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eHealth NSWAn overview of the eHealth Strategy

for NSW Health: 2016-2026 & an update on key projects

Dr Zoran BolevichChief Executive, Chief Information Officer

22 September 2016

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eHealth NSWEstablished in July 2014 as the dedicated organisation within NSW Health to guide eHealth strategy and planning, set eHealth policy and standards, and lead implementation and operations.

Our focus is on improving health outcomes for patients/communities, and strengthening NSW health system through the safe and effective use of information and communication technologies.

In order to implement state-wide programs and support local innovation, eHealth NSW works in partnership with Local Health Districts (LHDs), Specialty Health Networks, Pillars and Agencies.

Currently, running 24 programs across 6 portfolios (3 major portfolios are Clinical, Corporate and Infrastructure)

– Ranging in size from total cost <$10M to total cost >$100M

– FY15/16 program budget of $170M

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Key Stats for 2015-16• The Health Wide Area Network (HWAN) was deployed to over 180

rural sites providing secure broadband networking in rural and remote parts of NSW

• StaffLink (ERP) implemented statewide providing 140,000 staff access to HR data; processed over $8.5 billion in annual salaries, 3 million invoices and 1 million requisitions and purchase orders

• Electronic Medical Records (EMR) system went live at 104 sites

• At June 2016, more than 73% of health employees were using electronic medical records across NSW Health facilities to provide care

• Electronic charts were opened more than 12 million times, a 30% increase over the previous year

• 195 NSW Health hospitals were connected to the national My Health Record (via HealtheNet)

• More than 900,000 hospital discharge summaries were sent via secure messaging to GPs and more than 200,000 were sent to MHR

• Our State-wide Service Desk handled over 800,000 requests for support and information

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• Premier’s Priorities and State Priorities

• Whole-of-government ICT strategies and approaches• ICT Investment Assurance Framework

• Government Chief Data and Information Officer

• eHealth-specific strategies in NSW:• eHealth Strategy for NSW Health 2016-2026

• NSW Telehealth Framework and Implementation Strategy

• NSW Health Analytics Framework

• LHD eHealth Strategic Plans

• Australian Digital Health Agency & National Strategy

• Industry trends, vendor plans and initiatives

• Opportunities in research and innovation space

Our Changing Environment

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eHealth Strategy For NSW Health (2016-2026)

http://www.health.nsw.gov.au/eHealth/Documents/eHealth-Strategy-for-NSW-Health-2016-2026.pdf

Launched at CeBIT Conference in Sydney by the NSW Minster of Health (04/05/2016)

Builds on previous eHealth Blueprint (2013) and outlines a direction for NSW Health investment over the next decade.

Includes:• Drivers for Change• eHealth Vision & Goals • Strategic Framework• 11 Underpinning Principles• 7 Strategic Focus Areas• 32 Priority Initiatives • 3 Delivery Horizons• Roles & Responsibilities

A digitally enabled and integrated health system delivering patient-centred health experiences and quality health outcomes

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Drivers for Change

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eHealth Strategic Framework

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Underpinning Principles

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Horizon Model

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• Digitised clinical data represents a significant strategic asset for NSW Health, enabling and stimulating research, innovation and commercialisation– Biomedical research– Safety and quality enhancements– Reducing unwarranted clinical variation– Better value care

• NSW Health as a digitally enabled health system will significantly contribute to NSW Govt’s innovation and economic development agenda– Attracting talent (e.g. high quality health workforce)– Attracting investment (e.g. tertiary training)– Generating new products and services

• NSW Health’s leadership in digital health puts it in the best possible position to benefit from national developments and investments (e.g. healthcare home initiative, aged care reform, NDIS)

Broader Benefits and Opportunities

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• Strong executive leadership and support right across NSW Health, including MoH, LHDs, SHNs, Pillars

• Deep and extensive clinician engagement

• Significant investment in local change management (these are complex business/clinical change initiatives rather than simple ‘ICT projects’)

• State-wide coordination through eHealth NSW

• Ten year experience of complex implementations – lessons learned, expertise and skillset acquired and maturing

• Clear and strengthening state-wide architecture (esp. standards-based interoperability)

• Partnerships with ICT industry, research community, global experts

• Strong working relationships with DFSI, Treasury, other Govt Departments

• Alignment with all-of-government ICT strategy and investment framework

• Leveraging national digital health developments and capabilities

Success Factors

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Progress of Key Programs

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eMR Connect Rollout Across NSW– at August 2016

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eRIC: The future of ICU in NSW

TomorrowToday

• Simplified, automated data collection

• Reduced reliance on paper• Improved efficiencies in

patient flows and work practices

ICU is data intensive

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Corporate Portfolio

HealthRoster

Implementation • Rollout to 5 LHDs/agencies fully

completed and a further 5 in progress

• 60,000 staff currently being rostered on HealthRoster

HCM

• Development of an integrated Human Capital Management (HCM) capability for the state

• Statewide Recruitment and Onboarding to be rolled out in 2017 with future modules to include performance, talent and succession management

• Have completed design for General recruitment stream

• Recruitment and onboarding pilot to be completed early 2017

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Infrastructure portfolio

Health Wide Area

Network

Single Health

network

The ‘NBN’ for NSW Health

State Wide Infra -

structure Services

Single Health ID and Email

System

Data Centre Reform

Migration of NSW Health

systems to Gov DCs

ConferenceCollabor-

ationand

Wireless

Wireless and

conferencinginitiatives

Clinical Application Resilience

(CARI)

Business continuity for Cerner systems

Standards

Statewideinfra-

structure standards

Refresh platform