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Page 1: Jenny Sikorski, National Coalition of Public Pathology - Identifying the Impact of PCEHR on Pathology Services and Data Control

E-Health Challenge in Pathology Jenny Sikorski

Chief Executive Officer

NCOPP

25 March 2014

Page 2: Jenny Sikorski, National Coalition of Public Pathology - Identifying the Impact of PCEHR on Pathology Services and Data Control

Know Pathology Know Healthcare

Page 3: Jenny Sikorski, National Coalition of Public Pathology - Identifying the Impact of PCEHR on Pathology Services and Data Control

Australian Pathology

50 million MBS pathology tests in last 12 months

100% Cancer Diagnoses

70% Clinical Diagnoses

3% Overall Heath Budget

Page 4: Jenny Sikorski, National Coalition of Public Pathology - Identifying the Impact of PCEHR on Pathology Services and Data Control

Pathology is an essential clinical

information service

Page 5: Jenny Sikorski, National Coalition of Public Pathology - Identifying the Impact of PCEHR on Pathology Services and Data Control

• NCOPP provides representation,

advocacy & support • State Government owned &

operated pathology services

• 20 members nationally

NCOPP

Page 6: Jenny Sikorski, National Coalition of Public Pathology - Identifying the Impact of PCEHR on Pathology Services and Data Control

eHealth & the PCEHR

Page 7: Jenny Sikorski, National Coalition of Public Pathology - Identifying the Impact of PCEHR on Pathology Services and Data Control
Page 8: Jenny Sikorski, National Coalition of Public Pathology - Identifying the Impact of PCEHR on Pathology Services and Data Control

What eHealth means to Pathology • Information shared electronically in a timely & secure manner across different geographic

locations & different parts of the health sector

• Pathologists & medical scientists can be connected & recognised an essential player in a multidisciplinary health care team

• E-requests reduce errors & simply specimen collection processes

• Reduces duplication

• E-reporting minimises input time & errors

• Access to clinical knowledge & evidence

Improved diagnoses &

patient management

Page 9: Jenny Sikorski, National Coalition of Public Pathology - Identifying the Impact of PCEHR on Pathology Services and Data Control

State IT Challenges

LIS

Legacy Systems Limited

Market Support

Integration Issues

Lack of Interfacing

New Hospitals

E - Requesting

E - Reporting

Implementation

Page 10: Jenny Sikorski, National Coalition of Public Pathology - Identifying the Impact of PCEHR on Pathology Services and Data Control

PCEHR Clinical Workflow

Page 11: Jenny Sikorski, National Coalition of Public Pathology - Identifying the Impact of PCEHR on Pathology Services and Data Control

Communication

Page 12: Jenny Sikorski, National Coalition of Public Pathology - Identifying the Impact of PCEHR on Pathology Services and Data Control

Privacy

Page 13: Jenny Sikorski, National Coalition of Public Pathology - Identifying the Impact of PCEHR on Pathology Services and Data Control

Standards

National Pathology Accreditation Advisory Council (NPAAC)

Page 14: Jenny Sikorski, National Coalition of Public Pathology - Identifying the Impact of PCEHR on Pathology Services and Data Control

Key Concern Source: Urbis, Survey of Pathology Workforce, March 2011

Workforce

Page 15: Jenny Sikorski, National Coalition of Public Pathology - Identifying the Impact of PCEHR on Pathology Services and Data Control

Source: Medical Laboratory Scientist 2006 Censes (ANZSCO Code 2346) Health Workforce Australia

Skills Mix: Medical Scientists

Page 16: Jenny Sikorski, National Coalition of Public Pathology - Identifying the Impact of PCEHR on Pathology Services and Data Control

Rationalisation of resources

Functional restructures (sub-specialty) & skill mix

Lack of career pathway

Insufficient incentives to extend qualifications

Low level of recognition & remuneration

Increase in laboratory workload & rostering

Consolidation & technology

Workforce Challenges

Page 17: Jenny Sikorski, National Coalition of Public Pathology - Identifying the Impact of PCEHR on Pathology Services and Data Control

www.knowpathology.com.au

Page 18: Jenny Sikorski, National Coalition of Public Pathology - Identifying the Impact of PCEHR on Pathology Services and Data Control

E-Health Challenge in Pathology

Jenny Sikorski

Chief Executive Officer

NCOPP

Thank you


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