DIGITAL HOSPITAL DESIGN DIGITAL HEALTH TRANSFORMATION HIC 2016 MELBOURNE 25 JULY Bruce Winzar Executive Director Information Services

Transcription

1 DIGITAL HOSPITAL DESIGN DIGITAL HEALTH TRANSFORMATION HIC 2016 MELBOURNE 25 JULY 2016 Bruce Winzar Executive Director Information Services

2 Agenda Health Business Transformation considerations Leadership Clinical Engagement New Technologies Integration Journey so far Innovation small steps Data driven - Information Management Lessons Learnt

3 Leadership ROLES (the players) Board / CEO Executive Sponsor(s) Clinicians Project Team governance, relationship to ICT Partner ; Vendor management Challenges: Understanding digital business Funding increased costs; sustainability Risk Management Data driven health informatics, what is it?

4 Clinical Leadership & Engagement SSOO& SMOO Executive/Sponsor CIAG Clinical Informatics Advisory Group CMO & 2 x Deputy CMO s Director Health Informatics Challenges: Traditional model CMIO / CNIO / CCIO Decision making what works for you Clinician - behavioral change; Business - culture change

5 Digital Transformation - Journey so far VISION for ICT in hospital Principles 4 Pillars EMR / UC / Mobility / Infrastructure Best Practice clinical Models of Care >22 New ICT enablers, approx. 35 Challenges: Scope of Integration Managing business expectations Change management PPP model - timelines

6 New ICT technologies enable new ways of BH RTLS security, duress Patient Monitoring Device bedside telemetry Business Intelligence tools - population health management; emphasis on Health informatics Video Conferencing telehealth and Remote Patient Monitoring RFID track assets, staff, patients (e.g. mums and babies hugs and Kisses ) Nurse Call integrated with Unified Communications, point of care devices Medications Management (5 R s) Patient / Community / Provider Portal(s), digital wayfinding enhance patient experience DMR paper light environment Integration standardised integration and interoperability PES patient entertainment, IPTV, Movies, Free2Air, guest Internet WIFI 100% coverage within new hospital, with splash out Unified Communications VOIP, video streaming, presence, collaboration DR medical grade network %; PDC and SDC; WAN, LAN, WIFI high availability, secure, reliable Kiosks - Enterprise Scheduling, queuing system, single source of truth for bookings VDI and SSO tap on tap off productivity and efficiency, context awareness Active Directory single AD for all users, on-boarding including PPP EMR - clinical and operational performance; data integrity; compliance; quality, safety, etc. HIE - includes data from organisations across the care continuum MDM mobile device management, security, BYOD Cloud - Azure and O365 - sustainable ICT investment New Devices tablets, laptops, COWs, fat clients, thin clients, fixed, WIFI any device; Audio Visual 10 levels of technology requirements AGV automated guided vehicles Online meal ordering Pneumatic tube system Building Management system Security E-learning platform Secure messaging E-referral Myhealth record, legacy systems, GPs, community health, specialists, Primary Health Network, other etc.

7 Overlay with Change Management Plan; Overlay with BHP Transition Plan; Overlay with NBHP Works Plan.

8 Incremental Transformation/Innovation Trigger: Greenfield build New technologies New ICT Governance model Business models of care reviews Business restructure propose central PMO Spotlight on ICT investment in health: Manage Risk - Failed projects Resource availability clinician availability and backfill funding Back Office / Legacy infrastructure, application challenges Develop an Agile Innovation program Challenges: Capex Opex investment Understanding 24x7 digital hospital operations Complexity Consumerism / disruption /expectation

9 Information Management and Governance Data driven business more than ever before Security, privacy e.g., Cyber threats Integrity of data New service models disrupting traditional models of service Cloud services Broker ICT Shared Services Challenges: Readiness e.g., governance, policies, protocols New work roles yet to be defined Clinical analytics, BI, Population management

10 Lessons Learnt 1. Business benefit is weighted towards intangibles SOFT v HARD 2. Leap of faith required by decision makers 3. Success of change management related to R0I proportioned to commitment to change: Culture Behaviour 4. Team talent and retention 5. Benefits Realisation a necessity 6. If new build and PPP, get ICT involved as early as possible integration; integration; integration is the key