Electronic health record

The New Zealand Health Strategy highlights the importance of digital solutions to support a smart health system. The Ministry is working on an indicative business case for an electronic health record, which will be focused on providing better access to health information for patients, clinicians and health system planners. The indicative business case is expected to be completed by mid-2017.

The EHR will mean:

  • patients won’t need to repeat their ‘health story’ whenever they see a new clinician
  • clinicians will have better information for clinical decision making to support accurate diagnosis and timely treatment
  • decision-makers will be able to use data and information, to make investment decisions, target public health initiatives and monitor the effectiveness of programmes.

Business cases

All major publicly funded projects have to follow a set of requirements called the Better Business Case Model. They involve producing a strategic assessment, indicative business case, detailed business case, and implementation business case.

The business case approach is summarised in The Treasury's publication Better Business Cases - Introduction

The steps in the Better Business Case Model are summarised on the following page on the Treasury website, More about the BBC Framework and Alignment with the Annual Budget Process.


The EHR business case project team is engaging with DHBs, PHOs, health IT vendors, clinicians and consumers in a series of workshops held across New Zealand.

These sessions are being used to inform the indicative business case that is expected to be completed mid-2017. The indicative business case will help establish options for providing better access to information and signal the requirements, deliverables and costs of the project.

The indicative business case will be presented to investment ministers for review. Upon acceptance of the indicative business case, a detailed business case will be developed to confirm costs, delivery, management and the changes that will be required. The work on this part of the business case is expected to be completed in early 2018.

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