partners in technology 13 sept 2013 hsia cio ray brown
DESCRIPTION
Ray Brown - Chief Information Officer, Department of Health provides details on the much anticipated new Queensland Health's renewal agenda and the impending changes to ICT Service Delivery including opportunities for the ICT Industry at our next Partners in Technology briefing.TRANSCRIPT
Partners in Technology Briefing Department of Health
Ray Brown Chief Information Officer
Health Services Information Agency (HSIA)
13 September 2013
Video clip
Partners in Technology Briefing Department of Health
Ray Brown Chief Information Officer
Health Services Information Agency (HSIA)
13 September 2013
Copyright © The State of Queensland (Department of Science, Information Technology, Innovation and the Arts) 2013 The presenter is the author and that the State of Queensland is copyright owner and/or has the right to licence the content.
Except where otherwise noted, this work is licensed under http://creativecommons.org/licenses/by-nc/3.0/au/
Health Services Information Agency
Review
Case for change
National Health Reform
Commission of Audit
Queensland Health Blueprint
Payroll System Commission of Inquiry
Queensland Government ICT Action
Plan
HSIA review: Key recommendations
Division of responsibility for ICT services between Health Services Information Agency (HSIA) and Hospital and Health Services (HHSs )
Introduce a hybrid contestability model
Establish a full cost price for service
Transition organisational capability profile to become a managing agent
Establish new governance arrangements
Create change through a metered approach that balances incremental steps with visible results
1
2
3
4
5
6
Division of ICT responsibilities
Delivery of services and applications for which a degree of standardisation and centralisation makes sense
Delivery of services and applications which require local response
Overall governance of ICT services should be a joint responsibility
Health Services Information Agency Hospital and Health Services
Strategy and policy
Delivery and execution
Operations
Queensland Health as a managing agent
Queensland Health as a service delivery agent
Future capability profile Current capability profile
Focus capability areas: • Planning and strategy • Vendor management • Commercial management • Benefits realisation • Business case development • Customer service • Strategic procurement • Consultative advice provision
Focus capability areas: • Desktop management • Network management • Telephony management • Server management • Data centre management • Device management
Going forward
The transition
Office of the Chief Information Officer
Planning, Engagement and Performance
Program Delivery
Corporate Services
HH
S M
anag
em
en
t
Info
Ser
vice
Ce
ntr
e
Service Delivery
Management
Existing External Vendors
Serv
ice
Use
rs (
con
sum
ers
)
HHS Metro
HHS Regional
HHS Rural / Remote
Health Services Support Agency
Department of Health Divisions
Current state
Corporate Services
HHS Metro
HHS Regional
HHS Rural / Remote
Department of Health Divisions
Health Services Support Agency
Office of the Chief Information Officer
Info
Ser
vice
Ce
ntr
e
Service Delivery (as internal vendor)
Serv
ice
Use
rs (
con
sum
ers)
Transition to managing agent
Managing Agent
Cu
sto
mer
Rel
atio
nsh
ip M
anag
emen
t
Innovate/Create
Plan
Strategic Sourcing
Sourcing Strategy
Contract Management
Procure to Pay
Vendor Management
Agreement
Existing External Vendors
Corporate Services
HHS Metro
HHS Regional
HHS Rural / Remote
Department of Health Divisions
Health Services Support Agency
Office of the Chief Information Officer
Serv
ice
Use
rs (
con
sum
ers)
Transition to managing agent
Service Delivery (as internal vendor)
Operational Vendors
VENDOR E
VENDOR D
VENDOR C
VENDOR B
VENDOR A
Managing Agent
Cu
sto
mer
Rel
atio
nsh
ip M
anag
