9 October 2014
<<Name>>
<<Designation>>
<<Company>>
<<PO1>>
<<PO2>>
<<City>>
Dear <<Name>>
Changes Proposed to National Systems effective from 1 July 2015
The long-standing National Collections Annual Maintenance Project (NCAMP)
and current programmes of work encompassing the new National Patient
Flow (NPF) collection and Health Identity Platform (HIP) will now operate
under a new collective banner called the National Systems Upgrade
Programme (NSUP).
This approach takes a more co-ordinated view of changes to national systems
and collections proposed by the Ministry, in particular, those changes
affecting DHB Patient Administration Systems. As this is the first year that a
number of projects will operate under NSUP, it should be considered a
transition year with the aim to embed processes for 2015/16 and following
years. The principles of NSUP are outlined in the appendix to this letter.
This change has been agreed by the Sector ICT Implementation Group which
is representative of DHB IT leadership. It has also been endorsed by the
National Health IT Board. There was universal support for a consolidated
programme and an extended notice period.
In line with our obligations under the Operational Policy Framework (OPF)
2014/15 the Ministry of Health (Ministry) is required to provide six months’
notice to DHBs of changes required to Patient Administration Systems (PAS).
Under NSUP the notice of change will extend to nine months to enable more
forward planning by DHBs and more effective engagement with vendors. This
will be formally changed in the OPF for 2015/16.
NCAMP 2015
NCAMP 2015 will make changes to the National Collections for
 the National Minimum Dataset (NMDS)
 the National Non-Admitted Patient Collection (NNPAC)
 Programme for the Integration of Mental Health Data (PRIMHD)
 National Booking Reporting System.
The changes to the above National Collections will be effective from 1 July
2015. A Project Board including a Sector nominated representative from each
of the four DHB regions has agreed the requested changes. The NCAMP
User Group have all had the opportunity to input and comment on the
changes.
The changes represent the final scope and no additional changes are
expected for inclusion in the National Collections Annual Maintenance Project.
The information contained in the packs will also be published on the Ministry
website at http://www.health.govt.nz/ncamp
National Patient Flow (NPF)
Phase 1 of the National Patient Flow Collection (NPF) is underway and DHBs
have been collecting data from 1 July 2014. National Patient Flow Phase 2
will be effective from 1 July 2015. The National Patient Flow Project Board
will agree the requested changes.
The High Level Requirements Statement (All Phases) was published 11
August 2014, and DHBs and vendors have had the opportunity to input and
comment on the changes.
The information contained in the packs will also be published on the Ministry
website at http://www.health.govt.nz/nz-health-statistics/national-collectionsand-surveys/collections/national-patient-flow.
Further milestones and expectations for Phase 2 of the collection are detailed
as follows:
Phase 2/3 Revised High Level Requirements including Data Dictionary and
Data Model - 30 October 2014
Phase 2/3 DHB Impact Assessment - 11 November 2014 Phase 2 Detailed
Design Specification - 18 December 2014
Phase 2 DHB Implementation Plans due - 1 February 2015 (2014/15 Funding
Milestone 2)
Phase 2 Detailed Design Specification update - 11 February 2015
Phase 2 Data capture commences - 1 July 2015.
Note that due to an extended consultation period with DHBs and the
magnitude of requirements to finalise, the Detailed Design Specifications will
be delayed until December 2014 during this transition year.
Health Identity Platform (HIP)
A recent Ministry programme of work (HIP) has delivered a new National
Health Index solution that requires new web service interfaces to take full
advantage of new functionality and data.
To minimise disruption and take account of the significant time and effort to
transition Patient Administration Systems (PAS), DHBs are able to remain on
the legacy HL7 interfaces via a Legacy Broker, and interact with the new
solution (with constraints).
It is intended that the Legacy Broker be decommissioned once all parties
have transitioned to new web service interfaces. Currently the target date for
this is July 2017, which means a 3 year pathway is necessary to achieve
transition.
Exactly how each DHB or region will do this is not yet clear as each has
individual aspects to take into account. A specific roadmap will be developed
over the next few months in consultation with all parties.
However, it is important to make a start, and expectations this year are
focused on two specific pre-requisite activities for DHBs and their PAS
solution vendors – a) vendor integration of eSAM address validation
capability, and b) data impact analysis in preparation for transition to new
Patient web service interfaces.
In addition we expect that:

Each DHB will continue to support Ministry development of new web
service operations (eg. Add, Update) to replace existing Legacy Broker
functionality. This will take the form of participation in a sector reference
group or workshops where relevant, appropriate and practicable, and
provision of document review and feedback.

As early integrators, the South Island PICS Programme will continue to
integrate the new Patient web services as they become available.
Role of Key Contacts
Our expectation is that the key contact people will co-ordinate the information
flow from the Ministry to the relevant people within your organisation.
A pack has been included with this letter containing the following details:
 Change Notification documents
 Ministry contact details
If you have any queries regarding these changes, or your ability to meet them,
please refer to the contact details provided in the pack.
Thank you for your co-operation to achieve a successful outcome for the
National Systems Upgrade Programme in 2015.
Yours sincerely
Graeme Osborne
Director
Information Group
National Health Board
Email
Copy:
National Director, National Health Board
DHB Chief Information Officers
DHB Chief Financial Officers
DHB Funding and Planning Managers
DHB Elective Services Managers
Patient Management System Vendors
NCAMP 2015 User Group
NPF Key Contacts
LHI Key Contacts