assessment of Australia’s national health information system

assessment of Australia’s national health information system

Order Description

This research-based assignment is designed to expand the student’s knowledge about the capacity of health information to inform decision-making and to improve service delivery.

As a consultant in the health sector you have been asked to undertake an assessment of Australia’s national health information system. You have been asked to use the Health Information System Rapid Assessment Tool (see attachment 1).

Your task:

1. Familiarise yourself with the assessment tool (which is available as an attachment to this document).
2. Undertake an assessment of Australia’s health information system by working your way through the questions in each of the components within the assessment tool. You will need to provide a yes or no response in each of the columns for Present, Functioning, Adequate, and Sustainable. In order to answer these questions you will need to undertake research to find sources that support your claims.
3. You will need to compile a list of references as you progress to assist in supporting your claims. Utilise the reference(s) in support of claim column to indicate the references that supports the assessment. It is likely that one reference may support a number of questions in the tool.
4. Once the assessment is done, you then need to provide a report that:
a. Summarises and prioritises the key areas for improvement.
b. Identify strategies for improvement.
c. Identify agencies/groups/committees that will need to take on the responsibility for the improvements.
d. Establish a broad timeline for the areas for improvement.

Support your priorities, strategies and responsibilities with relevant references.

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Introduction:

Health  Information  System  (HIS)  is  the  collection,  analysis  and  use  of  health  data  for decision-making. Hence it is a powerful tool for planning, policy design, priority setting, research, monitoring and evaluation (Reference required to support this statement).. For a HIS to be effective in making important decisions it should be timely, reliable, accurate and transparent. Therefore, assessing the HIS is paramount for the following reasons:

– It allows objective baseline and follow-up evaluations; reference required for these words.

– It informs stakeholders – for example, of the aspects of the HIS with which they may not be familiar;

-It builds consensus around the priority needs for health information system strengthening;

and

-It can mobilize joint technical and financial support for the implementation of a national HIS strategic plan–with indications of the priority investments in the short term (1–2 years), intermediate term (3–9 years) and long term (10 years and beyond) (WHO, 2008).

Essential  HIS  data  are  usually  generated  either  directly  from  populations  or  from  the operations  of  health  and  other  institutions.  This  produces  a  range  of  data  sources  with numerous stakeholders involved in different ways with each of these sources (WHO, 2008). This  paper  reports  on  the  accomplishments  of  the  Australian  HIS  using  HIS  RAPID ASSESSMENT TOOL ((Lower case – and refer the reader to the attachment so they can put the assessment in context)).. By using documented references available through the internet the presence and effectiveness of 31 criteria organized under 6 components.  are verified and evidence is presented about their adequacy, functional status and sustainability.

Results and discussion: HIS resources

Coordination, Planning and Policies

1-Is there a national cross-sectoral HIS committee?

In  Australia  the  National  Health  Information  and  Performance  Principal  Committee (NHIPPC) exists which reports to the Australian Health Ministers’ Advisory Council (AHMAC) and through  AHMAC, to  the Standing Council on  Health (SCoH).  NHIPPC advises  AHMAC  on  information  strategies  and  facilitates  collaboration  between  the Australian Government, the states and territories to implement them. NHIPPC also provides advice  on  the  technical  aspects  of  national  performance  indicator  specifications  (WHO,
2008). The NHIPPC Secretariat adds the data development project to the agenda of the next NHISSC meeting which is held regularly (WHO, 2008). Therefore, a functional national cross scrotal HIS committee is present which is also adequate and sustainable.

2- Is there a written national HIS policy?

According to the previews there is a written national HIS policy and it is functioning in addition to being adequate and sustainable.( What is it – reference or add in the name of the policy)

3-Is there HIS related legislation to measure Vital Statistics?

Vital statistics are a highly valuable resource for governments in implementing or evaluating ongoing social and economic development programs.1 (Page 25)

According to the previews a related legislation is available, which is also adequate and sustainable.( What is it – reference or add in the name of the legislation)

4-Is there HIS related legislation to measure Service Delivery?

Legislation is important to regulate the HIS so that the ethical issues concerning data collection, dissemination and use are managed properly.
According to the previews there is HIS related legislation and it is functioning, adequate and sustainable. .( What is it – reference or add in the name of the legislation)

5- Is there HIS related legislation to measure Notifiable Disease Reporting?