emen
t Strategic Sourcing
Sourcing Strategy
Contract Management
Procure to Pay
Vendor Management
Innovate/Create
Plan Agreement
Contracts
Info
Ser
vice
Ce
ntr
e
Challenges
• Historic in-house (Queensland Health) ICT service delivery
• Legacy of a large portfolio of in-house systems
• Move centralised ICT delivery to a federated model
• Transition to internally and externally provisioned services
• Patient safety is a paramount consideration to the speed of transition
Business Applications
Technology Applications
Sy
ste
m S
oft
wa
re
QH
-T-3
System Utilities
QH-T-3.5
De
sk
top
an
d P
rod
uc
tiv
ity
QH
-T-1
Ma
na
ge
me
nt
an
d C
on
tro
l S
oft
wa
re
QH
-T-5
Systems/Element Management Software
QH-T-5.1
Storage Software
QH-T-3.1
Special Purpose System Software
QH-T-3.2
Operating Systems
QH-T-3.4
Ap
plic
ati
on
En
vir
on
me
nts
QH
-T-2
Personal Productivity
QH-T-1.1Database Platform Software
QH-T-2.5
Integration and Middleware
QH-T-2.4
Application Delivery Platform Software
QH-T-2.2
Security Management Software
QH-T-5.2
Telecommunications and Network
Software
QH-T-3.3Application Server Software
QH-T-2.2.1
Portal Server Software
QH-T-2.2.2
Web Server Software
QH-T-2.2.3
Application Virtual Machine Software
QH-T-2.2.4
Directory Server Software
QH-T-2.5.7
Relational DBMS
QH-T-2.5.1
Database Replication and Clustering
QH-T-2.5.6
IP Telephony Software
QH-T-3.2.1
Computer Aided Notification Software
QH-T-3.2.2
Data Protection Software
QH-T-3.1.1
Archive Software
QH-T-3.1.2
Storage Virtualisation Software
QH-T-3.1.3
Caching and Proxy Software
QH-T-3.3.1
Content Switch and Load Balancing
Software
QH-T-3.3.2
Network Performance and Optimisation
Software
QH-T-3.3.3
Network Name and Address Software
QH-T-3.3.4
Operating Systems
QH-T-3.4.1
Print Server Software
QH-T-3.5.7
OS Clustering and Availability
Software
QH-T-3.4.2
Virtual User Interface Software
QH-T-3.5.1
Supporting Utilities
QH-T-3.5.2
Application and OS Deployment
Software
QH-T-3.5.3
Server Virtualisation Software
QH-T-3.5.4
Operating System Virtualisation
Software
QH-T-3.4.3
File Server Software
QH-T-3.5.6
Desktop Virtualisation Software
QH-T-3.5.5
Business Intelligence Tools
QH-T-1.3
Collaboration Platforms
QH-T-1.2
Data Warehousing Platforms
QH-T-2.5.8
Information, System and Software
Engineering and Management
QH-T-2.1
Enterprise Metadata Tools
QH-T-2.1.7
Development Tools & Environments
QH-T-2.1.3
ICT Service Management
QH-T-5.3
Software Testing Tools
QH-T-2.1.5
Software Change and Configuration
Management
QH-T-2.1.4
Analysis, Design and Modelling Tools
QH-T-2.1.2
Requirements Management
QH-T-2.1.1
Embedded Software Tools
QH-T-2.1.6
Master Data Management
QH-T-2.4.7
Data Quality Tools
QH-T-2.1.8
Common ServicesPatient Directories
QH-CS-4
Electronic Health Record Repositories
QH-CS-1
Aggregated Clinical Patient Data
Repositories
QH-CS-1.1
Aggregated Administrative Data Repositories
QH-CS-1.2
KEY
CDR
Client Directory
ePADT
Core Work in Progress
Common
HHS / Division
Specific
Clinical Document Repository
(Unstructured)
QH-CS-1.3
Discharge Summary
Repository
TeamSite SharePoint
Provider Matching & Directories
QH-CS-2
QFinder
IeMR Provider
Matching Service
Terminology & Data Management
QH-CS-3
3M CodefinderDoctor Database 1-4
Fraser Coast Doctor
Database General Reference
NOTES
Applications are defined as “a system that supports the rules for entering, storing, processing
and/or reporting of data”.
This list represents a subset of Applications as not all HHSs have been surveyed.
The Clinical Services Capability Framework has been used as the start point to represent clinical
services. This was then assessed functionally decomposed. The QLD Government Application
framework has been used for corporate functions.
Applications have been only represented once. Where they support multiple functions the
primary use has been represented.
