Statement on Use of Internet and Electronic Communication

• Sections under e-health

• Users of eheath knowledge

• Patients

–Self treatment and support

• Clinical staff

–Support diagnosis and treatment

• Administration

• Funders and Planners

–Cost Estimation



In one year:

• 62,660 people born

• 217,000 elective in/day patient admissions, of which 154,000 were for surgical elective services.

• ~ 996,000 emergency department attendances

• ~1 million in/day patient hospital discharges

• ~ 13.8 million general practitioner visits

• 23.9 million laboratory tests performed

• 65.4 million prescription items dispensed



• Information sharing through ehealth

• right information in the right place and at the right time

–improved cost-effectiveness of service delivery

–access to timely, accurate, and relevant information

• assist clinical decision-making

• prevent medical errors – ‘safer healthcare’

• provide managers and policy makers with the hard evidence needed for effective service planning and delivery

–improve health outcomes

–reduce health inequalities


• Information exchange in compatible format


• Communication of information is a key task in health informatics

• Communication must be accurate, reliable and timely

–Prescriptions (from hospital or GP to Pharmacy)

–Referrals (from GP to hospital)

–Discharge Summaries (from hospital to GP)

–Lab results


• The National Health IT plan

• eHealth Vision

–“better access to information about our health”

–“better, sooner, more convenient health care”

–integrated consumer-centred care

–having access to their own health information

–improving electronic storage

–share information regionally and nationally

–consolidated platform for shared care

–high quality health care and improved patient safety


• Share safely... key concepts...

• Confidentiality

–sharing with consent


• Privacy

–The right to be left alone

• Security

–Prevent breaches in confidentiality and privacy



August 2011:

Christchurch man John Ritchie reveals he was mistakenly sent up to 100 records from various district health boards and medical centres over the last year. The faxes revealed details of mental health illnesses and treatment, and other sensitive details.


July 2012:

A memo advising Healthcare New Zealand staff to be careful with client files is among more than 50 patient health records and documents found in a Christchurch street after they were taken from a Healthcare NZ employee's private car, broken into about three weeks earlier.


September 2012:

Auckland District Health Board reports a patient confidentiality breach, where details of a patient with an eel stuck in their stomach were leaked to the media.


November 2012:

A Palmerston North woman accuses the MidCentral District Health Board staff of a privacy breach, after she was mailed another mental health client's file along with her own records. Soon after, the health board voluntarily reveals it had also mailed the details of 133 clients' children confirming their enrolment in an adolescent oral health service, to other parents.



• Legal and ethical practice

• Professional codes of conduct

• Privacy Act & Health Information Privacy Code

• Technological solutions:

–Audit trails – who looked at the data

–Industry-standard security and authentication

–Rules for data preservation

–Data consistency and cross-checking

–Sealed envelopes

• Consent


• Governance principles

• HIGEAG has been established to develop a health information governance framework (HIGF) for the New Zealand health sector


On Ministry of Health website

• The framework will help the Ministry of Health, district health boards (DHBs), primary health organisations (PHOs) and service providers to manage the sharing of health information across the sector consistently and safely.

• In developing the framework, HIGEAG will consider issues to do with the collection, storage, access, use, security and privacy of health information. It will support and assist the development of National Health IT Plan projects, which require health information technology systems to ‘talk’ to each other, improve how health information is shared electronically, and help strengthen public confidence in health information being shared electronically.

• HIGEAG will also build on the platform laid by the Health Information Privacy Code 1994 and HISO’s Health Information Security Framework.


• Principle One: Quality and Trust

• Principle Two: Privacy  and Transparency

• Principle Three: Disclosure

•Principle Four: Security



• Use of information and communication technologies to deliver health services and transmit health information over both long and short distances.

• Midland Region has draft Telehealth Strategy. (Could forward this if of interest)

• Medical Council NZ.

• Statement on telehealth

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