health ict master plan

8/3/2019 Health ICT Master Plan

1/6

ICT HEALTH REFORMICT PROJECTS BY CATEGORY

Category Project Cost $m What is the project? Why is it critical to delivering an electronic health record?BASIC INFRASTRUCTURE 45 Infrastructure Technology Refresh The program is a strategic management of technology where the Department of

Health leverages the advantages of its economies of scale, collective buying

power, and consolidation strategies. Maintaining a base level of ICT infrastructure

is a critical enabler of all health applications.

To ensure that Health has up to date and effective infrastructure in place to support

the new enterprise based initiatives

47 WAN Upgrade Upgrade of Health WAN including core switches and routers to cater for currentand future requirements including refresh, includes the provision of management

software and all telecommunications requirements

To ensure that Health has up to date and effective WAN in place to support the new

enterprise based initiatives

14 Web Capacity Management (QOS) - S&SProvide a standard Department mechanism for network-based traffic to be

prioritised according to risk profile and usage prequirements.

To ensure that Health has the web capacity and throughput in place to support the

new enterprise based initiatives

60 Telecommunications Review The program will continually review the state of the Departmentstelecommunications infrastructure to ensure that it provides optimum delivery, is

cost effective, applies appropriate telecommunications standards and is scalable.

To ensure that Health has the telecommunications infrastructure in place to support

the new enterprise based initiatives

64 RAH IBM Survival Ensure IBM mainframe continues operating until being decommissioned post PASimplementation.

Failure of the IBM mainframe will result in critical hospital systems failing.

44 PC Fleet Implementation Project Establish standardised IT operation with a structured procurement and life cycleasset management program for desktop PCs and notebooks across the Health

Portfolio

To minimise the cost of purchase, implementation and support of the departments

PC fleet.

GOVERNANCE 43 DH ICT Governance & Methodology Implementation of an ICT Governance Framework to manage and govern all ICTcapital Programs / Projects. This will include the development and ongoing

upgrade of an ICT Governance Steering Committee, Policies and Standards

Review Board, Program Management Office and Program Governance Board. It

will also review and update all required processes on an ongoing basis to ensure

that the level of governance is appropriate.

To provide an effective ICT Governance Framework to manage ICT projects as

required by the Auditor General and the Office of the Chief Information Officer

(OCIO).

HOSPITAL APPLICATIONS 52 PASWhole of Health replacement project for PAS and Financials Management

System/s. Statewide implementation and retiring of several obsolete PAS

applications.

To replace obsolete critical applications and provide a basis for standardisation and

across Health access to information

24 Pharmacy - Electronic Medication Management Integrating the OACIS platform into the replacement pharmacy system to enabledecision-support, minimise pharmaceutical wastage, reduce adverse events, and

standardise processes statewide

To enable decision-support, minimise pharmaceutical wastage, reduce adverse

events, and standardise processes statewide

21 OACIS Metro Rollout (S&S) The ongoing rollout of OACIS across the metropolitan area. This will includeinterfacing hospitals that are not utilising current OACIS functionality to OACIS,

replacing legacy hospital applications with OACIS functionality and the interfacing

of required

Application technical refresh plus introduction of the ability to deploy OACIS to any

site via the web regardless of location.

51 PAS Business Transformation (S&S) Transformation is the business process review, process re-engineering and newprocess implementation required to optimise and standardise the Patient

Administration, Finance and Materials Management Systems across the

department. The Transformation process needs to commence prior to the

applications systems design stage of the PAS Replacement to ensure that the

PAS applications systems design takes into account any new business processes

that have been identified for each hospital. The transformation process also needs

to continue through the life-cycle of the PAS Replacement Program to ensure that

any business processes that could not be altered until the new PAS system has

been implemented, are implemented as part of the new system go-live cycle. The

transformation process also has to ensure that all hospitals to be upgraded utiliseenterpise wide standard terms, codes, types to ensure that the "value-add" of the

new system is realised.

Without business transformation and standardisation, the implementation of an

enterprise-wide system cannot succeed. This business transformation will also

provide the basis for the delivery of the standard data and information required to

implement a state Electronic Health Record.