QUEENSLAND’s PUBLIC HEALTH SYSTEM: CURRENT STATE APPLICATION FOOTPRINTDepartment of Health Health Services Information Agency
Crystal Reports
Enterprise
SAP Business
Objects DS
Oracle OLAP
MS SQL Server
Analysis Services
SAS Analytics
JCAPS Master Data
Management Suite
IBM DataStage
MS SQL Server
Integration Services
Oracle JAVA
Oracle Application
Server
Apache Tomcat Oracle Database
MS SQL ServerMS.NET Server
Oracle Weblogic
Server
Apache HTTP Server
Microsoft IIS
Oracle HTTP Server
Microsoft.NET
Framework
Oracle Java Virtual
Machine
VMWare ThinApp
MS .NET
e*Gate
JCAPS
STS
HPOS
AUSFM
GPConnect
AUSLAB – Fax
Services
Common Application
Resource / CRDS
EVAPlusLAMDA Scan Path
Central
Millenium
QH Net
SFTA
JCAPS Master Data
Management Suite
Cornerstone V2MS Server Active
Directory
Insight
PHA-Names
Novell eDirectory
Oracle DataGuard
Oracle Advanced
Replication
Oracle Real
Application Clusters
HP OpenView
Novell IDMEnterprise External
Access Service
MS Network Load
Balancer
MS Windows Server Oracle (Sun) Solaris
Novell OSE2 Linux
Oracle (Sun) Cluster
MS Cluster ServicesOracle (Sun) Solaris
Containers
Citruix XenApp
VMWare View
Oracle (Sun) Solaris
Dynamic Domains
Oracle (Sun) VM
Server
VMWare vSphere
Citrix XenDesktop
Alcatel Contact
Centre Supervision
Snagit
Snomed Codes DB
Software Licence
Management
Unnoc
MS Exchange
Dictaphone S/W
(Olympus, Sony)
Dragon Naturally
Speaking
Endnote 3
iTunes
Kindle Software
NoteTaker
PathSpeak
MS Office
GroupWise
IE6
Mozilla Firefox
Tandberg
Videoconferencing
System
MS Access
WinScribe
MS Outlook
Physical Access Management Software
QH-T-5.2.1
Card Exchange
Card Five
Cardax
DVR Viewer
ID Badge Software
Milnet
OnGuard
RASPlus
StaffID DB
WinDSX
Basepage
Computer Assisted
Radio Personnel
System (CARPS)
Integrated Attendant
Console
Outbound Dialler
Phone-Control
CC Pulse
ConsolQ
Genesis Q-Master
Softphone
Titan
Oracle SQL Loader
Oracle Warehouse
Builder
Oracle Database
Gateway
SAP Business
Objects Enterprise
HBCIS - RMS
Oracle (Sun /
SeeBeyond) e*Index
Corporate Applications
Organisational Optimisation QH-A-7
Enterprise Business Intelligence
QH-A-7.1
Client / Patient Relationship Management QH-A-3
Research Management, Science and Engineering QH-A-4 Supply Chain Management QH-A-5
Enterprise Resource Planning QH-A-6
Human Capital Management
QH-A-6.4
Financial Management
QH-A-6.5
Customer Service and Support
QH-A-3.3
Enterprise Asset Management
QH-A-6.2
Maintenance Management
QH-A-6.3
Planning and Governance
QH-A-7.5
Project Portfolio Management
QH-A-7.2
Facilities Operations
QH-A-6.6
Knowledge Management
QH-A-7.3
Generic Service Delivery QH-A-1
Authorities, Licences,
Permits and Awards
QH-A-1.1
Accreditation
QH-A-1.2
Registration and
Inspections
QH-A-1.3
Information Submission
QH-A-1.5
Subsidies, Grants,
Benefits & Assistance
QH-A-1.7
Infringement Management
QH-A-1.8
Investigations Management
QH-A-1.9
Case Management
QH-A-1.10
Event Management
QH-A-1.12
Computer Based Training
QH-A-1.14
Scheduling and Bookings
QH-A-1.4
Library Management
QH-A-1.11
Information Provision
QH-A-1.6
Environmental Management
QH-A-6.7
Document and Records Management
QH-A-7.4
MAPLE
FAMMIS / SAP-FICO
MAIS
CFOC
iCMMS
DDS
ECRI-AIMS
SAP/HR
HIRSLIMS / VoyagerPathologyTest List
Primavera
QIS2Recfind
WMS
Resource Mgt
System (RMS)
SelfService Centre
HP Trim
MSProject
ChemAlert
Quitline CRM
PSIAM
ACHS Comparative
Report Services
ADT Public to Private
Asset Tracking3 DB
Australian Research
Ethics Database
Auto CAD
AutoDesk
Automated Accounts
Payable System
Booking
BTS Manuals
Budget Management
DB
CaliberRM
CDC Respond
Accom Management
DB
BMS (Aircon)
CIS Portal and T2
CKN/e-books
Client Access
System
Clinical Equipment
Management Sys
CFOC
Skills Management
QH-A-6.4.11
Code Baby
Contracts Register
SAP PM
Credentialing DB
Daniels
DORA
EPM
Equipment Tracking
& Lending DB
