1. Health Information Network The Challenges & Building the Foundation Richard McFadden, CIO Delivering a Healthy WA

2. Agenda • IM & Strategic Framework • Clinical & Business Information • Current State • Future State • Transition • Questions

3. 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 Right Place Right Treatment Right Time     Information Management Quality, Secure, Timely, Contextual

4. Information Portal and Interoperability Strategic Framework Clinical Systems Existing Systems 2007 2009 Business Systems New Core Systems Infrastructure Infrastructure Facilities Facilities & Medical Technology Medical Technologies

5. Clinical Information Patient and Provider Demographics Medications, Allergies, Medical Alerts Clinical Events & Episodes of Care Clinical Governance Essential information to assist in the delivery of care Notifications Clinical Summaries Clinical Orders Care Plans & Pathways

6. Activity Based Funding Patient Flow Management Consent Finance & HR Management Business Services Information Is essential for the efficient and sustainable management of WA Health Business Operations Enterprise Scheduling & Workflow Statutory Reporting Capacity Management Performance Management

7. Current State

8. Current State Issues • 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 Patient Mgmt System Replacement

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 Slide 9 28 September 2014

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 Slide 10 28 September 2014

11. Current State Context (Overview)

12. Applications across WA Health • 450+ Applications • Siloed Data Copies 39 Different Financial and HR Systems 62 Different ICT & Facilities Systems Number of Applications 47 Different Pathology Systems Corporate Medical Specialities Medical Support Ambulatory/ Community Patient Mgmt Public Health Clinical Mgmt General Support Mental Health General Community Med. Spec.Surgical Medical SubSpecialities Health Service Area

13. Future State

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

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

16. Current to Future State Conceptual only (does not include all composite parts, e.g. identity & access management)

17. Transition

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 Slide 18 DRAFT 28 September 2014

19. Flagship Project - PAS • Critical 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 Slide 19 DRAFT 28 September 2014

20. Questions?