health information network the challenges & building the foundation delivering a healthy wa...
TRANSCRIPT
Health Information NetworkThe Challenges & Building the Foundation
Delivering a Healthy WA
Richard McFadden, CIO
18 April 2023 Slide 2
Agenda
• IM & Strategic Framework
• Future State
• Current State
• Transition
• Questions
• Clinical & Business Information
Information Management • “Information”
– is central to the patient journey and delivery of health services– empowers patients and providers to make informed choices
• “Information Management”
– provides the landscape for better services and continuous improvement in patient and provider engagement
– is all about the patient delivery experience:
RightPatient
RightTreatment
Right Place
Right Time
Information ManagementQuality, Secure, Timely, Contextual
Strategic Framework
2007 2009
Portal and Interoperability
Existing Systems
New Core Systems
Infrastructure
Facilities & Medical Technology
Information
Clinical
Systems
Business Systems
Infrastructure
Facilities
Medical Technologies
18 April 2023 Slide 5
Clinical InformationEssential information to assist in the delivery of care
Patient and Provider
Demographics
Medications, Allergies,
Medical Alerts
Clinical Events & Episodes of
Care
Clinical Governance
Notifications Clinical Summaries Clinical Orders Care Plans
& Pathways
Is essential for the efficient and sustainable management of WA Health Business Operations
18 April 2023 Slide 6
Business Services Information
Activity Based Funding
Patient Flow Management
Consent Finance & HR Management
Enterprise Scheduling &
Workflow
Statutory Reporting
Capacity Management
Performance Management
Current State
18 April 2023 Slide 7
• No clear source of truth for local applications
• Proliferation of siloed data repositories (CDR/CDCs)
• Proliferation of poorly written and unsupported applications used for clinical processes and care
• Heavy bias to point-to-point data sharing
• Information flow to the point of care is complex and difficult to locate
• Components of the clinical core are obsolete
• Timeliness and Integrity of information
• Information sharing across health care providers
Current State Issues
18 April 2023 Slide 9
Current Priorities - eHealthWA
• Patient Administration System (PAS)
• Clinical Information System (CIS)
• Pathology (Ultra)
• Portal and Interoperability
• iPharmacy
• MMEx
• Identity and access management
• Provider index
• Wounds West
18 April 2023 Slide 10
Current Priorities - HIN
• Capacity Planning System (CAPLAN)
• Activity Based Funding
• AIMS
• HCare consolidation
• Financials & Human Resources
• Clinical Costing and Coding
• Rostering System (ROSTAR)
• TelePresence
• Cloud Computing
Current State Context (Overview)
20
5
7
71
12
633
62
39
15
13
7
7
215433211
47
14
11
7
7
7
6
55443322211111111
11 1
23
10
322111
8
51
20
8
31
17
10
0
20
40
60
80
100
120
140
160
Corporate Services Medical Specialties Services
Medical Support Services
Ambulatory / Community Health
Services
Patient Management Services
Public Health Services
Clinical Management Services
General Support Services
Mental Health Services
General Community Health Services
Medical Specialties Surgical Services
Medical Sub-Specialties Services
Num
ber o
f App
licati
ons
Health Business Services
Number of ICT Applications by Business Service
Applications across WA Health
18 April 2023 Slide 12
39 Different Financial and HR Systems
62 Different ICT & Facilities Systems
47 Different Pathology Systems
Num
ber
of
Applic
ati
ons
•450+ Applications•Siloed Data Copies•450+ Applications•Siloed Data Copies
Health Service Area
CorporateMedical
Specialities
Medical Support
Ambulatory/ Community
Patient Mgmt
Public Health
Clinical Mgmt
General Support
Mental Health
General Communi
ty
Med. Spec.
Surgical
Medical SubSpecialities
Future State
18 April 2023 Slide 13
18 April 2023 Slide 14
Future State… Back to Basics
• Consolidated, trusted, shareable “view” of the patient information
• Quality of Information to become a priority in the delivery of services
• To maintain accurate, timely and transparent data and information
• Enabling information to be interchangeable across all providers, public & private
• Providers have access to accurate, timely and complete clinical information at point of care
18 April 2023 Slide 15
Future State Enablers
• Consolidated CDR/CDCs - Global Data Services
• Patient Administration System (PAS)
• Portal
• Interoperability (Enterprise Service Bus)
• Identity and Access Management
• Clinical Workbench
• Pharmacy System
• Patient and Provider Masters
Current to Future State
Conceptual only (does not include all composite parts, e.g. identity & access management)
Transition
18 April 2023 Slide 17
18 April 2023 Slide 18
Strategy
• Clinical engagement and buy in is critical to success
• Link to Clinical Services Redesign / 4 Hour Rule Program
• Incremental and technology change must be in-line with the organisation’s ability to change
• Focus on getting the best out of existing systems
• Reduce the amount of paper used in health care
• Ability to measure the performance of both clinical and administrative processes
• Provide capabilities which support Clinical and Business priorities
• Technology is the enabler, not the driver
DRAFT
18 April 2023 Slide 19
Flagship Project - PASCritical Success Factors
• Stop further proliferation of PAS data copies
• Quarantine existing methods of connection
• Establish new ESB to replace Cloverleaf
• Review Governance framework for data access and control
• Standardisation of clinical processes
• Implement Global Data Services
• Implement Patient and Provider Master Indices
• BCP and availability of new platform
• Business owned leadership for change
DRAFT
Questions?