FBT Simplifier
File Tracker
Database
Financial and
Residential Activity
SystemFleetscape
FOIders
Forms Database
Future Point of Sale
Inventory & Sales
Gas TRAC
Gift Register
Hummingbird
JMAN PAYMAN
XMAN
KeyManager
Keymaster
Legal Database
LIMS / Voyager
Major Equipment
Management System
Managers Help Index
Mex
Motor Vehicle
Database
MYOB
Nexus Lighting
NVIVO
POPS
PATS
Promart
Promaster Key
Manager 5
PILO
QDOS
QHEPS
Qld Poisons
Information Service
Q-Pulse
RecQuery
ReDax
Requirements
Management Tool
Resource Centre
MEGA
RFFlow
SAS ABM
Staff Protect
TPNEP
Articulate
Athena
Employee Assistance
Services
Epiplex500
Fire Evacuation
Program
Moodle
NRAS
Operational Services
Managers Training
DB
RMO Online System
Rostering
QH-A-6.4.3
Payroll Management
QH-A-6.4.7
Payroll Portal
Application / Self
Service
Payroll Personal
Enquiry ServiceRecruitment
QH-A-6.4.1
RecruitASP
eRecINTERN
eRecRMO
Workbrain
Groupwise Payroll
Workflow
ROSS DB
RostaFAID
ePayslips
Payroll
Overpayments
Tracking System
E-Prints POD Kiosk
QFleet
GNOR
RRNRR
QiiT
IMS
QHRISK
Handi Data
Hospital Related
Deaths Register
Patient Incident
Reporting System
Security
Management System
Select Survey
Spectacle Supply
Database
Spinifex IT
SPSS
Stata IC-11Storage Register
Talons
TapRoot
Teleform
TNT Transaction
Toll Lite
Tracker
Training (BTS)
Training
Management System
Training Manager
ESPReporter
Medical Specialist
Advancement
System
ATODS HRM DBDemand Driven
Workforce System
User Productivity Kit
Utility Management
System
Waste Management5
DB
Work Requests DB
SAP MM
QHDD / CRDS
DSSAllied Health
Domcilliary Info Sys
Jasper Reports
Mac Online
Outpatient Data
Collection System
Output Environment
Transition II CBS
QHERS (ERSA)
EVAPlus
Clinical Applications
Health Service Delivery QH-A-8
Clinical Specialty Management
QH-A-8.2.2
Acute Care Setting Management
QH-A-8.2.3
Community & Primary Care Setting Management
QH-A-8.2.4
Clinical Activity Analysis
QH-A-8.2.5
Medical Imaging
QH-A-8.2.7
Laboratory
QH-A-8.2.8
Medication Management
QH-A-8.2.9
Patient Administration
QH-A-8.2.1
Clinical Service Billing
QH-A-8.2.10
Infection Control & Assessment
QH-A-8.2.6
Clinical Incident Management
QH-A-8.2.12
Blood & Human Tissue Management
QH-A-8.2.11
Electronic Health Records
QH-A-8.2.13
Population and Public Health
QH-A-8.2.14
Medical Imaging Management Information Systems
QH-A-8.2.7.1
Cerner RIS
(RADNET)
Codefinder
QRiS
Practix PMS
Pathology Public
Billing
PHICSS
EHInfoNet
NOCS
CHRISP Connect
Kestral RMS
13QUIT COACH
MediWeb
AUSLAB – Revenue
iPharmacy
eLMS ScripTraker
Mirrijini Kiosk
MODDS
LAM Database
Australian National
Drug Information
Service
Bacto – Food
Microbiology
Bacto – Long Term
Data
Breast Nurse
Database
BSQR2
Care Continuum
Suite
Central Pharmacy
DB
Death System
eCare
eiCAT
EHInfoNet
EPILOG
(H1N1 tracking)
HIAS
Hospak
iDose
Iowa Drug
Information System
Medical Spectrum
Medicare Online
Claiming (ECLIPSE)
MedTRx
Methadone DB
Myeloma DB
MyScript
Non Tuberculosis
Micobacteria
VIVAS
PPIRT
CDIS DB
PYXIS
Quotes DB
BloodNet Craps 97
Snapshot
Specialised Health
Services
TB Management DB
TransData
Vascular Laboratory
Sonograper System
ViewPoint
Endoscopy QH-A-8.2.2.4
Endocrinology QH-A-8.2.2.8
Emergency QH-A-8.2.3.1
Intensive Care QH-A-8.2.3.2
Surgical QH-A-8.2.3.3
Anaesthetics QH-A-8.2.3.4
EDIS
Drager Medical
Training Tool
Paedeatric
Emergency Medicine
Software System
Gastroenterology & Hepatology QH-A-8.2.2.9
eVICI
Feeding Devices
System
Gastro Intestinal
Scribe
Gastroenterology
Nursing Survey
HEP
RCH ICIP
ICU CIS Aortic
Australasian
Outcome Research
Tool For Intensive
Care
ICUBED
IntelliVue Clinical
Information Portfolio
Medical Registers
QH-A-8.2.15
Antibody RegisterPSR
ORDITQCR
Pathology QH-A-8.2.2.8 Forensic & Scientific
QH-A-8.2.2.8
Kinship DNA
Matching
KinTrak
AUSLAB – Public
Health
AUSLAB – Forensic
Coronial Certificates