26 Nurse Management System As per the Nursing Enterprise agreement of Feb 2001, replace obsolete productExcelcare across 14 hospitals in both the metropolitan and country regions.

To replace the current obsolete systems that reside on out of date and unsupported

technology and operating systems

29 OACIS vCD rollout to country Hospitals This project will implement the provision of OACIS functionality to CountryHospitals and achieve a statewide view of clinical information.

To provide OACIS functionality to country hospitals resulting in access to patient

clinical information not currently available to country clinical staff.

30 OACIS metropolitan enablement Upgrade of OACIS clinical information system to web-based version. To provide an OACIS front end that is both quich and low cost to implement.

32 PACS Implement a statewide Picture Archiving and Communications system for medialimages.

The provision of a statewide Picture (x-ray) Archiving system will result in clinical staff

having fast / timely access to patient x-ray information from remote (other hospital)

sites.

$60.7m

$1m

$225.6m


2/6

25 Nurse Management System - Bus Trans (S&S) Transformation is the business process review, process re-engineering and newprocess implementation required to optimise and standardise the Nurse

Management System (NMS) across the department. The Transformation process

needs to commence prior to the applications systems design stage of the NMS

Replacement to ensure that the NMS applications systems design takes into

account any new business processes that have been identified for each hospital.

The transformation process also needs to continue through the life-cycle of the

NMS Replacement Program to ensure that any business processes that could not

be altered until the new NMS system has been implemented, are implemented as

part of the new system go-live cycle. The transformation process also has to

ensure that all hospitals to be upgraded utilise enterpise wide standard terms,

codes, types to ensure that the "value-add" of the new system is realised.




implement a state Electronic Health Record.

56 Clinical Costing System (Trendstar) replacement Implementation of a modern system that will facilitate hospital product costing inan output based budget environment which is consistent with current

commonwealth and state initiatives.

To provide a modern system that facilitates hospital product costing in an output

based budget environment which is consistent with current commonwealth and state

initiatives.

57 Pharmacy Management System (Ascribe) Replace absolete system which meets ANZ and HL7 standards and is able to beinterfaced with Oacis to enable Oacis POM implementation.

To reduce the risk of obsolete system failure that currently cannot interface with

OACIS.

53 HAAS Emergency Department System Replacement Major upgrade / replacement of the current HASS ED application to ensuremaintain n-1 industry standard.

To ensure that the system has appropriate venro support.

35 Cardiovasular System Rationalisation To rationalise and standardise the public hospital cardiovascular system to ensurethat data consolidation and interface developments can occur. To realise these

objectives electrocardiograph systems and cardiovascular investigation systems

should be standardised across health.

To ensure that data consolidation and interface developments can occur. To realise

these objectives electrocardiograph systems and cardiovascular investigation

systems should be standardised across health.

27 Nursing - Proact Upgrade Major upgrade of the ProAct application to ensure maintenance of n-1. Migration ofplatform to SQL version.

To ensure maintenance of n-1. Migration of platform to SQL version.

33 Radiology Management System (Kestral) Replacement of obsolete whole of Metropolitan Health implementation ofRadiology Management System

To reduce the risk of failure of the obsolete the whole-of-Metropolitan-Health

implementation of Radiology Management System

34 Respiratory Medicine Standardisation To rationalise and standardise the public hospital respiratory system to ensure thatdata consolidation and interface developments can occur

To ensure that data consolidation and interface developments can occur

31 PACS Business Transformation (S&S) Transformation is the business process review, process re-engineering and newprocess implementation required to optimise and standardise the PACS across the

department. The Transformation process needs to commence prior to the

applications systems design




implement a statewide approach

54 HASS Operating Room System Upgrade Upgrade the current HASS Operating Room Management Information System(ORMIS) which is increasingly becoming unstable and out of date.

To reduce the risk of failure of the current HASS Operating Room Management

Information System (ORMIS) which is increasingly becoming unstable and out of

date.

