delivering ehealth ireland - amazon web services€¦ · delivering ehealth ireland maternal &...
TRANSCRIPT
Office of the Chief Information Officer
P
Delivering eHealth Ireland
Maternal & Newborn Clinical Management System
(MN-CMS)
Caroline Cahill, Programme Manager
Overview
2
• Live in 4 sites • CUMH Dec 2016
• UHK Mar 2017
• Rotunda Nov 2017
• NMH Jan 2018
• Healthlink • CUMH June 2018
• Other TBC
• Gynaecology module in design phase
• Planning for Phase 2 of 4 phases
Starter Question
3
Who wants this?
If Senior Management & Senior
Clinicians are not fully invested in
implementing an EHR then don’t do it. “A “technically best” system can be brought to its knees by people
who have low psychological ownership in the system and who
vigorously resist its implementation”
(Lorenzi and Riley 2000)
Challenges
4
Snr mgt. adoption & leadership Clinical adoption & leadership
Resources – National; Local; Vendors Governance structures
Communication Device deployment
Change Management Shared Domain
Patient Portal Workflows
End User Training Scope Creep & Costs
System adoption - Sustaining the change Single sign on
Super Users & Champions DCW’s
3 P’s - Principled, Pragmatic, Pessimistic Uncharted waters
Benefit measurement & realisation Data Migration
Change & Transformation Order Comms
Support structures – National; Local; Vendors
Key recommendations - People
5
• Commitment from NWIHP; EMT & Clinicians
• Clinical Nurse/Midwifery Managers as Superusers • empowers them at go Live
• creates a positive, supported atmosphere for staff.
• Involve future sites in the go live • opportunity to experience all that is involved
• Resources • well below typical international levels for large scale EHR
implementation.
Key recommendations - Process
6
• Governance Structures • Board; NPT; NBO; LPT; LBO; CAB;CAG; IG; Joint MN-CMS – MedLis group • In place, established meeting intervals, right resources
• Communications & Engagement • NPT-LIT; External stakeholders;
• Rigorous scope review • Post contract changes costly
• Training • Commitment clearly explained & understood • Play domain • Ongoing strategy
• DCW’s • Bootcamp on completing DCW’s
• Consider Go-Live as a project in itself
• Sustaining change • Adoption & Optimisation
Key recommendations - Technology
7
• Device Procurement & Deployment • Never too early
• Opportunity for staff to get used to technology
• System login methodology • SSO solution such as swipe card
• Domain management • Robust cross programme governance
• OoCIO I&T • Assign I&T resource to work with each project
2017 Ireland eGovernment Awards
Health & Medical Award, Winner: MN-CMS
8
2018 Tech Excellence Awards
Public Sector Project of the Year Winner: MN-CMS
9
Local ICT - Infrastructure
10
• Power • Are there enough power sockets in the right areas?
• Is there space in the wards & corridors to charge carts?
• Has each area got enough capacity to handle extra power
demands?
• Wi-Fi • Is it in place and providing good coverage in all locations? • If not, how much time and money are required to bring it up
to standard?
• Facilities Department • Do they have capacity to mount equipment?
Local ICT - Procurement
11
• National standard for equipment? • Does “one size fit all” when choosing hardware?
• How are local requirements catered for?
• Suppliers • Will they comply with tender specifications?
• Can they deliver on time?
• Can they install on time? • How responsive are they post go-live?
• Physical storage • Is there sufficient storage for early delivery? • Does that leave any workshop space for configuring?
Local ICT - People
12
• IT Training • Do you have enough staff?
• How do you get them trained? “Clinician built – IT enabled
system” so IT training is limited
• When to schedule training? Needed at the busiest period
• General staff training • Where to host multiple training rooms for prolonged
period?
• How do you “re-locate” all other training & events?
• External assistance • How effective are the national team?
• How useful are any “management consultants”?
• How responsive is vendor support?
MN-CMS – EPR Lessons Learned
13
Q & A
Thank you