Orion CDR Orion CDR Orion CDR Orion CDR Orion CDR WebPAS Orion CDR (Single Shared Instance) Éclair Éclair Éclair Éclair HV Regional CDR solution implemented (Sysmex, Éclair) Kestral Kestral GE Kestral All DHBS on regional Outsourced (Fulford) Kestrel platform (Single shared instance). Carestream Carestream Carestream Carestream Carestream Carestream Carestream RIS (single shared instance) Comrad Comrad Comrad Comrad Sectra Comrad (Single shared instance) Philips Philips GE Philips All DHBS on regional Outsourced Kestrel platform (Single (Fulford) shared instance). Will not be implemented by 2014. Carestream Carestream Carestream Carestream Carestream Carestream Carestream PACS (local instances) AGFA Intelerad Intelerad Intelerad Philips Intelerad (local instance) Nil Philips Nil All DHBS on regional Kestrel platform (Single shared instance). Will not be implemented by 2014. Carestream Carestream Carestream Carestream Carestream Carestream Carestream PACS Archive (single shared instance) AGFA Intelerad Intelerad Intelerad Philips Intelerad PACS Archive (single shared instance) Outsourced Outsourced [Labnet] iLab at Waikato; other DHBs outsourced Delphic Delphic Outsourced [Medlab] Outsourced [Medlab] Outsourced [Medlab] Outsourced [Labnet] Outsourced or subregional shared instance of Delphic Outsourced [Medlab] Delphic [Labnet] Delphic [Labnet] Outsourced [Medlab] Outsourced [SCL] Outsourced or subregional shared instance of Delphic Galen ePharmacy Single shared instance iSOFT ePharmacy WinDose WinDose Galen Homer Ascribe ePharmacy ePharmacy (single shared instance) WinDose ePharmacy WinDose WinDose WinDose ePharmacy (single shared instance) Provation MD Regional solution Provation MD Endoscribe Endobase HCN Scribes Endoscribe Endoscribe Provation MD Provation MD Provation MD Provation MD Nil Provation MD at all DHBs BPAC BPAC BPAC BPAC SMT All secondary services electronically discharge to GPs using regional systems. National standards will not be implemented by December 2014 HV Inhouse HV HV HV HV/ CHIP HV Clinical Workstation Concerto Concerto Concerto Concerto All DHBs using same version of Orion concertoi. Single shared instance will not be implemented by December 2014 CDR Éclair Éclair Éclair Éclair All DHBs on one CDR (Eclair/ TestSafe) Radiology Karisma AGFA AGFA AGFA PACS Philips AGFA AGFA AGFA Regional Archive Nil HP MAS HP MAS HP MAS All DHBs feeding into and accessing the Regional Archive Philips Philips iLAB Outsourced Workstream 4: Clinical Support Regional Solutions Auckland Metro DHBs on one instance of AGFA RIS and different versions of AFGA PACS: Northland remain on Karisma Phillips Taranaki Mid-Central SMT Wairarapa SMT Hutt Valley SMT Capital & Coast e-discharges Current State National standards implemented. BPAC primary care referrals platform. Secondary care management via CWS. 75% GPs referring to all secondary services using national standards and regional systems Workstream 2: Continuum of Care South Island Current State Tairawhiti Orion Healthlink Ph1 GP to DHB Lakes Counties Manukau Orion Healthlink Ph1 GP to DHB Bay of Plenty Waitemata RMS Lite Orion Healthlink Ph1 GP to DHB Northern Target State (for December 2014) Waikato Auckland e-referrals Central Current State Northland Current state Midland Target State (for December 2014) Central Target State (for December 2015) South Island Target State (for December 2014) Laboratory Delphic Delphic Delphic Delphic CMDHB/WDHB on shared instance and ADHB/NDHB on separate shared instance of Sysmex Delphic Pharmacy Galen ePharmacy Pharmx Ascribe ADHB/NDHB on shared version of ePharmacy Galen Ascribe ProVation MD ProVation MD ProVation MD All AKL Metro DHBs on single shared instance of Endoscopy system Provation Endoscribe iPM iPM NDHB completed implementation of WebPAS; CMDHB/WDHB on separate instances of iPM: ADHB commenced implementation of regional solution iPM WebPAS iPM iPM WebPAS Integrated Patient Care solution [Platform TBA] WebPAS WebPAS Galen Homer OraCare WebPAS WebPAS (single shared instance) Oracare Homer iPM Inhouse iPM Orion Health (some regional modules will be implemented and operational.) Endoscopy Workstream 5: Patient Administration Inhouse + McKesson pathways Outsourced (PAL) Galen PAS Galen HR/Payroll PSE Leader Leader Leader Target state TBA. To be planned with HBL People soft PSE PSE PSE Stargarden All DHBs aligned with national platforms [HBL] Leader Payglobal Leader PSE PSE Leader Product TBA (single shared instance) Leader PSE PSE Leader Employee connect / People Manager Product TBA (single shared instance) Rostering Trendcare Workforce Central Workforce Central One Staff Target state TBA. To be planned with HBL One Staff Microster Nil Microster Trendcare All DHBs aligned with national platforms [HBL] HealthRoster / One Staff One Staff Actor/ Trendcare Microster Nil Actor Product TBA (single shared instance) Actor Microster Trendcare Nil Onestaff Product TBA (single shared instance) Enterprise Content Management Sharepoint (partial) Sharepoint (partial) Sharepoint (partial) Objective (doc mgt) NDHB on separate instance * ADHB/WDHB on shared single instance of SharePoint: CMDHB on separate system One Staff Microster Nil Microster Trendcare Regional solution TBC Nil Sharepoint Sharepoint Contented Nil Email Exchange Exchange Exchange Exchange NDHB and ADHB on separate instances:WDHB/CMDH B on shared single instance of Exchange Exchange Exchange Exchange Exchange Exchange Secure email (Exchange) implemented in the region Groupwise Exchange Exchange Exchange Exchange AD, Exchange & Sharepoint (single shared instance) Exchange Exchange Exchange Exchange Exchange Exchange (single shared instance) Exchange KEY SMT Soprano Medical Templates (now called Concerto Clinicals) HV Healthviews TBA To Be Agreed Nil No electronic solution in place Outsourced Function and/or system is outsourced to a third party provider Inhouse Running an in-house developed solution System System New System Changes since 1 January 2014 Forecast changes Close or partial alignment with the regional target state DHB is operating on the agreed regional solution. Readiness must be 5 Regional target NOT fully agreed or aligned with National Health IT Plan NOTE: Target states are subject to alignment with Regional Service Plans, funding, resourcing and governance approvals
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