National Notifiable Disease Surveillance System (NNDSS) in in Australia was established in

1990 which coordinates communicable disease or disease groups. Therefore, each state/territory has its own legislation outlining which disease to be reported, to who the notification be sent and under which circumstances it should be reported2. So, according to
the previews there is HIS related legislation to measure Notifiable Disease Reporting and it is

functioning, is adequate and sustainable.

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Financial and Human Resources

1- Are there human resources uniquely identified as HIS?

In Australia the human resources are specifically assigned to HIS(Which are? ) (ABS 2013, AIHW 2013). However, financial and administrative irregularities in the areas of their remuneration and benefit exist which questions its adequacy and sustainability.3 Measures to be taken to address it include improving efficiency in the system, employing more qualified staff, improving oversight and increasing transparency and governance.

2-Are there clear lines of responsible for HIS?

As an example, looking at the Australian Bureau of Statistics 2013 report it is obvious that a clear line of responsibility in management of Australian human resources exists4. It is also adequate and is functioning properly.

On the other hand, the system faces constraints in effectively managing its human resources as the decision-making is removed from front line service delivery and has become more centralized. Therefore, with many layers between those at the front line and those who hold decision-making authority the system does not function effectively and adequately though it
is sustainable. 5  To address the organizational structure should be reformed to give more

responsibility and authority to the periphery. This should be in combination of increasing their training and oversight over their decisions.

3- Is there an allocated budget line within the health department for HIS activities?

Certainly, a budget line within the health department is allocated for HIS activities, and it functions well and is sustainable (How do we know this? )(figure 1).

Figure 1: Program budget with HIS covered Expenses and Resources:

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However, the system has inadequacy in its financial management such as payroll system irregularity, financial data management problem, insecurity of application, miscalculation of employee leave entitlements and even incorrect salary calculation (figure 2). Reforming the system  by employing qualified  staff, increasing transparency and  governance are key to address the issues.

Figure 2. Risk profile of human resources management in Australia National Audit Office?Who does this relate to?)

Infrastructure

1. Is there sufficient hardware available for HIS use?

The Australian government provided hardware resources to be used for the HIS and which is still not adequate and affects their functionality and sustainability. Suggestions to the problem include improving efficiency, transparency and governance(Expand on this point.) (ABS 2013, AIHW 2013).

2-Is there sufficient software available for HIS use?

As it can be observed in the following report the HIS system is supplied with the necessary software:

In Australia, the projected cost of implementation of the national broadband network is $42 billion, but in its submission to the NBN (National Broadband Network) Senate Select Committee, Soft (2009), an Australian medical software company, estimated the cost savings
for integrated health records to be of the order of $8-$10 billion annually, and emphasized the

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importance of broadband in realizing the full E-health system(This is not really an example of software.) (Health Information Systems

Knowledge Hub, 2011)

Moreover, the software is functioning (How do we know this?  ); although it is deemed inadequate which questions its sustainability.

High costs of software and hardware, their maintenance costs, poor coordination and duplication in E-health are major issue to be addressed. Quality, efficiency and safety of E- Health against other comparable industry are poor. The measures to solve them include increasing information access/sharing, increase investment on computer system and tools, health system to increase adoption and use of high priority system and tools and increase effectiveness by improving coordination and oversight (Australian Health Ministers’ Advisory Council or AHAC, 2008).

3-Is there sufficient networking infrastructure to support HIS use?

The HIS work stream focuses on implementing the basic infrastructure building blocks required to enable the effective electronic sharing of information across the Australian health sector.  6

Therefore, the networking infrastructure for health information system as an integrated information communication technology (ICT) is widely adopted in the Australian HIS workplace environment (is it – a reference to support this claim.).
However, currently they produce high expenditure on the system and security threats to it. Further, poor availability of broadband and mobile network and high maintenance costs are other challenges. Therefore, the system is present, which is functioning while at the same time facing problems of adequacy and sustainability (ABS
2013, AIHW 2013). To address measures suggested in earlier section also applies here.( HIS is more than just the ABS and the AIHW.)

Indicators

1- Are there national core indicators to measure Health determinants?

Australian HIS identified its national core indicators to measure health determinants, health system and health status (Table 1).  Following a request from the Australian Health Ministers’ Conference in February 2008, the Australian Institute of Health and Welfare (AIHW) developed a set of performance indicators to support the agreements that would
replace the 2003–2008 Australian Health Care Agreements.7 So there is an MDS (minimum

data set) and the MDS is used to determine the types of data that is collected. To conclude

Australian HIS functions with a set of indicators that are adequate and sustainable.

2- Are there national core indicators to measure Health system inputs and outputs?. As stated above there is a national core indicators to measure health system inputs and outputs which is functioning well. Further, it is adequate, and sustainable.

