ehealth NSW Dr John F. Lambert Chief Clinical Information
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1 ehealth NSW Dr John F. Lambert Chief Clinical Information
2 Introduction Site Experience Why are we here? Lessons Learnt Rural ehealth Patient centred systems Building better tools More engaged clinicians To learn from our mistakes
3 Introduction Site Experience Patient Centred Systems Lessons Learnt Rural ehealth Patient first, clinician second Information across boundaries Integrated Care Lifetime view
4 Introduction Site Experience Building Better Tools Lessons Learnt Rural ehealth User Centred Design Clinician Support - Frameworks - Translators
5 Introduction Site Experience More engaged clinicians Lessons Learnt Rural ehealth CCIO Role voice in ehealth Face to face time Clinical Engagement Forums Pillars Social Media Support
6 Introduction Site Experience Lessons Learnt To learn from our mistakes Rural ehealth CCIO Face to face time Social Media Let the video tell the story
7 VIDEO
8 Introduction Site Experience Lessons Learnt Lessons Learnt Rural ehealth We need to build capacity To Listen To Understand To Act
9 Rural ehealth Program Delivering a new approach to the way electronic healthcare is delivered across the rural areas of NSW
10 Our vision, strategy and plan: In collaboration with 6 Local Health Districts (LHDs), we manage and deliver the appropriate tools and resources to clinicians, staff and most importantly, patients to accelerate the use of ehealth solutions in rural and remote NSW Key elements: ehealth Governance Collaboration Integrated and supported delivery Funding consolidation Information and Communications Technology (ICT) Infrastructure & ICT support
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12 Clinical Programs Electronic Medical Record 2 (emr expansion and new functionality) Community Health and Outpatient Care (CHOC) HealtheNet Electronic Medication Management (emeds) Electronic Record for Intensive Care (eric) Incident Management System (IMS) Corporate Programs Asset and Facilities Management HealthRoster Credentialing Infrastructure Programs Health Wide Area Network (HWAN) State-Wide infrastructure as a Service (SWIS)
13 Additional Programs emr1 expansion (incl. devics / wireless / networks) Laptops / mobile devices for Community Nurses Hospital in the Home (In-Home monitoring devices) Other Initiatives MPS / Small Sites solution Scanning solution Other initiatives as they are identified over time
14 Phase 1: Initial planning, engagement and establishment Governance established for six LHDs (SNSW, M, FW, WNSW, MNC, NNSW LHDs) Funding in place to support the Rural ehealth Program rollout Establishment of Rural ehealth program resources and teams: LHD implementation teams Rural ehealth Program team Roadmap developed and programs of work established
15 Phase 2: Program delivery and implementation Clinical Programs emr2: implementation commenced October 2014 and will be completed by November 2016 CHOC: implementation commenced August 2015 and will be completed by December 2016 HealtheNet: phase 1 completed June 2015 emm: planning has commenced and implementation due for completion by December 2018 (one site per LHD) IMS: planning phase, with implementation due by 2018 eric: planning phase, with implementation due by 2018
16 Phase 2: Program delivery and implementation (cont.) Corporate Programs Asset and Facilities Management: Stage 1 completed. Stage 2a underway, with the replacement of legacy Asset Management Solutions HealthRoster: commenced May 2015 with expected completion by March 2016 Credentialing: commenced February 2015 with expected completion by June 2016
17 Phase 2: Program delivery and implementation (cont.) Infrastructure Programs HWAN: All rural local health districts will be connected to the network by the end of 2015, with all individual sites connected in early 2016 SWIS: to be completed by September identity - - secure dropbox - mobile device management - remote access
18 Phase 2: Program delivery and implementation (cont.) Other Programs / Initiatives Benefits Realisation Strategy: ehealth Framework currently being applied to CHOC for NNSW/MNC to be shared across the Clinical Stakeholder Engagement Strategy: undergoing approval CHOC Gaps Scope/Extra Build : Palliative Care & Waitlist Management, mapping in progress Small Sites: Gaps identified: RAC & Co-located GP Practice. Solution work up in progress Principle Toolbox & Reporting: All LHDs have access to the PTB through the Implementation Leads. LHDs now contribute to risks/issues and products Heat Map Reporting Tool : Tool is now being developed as a joint strategy between Clinical Portfolio and ReH Ambulatory Care Strategy: NNSW LHD drafting requirements to be shared across the
19 Introduction Site Experience Lessons Learnt Our Challenge Our Goal Truly integrated care Machine readable information flowing freely between systems Support for innovative projects Research in real time (death of the RCT?) Machine Intelligence Built for Security, Privacy and Safety
20 Introduction Site Experience Lessons Learnt Our Challenge Our Challenge 2002 emr1 plan (PoCCS) 2007? 2008 emr1 start, CHOC plan 2010? 2011 emr1 finish (70ish sites), emr2, emm (now emeds) starts 2014 CHOC rollout 2015 emr2, emeds rollout
21 Introduction Site Experience Lessons Learnt Our Challenge Our Challenge How do we move faster? How do we deal with disruption? How do we innovate? How do we manage thousands of decisions safely? Where do we find the people?
22 Introduction Site Experience Lessons Learnt Rural ehealth Questions Building Better Teams Based on CORE High Performing Workforce
23 Rural ehealth Program Teams
24 (L-R) Frederick Xavier (Project Support Officer), Diane Andrew (Trainer), Kate Gardner (Change and Adoption Manager), Kerri Ryan (Director) and Craig Burke (Program Manager)
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48 Thank You
49 For further information, please contact: Kerri Ryan, Director, Rural ehealth Program ehealth NSW (e) (w) (02)
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