Midland Region All Boards Development Days. Midland espace. 15, 16 October, 2015

Transcription

1 Midland Region All Boards Development Days Midland espace 15, 16 October, 2015

2 Outline 1. Regional Information Services 2. espace Overview 3. Midland epharmacy 4. Regional Clinical Workstation

3 Regional Information Services: Who are we? HealthShare regional function Established April 2013 Coordinated Services Model DHBs act as both suppliers and customers HealthShare responsible for regional IS delivery Regional governance DHB DHB DHB HSL DHB DHB Regional IS Leadership (2FTE) Portfolio/PMO (2FTE) Technology leadership (3 FTE) Service Mngt (1FTE) espace Prog/Project mngt (5FTE) Analysis (4FTE) Application experts (4FTE) Support (1FTE)

4 What do we wish to achieve? To support delivery of strategic objectives and priorities To deliver robust, sustainable and agile regional Information Services Safe transition to regional/national/commercial services Working with DHB CIOs To support ongoing improvement in IS services and IS capability Leverage capability across the region, Drive efficiencies and improved quality To model the behaviours and spirit of regional collaboration

5 Delivery of integrated, shared clinical information systems A single governance structure Programme resources to support the region s virtual teams Enables effective business and service transformation Focused on 4 strategic objectives: Support integrated care and reduce risks to patients and clinicians Support effective and efficient clinical practice Implement effective business change Develop a strategically aligned, agile IS environment Includes delivery of the regional Clinical Workstation

6 Why are we doing it? To support delivery of strategic objectives and priorities Aligned to Regional Services Plan and National Health IT Plan To deliver robust, sustainable and agile regional Information Services Replaces legacy DHB systems with shared solutions epharmacy already delivered Regional Clinical Workstation using Orion solution in progress Leverages existing solutions Sysmex Éclair at BOP, shared Philips RIS/PACS, Provation at Taranaki, eprescribing at Taranaki Roadmap of multiple projects To support ongoing improvement in IS services and IS capability Leverages capability across the region Will deliver significant efficiency and quality benefits

7 Roadmap CWS Functions 17/18 FY 14/15 (Q2) 14/15 (Q4) 15/16 (Q2) 15/16 (Q4) 16/17 (Q2) 16/17 (Q4) 17/18 (Q2) 18/19 (Q2) (Q4) Calendar Electronic Management of Investigations discovery Roadmap to beginning 18/19 financial year Core Functionality Results management eorders Primary Care Integration ED IT Solution Clinical data integration ereferrals Improvement of Core funtionality Shared Care DHB Implementations RCWS Release 1 (Lakes + Tairawhiti) Taranaki Waikato BOP Medicines Management epharmacy Medicines Reconcilliation eprescribing + administration Supporting Regional Functions User access (authentication / roles) MPI Data definitions Privacy / Security / Audit Allergies / Alerts / Warnings Benefits management/release management/business rules, processes etc Reporting Business Intelligence Decision Support Systems Service transformation Mental Health + Addiction Cardiology Cancer Other Medical/ Surgical domains Acute process incl ED IT solution Out patient processes Electives Processes Inpatient Processes

8 Midland epharmacy

9 Jun 13 Jul 13 Aug 13 Sep 13 Oct 13 Nov 13 Dec 13 Jan 14 Feb 14 Mar 14 Apr 14 May 14 Original Plan Design, Dev & config Dev, Test & Data Population Go-Lives Close Final rebaseline Design, Dev & config Delay Dev, Test, Data Population & User Confidence v1005 Go-Lives Close Jun 14 Jul 14 Aug 14 Sep 14 Oct 14 Nov 14 Dec 14 Jan 15 Feb 15 Mar 15 Apr 15 May 15 Jun 15 Jul 15 Aug 15 Scope Shared, single regional system epharmacy Project Overview Replace 5 DHB pharmacy systems with Regional epharmacy Common standardised processes, practices and language Financials $6.6m budget, delivered within budget Timeline Significant delays before project start: Business Case submitted Dec 2011

10 Challenges Regional collaboration Time delays and pressure Agreeing single system configuration is difficult but critical Regional operational service management

11 Challenges Technical challenges printing, integration NZULM integration Product quality multiple testing rounds Resourcing pressures and risks

12 Lessons Learned Governance is critical Clinical leadership and commitment Resource appropriately Partnership approach vendors, region, DHBs

13 Strong project management Lessons Learned Technical delivery is complex Operational service management transition takes time It takes perseverance and tenacity..

14 Stakeholder Perspective Project showed the ability and determination of pharmacy staff to get things done. It is a stepping stone to other regional collaborative medication management projects Jan Goddard, Waikato DHB Chief Pharmacist epharmacy is a testament to how a region can pull together to work toward common goals Andrew Boyd, HealthShare CEO epharmacy was successful through the Candour, Commitment and Can-Do attitude of the region Dale Oliff, Lakes DHB Chief Operating Officer and epharmacy Project Executive The roll out of the epharmacy system shows what can be achieved with strong regional leadership and close engagement with clinicians and IT vendors Jonathan Coleman, Minister of Health

15 Project Successes Strong vision of single regional system, common standardised processes, practices and language Strong effective governance Clinical leadership Good working relationships Engaged and committed users Transition to regional support team

16 Project Successes First regional hospital epharmacy solution in NZ First hospital pharmacy use of the national drug database. Project delivered on budget 5 DHB s live within ten weeks Integrated view of the patient s hospital medicines record visible across DHBs Transparency of inventory across DHBs

17 Expected Benefits Reduced IT implementation, support and maintenance costs - achieved Reduced IT system risk achieved Aligned business processes - achieved Increased access to clinical and management information achieved

18 Expected Benefits Improved patient safety and outcomes - enabled Reduction in adverse drug reactions enabled Enthusiasm for future regional collaboration enabled Resource sharing, standard treatment guidelines, regional PML, regional inventory, regional reporting Rollout of further medicines management functionality

19 Next Steps Improve and bed down the operational service Explore regional process improvements Other regional medication management solutions Medicines reconciliation, eprescribing, integrated community medication information Repeat the successes; Learn the lessons Support other national/regional implementations

20 Questions?