3- Are there national core indicators to measure Health outcomes and status

As explained earlier, there are national core indicators which also measure health outcomes and  health  status.  For  instance  across  Australia  there  are  an  agreed  group  of  measures routinely  collected  in  mental  health  services.  These  include  both  clinician-rated  and consumer-rated measures (in child and adolescent this also  includes parents/caregivers).8
Moreover, the system is functioning, adequate, and sustainable.

4- Is there a national strategy for collection of health indicators?

The National Health Performance Framework is agreed to by governments and includes 42 indicators in three domains that provide a broad perspective of Australia’s health and health system performance9. Finally, national strategy for collection of health indicators is present, it functions well, and seems to be adequate and sustainable (AIHW 2008).( Is this really enough?)
Data source:

I.            Population based

1- Is there a complete population census undertaken at least every 10 years?
The Census Dictionary is developed and the census are conducted regularly. 10 Australia’s seventeenth national Census of Population and Housing will be held in August 2016.11
Therefore, we conclude that population census is present; it is held regularly and functions well. It is also adequate and sustainable.

2- Is there a Civil Registration process in place for all births and deaths?

Civil Registration was created by the Australian government and includes births, marriages, and deaths. They are commonly referred to as vital records because they pertain to critical events in a person’s life. They are an excellent source of information for names, dates, birthplaces, marriages, and deaths.12 Therefore, obviously there is a Civil Registration for all births and deaths which is functional, adequate and sustainable.

3- Are periodic surveys undertaken to capture information for key health issues?

Regular population census-one of the largest and most important surveys- is undertaken in

Australia and covers population and household data. The latest of its kind was conducted in

2011. (Census is not a survey – it is a full collection of the population.  You needed to focus on things like the AHS. )  Moreover, the Australian Health Survey (AHS) which is one of the largest health

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surveys is also carried out regularly (Australian Government, 2014). In summary Australia implements regular population-based surveys that are adequate, functional and sustainable.
II.          Institution based

1-Are individual health records maintained for recording the ongoing treatment of patients?
Individual health records that specify each health care service consumer details are collected during the service delivery. These records exist in all different types of health service delivery points. In addition the E-Health records-the electronic health records- are also created and maintain for health service consumers. Their shortcomings were earlier discussed. (References required here to support the statements.  )To conclude, that individual health records are maintained for recording the ongoing services provided to the health care service users. It functions well; however, its adequacy and sustainability need to be addressed. Suggestions to improve were provided earlier in the document. (References required here to support the statements.  )

2-Are there appropriate health service records collected?

The Privacy Act incorporates the Australian Privacy Principles sets out requirements for the handling of personal and sensitive information, which also includes health information use definitions below). They govern information collection, storage and maintenance, and use and disclosure; as well as access by an individual to his/her information and openness about how it is managed by the institution (Mater Misericordiae Health Services).( Privacy is not about health service records.)
Given the evidence above we can claim that the system provides appropriate health service records from the health service users. Therefore, it is present and functions very well. Moreover, it seems to be adequate and sustainable.

3 – Are there appropriate resource records collected, including finance and human resources?
The Administrative Functions Disposal Authority (AFDA) sets out requirements for keeping or destroying records of administrative business performed by most Australian Government agencies. This includes functions such as finance, human resources, procurement and publications management.13 Although it is present but does not function adequately, but (Likewise, disposal schedules are not a references for resource records.) is sustainable (reasons and suggestions for its solution were earlier provided under the
“financial and human resources” hub).

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Data storage, management and transmission

1- Are there written procedures for data storage, including security and destruction? Written procedures for data storage, including security and destruction exist.  The ” Information Storage and Disposal Policy” elaborates on the storage conditions for paper records: They should be designed to protect not only from unauthorized access and theft, but from damage that can be caused by vermin, fire, water, mold and natural disasters.14 An example of a written procedure is from the Western Australia which clearly describes the procedures for data storage and disposal (Which are? expand on this.)15. So, there are written procedures for data storage, including security and destruction and it are functioning well. It is also adequate and sustainable.

2- Is there a centralized database or data warehouse that combines all health data collections?
Evidence for a functioning centralized database or data warehouse that combines all health data collections is lacking. So its adequacy and sustainability is also questionable. It is crucial for the government to establish the system that improves HIS efficiency, effectiveness and safety.( But is this an issue – do we need one or not?)

3- Are there defined, locally appropriate mechanisms in place for data transmission?