55 Hospitals Food Management Whole-of-health food management system to replace outdated Buckeye system To reduce the risk of failure of the current outdated Buckeye system

28 Patient Bedside Monitors Utilisation of multimedia monitors to enable clinical access at the bedside,subsidised by patients

To enable clinical access at the bedside, subsidised by patients

23 OACIS Infection Control System Development of Hospital Infection Control Management and Reporting Systemthat can track infections across OACIS footprint (currently metro only)

To increase infection control across the OACIS (multiple hospital) footprint.

50 PAS Business Case Development See item 52, PAS To ensure that an accurate business case is developed prior to PAS options beingevaluated.

NON-HOSPITAL APPLICATIONS 8 Booking Management Systems (S & S) An online enterprise wide patient booking service to allow patients to be bookedinto any metropolitan hospital via a standard booking system with a view of all

available beds vacancies.

To increase the effectiveness of patient bookings across hospitals resulting in

optimum department wide bed management

16 CME UpgradeProvide a web-enabled application for use in mental health and community health An out-of-hospital business application for usage which must be able to be integrated

with the information broker to enable information to be gathered to compile a holistic

health record.

19 Cancer register Replacement Cancer Registry application that complies with legislatedrequirements and with the requirements of the Australasian Association of Cancer

Registries.

A business application for niche usage which must be able to be integrated with the

information broker to enable information to be gathered to compile a holistic health

record.

17 Cervix Screening Replacement of the existing application is required in order to rectify the currentinefficiencies in the application and database software, cope with the continual

growth of the database, enable new functions to be performed and strive towards

achieving a paperless Register.



record.

18 Breastscreen Implementation of a comprehensive application to m anage breastscreen patientsacross the state.



record.

15 HealthConnect State-based funding commitment to Federal government To assist in the provision of the connect ion of health prov iders in the private sector toboth other private providers, and the Department resulting in effective sharing of

patient health information

$20.6m


3/6

6 Prisons Electronic Health Record Replace paper-based records with modern application to manage prisoner healthinformation

Prisoners health information is currently highly disparate and not readily available to

providers upon release from prison.

36 Infection Control Surveillance - Central Office This project will develop the new Infection Control Service Surveillance System(ICSSS) that will support both preventing cases of communicable disease and for

minimising the spread of disease once an initial case has been identified.

To minimise the risk of the spread of communicable diseases.

37 CDCB Disease Surveillance Consolidation of the many disease surveillance systems, written in FoxPro, into asingle contemporary technology platform. This system will facilitate the collection

of electronic notifications from pathology laboratories and provide sophisticated

data collection and analysis capabilities.

To provide a single contemporary technology system that will facilitate the collection

of electronic notifications from pathology laboratories and provide sophisticated data

collection and analysis capabilities.

38 CDCB Antibiotic Utilisation DB Upgrade An application used to identify areas of high and possibly inappropriate antibioticusage, and to assist with planning and evaluation of intervention programs to

modify antibiotic usage patterns. The ultimate aim is to control or reduce the

emergence and dissemination of antibiotic resistance within health-care

institutions.

To enable the identification of areas of high and possibly inappropriate antibiotic

usage, and to assist with planning and evaluation of intervention programs to modify

antibiotic usage patterns. The ultimate aim is to control or reduce the emergence and

dissemination of antibiotic resistance within health-care institutions.

STRATEGY 39 Business Intelligence Strategy The implementation of standards, applications, databases, data warehouses, andinfrastructure required to provide executive with the appropriate business

intelligence to effectively manage the Department of Health.

To provide executive with the appropriate business intelligence to effectively manage

the Department of Health.

5 NEHTA The ongoing funding of NEHTA ICT initiatives, including data, application,messaging, interstate national connectivity standardisation initiatives.

To ensure that the Department of Health utilises and is able to connect to national

health iniatives as they evolve.

4 Electronic Health Record A summary-level health record that can be accessed by authorised providers. Thisrecord is to be based on NEHTA standards once released (2008).

In accordance with the eHealth national objectives, a summary-level electronic health

record is an early deliverable of the program. This will begin as provision of access to

a centrally-held separation summary.