Forensics Reports
Labmaster
NWA Quality Analyst
SigmaPlot V4
AUSLAB - Path
AUSCARE
MARS
POPE
Esky Tracking
NOMS
Lamson Tracking
OrgTRx
(Antibiograms)
3D DNA
ABI Prism
Allele
Antigen Calc
AssignIT
Aus Tims
Autotype
AXSYM QC
Callibrations
Cell Count
CFTR CF DB
Coag QC PAH
Cyrillic
Epiderma Bullosa DB
ImageScope Viewer
Imunlab
Labels
LAMP
LinChecker
Marrow V2
Media (recipes)
MethVal
Molbiol2
Molecular Genetics
Multianalyst
Orders
Pathware on Site
PCR Manager
PKU Results
PML
QC DB
QML Pathology
System
Radiance
Retained Organ
Register
Serology Reagent
DB
SERTF
Serum and Urine
SSPTool 3
T Plant 2
The Blood Culture
Book
Ttims
TAT
Viral QC
Virology Utilities
WiaCalc
WTI
Oral Health QH-A-8.2.4.1
General Patient Administration QH-A-8.2.1.1 Scheduling and booking QH-A-8.2.1.2 Patient Flow Management QH-A-8.2.1.3Hospitality Services QH-A-8.2.1.4
HBCIS - ADM
Gait Lab Patient
Database
Inpatient Lists
Labels AnyWhere
Medical Records DB
Oncology Clinical
Administration
System (CAS)
QHIPS
Spinal Outreach
Team Database
Outpatient Scheduling Patient Travel Management
PTSS DB
TMSOSIMASIM
ISIS
Travel Manager
Strait Up
Travel AssistantTravman
Catering
Chefmax
Laundry Management
Lauman
Menu Ordering &
Kitchen Management
System
MLS
Titan Label Writer
Cleaning
TopCat
Patient Safety QH-A-8.2.1.5
Clinical Dashboard
Patient Journey
Boards DB
Beds Availability
Reporting Application
eBeds
Bed Manager
Patient Flow
Manager
Community Health QH-A-8.2.4.4
Mental Health QH-A-8.2.2.1
CIMHA
Aggressive
Behaviour Mgmt DB
CalmLink
DAS-II
MHEC
MHIPAMH OIS
Personality
Assessment Inventory
Clinical Assessment
Tool
PSI-SP
PsychCorpCentre
Sensory profile select
TSC-SP
WAIS-IV Report
Writer
WISC-3
Maternity & Women’s Health QH-A-8.2.2.2
Cardiology QH-A-8.2.2.3
Oncology QH-A-8.2.2.5
Peri-natal QH-A-8.2.2.6
Renal QH-A-8.2.2.7
ESISS
PD Adequest
Endoscribe
Finesse Nephrology DB
PD Link
POET
POET Plus
Renal ambulatory
patient monitoring
system
Renal Transplants
and Dialysis, Patient
Records
VA Monitoring
(Vascular Access)
HD03
POIMS/Charm
ROIS / MOSAIQ
(SQ)
QOOL
MOSAIQ (NQ)
Acute Leukaemia DB
ALLG AML
AML 13
The Planning
DatabaseCervical Cancer DB
Conners
Genta
Occasions of Service
QCCC / CRA
Tissue Banking Aust
Leaukemia System
Practice / Clinic Management QH-A-8.2.4.3
Residential Care QH-A-8.2.4.2
Ferret
PractiX
Medical Director
Best Practice
PracSoft
ACIMS
ACE
ISOH
SOSHIP
Aged Care
Assessment Tool
CvLT-II
Kodak Dental
Imaging Software
Orthodontic Waiting
List System
Oncology
Bereavement DB
NeoData
Perinatal Data
Collection System
Perinatal Mortality
Database
HCare
Abbott CoPilot HMS
Assessment Data
Manager
Clinical Co-ordination
Retrieval Info Sys
Early Childhood
System
Family Care DBTRACCS
ICAT
IBERA
ONI
Positive Parenting
Program
AARK
CCDR
Heartlab
Accu-Chek 360
Anaesthetic Alerts
Database
Anaesthetics Clinical
Epidural System
Bisphosphanate DB
Cardiac Rehab DB
Cardio Thoracic DB
Cardiobase
Cardio Perfect
Cardio Star
Code Stat Suite 5
Diabetes Database
DMACs
HBA1C DB
Paceart
Vision Premiere
(Holter)(Burdick)
Allied Health
QH-A-8.2.16
AHIISHealth Outcomes
Scoring Software
Performance
Indicators 5
Audiology QH-A-8.2.16.4
Occupational Therapy QH-A-8.2.16.5
Respiratory & Sleep Studies QH-A-8.2.16.6
Physiotherapy QH-A-8.2.16.1
Nutrition & Dietetics QH-A-8.2.16.3
CoPilot
ePN
FoodworksHome Entral Nutrition
System
Nutricia Flowcare
Training c2
Physio Tools Physiotherapy DB
SiliconCoachVHI PCKITS
ALGO 3i Natus & 3
Natus
Cochlear Implant
Database
Compic
Custom Sounds
NOAH
Sound Contrasts in
Phonology
Rehab Engineering QH-A-8.2.16.7
Actiware
Digital Library &
Archive
JLAB
Nova Card
Respiratory DB
Sensormedics /
Jaeger
JLAB
SomnoLogica Studio
Fine Motor
Dysfunction
PIMS
Rehab Asset
Management DB
Rehab Minimum
Dataset DB
Podiatry QH-A-8.2.16.8
Hadoc Smart V-link
TOGGaitScan
Speech Pathology QH-A-8.2.16.2
A Sound Judgement
Boardmaker