In Australian HIS defined, locally appropriate mechanisms for data transmission is in place. In addition it is functioning well but is inadequate and challenges its sustainability. Adequate networking and hardware provision can be part of a solution.

Information products

1-  Are staffs appropriately skilled to transform data into information at national level?

Staff skills in transforming data into information is an important aspect of a well-functioning HIS.  The Australian staffs are trained and has the skills, data are regularly analysed and information is extracted and displayed for access to users. ABS website is a rich source of information for the health and other sectors. So we can suggest that the staff skills in Australian HIS is sufficient to transform data into information. ICT though faces challenges
of cost, coordination, availability, adequacy and sustainability (ABS 2013).

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2- Are staff appropriately skilled to transform data into information at divisional/provincial/local level?
The staff skills at the divisional/provincial and local level is key to transforming data into information which eventually leads to its interpretation and use for decision-making. An example is the evidence from the WA (For example?) .16
Use of advanced technology is also adopted at different level of data collection in Australian health care system. For this reason the Australian Government is rolling out the E-Health record system in carefully managed stages which in the long-term provide healthcare professionals with quick access to information about an individual’s health17.
Despite achieving success in implementing the Australian E-Health projects specifically in addressing specific local needs of the health care system the concerns over their complexity and replication remains to be tackled.18 Its problems and solutions were discussed earlier.

3-Are there tools and procedures available to assess the quality of data?

Part of the data quality is the use of standard definitions. Other important characteristics include data timeliness, representativeness, appropriate data collection methods, data security and confidentiality, accessibility and data adjustment (WHO 2008).  Use of minimum data is another important point. WHO have specified standards for data elements and according to their report Australia and the United States of America are two countries that have national minimum data sets (You needed a better reference – one that realtes to Australia – the ABS DQF is a good place to start.).19

Therefore, we can suggest that tools and procedures to assess quality of data exist. They are functional but not adequate and sustainable given the concerns over their security by the ever- increasing cyber-attacks.

4- Is there a set of national health data standards and definitions that are used across all health data collections?
National health data dictionary including national minimum data sets (NMDS) are available on the AIHW website (Expand this point.).20 So, a set of national health data standards and definitions are available and used across all health data collections. They are adequate, functional and
sustainable.

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Dissemination and use

Demand, Analysis, Policy and Advocacy

1-Are managers and clinicians using information for policy and advocacy?

Decision-makers in Australia very much rely on the data collected in the health system and use it widely for policy and advocacy. It is also likely to be fully functional, adequate and sustainable.( Reference required)

Planning, Priority Setting and Resource Allocation, Implementation and Action

1- Is an annual health report submitted to Parliament each year?
Annual Reports issued by the Department of Health since 1997.21 It is therefore, functional, adequate and sustainable.

2 Are health managers using information for planning, priority setting or resource allocation and action?
The National Health Information Agreement (NHIA) governs structures and processes through which Commonwealth, State and Territory health and statistical authorities collaborate to improve, maintain and share national health information22. In general data use  culture  is  prevalent  in  Australia,  it  works  well,  is  adequate  and  likely  to  be sustainable.

3-Are clinicians using information for planning, priority setting or resource allocation and action?

There is evidence that information is used by clinicians for planning and priority setting. The regular meeting of National Lead Clinicians Group serves this purpose.23 In addition it is adequate and sustainable.

5-Is data readily available to internal and external users, e.g. on the internet or intranet? Data are readily available for all interested parties and individuals. The system is adequate, functional and sustainable.( Reference required)

Conclusion

Health information system lays the foundation for decision making related to health care. It is widely used by institutions and individuals at all levels of health services. However, the
quality, timeliness, accuracy, representativeness, completeness, dissemination and use need to

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be verified. Standard tools are developed to do this job. This report applied those criteria to the Australian health information system. The tool is comprised of 6 hubs which are then subdivided into smaller criteria which allow a comprehensive and thorough assessment of the system. The results could be used to identify the gaps in the system and make necessary improvements.   It also allows setting baseline data to conduct follow-up assessment and compare the accomplishments regularly.

The results for the Australian system are encouraging. Most of the criteria were met. This includes their existence but also the fact that they are operational, adequate and sustainable (See  the  results  in  attachment  A).  However,  some  areas  for  improvements  were  also identified.  These  include  problems  with  financial  management,  payroll  management, increased cost of hardware and software acquisition, their operation and maintenance, slow progress and inadequacy in quality, safety and efficiency of ICT in health compared to other industries, inadequacy in availability of broadband and mobile networks and lack of a centralized  database.  Government  need  to  adopt  contracting  mechanism  to  improve efficiency of hardware and software acquisition, invest more on ICT in health, strengthen availability of broadband and mobile networks and further enhance coordination on E-health and avoid duplication of its activities. Moreover, information sharing and dissemination need
to be further improved.

