SWARH Regional EHR - Health Informatics Society of Australia · HIMSS vs EHRs - vertical adoption...
Transcript of SWARH Regional EHR - Health Informatics Society of Australia · HIMSS vs EHRs - vertical adoption...
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SWARH Regional EHR
Katharina Redford
Director of Operations
South West Alliance of Rural Health
Victoria Australia
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The Victorian Alliance Model
GHAnet – 55
sites in 05/06
HumeNet – 50
sites in 05/06
Loddon Mallee – 40
sites in 05/06
GRHAnet – 70
sites 05/06
MelbourneHamilto
n
Apollo Bay
Geelong
Warnambo
ol
Heywood
Port FairyPortlan
d
Colac
Timboo
n
Camperdow
n
TerangMortlak
e
Penshurs
t
ColeraineCasterton
Torqua
y
POP Sites
SWARH Hospital Sites
SWARH Repeater Sites
SWARH Network Path
Legend
SWARH – 180
sites
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Context
The SWARH collaborative model has been successful and
continues to resonate as a beneficial framework from which to
launch future ICT services for the region and individual members.
Vision
To be a leader in the delivery of contemporary Health ICT
Services
Mission
To deliver exemplary ICT services to SWARH Members that are
innovative, transformative and sustainable.
SWARH Strategic Plan
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Investment – by Members
• ICT investment as a % of GOR currently averages 3.39%
• The range of this investment is 1.85%-4.8%
• The target level for SWARH set in 1998 was 3.5%
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SWARH Services - Scope
Identity Management
Em
ail
Serv
ices
Digital Signage
BEIMS
Payroll Services
SWARH InternetActive Directory
Workstations
XACOM Paging
Shared Services
Remote AccessSWARH WANS
OLLE
Web SolutionsRFID – Asset Tagging
Intr
anet
Contractor Management
CC
TV
M
on
ito
rin
g
Cablin
g
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Business Plan –
Scenario
A clinician is walking to work and receives an infusion pump SMS patient alert
on her personal smart device. She quickly accesses the patient information
with a biometric scan and notes there is a medication problem. She arrives at
work and wirelessly displays the detailed information on a nearby smart
monitor to ensure the required action has been taken.
She takes an internal call on her smart device, checks messages and
schedules a meeting to review the event with other clinicians.
She then moves to her office and continues her work on her smart monitor
and wireless keyboard. Her smart device warns of a video meeting in 5
minutes and she elects to participate in her office via the smart device. She
shares the patient and infusion pump information with other participants….
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SWARH Regional EHR
• A regional commitment
• A philosophy of collaboration
• A clear intent
• A commitment towards regional ICT standards
• A proven capacity
• Return on Investment (ROI) for members
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SWARH Regional EHR
• Implementation of a regional integrated EHR
to facilitate information sharing, clinical
decision making and clinician support
• Access to Specialist health services in the
local community, maximising service
diversity, depth and choice
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SWARH Regional EHR
In 2002-2003, the SWARH Patient Administration and Privacy Subcommittee made a recommendation to amalgamate patient databases across the region to enhance the delivery of health services.
12 of the 13 Acute Healthcare organisations agreed to participate.The journey towards a unique regional patient ID had begun.
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SWARH Regional EHR
Innovate Collaborate Transform
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SWARH Regional EHR
• Build a regional ICT network through sustainable
investment from public hospitals
• Strategise to leverage off investment to use ICT
as an enabler for Health Service delivery
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SWARH Regional EHR
• Establish a regional participation and
governance model
• Establish sub-committees to address business
drivers to utilise ICT
• Regional commitment to a longitudinal EHR and
unique identifier
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SWARH Regional EHR
12
databases
= 1 regional
PMI
CIS
PAS (250
concurrent
users)
Community
2003 2004-2006 2011-2012 2014-2015 2015 & Beyond
adoption &
functionality
(450
concurrent users)
(13 sites)
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SWARH Regional EHR
Underpinning any success has been the ability to share
information across the region and across episodes in a
multi-campus application with appropriate security
restrictions to enable sharing with confidence.
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SWARH Regional EHR
What are
the critical
elements?
Integration
Security
Safe practice
Clinical guidance
Seamless in clinical
areas
Solid infrastructure
Always accessible
Supportive of
standards
Data retention/
redundancy
accessible remotely
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SWARH Regional EHR
Regional EHR – a single system* - TrakCare
across 13 hospitals sharing one PMI
HIMSS self assessment (average across
region) – 2/3* separate pharmacy system interfaced to EHR
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SWARH Regional EHR
An
Independent
point of view
Benchmark
2 years of
measurements
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What's on the wish list?
• remote access, bedside access, biometrics, integration
/ messaging to primary care
• Mobility; analytics/data warehousing; patient portal
• Increased exposure to vendor roadmap development
• Alignment with National Quality and Safety Standards
• Ongoing adoption of functionality with support of
clinical change agents – EHRAP 2015-2017
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HIMSS vs EHRs - vertical adoption vs
longitudinal – how do we measure???
Engagement vs strategy- which is the more
effective driver??
Build it or buy it in – are we really all that
different??
Take 2 tablets and call me in the morning – the
age old cure all…can be the biggest conundrum
Challenges….
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Thank You! Questions?