cs3.1.2 partnerships and processes: managing complexity mary blackwood tuesday 9 october, 2007...
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CS3.1.2
Partnerships and Processes: Managing Complexity
MARY BLACKWOOD
TUESDAY 9 OCTOBER, 2007Project Management - Setting the StandardAustralian Institute of Project Management National Conference 2007Hobart Tasmania October 7 – 10, 2007
Partnerships and Processes: Managing Complexity
Mary Blackwood
October 2007
The National Agenda
2002 – HealthConnect: Australia’s proposed network of electronic health records A health information network for all Australians ‘Right information, right place, right time’
2005 – HealthConnect:
An overarching change management strategy to improve safety and quality in healthcare by establishing and maintaining a range of standardised electronic health information products and services for health care providers and consumers. HealthConnect Implementation Strategy, Version 2.1 July 2005 (Revised)
The Local Statement of Purpose
In Tasmania, HealthConnect will improve services through the delivery of integrated
electronic health information
Project Framework
Key Enablers
NATIONAL
Optometry
Dentists
CommunityHealth
Ambulance CommunityPharmacy
AlliedHealth
Specialists
AgedCare
PrivateHospitals
PublicHospitals
GPs
4
1
Interoperability
Consumers
Individual Healthcare Identifier( IHI )
Healthcare Provider Identifier( HPI )
TASMANIAN
Message Handling & Transport Service
Provider DirectoryTasmanian Health Client Index
Secure Messaging
Messaging Project: Electronic Notification of Hospital Events (ENHE)
Launceston
Hobart
North West
LGHNovember 2005
NWRH (both campuses) February 2006
RHHMay 2006
ENHE commenced in:
Messaging Project: Electronic Patient Care Record (ePCR)
The ePCR project was officially launched by the Tasmania Health Minister, Lara Giddings who said,
“The pilot project
builds on Tasmania’s
reputation for testing,
adopting and
implementing the
latest in eHealth
solutions and
partnering with
others to benefit
patient care.”
General Practice
Aged Care Allied Health providers
Public Hospital Patient Administration systems
Pharmacy
Ad hoc sharing of provider
information between groups
Mental Health
Public Health
Oral HealthPalliative Care
Provider Directorycurrently GP only
Public sector
Private sector
Enabler Project: Provider DirectoryCurrent sharing of provider information
Enabler Project: Provider DirectoryPlanned model of sharing of provider information
Tasmanian Health Provider Directory
DHHS General Practice
Pharmacy Aged Care
Allied Health
Provider information provided and updated in line with agreements
DHHS General Practice
Pharmacy Aged Care
Allied Health
Provider information distributed according to agreements
Manage by Process: Governance
HealthConnect Tasmania Steering
CommitteeChair: Program
Sponsor
HealthConnect Tasmania Director,
Office Operations and Core Activities
Quality Review
Consultant
HealthConnect Tasmania
Advisory Group
Program Sponsor
HealthConnectTasmania
Funded Projects
eHealth Core System Projects
Manage by Process: InclusivenessAdvisory Group membership comprises:
- Aged and Community Services Tasmania (ACST)
- Consumer Representatives x 3
- Department of Economic Development (DED)
- Department of Health & Human Services (DHHS)
- Department of Veterans Affairs (DVA)
- General Practice Tasmania (business and medical representatives)
- HealthConnect Tasmania
- Medicare Australia - Tasmania Branch
- Pharmacy Guild
- Pharmaceutical Society of Australia (PSA)
- University of Tasmania
Governance Tips Put specific resource into Governance Select members well Facilitate participation Structure
- schedule- reports • Project overview
• Milestones - current• Milestones - future• Risk and dependency management• Budget management
Governance Tips
Communicate
Choose a Methodology
Tasmanian Government(Department of Premier and Cabinet)
Project initiation
Structure and governance
Stakeholder engagement
Risk management
Implementation
Quality Improvement Council
Designate
Document
Communicate
Evaluate
Integrate
Partnerships
Partnerships: A range of approaches
SELECTINGPARTNERS
Competitive tender Submission Invitation
Community development
NATURE OFPARTNERSHIP
Purchase of services
Complementary goals Shared goals Shared values
MANAGINGPARTNERS
Contract management
Contract and relationship management
Relationship management Trust
PERFORMANCEMEASUREMENT Inputs Outputs Outcomes Joint outcomes
RISK CONTROL Risk lies with partner Each party carries different risks Shared risks
Australian Government Website
Partnerships: The Mechanisms
Funding Agreements
Service Level Agreements- Information Services- Acute Health Services- Tasmanian Ambulance Service
Contracts- GP Tasmania- Pharmacy Guild
Department of Health and Ageing
HealthConnectTasmania
Rep
ortin
gG
over
nanc
e
Fun
ding
A
gree
men
t
Funding Project 1
Funding Project 2
Funding Project 3
Sta
tus
Re
po
rtin
g
Department of Health
and Human Services
Contracts
Milestones
Complexity: The Management System
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