Connected Speech
Hanen DB
Multimedia Speech
Pathology
Nasometer II
Proloquo2go
React
Speech Pacer
Speech Pathology
Client DB
Spelling Fusion
ANZ ITB Database
ORMISv5
ORMISv7
Urology QH-8.2.3.6
Acquidata MaximInstacount
Non-Elective
Operating Booking
and Information
Tracking System
Orthopaedic QH-8.2.3.5
ORDIT
QALS
QLD Bone Bank
Management System
Surgical Audit
System
Surgical Ward
Database
Sexual Health QH-A-8.2.4.5
Brisbane Sexual
Health & AIDS
Resource ProgramSexual Health
Information Program
Ship
Babies Know
K2 Fetal Monitor
Matrix
Miscarriage Study
DB
Natus
NNS DB
NRP DB ObsDATA
PSR
Peri-Online
Pregnancy Calculator
Haematology QH-A-8.2.2.10
Neurology QH-A-8.2.2.11
Ophthalmology QH-A-8.2.2.12
ABMDR
Appropriate Blood
Use
Assettra BMS (Haematology)
HaccSoft
Haemophilia DB
ImageNET 2000
Neurosciences DB
ProFusion + Nexus
Retcam
Stroke DB
General Paediatrics QH-A-8.2.2.13
Palliative Care QH-A-8.2.2.14
Pain Medicine QH-A-8.2.2.15
Acute Pain DB
Acute Pain Service
Database
ATODS-IS
Alcohol and Drug
System
Cecil
Palliative Care DB
PemSoft
Pfizer International
Growth Database
Nuclear Medicine QH-A-8.2.2.16
Metabolic Medicine QH-A-8.2.2.17
Haemoglobin Studies
DB
Metabolic Medicine
System
Positron Emission
Tomography DB
Monika PC Software
Pharmacy
Department Fridge
Monitors
VLAD CM & MARS
Audit 4
Hand Hygiene DB
Nursing
QH-A-8.2.17
TrendCare
Nurse on Q
Ascom
JCT NurseCall
Discharge / Referral
QH-A-8.2.18
EDS TPCH eDS
DESCRIPTION: Overview of how current and funded planned systems support QLD’s public health
system.
TITLE: Queensland’s Public Health System: Current State Application Footprint
LOCATION: G:\PEP\SAO\Team\EA\EA Descrip\App Arch
APPROVER: Chief Information Officer STATUS: Approved - Version 1.2
(28/06/13)
General Electronic Medical Record QH-A-8.2.13.1
Longitude Patient Viewers QH-A-8.13.2
Cerner Millennium
Cerner (Powerchart)
ERIC
Areo ScoutCHIMS
Transition Care
The Viewer
V1.2 (Final)
Picture Archive and Communication System
QH-A-8.2.7.2
ePACS (AGFA
IMPAX)
AGFA IMPAX CV
Alaris Guardrails
Editor
EasyWare
EyeBank
Management System
Hypertension DB
Med Phys Apps
Patient Telemetry
Precision Link
Private Practice
Lymphodema Clinic
Database
QASO
RaFT
SCWBCMIS
Horizon Rad Station
Prosolv
RIPS
QLab
Synapse
Tyco
CDN (Merlin)
MAPLE Online
Adobe InDesign
Creative Suite 4
Glassfish DB2
Doctor Tracker
ACL (Audit)
IMHDRR
ECHO
MS Dynamics
Camtasia Studio
Communicate in Print
2
Pinnacle Studio
Sign Lab
SAP BPT
HBCIS - APP
HBCIS - DEBT
HBCIS – Casemix
Analyser
HBCIS - EMG
HBCIS - HIC
HBCIS - HOSP
HBCIS - HQI
HBCIS - MMAINT
HBCIS - MRT
HBCIS - PDS
HBCIS - REC
HBCIS - SEC
CPOC
CCRIS
QHIHIMS
HBCIS - HPMI
CBORD
Legacy
LATTICE
ESP
MHA2000
CDSS
PRIME - CF
PRIME - CI
SATR
ADR
HID
Clinical Applications
Allied Health
Medical Imaging
Radiation Oncology Corporate Applications
Common
Services
Endoscopy
Infection Control
Community and Primary Care CIS
Medical Registries
Scheduling
Data Warehouse / Analytical
Systems
Integration
Emergency System
Operating Theatre
Anesthetics
ICU
General CIS
Viewer
Pharmacy
Laboratory
Discharge / Referral
Mental Health
Patient Admin
LEGEND
HL7 Message Interfaces
Batch Interfaces
e*G
ate
JCA
PS
AUSLAB
eLMS
Cerner RIS
QRIS
CIMHA
Ausall
AARKePADT
iPharmacy
EDISORMIS
Client
Directory
Agfa PACS
STS
External Parties
Database Integration
CDR
Web Service
EPILOG
TrendCare
POIMS
QOOL
Various Site-
based Apps
ICIP ICU
HL7
CHRISP Connect
PHICCS
Agfa RIS
Auscare
EDS
The Viewer
Loga
n
e*G
ate
ERIC
Karisma
HBCIS
ASIM
Synapse
VIVAS
ESISS
Talons /
Transition 2
OSIM
SATR
QHAPDC/
OE
SAS
Panorama
Cognos
QHERS
Business
ObjectsDSS Data
marts
DSS
ATODS
ATODS
Reporting
HQI
AARK
Reporting
Database
Ferret ISOH
ROIS
BSQR2
Applications
Data
Warehouse /
Data Mart
Reporting Tools
Secondary Data Use
(BI)
Strategy & Architecture Office
NOCS
Practice
Management
Practix
PI5
ORDIT
ICU CIS