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List of References:
Australian Government. (2014). The National Health Information Agreement. Retrieved April 24, 2014 from http://www.health.gov.au/internet/publications/publishing.nsf/Content/mental-pubs-n-psych- toc~mental-pubs-n-psych-app~mental-pubs-n-psych-app-6

Australian Bureau of Statistics. (2013). Annual Report. Retrieved April 24, 2014 from
http://www.abs.gov.au/AUSSTATS/[email protected]/DetailsPage/1001.02012-13?OpenDocument

Australian Institute of Health and Welfare. (2013). Australian Institute of Health and Welfare annual report 2012–13. Cat. no. AUS 177. Canberra: AIHW

Australian Institute of Health and Welfare. (2008). A set of performance indicators across the health and aged care system. Retrieved April 24, 2014 from http://www.aihw.gov.au/WorkArea/DownloadAsset.aspx?id=6442471955

Health System Capacity And Quality. Retrieved May 4, 2014 from http://www.health.gov.au/internet/budget/publishing.nsf/Content/2013-
2014_Health_PBS_sup2/$File/2013-14_DoHA_PBS_2.10_Outcome_10.pdf

Human Resource Information Systems. Risk and Controls. Retrieved 26, Aprils from http://www.anao.gov.au/Publications/Better-Practice-Guides/2012-2013/Human-Resource- Management-Information-Systems

1 Strengthening Civil Registration and Vital Statistics for Births, deaths and Causes Of Death, Resource Kit. Retrieved 26, Aprils from http://www.uq.edu.au/hishub/docs/Resource%20Kit/CRVS_ResourceKIt_active_content.pd

2 National Public Health Partnership Legislation Reform Working Group. (2000). Notifiable Disease and Notification Mechanism. Retrieved April 25, 2014 from http://www.nphp.gov.au/publications/legislation/notifmech.pdf

3 Health Information Systems Knowledge Hub. (2009). Issues and challenges for health information systems in the Pacific. Retrieved April 25, 2014 from http://www.uq.edu.au/hishub/docs/WP07/WP07_Summary_WEB_15%2004%2013.pdf

4 National Health and Hospitals Reform Commission. (2008). Options for reform of Commonwealth and State governance responsibilities for the Australian health system. Retrieved April 25, 2014 from http://www.health.gov.au/internet/nhhrc/publishing.nsf/content/16f7a93d8f578db4ca2574d70
01830e9/$file/options%20for%20reform%20of%20commonwealth%20state%20governance
%20responsibilities%20for%20the%20australian%20health%20system%20(j%20dwyer%20 k%20eagar).pdf

5 National Health and Hospitals Reform Commission. (2008). Options for reform of
Commonwealth and State governance responsibilities for the Australian health system.

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Retrieved April 25, 2014 from http://www.health.gov.au/internet/nhhrc/publishing.nsf/content/16f7a93d8f578db4ca2574d70
01830e9/$file/options%20for%20reform%20of%20commonwealth%20state%20governance
%20responsibilities%20for%20the%20australian%20health%20system%20(j%20dwyer%20 k%20eagar).pdf

6 Australian Health Ministers’ Conference. (2008). National E-Health Strategy. Retrieved April 26, 2014 from http://www.ahmac.gov.au/cms_documents/National%20E- Health%20Strategy.pdf

7 Australian Institute Of Health and Welfare. (2013). Authoritative information and statistics to promote better health and wellbeing. Retrieved April 26, 2014 from http://www.aihw.gov.au/health-indicators/

8 Department of Human Services. (n.d.). Outcome measurement in mental health services What measures are used? Retrieved April 26, 2014 from http://www.health.vic.gov.au/mentalhealth/outcomes/downloads/factsheet_2_what_measures
_are_used.pdf

9 Health Service Delivery Profile Australia. (2012). Compiled in collaboration between WHO and Australian Institute of Health and Welfare. Retrieved April 27, 2014 from http://www.wpro.who.int/health_services/service_delivery_profile_australia.pdf

10 Australian Bureau of Statistics. (2011). Census Dictionary. Retrieved April 27, 2014 from http://www.abs.gov.au/ausstats/[email protected]/mf/2901.0

