Top-down and bottom-up approaches to interoperability

A panel discussion on the steps needed to achieve optimal governance for eHealth interoperability is one of the highlights of the second eHealth Interoperability Conference, being held in Sydney next month.

The panel discussion will look at how to balance top-down and bottom-up approaches to interoperability, as well as the need for an open dialogue and a shared vision on the use of data.

Chris Pearce, president of the Australasian College of Health Informatics (ACHI) and director of research at the Inner East Melbourne Medicare Local (IEMML), will provide the keynote speech on governing for efficiency, usability and safety, emphasising the importance of appropriate governance structures in large-scale eHealth programs.

The international interoperability experience will be illustrated by Poul Mossin, head nurse and head of emergency at Koege Hospital in Copenhagen, who will explain how the many electronic health systems work together in Denmark, considered by many to be of the leading nations in eHealth implementations.

Frank Cunningham, international policy officer with the European Commission in Belgium, will discuss innovative transatlantic collaboration in transformation of healthcare systems as well as eHealth and health IT workforce development.

Closer to home, standards expert Grahame Grieve will discuss architectural approaches for exchanging information, while Michael Legg will use a case study of the Royal College of Pathologists of Australasia's PITUS project to illustrate what is needed to achieve interoperability.

Some notable interoperable eHealth implementations will also be highlighted, including Jason Whakaari from Western Health on its acute to primary care messaging service, its mobility device layer and its new intelligent Patient Journey System (iPJS), which has been designed by Alcidion and rolled out throughout the three Western Health hospitals.

Kate Richardson, a pharmacist from St Vincent’s Health Australia, will discuss the interoperable challenges of eMedicines and eAllergies. She will use a MasterChef analogy to illustrate medicines data from primary care to acute care and back again: “filleting components on admission, blending elements for administration, then trussing at discharge”.

NSW Health's program director for electronic medications management, Robin Mann, will expand on interoperability models for EMM as NSW sets out on a 10-year journey to implement EMM throughout the state.

The University of Western Sydney's George Margelis will discuss whether “personal connected health” is the answer to interoperability, while NICTA's Leif Hanlen will look at open clinical data and barriers to sharing.

Andrew Burton-Jones, a professor of business information systems at the University of Queensland, will tackle the hot topic of using integrated EHR/EMR systems meaningfully, asking whether we can simply adopt concepts from the United States “meaningful use” regulation.

A new concept called World Café @eHealth Interoperability will be introduced this year, involving an informal, cafe-style meeting to discuss topics.

The eHealth Interoperability Conference is being held at the Parkroyal Darling Harbour in Sydney on October 28 and 29. Registrations are now open.

Posted in Australian eHealth

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