48 ICT Enterprise Architecture Development of a comprehensive ICT systems architecture to facilitate planningand prioritisation.

To provide a basis of overall accurate infrastructure review and update

49 R & D Seed Funding Investment in investigating and seed-funding the application of modern technologyto improve the Health business

To ensure that ICT Services are aware of, and in a position to implement the most

appropriate technology.

42 DH ICT Standards Framework The initial creation and the ongoing support of an ICT Standards Framework. Theframework will manage all ICT Standards including the initiation, development,

change management and approval of all ICT Policies, Methodologies, Procedures,

Work Instructions

To ensure that appropriate standards are in place to support the strategy

implementation

22 Product Management Strategy - Peter Sanderson Product management strategies to ensure that key enterprise systems such asOACIS are delivering as expected. This will also include evaluation and

recommendation on system version and new application upgrade requirements.

To ensure that OACIS is aware of and in a position to implement the most

appropriate upgrades or developments to support the business.

46 Health ICT Architecture The initial creation and the ongoing support of an Enterprise Architecture Modelthat defines the Department's ICT Architecture.

To ensure that ICT Services have an up to date and accurate understanding of the

Health infrastructure architecture to facilitate the review and implementation of the

most appropriate ongoing Health infrastructure.

SYSTEM CONNECTIVITY 7 Health Integration Broker A software layer including configurable applications to enable multiple applicationsto communicate and link data to otherwise disparate systems. This will form the

basis for the ongoing delivery of an state EHR.

Broker (or middleware) software will enable the linkage of information quickly from

existing systems rather than waiting for legacy systems to be replaced.

10 Authentication & directory Ability to legally identify a system user and define that users privileges andsecurity rights.

Enables legally binding digital signatures for information input, access and workflow.

9 Interfaces between key systems The ongoing interfacing and connection of key health applications as required tosupport the business. This includes interface connections that will be required to

support business initiates such as GP+, Chronic Disease Management and Mental

Health, inclu

To ensure that the appropriate interfaces are in place to support new Health business

iniatives as they evolve.

11 Web Services Environment (WSE) - S&SProvide a standard Department mechanism for internal and external interfacing of

web based network traffic to be based on standard messaging formats, and

routing based on business requirements. The WSE is to be based on NEHTA

defined standards that are ca

A secure information exchange mechanism with providers outside the public system

e.g.. GPs, specialists, private hospitals etc. is a mandatory requirement of a full

health record being made available.

2 Unique Client Identification Provide a unique, unchanging identifier for a client to be used throughout DHenterprise systems as the client identifier in all events through that system.

Clients must be able to be reliably identified in order to cross-reference the plethora

of information systems that exist in Health. Without a unique identifier the

compilation of an EHR would be virtually impossible.

1 Unique Address Identification Establish a single repository of addresses and location information for useenterprise-wide, including Australia Post identifiers and geocoding information.

To minimise the risk of invalid patient identification

3 Unique Organisation Identifier One unique number/code for every organisation that contributes to Healthinformation including GL coding and reporting

To minimise the risk of invalid support / supplier / partner identification

RISK & SECURITY 58 DH Disaster Recovery Establish and maintain disaster recovery facilities for Health (this is also an AuditorGeneral recommendation).

To provide a disaster recovery facility for key / critical Health applications as

recommended by the Auditor General.

$15.5m

$27.9m


4/6

12 Web (DMZ) - Includes security Establish and maintain security controls protecting HSNet access and data To ensure appropriate WEB interface security

41 Archiving & enterprise data storage The project will implement a storage and archive portfolio standard, along with aphased plan of action to evolve Health's storage infrastructure to a "common

resource" to improve utilisation and scalability which will lead to a lower cost of

storage and a more structured archiving/recovery environment.

To provide Health with "common resource" storage to improve utilisation and

scalability, which will lead to a lower cost of storage and a more structured

archiving/recovery environment.