11 Australian Bureau of Statistics. (2012). Census of Population and Housing. Retrieved April
27, 2014 from http://www.abs.gov.au/ausstats/[email protected]/Lookup/2007.0main+features32016

12 Family Search. (2013). Australia Civil Registration- Vital Records Edit This Page. Retrieved April 28, 2014 from https://familysearch.org/learn/wiki/en/Australia_Civil_Registration-_Vital_Records

13 National Archives Of Australia. (2014). Your story, our history. Retrieved April 28, 2014 from http://www.naa.gov.au/records-management/publications/

14 Government Of Western Australia Department Of Health. (n.d.). Information Storage and Disposal Policy. Retrieved April 28, 2014 from http://www.health.wa.gov.au/CircularsNew/attachments/719.pdf

15 Government Of Western Australia Department Of Health. (n.d.). Information Storage and Disposal Policy. Retrieved April 28, 2014 from http://www.health.wa.gov.au/CircularsNew/attachments/719.pdf

16 Government Of Western Australia Department Of Health. (n.d.). Information Storage and Disposal Policy. Retrieved April 28, 2014 from http://www.health.wa.gov.au/CircularsNew/attachments/719.pdf

17 Australian Government Department Of Health. (2014). The Personally Controlled eHealth
Record System.  Retrieved April 29, 2014 from www.ehealth.gov.au

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18 Australian Health Ministers’ Conference. (2008). National E-Health Strategy. Retrieved April 29, 2014 from http://www.ahmac.gov.au/cms_documents/National%20E- Health%20Strategy.pdf

19 World Health Organization regional Office for the Western Pacific. (2003). Improving Data Quality A Guide For Developing Countries. Retrieved April 29, 2014 from http://www.wpro.who.int/publications/docs/Improving_Data_Quality.pdf

20 Australian Institute Of Health and Welfare. (2010). National health data dictionary. Retrieved April 30, 2014 from  http://www.aihw.gov.au/publication-detail/?id=6442468385

21 Australia Government. (n.d.). Government and parliament. Retrieved April 30, 2014 from http://australia.gov.au/topics/government-and-parliament

22 Australian Institute Of Health and Welfare. (2013). National Health Information Standards and Statistics Committee (NHISSC). Retrieved April 30, 2014 from http://www.aihw.gov.au/nhissc/

23 National Lead Clinicians Group. (2012). Enhancing clinical leadership and engagement in the Australian health system. Retrieved May 1, 2014 from http://www.google.com.eg/url?sa=t&rct=j&q=&esrc=s&frm=1&source=web&cd=1&ved=0
CC0QFjAA&url=http%3A%2F%2Fleadclinicians.health.gov.au%2Finternet%2Flcg%2Fpubl ishing.nsf%2FContent%2F0BC80B14F241017BCA257A590021F2E8%2F%24File%2FNLC G%2520Fact%2520Sheet.docx&ei=SipkU6uTBIP0OdOugYgJ&usg=AFQjCNGPicLmD3-
0UJ8AGPGkK9ARQPx6yg

24 World Health Organization. (2013). Strengthening civil registration and vital statistics for births, deaths and causes of death. Retrieved May 1, 2014 from http://www.uq.edu.au/hishub/docs/Resource%20Kit/CRVS_ResourceKIt_active_content.pdf

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ATTACHMENT A – HIS RAPID ASSESSMENT TOOL

Number    Criteria for Success    Present*    Functioning*    Adequate*    Sustainable*    Comments/Evidence
HIS RESOURCES
Coordination, Planning and Policies
1    Is there a national cross scrotal
HIS committee?    Yes    Yes    Yes    Yes    3

http://www.aihw.gov.au/WorkArea/DownloadA
sset.aspx?id=60129546543

4

http://www.aihw.gov.au/WorkArea/DownloadAsset. aspx?id=601295465432    Is there a written national HIS
policy?    Yes    Yes    Yes    Yes
5

http://www.uq.edu.au/hishub/docs/WP05/HISHUB- WP5-Full-12-WEB12Oct12.pdf

6

http://www.google.com.eg/url?sa=t&rct=j&q=&esrc
=s&frm=1&source=web&cd=2&ved=0CDcQFjAB&url
=http%3A%2F%2Fwww.aihw.gov.au%2FWorkArea%2
FDownloadAsset.aspx%3Fid%3D6442472807&ei=L_x fU969C8TZOvPOgZAP&usg=AFQjCNGnyn5FmG6zZqk b6t6ls5myORzGyA

