Current National Approach to Healthcare ICT Standardization: Focus on Progress in New Zealand
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Objectives: Many countries try to efficiently deliver high quality healthcare services at lower and manageable costs where healthcare information and communication technologies (ICT) standardisation may play an important role. New Zealand provides a good model of healthcare ICT standardisation. The purpose of this study was to review the current healthcare ICT standardisation and progress in New Zealand. Methods: This study reviewed the reports regarding the healthcare ICT standardisation in New Zealand. We also investigated relevant websites related with the healthcare ICT standards, most of which were run by the government. Then, we summarised the governance structure, standardisation processes, and their output regarding the current healthcare ICT standards status of New Zealand. Results: New Zealand government bodies have established a set of healthcare ICT standards and clear guidelines and procedures for healthcare ICT standardisation. Government has actively participated in various enactments of healthcare ICT standards from the inception of ideas to their eventual retirement. Great achievements in eHealth have already been realized, and various standards are currently utilised at all levels of healthcare regionally and nationally. Standard clinical terminologies, such as International Classification of Diseases (ICD) and Systematized Nomenclature of Medicine - Clinical Terms (SNOMED-CT) have been adopted and Health Level Seven (HL7) standards are actively used in health information exchanges. Conclusions: The government to New Zealand has well organised ICT institutions, guidelines, and regulations, as well as various programs, such as e-Medications and integrated care services. Local district health boards directly running hospitals have effectively adopted various new ICT standards. They might already be benefiting from improved efficiency resulting from healthcare ICT standardisation.
Abstract
Objectives: Many countries try to efficiently deliver high quality healthcare services at lower and manageable costs where healthcare information and communication technologies (ICT) standardisation may play an important role. New Zealand provides a good model of healthcare ICT standardisation. The purpose of this study was to review the current healthcare ICT standardisation and progress in New Zealand. Methods: This study reviewed the reports regarding the healthcare ICT standardisation in New Zealand. We also investigated relevant websites related with the healthcare ICT standards, most of which were run by the government. Then, we summarised the governance structure, standardisation processes, and their output regarding the current healthcare ICT standards status of New Zealand. Results: New Zealand government bodies have established a set of healthcare ICT standards and clear guidelines and procedures for healthcare ICT standardisation. Government has actively participated in various enactments of healthcare ICT standards from the inception of ideas to their eventual retirement. Great achievements in eHealth have already been realized, and various standards are currently utilised at all levels of healthcare regionally and nationally. Standard clinical terminologies, such as International Classification of Diseases (ICD) and Systematized Nomenclature of Medicine - Clinical Terms (SNOMED-CT) have been adopted and Health Level Seven (HL7) standards are actively used in health information exchanges. Conclusions: The government to New Zealand has well organised ICT institutions, guidelines, and regulations, as well as various programs, such as e-Medications and integrated care services. Local district health boards directly running hospitals have effectively adopted various new ICT standards. They might already be benefiting from improved efficiency resulting from healthcare ICT standardisation.
참고문헌 (31)
- Kaelber DC, "Health information exchange and patient safety", J Biomed Inform, 40(6 Suppl), pp.40~45 (2007)
- Shade SB, "Health information exchange interventions can enhance quality and continuity of HIV care", Int J Med Inform, 81(10), pp.1~9 (2012)
- Shapiro JS, "Using health information exchange to improve public health", Am J Public Health, 101(4), pp.616~623 (2011)
- 이민호, "Developing a Common Health Information Exchange Platform to Implement a Nationwide Health Information Network in South Korea", Healthcare Informatics Research, 21(1), pp.21~29 (2015), 대한의료정보학회[DOI]
- "Health IT standards in the United States and around the world" (2013)[URL]
- World Health Organization, "Framework and standards for country health information systems" (2008), World Health Organization
- Health Information and Quality Authority, "Overview of healthcare interoperability standards" (2013), Health Information and Quality Authority
- "Resources:Standards Developing Organizations (SDOs)" (2015)[URL]
- "West Conshohocken (PA): ASTM" (2015)[URL]
- CCR suitability analysis, "National Institute of Standards and Technology", Lantana Consulting Group, ~, pp.NIST GCR 11-936 (2011)
- "American National Standards Institute" (2015)[URL]
- Department of Health, "Health information technology : initial set of standards, implementation specifications, and certification criteria for electronic health record technology(final rule)", Fed Regist, 75(144), pp.44590~44654 (2010)
- "2015 Interoperability standards advisory: best available standards and implementation" (2015)[URL]
- "British Standards Institution" (2015)[URL]
- British Standards Institution, "A standard for standards:principles of standardisation" (2011), British Standards Institute
- "Standards Australia" (2015)[URL]
- "Annual review 2014" (2014)[URL]
- "The National E-Health Transition Authority" (2015)[URL]
- Tolbert PS, "Institutional source of change in the formal structure of organizations : the diffusion of civil service reform, 1880-1935", Adm Sci Q, 28(1), pp.22~39 (1983)
- Hodgson GM., "The handbook of economic sociology", pp.58~76 (1994), Princeton University Press
- Scott WR., "Great minds in management: the process of theory development", pp.460~485 (2005), Oxford University Press
- "Health Information Standards Organization (HISO)" (2015)[URL]
- "Operational Policy Framework 2014/15" (2015)[URL]
- "Standards processes" (2013)[URL]
- "Our structure" (2014)[URL]
- "Health Information Standard Organization terms of reference" (2013)[URL]
- "National Health IT Plan Update 2013/14" (2013)[URL]
- "Interoperability Reference Architecture" (2011)[URL]
- "HISO 10040 health information exchange architecture" (2012)[URL]
- "openEHR specifications" (2015)[URL]
- Benson T., "Principles of health interoperability HL7 and SNOMED. 2nd ed" (2012), Springer-Verlag