CS3.1.2

Partnerships and Processes: Managing Complexity

MARY BLACKWOOD

TUESDAY 9 OCTOBER, 2007Project Management - Setting the StandardAustralian Institute of Project Management National Conference 2007Hobart Tasmania October 7 – 10, 2007

Partnerships and Processes: Managing Complexity

Mary Blackwood

October 2007

The National Agenda

2002 – HealthConnect: Australia’s proposed network of electronic health records A health information network for all Australians ‘Right information, right place, right time’

2005 – HealthConnect:

An overarching change management strategy to improve safety and quality in healthcare by establishing and maintaining a range of standardised electronic health information products and services for health care providers and consumers. HealthConnect Implementation Strategy, Version 2.1 July 2005 (Revised)

The Local Statement of Purpose

In Tasmania, HealthConnect will improve services through the delivery of integrated

electronic health information

Project Framework

Key Enablers

NATIONAL

Optometry

Dentists

CommunityHealth

Ambulance CommunityPharmacy

AlliedHealth

Specialists

AgedCare

PrivateHospitals

PublicHospitals

GPs

4

1

Interoperability

Consumers

Individual Healthcare Identifier( IHI )

Healthcare Provider Identifier( HPI )

TASMANIAN

Message Handling & Transport Service

Provider DirectoryTasmanian Health Client Index

Secure Messaging

Messaging Project: Electronic Notification of Hospital Events (ENHE)

Launceston

Hobart

North West

LGHNovember 2005

NWRH (both campuses) February 2006

RHHMay 2006

ENHE commenced in:

Messaging Project: Electronic Patient Care Record (ePCR)

The ePCR project was officially launched by the Tasmania Health Minister, Lara Giddings who said,

“The pilot project

builds on Tasmania’s

reputation for testing,

adopting and

implementing the

latest in eHealth

solutions and

partnering with

others to benefit

patient care.”

General Practice

Aged Care Allied Health providers

Public Hospital Patient Administration systems

Pharmacy

Ad hoc sharing of provider

information between groups

Mental Health

Public Health

Oral HealthPalliative Care

Provider Directorycurrently GP only

Public sector

Private sector

Enabler Project: Provider DirectoryCurrent sharing of provider information

Enabler Project: Provider DirectoryPlanned model of sharing of provider information

Tasmanian Health Provider Directory

DHHS General Practice

Pharmacy Aged Care

Allied Health

Provider information provided and updated in line with agreements

DHHS General Practice

Pharmacy Aged Care

Allied Health

Provider information distributed according to agreements

Manage by Process: Governance

HealthConnect Tasmania Steering

CommitteeChair: Program

Sponsor

HealthConnect Tasmania Director,

Office Operations and Core Activities

Quality Review

Consultant

HealthConnect Tasmania

Advisory Group

Program Sponsor

HealthConnectTasmania

Funded Projects

eHealth Core System Projects

Manage by Process: InclusivenessAdvisory Group membership comprises:

- Aged and Community Services Tasmania (ACST)

- Consumer Representatives x 3

- Department of Economic Development (DED)

- Department of Health & Human Services (DHHS)

- Department of Veterans Affairs (DVA)

- General Practice Tasmania (business and medical representatives)

- HealthConnect Tasmania

- Medicare Australia - Tasmania Branch

- Pharmacy Guild

- Pharmaceutical Society of Australia (PSA)

- University of Tasmania

Governance Tips Put specific resource into Governance Select members well Facilitate participation Structure

- schedule- reports • Project overview

• Milestones - current• Milestones - future• Risk and dependency management• Budget management

Governance Tips

Communicate

Choose a Methodology

Tasmanian Government(Department of Premier and Cabinet)

Project initiation

Structure and governance

Stakeholder engagement

Risk management

Implementation

Quality Improvement Council

Designate

Document

Communicate

Evaluate

Integrate

Partnerships

Partnerships: A range of approaches

SELECTINGPARTNERS

Competitive tender Submission Invitation

Community development

NATURE OFPARTNERSHIP

Purchase of services

Complementary goals Shared goals Shared values

MANAGINGPARTNERS

Contract management

Contract and relationship management

Relationship management Trust

PERFORMANCEMEASUREMENT Inputs Outputs Outcomes Joint outcomes

RISK CONTROL Risk lies with partner Each party carries different risks Shared risks

Australian Government Website

Partnerships: The Mechanisms

Funding Agreements

Service Level Agreements- Information Services- Acute Health Services- Tasmanian Ambulance Service

Contracts- GP Tasmania- Pharmacy Guild

Department of Health and Ageing

HealthConnectTasmania

Rep

ortin

gG

over

nanc

e

Fun

ding

A

gree

men

t

Funding Project 1

Funding Project 2

Funding Project 3

Sta

tus

Re

po

rtin

g

Department of Health

and Human Services

Contracts

Milestones

Complexity: The Management System