16

Number    Criteria for Success    Present*    Functioning*    Adequate*    Sustainable*    Comments/Evidence

3
Is there HIS related legislation to measure Vital Statistics?    Yes    Yes    Yes    Yes    7

http://www.uq.edu.au/hishub/docs/Resource%20Kit
/CRVS_ResourceKIt_active_content.pdf4

Is there HIS related legislation to measure Service Delivery?    Yes    Yes    Yes    Yes    8

http://www.yourhealth.gov.au/internet/yourhe alth/publishing.nsf/Content/nphc- draftreportsupp-toc/$FILE/NPHC-supp.pdf5
Is there HIS related legislation to measure Notifiable Disease Reporting?    Yes    Yes    Yes    Yes
1
0
http://www.nphp.gov.au/publications/legislation/no tifmech.pdfFinancial and Human Resources
6    Are there human resources uniquely identified as HIS?    Yes    Yes    No    No
12

http://www.anao.gov.au/~/media/Uploads/BPGs/20
11/HRIM_Risks_and_Controls_2011.pdf7    Are there clear lines of
responsibility for HIS?    Yes    Yes    Yes    Yes    13

http://www.health.gov.au/internet/nhhrc/publishing
.nsf/content/16f7a93d8f578db4ca2574d7001830e9/
$file/options%20for%20reform%20of%20commonw
ealth%20state%20governance%20responsibilities%2
0for%20the%20australian%20health%20system%20(j
%20dwyer%20k%20eagar).pdf
17

Number    Criteria for Success    Present*    Functioning*    Adequate*    Sustainable*    Comments/Evidence

8    Is there an allocated budget line
within the MOH for HIS activities?    Yes    Yes    Yes    Yes    15

http://www.health.gov.au/internet/budget/publishin g.nsf/Content/2013-
2014_Health_PBS_sup2/$File/2013-
14_DoHA_PBS_2.10_Outcome_10.pdf

http://www.health.gov.au/internet/budget/publishing.nsf/Content/2014-2015_Health_PBS

Very good E health
Infrastructure
9    Is there sufficient hardware available for HIS use?    Yes    Yes    No    Yes    16 http://www.uq.edu.au/hishub/docs/WP_17.pdf10    Is there sufficient software
available for HIS use?    Yes    Yes    No    Yes
17

http://www.ahmac.gov.au/cms_documents/National
%20E-Health%20Strategy.pdf11    Is there sufficient networking
infrastructure to support HIS use?    Yes    Yes    No    Yes
17

http://www.ahmac.gov.au/cms_documents/National
%20E-Health%20Strategy.pdfINDICATORS
12    Are there national core indicators to measure health determinants?    Yes    Yes    Yes    Yes    18  http://www.aihw.gov.au/health-indicators/

18

Number    Criteria for Success    Present*    Functioning*    Adequate*    Sustainable*    Comments/Evidence
13    Are there national core indicators to measure health system inputs and outputs?    Yes    Yes    Yes    Yes    19

http://www.healthinfonet.ecu.edu.au/about/news/1
22014

Are there national core indicators to measure health outcomes and status?    Yes    Yes    Yes    Yes    20

http://www.health.vic.gov.au/mentalhealth/outcomes/do wnloads/factsheet_2_what_measures_are_used.pdf

21

http://www.health.vic.gov.au/mentalhealth/outcom es/about.htm15    Is there a national strategy for
collection of health indicators?    Yes    Yes    Yes    Yes    22

http://www.health.gov.au/internet/budget/publishin g.nsf/Content/2013-
2014_Health_PBS_sup2/$File/2013-
14_DoHA_PBS_2.10_Outcome_10.pdf

23

http://www.abs.gov.au/ausstats/[email protected]/mf/2901.
0DATA SOURCES
Population Based
16    Is there a complete population census undertaken at least every    Yes    Yes    Yes    Yes
24

http://www.abs.gov.au/ausstats/[email protected]/Lo

19

Number    Criteria for Success    Present*    Functioning*    Adequate*    Sustainable*    Comments/Evidence
10 years?                    okup/2007.0main+features32016

