ehealth NSW An overview of the ehealth Strategy for NSW Health: 2016-2026 & an update on key projects Dr Zoran Bolevich Chief Executive, Chief Information Officer 22 September 2016 1
ehealth NSW Established in July 2014 as the dedicated organisation within NSW Health to guide ehealth strategy and planning, set ehealth policy and standards, and lead implementation and operations. Our focus is on improving health outcomes for patients/communities, and strengthening NSW health system through the safe and effective use of information and communication technologies. In order to implement state-wide programs and support local innovation, ehealth NSW works in partnership with Local Health Districts (LHDs), Specialty Health Networks, Pillars and Agencies. Currently, running 24 programs across 6 portfolios (3 major portfolios are Clinical, Corporate and Infrastructure) Ranging in size from total cost <$10M to total cost >$100M FY15/16 program budget of $170M 2
Key Stats for 2015-16 3 The Health Wide Area Network (HWAN) was deployed to over 180 rural sites providing secure broadband networking in rural and remote parts of NSW StaffLink (ERP) implemented statewide providing 140,000 staff access to HR data; processed over $8.5 billion in annual salaries, 3 million invoices and 1 million requisitions and purchase orders Electronic Medical Records (EMR) system went live at 104 sites At June 2016, more than 73% of health employees were using electronic medical records across NSW Health facilities to provide care Electronic charts were opened more than 12 million times, a 30% increase over the previous year 195 NSW Health hospitals were connected to the national My Health Record (via HealtheNet) More than 900,000 hospital discharge summaries were sent via secure messaging to GPs and more than 200,000 were sent to MHR Our State-wide Service Desk handled over 800,000 requests for support and information
Our Changing Environment Premier s Priorities and State Priorities Whole-of-government ICT strategies and approaches ICT Investment Assurance Framework Government Chief Data and Information Officer ehealth-specific strategies in NSW: ehealth Strategy for NSW Health 2016-2026 NSW Telehealth Framework and Implementation Strategy NSW Health Analytics Framework LHD ehealth Strategic Plans Australian Digital Health Agency & National Strategy Industry trends, vendor plans and initiatives Opportunities in research and innovation space 4
ehealth Strategy For NSW Health (2016-2026) A digitally enabled and integrated health system delivering patientcentred health experiences and quality health outcomes Launched at CeBIT Conference in Sydney by the NSW Minster of Health (04/05/2016) Builds on previous ehealth Blueprint (2013) and outlines a direction for NSW Health investment over the next decade. 5 http://www.health.nsw.gov.au/ehealth/documents/ ehealth-strategy-for-nsw-health-2016-2026.pdf Includes: Drivers for Change ehealth Vision & Goals Strategic Framework 11 Underpinning Principles 7 Strategic Focus Areas 32 Priority Initiatives 3 Delivery Horizons Roles & Responsibilities
6 Drivers for Change
7 ehealth Strategic Framework
8 Underpinning Principles
9 Horizon Model
Broader Benefits and Opportunities Digitised clinical data represents a significant strategic asset for NSW Health, enabling and stimulating research, innovation and commercialisation Biomedical research Safety and quality enhancements Reducing unwarranted clinical variation Better value care NSW Health as a digitally enabled health system will significantly contribute to NSW Govt s innovation and economic development agenda Attracting talent (e.g. high quality health workforce) Attracting investment (e.g. tertiary training) Generating new products and services NSW Health s leadership in digital health puts it in the best possible position to benefit from national developments and investments (e.g. healthcare home initiative, aged care reform, NDIS) 10
Success Factors Strong executive leadership and support right across NSW Health, including MoH, LHDs, SHNs, Pillars Deep and extensive clinician engagement Significant investment in local change management (these are complex business/clinical change initiatives rather than simple ICT projects ) State-wide coordination through ehealth NSW Ten year experience of complex implementations lessons learned, expertise and skillset acquired and maturing Clear and strengthening state-wide architecture (esp. standards-based interoperability) Partnerships with ICT industry, research community, global experts Strong working relationships with DFSI, Treasury, other Govt Departments Alignment with all-of-government ICT strategy and investment framework Leveraging national digital health developments and capabilities 11
12 Progress of Key Programs
13 emr Connect Rollout Across NSW at August 2016
eric: The future of ICU in NSW ICU is data intensive Today Tomorrow Simplified, automated data collection Reduced reliance on paper Improved efficiencies in patient flows and work practices 14
Corporate Portfolio HealthRoster HCM Implementation Rollout to 5 LHDs/agencies fully completed and a further 5 in progress 60,000 staff currently being rostered on HealthRoster Development of an integrated Human Capital Management (HCM) capability for the state Statewide Recruitment and Onboarding to be rolled out in 2017 with future modules to include performance, talent and succession management Have completed design for General recruitment stream Recruitment and onboarding pilot to be completed early 2017 15
Infrastructure portfolio Health Wide Area Network Single Health network The NBN for NSW Health State Wide Infra - structure Services Single Health ID and Email System Data Centre Reform Migration of NSW Health systems to Gov DCs Conference Collaboration and Wireless Wireless and conferencing initiatives Clinical Application Resilience (CARI) Business continuity for Cerner systems Standards Statewide infrastructure standards Refresh platform 16