Provision of Official Information in regard to the "New Zealand Health Strategy", referenced in the Ministry of Health's website.

David Lawson made this Official Information request to Ministry of Health

The request was partially successful.

From: David Lawson

Dear Ministry of Health,

I refer to the following Ministry of Health weblink: https://www.health.govt.nz/news-media/ne...
in which the following is stated as I quote below;

"Why SNOMED?

As the new standard, SNOMED provides more detailed, actionable and useful information about health and disability status, impact on life, interventions and outcomes than was possible previously. SNOMED will enable new levels of care coordination and clinical decision support, enabling the value and high performance and smart system objectives of the New Zealand Health Strategy."

Official Information Request 1:

I welcome the provision by the Corporation of all information associated with the New Zealand Health Strategy referred to in the Ministry of Healths communications referred to and quoted above, together with all official information that details the "value and high performance and smart system objectives of the New Zealand Health Strategy".

Official Information Request 2:

Since 1990 accident and illness codes have historically been recorded as ACC Read Codes through ACC and ICD-10 Diagnostic Codes through the hospital system. Both systems have provided a code, which has a specific injury or illness description associated with the medical matter requiring attention, and have been used to guide treatment and rehabilitation.

The Ministry of Health's weblink quoted above states and I quote;

"SNOMED is the standard international system of clinical terminology used to record precise, structured and actionable information about a person’s health and disability status and the care and support they receive."

and later goes on to state and I quote again;

"Why SNOMED?
As the new standard, SNOMED provides more detailed, actionable and useful information about health and disability status, impact on life, interventions and outcomes than was possible previously. SNOMED will enable new levels of care coordination and clinical decision support, enabling the value and high performance and smart system objectives of the New Zealand Health Strategy."

Official Information Request 2:

I welcome the provision by the Ministry of Health confirmation of the information classes/classification's and types in which theMinistry of Health claims that SNOWMED provides;

(i) more detail (i.e. what is the extra detail that SNOWMED provides),
(ii) actionable and useful information about health and disability status (please specify what the actionable and useful information classes are),
(iii) impact on life (what categories/impacts are classified and how are they classified)
(iv) interventions and outcomes (how are the interventions and outcomes registered and classified)

Official Information Request 3:

Please confirm how "SNOMED will enable new levels of care coordination and clinical decision support, enabling the value and high performance and smart system objectives of the New Zealand Health Strategy", by confirming what SNOMED's expectations and performance measures are in relation to the "new levels of care coordination and clinical decision support" that is being promoted by the Ministry of Health in its referred communications.

I appreciate your time and assistance and under s16(2) of the Official Information Act, my preferred way of receiving a response is by email to the address from which ACC received the original request, not by post.

Kind regards,
David Lawson

A copy of the text from the Ministry of Health's website found at https://www.health.govt.nz/news-media/ne... is quoted below;

Migrating from READ codes to SNOMED CT for better information in primary care
Representatives from the Ministry of Health, the Ministry of Social Development and the Accident Compensation Corporation have formed a cross-agency group for migrating to the new SNOMED classification system.

News article
20 December 2017
SNOMED replaces the now-outdated READ code system used in New Zealand since the 1990s to capture information in medical records, injury claims and medical certificates.

SNOMED is the standard international system of clinical terminology used to record precise, structured and actionable information about a person’s health and disability status and the care and support they receive.

SNOMED will underpin a better understanding of the health and social sector and will eventually be used by thousands of providers.

This cross-agency initiative involves working together on a joined-up plan, and clearly communicating with the health and disability sector about expectations and timeframes for change.

The three agencies recognise the need to manage the transition to SNOMED in a gradual and systematic way. Agencies will adapt their own information systems to enable health providers to make the changeover. Agencies will also publish the standards and implementation guidance the sector needs.

The cross-agency group will meet quarterly to support progress, and align their own agency priorities and resources towards a coordinated effort for change over the next two years.

The Ministry of Health is the lead agency on behalf of the NZ Government.

A further update will be issued after the next executive meeting scheduled for February 2018.

Why SNOMED?
As the new standard, SNOMED provides more detailed, actionable and useful information about health and disability status, impact on life, interventions and outcomes than was possible previously. SNOMED will enable new levels of care coordination and clinical decision support, enabling the value and high performance and smart system objectives of the New Zealand Health Strategy.

Health providers support the move to SNOMED for better information across all health and disability services, improving user experience and outcomes for all New Zealanders.

Benefits to general practice and allied health relate to data integration, identifying at risk individuals, System Level Measures and new models of care.