25

https://familysearch.org/learn/wiki/en/Australia_Civi l_Registration-_Vital_Records17    Is there a Civil Registration
process in place for all births and deaths?    Yes    Yes    Yes    Yes    26

http://www.publichealth.gov.au/pdf/reports_papers
/working_papers_ahms/ahms_wkg_ppr1_nbrfs_aust
.pdf18    Are periodic surveys undertaken
to capture information for key health issues?    Yes    Yes    Yes    Yes    26https://familysearch.org/learn/wiki/en/Australia_Ci
vil_Registration-_Vital_Records
27

http://www.publichealth.gov.au/pdf/reports_papers
/working_papers_ahms/ahms_wkg_ppr1_nbrfs_aust
.pdfInstitution Based
19    Are individual health records maintained for recording the ongoing treatment of patients?    Yes    Yes    Yes    Yes
28

http://www.ehealth.gov.au/internet/ehealth/publish ing.nsf/content/49C249DBA302E7F6CA257A3300392
B27/$File/DOHA003_13_DL_Pharmacy_1.5.pdf20    Are there appropriate health
service records collected?    Yes    Yes    Yes    Yes    29 http://www.mater.org.au/home/privacy

20

Number    Criteria for Success    Present*    Functioning*    Adequate*    Sustainable*    Comments/Evidence
21    Are there appropriate resource records collected, including finance and human resources?    Yes    Yes    Yes    Yes    30 http://www.naa.gov.au/records- management/publications/ DATA MANAGEMENT
Data Storage, Management and Transmission
22    Are there written procedures for data storage, including security and destruction?    Yes    Yes    Yes    Yes    31

http://www.health.wa.gov.au/CircularsNew/att achments/719.pdf23    Is there a centralised database or
data warehouse that combines all health data collections?    No    No    No    No    32 http://www.cherel.org.au/our-services24    Are there defined, locally
appropriate mechanisms in place for data transmission?    Yes    Yes    Yes    Yes    33

http://www.health.wa.gov.au/CircularsNew/attachm ents/719.pdfINFORMATION PRODUCTS
25    Are staff appropriately skilled to transform data into information at national level?    Yes    Yes    Yes    Yes    34

http://www.health.wa.gov.au/CircularsNew/attachm ents/719.pdf

21

Number    Criteria for Success    Present*    Functioning*    Adequate*    Sustainable*    Comments/Evidence
26
Are staff appropriately skilled to transform data into information at divisional/provincial/local level?    Yes    Yes    Yes    Yes    35 www.ehealth.gov.au

36

http://www.ahmac.gov.au/cms_documents/National
%20E-Health%20Strategy.pdf27    Are there tools and procedures
available to assess the quality of data?    Yes    Yes    Yes    Yes    37http://www.wpro.who.int/publications/docs/Impro
ving_Data_Quality.pdf28    Is there a set of national health
data standards and definitions that are used across all health data collections?    Yes    Yes    Yes    Yes    39 http://www.aihw.gov.au/publication-
detail/?id=6442468385DISSEMINATION AND USE
Demand, Analysis, Policy and Advocacy
29    Are managers and clinicians using information for policy and advocacy?    Yes    Yes    Yes    Yes    39

http://www.uq.edu.au/hishub/docs/DN03/HISHUB- DN03-08-WEB-7Mar12.pdfPlanning, Priority Setting and Resource Allocation, Implementation and Action
30    Is an annual health report submitted to Parliament each    Yes    Yes    Yes    Yes    40 http://australia.gov.au/topics/government-and- parliament

22

Number    Criteria for Success    Present*    Functioning*    Adequate*    Sustainable*    Comments/Evidence
year?
31    Are health managers using
information for planning, priority setting or resource allocation and action?    Yes    Yes    Yes    Yes    41  http://www.aihw.gov.au/nhissc/ 32    Are clinicians using information
for planning, priority setting or resource allocation and action?    Yes    Yes    Yes    Yes    41

http://www.google.com.eg/url?sa=t&rct=j&q=&esrc
=s&frm=1&source=web&cd=1&ved=0CC0QFjAA&url
=http%3A%2F%2Fleadclinicians.health.gov.au%2Fint ernet%2Flcg%2Fpublishing.nsf%2FContent%2F0BC80
B14F241017BCA257A590021F2E8%2F%24File%2FNL CG%2520Fact%2520Sheet.docx&ei=SipkU6uTBIP0Od OugYgJ&usg=AFQjCNGPicLmD3-
0UJ8AGPGkK9ARQPx6yg33    Is data readily available to
internal and external users, e.g. on the internet or intranet?    Yes    Yes    Yes    Yes    http://www.aihw.gov.au

http://www.abs.gov.au

23

*Key
Present               – the criteria is met or has been met in the past

Functioning       – the statement can be answered positively and evidence is available that this is happening regularly

Adequate           – the statement can be answered positively and is meeting most needs

Sustainable        –the criteria been in place and functioning without external support for some time