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Clinical governance emerged as a key priority in our recent survey of the HISA Clinical Informatics Community of Practice. More than half of the respondents said clinical governance for implementing systems or process changes was a priority for the coming year. The survey was a temperature check on the state of clinical informatics and organised by HISA for the Community of Practice.

  • Nearly half of the 150 members of the Community of Practice responded  (48.7%)
  • Around 80% were mid to late-career, primarily working in public hospitals (50.94%) and 33% of respondents had a clinical background. Most live on the east coast of Australia (NSW, Qld, VIC)
  • Nearly half (49%) of respondents were from organisations that already had an EMR in operation, with another 37.3% progressing towards it (in either procurement planning or implementation mode)
  • Not surprisingly, digital health is spawning a new member of the C-Suite, the Chief “X” Information Officer (CXIO). Around half (51%) of organisations had someone in this role. For those with a CXIO, there was some variation in the clinical discipline of the incumbent which in turn influenced the role title. The most popular CXIO was the CMIO

The survey had a list of informatics topics for respondents to consider and prioritise for the next 12 months:

  • Clinical governance for implementing systems or process changes
  • Education of informatics to practicing clinicians
  • Access to university level programs in clinical informatics
  • Development of digital health policies and models
  • Introducing precision medicine into our facility
  • Knowledge of current and emerging technology (AI, blockchain, IoT, etc)
  • National/international eHealth standards conformance/ adoption (HL7, SNOMED etc)
  • Staying current with industry trends
  • How to do change management
  • User centred-design
  • Interoperability
  • WIFI
  • Data analytics
  • Cybersecurity
  • Patient engagement
  • Information sharing
  • Other

The top three priorities:

Priorities for next 12 months Risks if not addressed in next 12 months
Clinical governance for implementing systems or process changes (55.6%)
Education of informatics to practising clinicians (47.2%)
Interoperability (41.7%)
Clinical governance for implementing systems or process changes (57.8%)
Development of digital health policies and models (32.4%)
Education of clinical informatics to practising clinicians (31.0%

 

Interestingly, some findings raised more questions than they answered.  For instance-

Graph

If 20% have primary responsibility and 49% have some responsibility, is there sufficient clinical oversight when the aim of investing in health IT is ultimately to improve patient care?

 

INFOGRAPHIC AVAILABLE HERE:

This survey information may be shared with credit to HISA – download the infographic and share with your health workplace.

The Health Informatics Society of Australia (HISA) has merged with the Australasian College of Health Informatics (ACHI) to form the Australasian Institute of Digital Health on Monday 24 February 2020. This site will no longer be updated and will be preserved for archive. Visit us at the Institute! www.digitalhealth.org.au.