Link to this

Ministry of Health


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Dear David

Thank you for your email dated 03 October 2018 requesting the following
information under the Official Information Act 1982:

Official Information Request 1
I welcome the provision by the Corporation of all information associated
with the New Zealand Health Strategy referred to in the Ministry of
Healths communications referred to and quoted above, together with all
official information that details the "value and high performance and
smart system objectives of the New Zealand Health Strategy

Official Information Request 2
I welcome the provision by the Ministry of Health confirmation of the
information classes/classification's and types in which theMinistry of
Health claims that SNOWMED provides;
(i) more detail (i.e. what is the extra detail that SNOWMED provides),
(ii) actionable and useful information about health and disability status
(please specify what the actionable and useful information classes are),
(iii) impact on life (what categories/impacts are classified and how are
they classified)
(iv) interventions and outcomes (how are the interventions and outcomes
registered and classified)

Official Information Request 3
Please confirm how "SNOMED will enable new levels of care coordination and
clinical decision support, enabling the value and high performance and
smart system objectives of the New Zealand Health Strategy", by confirming
what SNOMED's expectations and performance measures are in relation to the
"new levels of care coordination and clinical decision support" that is
being promoted by the Ministry of Health in its referred communications.

The Ministry's reference number for your request is: H201806719.

As required under the Act we will endeavour to respond to your request no
later than 01 November 2018, being 20 working days after the day your
request was received.  

If we are unable to respond to your request within this time frame, we
will notify you of an extension of that time frame.

If you have any queries related to this request, please do not hesitate to
get in touch.
 
Yours sincerely,

Jan Torres
Advisor
Ministerial Services (OIA)
[Ministry of Health request email]
Ministerial Services  l  Government Services  l  Office of the Director
General

[1]http://www.health.govt.nz
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distribute or copy this message or attachments.
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Ministry of Health


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Dear Mr Lawson

Please find attached response to your official information request

Sincerely

Margee Do
Senior Advisor, OIA Services

Ministerial Services (OIA)
[Ministry of Health request email]  

Government Services
Office of the Director-General
Ministry of Health
[1]www.health.govt.nz

From:        OIA Requests/MOH
To:        [FOI #8805 email],
Cc:        OIA Requests/MOH@MOH
Date:        03/10/2018 02:48 p.m.
Subject:        Acknowledgment of your OIA request - H201806719
Sent by:        Jan Louise Torres

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Dear David

Thank you for your email dated 03 October 2018 requesting the following
information under the Official Information Act 1982:

Official Information Request 1
I welcome the provision by the Corporation of all information associated
with the New Zealand Health Strategy referred to in the Ministry of
Healths communications referred to and quoted above, together with all
official information that details the "value and high performance and
smart system objectives of the New Zealand Health Strategy

Official Information Request 2
I welcome the provision by the Ministry of Health confirmation of the
information classes/classification's and types in which theMinistry of
Health claims that SNOWMED provides;
(i) more detail (i.e. what is the extra detail that SNOWMED provides),
(ii) actionable and useful information about health and disability status
(please specify what the actionable and useful information classes are),
(iii) impact on life (what categories/impacts are classified and how are
they classified)
(iv) interventions and outcomes (how are the interventions and outcomes
registered and classified)

Official Information Request 3
Please confirm how "SNOMED will enable new levels of care coordination and
clinical decision support, enabling the value and high performance and
smart system objectives of the New Zealand Health Strategy", by confirming
what SNOMED's expectations and performance measures are in relation to the
"new levels of care coordination and clinical decision support" that is
being promoted by the Ministry of Health in its referred communications.

The Ministry's reference number for your request is: H201806719.

As required under the Act we will endeavour to respond to your request no
later than 01 November 2018, being 20 working days after the day your
request was received.  

If we are unable to respond to your request within this time frame, we
will notify you of an extension of that time frame.

If you have any queries related to this request, please do not hesitate to
get in touch.
 
Yours sincerely,

Jan Torres
Advisor
Ministerial Services (OIA)
[Ministry of Health request email]
Ministerial Services  l  Government Services  l  Office of the Director
General

[2]http://www.health.govt.nz

****************************************************************************
Statement of confidentiality: This e-mail message and any accompanying
attachments may contain information that is IN-CONFIDENCE and subject to
legal privilege.
If you are not the intended recipient, do not read, use, disseminate,
distribute or copy this message or attachments.
If you have received this message in error, please notify the sender
immediately and delete this message.
****************************************************************************

--------------------------------------------------------------------------

This e-mail message has been scanned for Viruses and Content and cleared
by the Ministry of Health's Content and Virus Filtering Gateway

--------------------------------------------------------------------------

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2. http://www.health.govt.nz/

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