SAP HRFAMMIS
Plant
Maintenance
(PM)
Financial / Controlling
(FI/CO)
AAPS
CMMS
Cmms
Mobile
Commissioning
Database
iCMMS
MARS-LISS
Onesource
FBT
PDEU
(MC3190)
PDEU
(PDT3100)
ICT Cap
Database
POTS
Corp Card
(SDOL)
SIMS
TMS
Travel Mgr
Trial
Balance DB
ECRI-AIMS
Asbestos
Register
Facility
Performance
Assessment DB
Materials
Management
(MM)
OMTRAK
WMS
ACL
Integration
SOHSIP
Crystal
Reports
Xman
RMS PSS
Workbrain
Legacy systems
S1
S5
S9
S13
S17
S21
S25
S29
S33
S37
S41
S45
S49
S2
S6
S10
S14
S18
S22
S26
S30
S34
S38
S42
S46
S50
S39
S35
S55
S3
S7
S11
S27
S44
S32
S20
S24
S28
S4
S8
S40
S36
S15
S19
S23
S31
S54 S53
S47
S51
S48
S43
S12
S52
S16
Future delivery strategy – conceptual
Legacy systems Externally hosted Queensland Health
platforms and private clouds
Future delivery strategy – conceptual
S1
S5
S9
S13
S17
S21
S25
S29
S33
S37
S41
S45
S49
S2
S6
S10
S14
S18
S22
S26
S30
S34
S38
S42
S46
S50
S39
S35
S55
S3
S7
S11
S27
S44
S32
S20
S24
S28
S4
S8
S40
S36
S15
S19
S23
S31
S54 S53
S47
S51
S48
S43
S12
S52
S16
Legacy systems Externally hosted Queensland Health
platforms and private clouds
Future delivery strategy – conceptual
Clinical 3
Clinical 2
Clinical 1
(e.g. Cerner)
S1
S5
S9
S13
S17
S21
S25
S29
S33
S37
S41
S45
S49
S2
S6
S10
S14
S18
S22
S26
S30
S34
S38
S42
S46
S50
S39
S35
S55
S3
S7
S11
S27
S44
S32
S20
S24
S28
S4
S8
S40
S36
S15
S19
S23
S31
S54 S53
S47
S51
S48
S43
S12
S52
S16
Legacy systems Externally hosted Queensland Health
platforms and private clouds
S1
S5
S9
S13
S17
S21
S25
S29
S33
S37
S41
S45
S49
S2
S6
S10
S14
S18
S22
S26
S30
S34
S38
S42
S46
S50
S39
S35
S55
S3
S7
S11
S27
S44
S32
S20
S24
S28
S4
S8
S40
S36
S15
S19
S23
S31
S54 S53
S47
S51
S48
S43
S12
S52
S16
Future delivery strategy – conceptual
Clinical 3
Clinical 2
Clinical 1
(e.g. Cerner)
Legacy systems Externally hosted Queensland Health
platforms and private clouds
S1
S5
S9
S21
S25
S29
S33
S37
S41
S45
S6
S10
S14
S18
S22
S26
S30
S34
S42
S46
S50
S39
S35
S55
S3
S11
S44
S32
S20
S24
S28
S4
S8
S40
S36
S15
S19
S23
S31
S54
S53
S51
S48
S43
S12
S52
S16
Enterprise Resource Planning (e.g. SAP)
Future delivery strategy – conceptual
Clinical 3
Clinical 2
Clinical 1
(e.g. Cerner)
Legacy systems Externally hosted Queensland Health
platforms and private clouds
S1
S5
S9
S21
S25
S29
S33
S37
S41
S45
S6
S10
S14
S18
S22
S26
S30
S34
S42
S46
S50
S39
S35
S55
S3
S11
S44
S32
S20
S24
S28
S4
S8
S40
S36
S15
S19
S23
S31
S48
S43
S12
S52
S16
Enterprise Resource Planning (e.g. SAP)
Future delivery strategy – conceptual
Clinical 3
Clinical 2
Clinical 1
(e.g. Cerner)
Legacy systems Externally hosted Queensland Health
platforms and private clouds
Enterprise Resource Planning (e.g. SAP)
Future delivery strategy – conceptual
Clinical 3
Clinical 2
Clinical 1
(e.g. Cerner)
Private cloud 3
Private cloud 2
Private cloud 1
S1
S5
S21
S25
S29
S33
S37
S41
S45
S6
S10
S18
S22
S30
S34 S42
S46
S50
S39
S35
S3
S11
S28
S4
S8
S40
S36
S15
S19
S23
S31
S48
S43
S12
S52
S16
Legacy systems Externally hosted Queensland Health
platforms and private clouds
Commercially available hosted platforms
(public cloud)
Enterprise Resource Planning (e.g. SAP)
Future delivery strategy – conceptual
Clinical 3
Clinical 2
Clinical 1
(e.g. Cerner)
Private cloud 3
Private cloud 2
Private cloud 1
S1
S5
S21
S25
S29
S33
S37
S41
S45
S6
S10
S18
S22
S30
S34
S46
S50
S39
S35
S3
S11
S15
S19
S23
S31
S48
S43
S12
S52
S16
Legacy systems Externally hosted Queensland Health
platforms and private clouds
Commercially available hosted platforms
(public cloud)
Enterprise Resource Planning (e.g. SAP)
Public cloud
Public cloud
Future delivery strategy – conceptual
Clinical 3
Clinical 2
Clinical 1
(e.g. Cerner)
Private cloud 3
Private cloud 2
Private cloud 1
S1
S5
S21
S25
S29
S33
S37
S41
S45
S6
S10
S18
S22
S30
S34
S46
S50
S39
S35
S3
S11
S15
S19
S23
S31
S48
S43
S12
S52
S16
Legacy systems Externally hosted Queensland Health
