WEEK 14.2: NI in South Africa

True

True or False: A number of imbalances that had evolved during the apartheid regime now had to be cor- rected; one of which was the provision of healthcare.

True

True or False: A number of imbalances that had evolved during the apartheid regime now had to be cor- rected; one of which was the provision of healthcare. The public sector caters to those who have insufficient funds for treatment.

Medical Aid

Medical Insurance in South Africa

Cape Town

In 1978, an International Medical Informatics Association (IMIA) working conference was held in where on hospital information systems, led by Dr. Marion J. Ball

Marion J Ball

Who led the 1978 IMIA conference in Cape Town?

1988; Rustenburg

Thereafter, in ____, the first nursing informatics workshop was held in _____-, which was attended by a number of nurses keen to take on the spe- cialty of nursing informatics

Groote Schuur Hospital

The Western Cape province of South Africa was, at that time, the focus area for health informatics, with an informatics department being estab- lished at the ______________ Hospital, which had active participation from its members.

Recognizing Nursing Informatics

• At MEDINFO95 this paper emphasized the need for nursing informatics to be separated from medical informatics

MEDINFO95

What conference was the paper “Recognizing Nursing Informatics” emphasized in?

South African Health Informatics Association (SAHIA)

keen to start a chapter for those working in or interested in nursing informatics but it is slow to get off the ground.

National Strategic Plan for Nursing Education, Training, and. Practice

• Was launched in February 2013

• Deals with the assignment of nurses, and specifies the requirements for the various categories of nurses

1. a four-year nursing degree,

2. a four- year nursing diploma,

3. two-year enrolled nurse’s course.

3 Main Nursing Ed Programs in South Africa

auxiliary nurses

In South Africa, there are also the _____ nurses who are very much practical nurses.

True

True or False: nursing informatics is not even men- tioned in any list of nursing specialities in S Africa

National eHealth Strategy, South Africa 2012/2013-2016/2017

• In 2012, the Government released this document

• details the strategy to reach the vision of “enabling a long and healthy life for all South Africans”

1. Support the medium-term priorities of the public health sector

2. Pave the way for future public sector eHealth requirements

3. Lay the requisite foundations for the future integration and coordination of all eHealth initiatives in the country (both public sector and private sector)

3 Aims of the National eHealth Strategy, South Africa 2012/2013-2016/2017

Stage 3

According to Vital Wave Consulting, South Africa is at this stage, which is “migration of traditional district health information sys- tems to electronic and storage

Vital Wave Consulting

What organization stated S Africa is at Stage 3?

1. Pharmaceutical coding

2. Diagnostic Coding Schema

3. Procedural Coding Schema

4. Diagnostic Related Grouping

5. Standards for Clinical Content

5 Areas being focused upon

South African Bureau of Standards (SABS)

• doing work on two ISO standards

1. ISO/TS 18308:2004 (SANS 18308 Health Informatics—Requirement for an EHR Architecture)

2. ISO/TR 20514:2005 (SANS 20514 Health Informatics—EHR—Definition, scope, and con- text)

Two ISO standards adopted in africa

National Health Insurance

____ scheme is set up and working in S Africa.

Pravin Gordhan

Minister of Finance

True

True or False: Many of the tasks will fall on the shoulders of the nurses especially in the rural areas as extensive use is made of pri- mary healthcare nurses

True

True or False: However, what still has to be dealt with, is the addi- tional burden of AIDS and tuberculosis.

Brain Drain

• whereby thousands of healthcare workers—mainly nurses—have departed for “greener pas- tures” in countries such as Australia, Canada, the United Kingdom, and even countries in the Middle East.

Board of the Office of Health Standards Compliance

• mechanism whereby the basic standards that are required for Public Health Institutions resulted in the esta- blishment of the what

National Core Standards

Board of the Office of Health Standards Compliance assist to faciliatate the implementation of what?

Aaron Motsoaledi

Minister of Health

(1) National Department of Health’s 10 Point Plan

(2) Service Delivery Agreement

The National Core Standards also fits in with the (1)_________ which is to try and bring about “a long and healthy life for all South Africans” and part of the (2) ____________ between the President and the various Provincial Governments and other stake holders,

1. Improve life expectancy

2. Improve mother and child health and survival

3. Reduce the impact of HIV/Aids and TB

4. Improve health systems effectiveness

4 Key Aspects of National Core Standards

1. Domain 1: Patient Rights

2. Domain 2: Patient Safety—Clinical Governance and Clinical Care

3. Domain 3: Clinical Support Services

4. Domain 4: Public Health

5. Domain 5: Leadership and Corporate Governance

6. Domain 6: Operational Management

7. Domain 7: Facilities and Infrastructure

7 Domains of the National Core Standards

Patient Rights

National Core Standard

Domain 1

Patient Safety - Clinical Governance and Clinical Care

National Core Standard

Domain 2

Clinical Support Services

National Core Standard

Domain 3

Public Health

National Core Standard

Domain 4

Leadership and Corporate Governance

National Core Standard

Domain 5

Operational Management

National Core Standard

Domain 6

Facilities and Infrastructure

National Core Standard

Domain 7

1. Values and attitudes of staff

2. Cleanliness

3. Waiting times

4. Patient safety and security

5. Infection prevention and control

6. Availability of basic medicines and supplies

6 Priority Areas (in an attempt to expedite the immediate improvement of quality service delivery)