Harkness Project Title:
Healing Fractured Healthcare Delivery: The Economic Benefits of Health Information Exchange Interoperability for Australia
Mentors: David Bates, M.D.Brigham and Women's Hospital/Harvard School of Public Health, and Donald Berwick, M.D., Institute for Healthcare Improvement
Placement: Brigham and Women's Hospital
Biography at time of Harkness Fellowship: Peter Sprivulis, M.B.B.S., a 2004-05 Commonwealth Fund Harkness Fellow in Health Care Policy, coordinates access to acute health services in Western Australia (WA) as director of acute demand management, Western Australian Emergency Services. Sprivulis is also clinical director of the Western Australian Emergency Medicine Clinical Practice Improvement Unit, and a clinical associate professor of emergency medicine at the University of Western Australia. Sprivulis has published in the areas of health informatics, emergency department and hospital patient flow, indigenous access to emergency care, triage and snakebite toxinology. He is a fellow of the Australasian College for Emergency Medicine and the Australian College of Health Informatics and works clinically at Fremantle Hospital Emergency Department, WA.
Project: Sprivulis’ project aimed to estimate the costs and benefits for Australia of implementing health information exchange interoperability between health care providers. He used an existing U.S. cost-benefit model based on four levels of interoperability: paper-based; machine transportable; machine readable; and machine interpretable or semantic interoperability. He validated this model for Australia via expert review.
Career Activity Since Fellowship
Current Position: Clinical Associate Professor of Emergency Medicine, University of Western Australia. (Updated 1/2014)
Trentino, K.M., Swain, S.G., Burrows, S.A., Sprivulis, P.C., Daly, F.F.S. 'Measuring the incidence of hospital-acquired complications and their effect on length of stay using CHADx', Medical Journal of Australia 2013; 199, 8, pp. 543-547.
Finn, J.C., Fatovich, D.M., Arendts, G., Mountain, D., Tohira, H., Williams, T.A., Sprivulis, P., Celenza, A., Ahern, T., Bremner, A.P., Cameron, P., Borland, M.L., Rogers, I.R., Jacobs, I.G. 'Evidence-based paramedic models of care to reduce unnecessary emergency department attendance - feasibility and safety', BMC Emergency Medicine 2013, 13.
Copnell, B, Hagger, V, Wilson, S.G., Evans, S.M., Sprivulis, P.C., Cameron, P.C. 'Measuring the quality of hospital care: an inventory of indicators', INTERNAL MEDICINE JOURNAL 2009; 39, pp. 352-360.
Sprivulis, P., Walker, J., Johnston, D., Pan, E., Adler-Milstein, J., Middleton, B., Bates, D.W. 'The economic benefits of health information exchange interoperability for Australia', Australian Health Review 2007; 31, 4, pp. 531-539.
Weissman, J.S., Rothschild, J.M., Bendavid, E., Sprivulis, P., Cook, E.F., Evans, R.S., Kaganova, Y., Bender, M., David-Kasdan, J., Haug, P., Lloyd, J., Selbovitz, L.G., Murff, H.J., Bates, D.W, 'Hospital Workload and Adverse Events ', Medical Care 2007; 45, 5, pp. 448-455.
Sprivulis P, Walker J, Johnston D, Pan E, Adler-Milstein J, Middleton B, et al. “The Economic Benefits of Health Information Exchange Interoperability for Australia,” Australian Health Review 2007; 31(4): 531-539.
Weissman J, Rothschild J, Bendavid E, et al. “Hospital Workload and Adverse Events,” Medical Care 2007; 45(5): 448-455.
Sprivulis P, Da Silva J, Jacobs I, Frazer A, Jelinek GA. “The Association Between Hospital Overcrowding and Mortality Among Patients Admitted Via Western Australian Emergency Departments,” The Medical Journal of Australia 2006; 184:208-212
Sprivulis P, Gerrard B. “Internet Accessible Emergency Department Workload Information Reduces Ambulance Diversion,” Prehospital Emergency Care 2005 9(3):285-291
Fatovich D, Nagree Y, Sprivulis P. “Access Block Causes Emergency Department Overcrowding And Ambulance Diversion in Perth,” Western Australia. Emerg Med J 2005; 22:351-354.
Sprivulis P, Grainger S, Nagree Y. “Ambulance Diversion Is Not Associated with Low Acuity Patients Attending Perth Metropolitan Emergency Departments,” Emerg Med Australas 2005; 17:11-15.
Nagree Y, Ercleve TN, Sprivulis PC. “After-Hours General Practice Clinics Are Unlikely to Reduce Low Acuity Patient Attendances to Metropolitan Perth Emergency Departments,” Australian Health Review 2004; 28:285-91.