platforms and private clouds
Commercially available hosted platforms
(public cloud)
Enterprise Resource Planning (e.g. SAP)
Public cloud
Public cloud
Future delivery strategy – conceptual
Clinical 3
Clinical 2
Clinical 1
(e.g. Cerner)
Private cloud 3
Private cloud 2
Private cloud 1
S1
S5
S21
S25
S29
S33
S37
S41
S45
S6
S10
S18
S22
S30
S34
S46
S50
S39
S35
S3
S11
S15
S19
S23
S31
S48
S43
S12
S52
S16
Legacy systems Externally hosted Queensland Health
platforms and private clouds
S1
S5
S21
S25
S29
S33
S37
S41
S45
S6
S10
S18
S22
S30
S34
S46
S50
S39
S35
S3
S11
S15
S19
S23
S31
Commercially available hosted platforms
(public cloud)
Enterprise Resource Planning (e.g. SAP)
Public cloud
Public cloud
Future delivery strategy – conceptual
Clinical 3
Clinical 2
Clinical 1
(e.g. Cerner)
Private cloud 3
Private cloud 2
Private cloud 1
How will this transition occur?
Contestability
The application of competition or the threat of competition to the provision of services to drive efficiency and effectiveness of a particular provider, regardless of the market structure that is in place. - Review of Health Services Information Agency (Deloitte April 2013)
Recommended option
Hybrid contestability model No contestability Full contestability
contestability spectrum
Initial candidates for contestability
Early Market Engagement
Open Request for Offer
Evaluation Negotiation Award
Contract Transition
Proposed market approach
Service offering 1: Telephony
Service offering 2: Health workspace
Q4 2013
Q1 2014
Q2 2014
Q3 2014
Telephony
Current infrastructure
• > 360 PBXs
• > 87,000 handsets
• > 45 paging/messaging systems
• > 9,000 pagers
• > 13,000 mobile phones
Benefits required
• Improved customer service
• More effective use of government investment
Business challenges
• Maintaining systems at the manufacturer’s support level
• Complex telephony infrastructure
• Impact of failures and breakdowns to Hospital and Health Services
• Limited ability to deliver contemporary telephony services
Telephony
Health workspace
SOE image
Device service
and support:
Workstations
Tablets
Laptops
Smartphones
Printers
Functions
accessed
through
devices:
Office
Sharepoint
eDRMS (TRIM)
File storage
Device service and support • > 44,270 workstations • > 900 tablets • > 10,290 laptops • > 1,240 smartphones • > 11,770 printers • Virtual Desktop Infrastructure
Functions accessed through devices • Office • Email • Sharepoint • eDRMS (TRIM) • File storage
Why do this?
• More flexible approach
• Provide common/commodity ICT services ‘as a service’
Expected benefits
• Increased workplace productivity
• More reliable and sustainable work environment
• More effective use of government investment
• Improved services to customers
Health workspace
Future plans for contestability
• Implementing whole-of-government ICT strategy
• Deliver ‘ICT as a service’
• HSIA service catalogue will go through contestability test
• As fast as possible but services still need to be provided
Department of Health is embracing public sector ICT renewal
Health ICT is an enabler of the Queensland Health Blueprint
HSIA is becoming a managing agent and reducing its ICT service delivery role
HSIA is moving to ICT as a service
Early market engagement for first two service offerings will commence shortly
Government is serious – Queensland Health is leading and it must work
Key messages from today
6
5
4
3
2
1
Key challenges for industry
1. How will you provide what we want?
2. Is there enough maturity and innovation to deliver?
3. How will you “put the patient at the centre” of all you do?
We have to make this work
Video clip: Integrated electronic Medical Record
Next steps
• Early market engagement starts next week
• Probity
Early Market Engagement
Open Request for Offer
Evaluation Negotiation Award
Contract Transition
Q4 2013
Q1 2014
Q2 2014
Q3 2014
Questions