Health Information NetworkThe Challenges & Building the Foundation

Delivering a Healthy WA

Richard McFadden, CIO

21 April 2023 Slide 2

Agenda

• IM & Strategic Framework

• Future State

• Current State

• Transition

• Questions

• Clinical & Business Information

Information Management • “Information”

– is central to the patient journey and delivery of health services– empowers patients and providers to make informed choices

• “Information Management”

– provides the landscape for better services and continuous improvement in patient and provider engagement

– is all about the patient delivery experience:

RightPatient

RightTreatment

Right Place

Right Time

Information ManagementQuality, Secure, Timely, Contextual

Strategic Framework

2007 2009

Portal and Interoperability

Existing Systems

New Core Systems

Infrastructure

Facilities & Medical Technology

Information

Clinical

Systems

Business Systems

Infrastructure

Facilities

Medical Technologies

21 April 2023 Slide 5

Clinical InformationEssential information to assist in the delivery of care

Patient and Provider

Demographics

Medications, Allergies,

Medical Alerts

Clinical Events & Episodes of

Care

Clinical Governance

Notifications Clinical Summaries Clinical Orders Care Plans

& Pathways

Is essential for the efficient and sustainable management of WA Health Business Operations

21 April 2023 Slide 6

Business Services Information

Activity Based Funding

Patient Flow Management

Consent Finance & HR Management

Enterprise Scheduling &

Workflow

Statutory Reporting

Capacity Management

Performance Management

Current State

21 April 2023 Slide 7

• No clear source of truth for local applications

• Proliferation of siloed data repositories (CDR/CDCs)

• Proliferation of poorly written and unsupported applications used for clinical processes and care

• Heavy bias to point-to-point data sharing

• Information flow to the point of care is complex and difficult to locate

• Components of the clinical core are obsolete

• Timeliness and Integrity of information

• Information sharing across health care providers

Current State Issues

21 April 2023 Slide 9

Current Priorities - eHealthWA

• Patient Administration System (PAS)

• Clinical Information System (CIS)

• Pathology (Ultra)

• Portal and Interoperability

• iPharmacy

• MMEx

• Identity and access management

• Provider index

• Wounds West

21 April 2023 Slide 10

Current Priorities - HIN

• Capacity Planning System (CAPLAN)

• Activity Based Funding

• AIMS

• HCare consolidation

• Financials & Human Resources

• Clinical Costing and Coding

• Rostering System (ROSTAR)

• TelePresence

• Cloud Computing

Current State Context (Overview)

20

5

7

71

12

633

62

39

15

13

7

7

215433211

47

14

11

7

7

7

6

55443322211111111

11 1

23

10

322111

8

51

20

8

31

17

10

0

20

40

60

80

100

120

140

160

Corporate Services Medical Specialties Services

Medical Support Services

Ambulatory / Community Health

Services

Patient Management Services

Public Health Services

Clinical Management Services

General Support Services

Mental Health Services

General Community Health Services

Medical Specialties Surgical Services

Medical Sub-Specialties Services

Num

ber o

f App

licati

ons

Health Business Services

Number of ICT Applications by Business Service

Applications across WA Health

21 April 2023 Slide 12

39 Different Financial and HR Systems

62 Different ICT & Facilities Systems

47 Different Pathology Systems

Num

ber

of

Applic

ati

ons

•450+ Applications•Siloed Data Copies•450+ Applications•Siloed Data Copies

Health Service Area

CorporateMedical

Specialities

Medical Support

Ambulatory/ Community

Patient Mgmt

Public Health

Clinical Mgmt

General Support

Mental Health

General Communi

ty

Med. Spec.

Surgical

Medical SubSpecialities

Future State

21 April 2023 Slide 13

21 April 2023 Slide 14

Future State… Back to Basics

• Consolidated, trusted, shareable “view” of the patient information

• Quality of Information to become a priority in the delivery of services

• To maintain accurate, timely and transparent data and information

• Enabling information to be interchangeable across all providers, public & private

• Providers have access to accurate, timely and complete clinical information at point of care

21 April 2023 Slide 15

Future State Enablers

• Consolidated CDR/CDCs - Global Data Services

• Patient Administration System (PAS)

• Portal

• Interoperability (Enterprise Service Bus)

• Identity and Access Management

• Clinical Workbench

• Pharmacy System

• Patient and Provider Masters

Current to Future State

Conceptual only (does not include all composite parts, e.g. identity & access management)

Transition

21 April 2023 Slide 17

21 April 2023 Slide 18

Strategy

• Clinical engagement and buy in is critical to success

• Link to Clinical Services Redesign / 4 Hour Rule Program

• Incremental and technology change must be in-line with the organisation’s ability to change

• Focus on getting the best out of existing systems

• Reduce the amount of paper used in health care

• Ability to measure the performance of both clinical and administrative processes

• Provide capabilities which support Clinical and Business priorities

• Technology is the enabler, not the driver

DRAFT

21 April 2023 Slide 19

Flagship Project - PASCritical Success Factors

• Stop further proliferation of PAS data copies

• Quarantine existing methods of connection

• Establish new ESB to replace Cloverleaf

• Review Governance framework for data access and control

• Standardisation of clinical processes

• Implement Global Data Services

• Implement Patient and Provider Master Indices

• BCP and availability of new platform

• Business owned leadership for change

DRAFT

Questions?