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Data gaps in health enterprise, data
improvement and governance to
ensure fitness for data and care
improvement
Associate Professor
Christopher Pearce PhD, MFM, MBBS, FRACGP, FACRRM, FAICD, FACHI
Big Data = Quick Data
The Benefits
Efficiency
What is being governed
Why General Practice?
Computers on the Desk
Computers In Use
Computers In Use
Getting the balance right…
System understanding of data
‘Data Hierarchy2’
Support Clinical Interventions
Clinical Governance
Population Based Decision Support
Policy and Strategy
Research
Administration and Business Support
2: Pearce et al, Australian Family Physician 2011
A Data Warehouse – for
data…
POLAR • 50 practices
• 200+ GPs
• 1,000,000+ patients
• Longitudinal and patient centred data
• Geographic coverage
• 10 years of data quality activities
https://iemml.org.au/polar-data
The Next Level
What needs to Happen now...
What is Governance
conduct the policy, actions, and affairs…
Corporate
Representative
Regulatory
Project
Clinical Clinical governance is a systematic and integrated approach to ensuring services
are accountable for delivering quality health care.
Churchill: You can always count on the Americans to do the right thing, after they have tried everything
else
What are we governing
Metaphors
Corporate/Business
Orchestrators
Community
Data/Information
“Knowledge is Power”
Useability
What does this mean?
The ‘New’ Consultation7
Pearce et al, JAMIA 2011
Personal
System
Fabula
Code
Narrative
Never give in – never, never, never, never, in
nothing great or small, large or petty, never give in
except to convictions of honour and good sense
Clinical Informatics
Challenges
Coded vs Uncoded
Diagnosis vs Reason For
Encounter vs NBI
Workflow vs Academic Rigour
Always a gap – How relevant is
that?
The Public Interest…