61 DH Identity Management The establishment of a framework to provide DH systems identity management,including alternative logon methods (iris, fingerprint, smartcard) that will support

single-sign capability

To provide an identity management and single sign on facility to both increase the

security speed up access to Health support systems in high access requirement

areas (e.g., emergency departments)

62 ICT Test Environment Establishment The establishment of an ICT Test Environment (hardware / communications) toenable formal / controlled testing of ICT Services developed applications.

To ensure that ICT Services are able to appropriately test developed applications

prior to production implementation

59 FMC / NHS PABX Redundancy Implementation of second/back-up PABX's - one at FMC & one at NHS for

Disaster Backup / Business Continuity/Recovery purposes.

To ensure that FMC & NHS have effective business continuity in place

65 Heat Incident Management Enable i nc ident management acros s Heal th Port fo li o To reduc e t he ov eral l c os ts of incident ac ross the D epar tment

ADMINISTRATION 40 Document and Records Management System The program will implement an enterprise wide document and recordsmanagement system to enable across departmental (enterprise wide) document

management and access. The system will contain departmental policies, methods,

procedures, work instructions, articles, reference material and formal records.

Health currently do not have an enterprise wide view of its documents and records

resulting in significant overheads, duplication, gaps, including non conformance with

the Records Management Act

63 Asset Management The program will implement an enterprise wide system to manage ICT assets,including type, location, unique identification (serial number) purchase details,

replacement requirements and timeframes. As this is an ongoing requirement

there is a need to ensure that is provided ongoing funding to support and upgrade

as required.

Health currently do not have an enterprise wide view of its ICT assets and is therefore

unable to effectively manage its ICT assets.

13 DH Online Services Replacement of the existing DH intranet and plethora of external web-sites with anintegrated and structured content managed system.

To rationalise, reduce operating costs and support of the DH intranet and web sites

20 HealthySA Web Site Redevelopment The Healthy SA website is in need of a technical and functional upgrade To provide an up-to-date Healthy SA website.

Grand Total 375.6m

$12.7m

$11.7m


5/6

ICT Health Reform

Indicative timeline

# Primary Enabl ing Program Fin Year Fin Year Fin Year Fin Year Fin Year Fin Year Fin Year Fin Year Fin Year Fin Year Fin Year

2006 -2007 2007 - 2008 2008 - 2009 2009 - 2010 2010 - 2011 2011 - 2012 2012 - 2013 2013 - 2014 2014 - 2015 2015 - 2016 2016 - 2017

11.0 Web Services Environment (WSE) - S&S x x x x x x x x x x x

22.0 Product Management Strategy x x x x x x x x x x

13.0 DH Online Services x x x x x

40.0 Document and Records Management System x x x x x x x x x x x

45.0 Infrastructure Technology Refresh x x x x x x x x x x x

18.0 Breastscreen x x23.0 OACIS Infection Control System x x

37.0 CDCB Disease Surveillance x

41.0 Archiving x x x x x x

44.0 PC Fleet Implementation Project x

64.0 RAH IBM Survival x

65.0 Heat Incident Management x

2.0 Unique Client Identification x x x x x x x x x x

4.0 Electronic Health Record x x x x x x x x x x

6.0 Prisons Electronic Health Record x x x

7.0 Health Integration Broker x x x x x x x x x x

15.0 HealthConnect x x x x x x x x x x

16.0 CME Upgrade x x x x

17.0 Cervix Screening x x

19.0 Cancer register x x

20.0 HealthySA Web Site Redevelopment x x24.0 Pharmacy - Electronic Medication Management x x x x x x

25.0 Nurse Management System - Bus Trans (S&S) x x x x x x x

26.0 Nurse Management System - (PKF Review Update) x x x -

27.0 Nursing - Proact Upgrade x x

39.0 Business Intelligence Strategy x x x x

42.0 DH ICT Standards Framework x x x x x x x x x x

43.0 DH ICT Governance & Methodology x x x x x x x x x x

46.0 Health ICT Architecture x x x x x x x x x x

49.0 R & D Seed Funding x x x x x x x x x x

51.0 PAS Business Transformation (S&S) x x x x x x x x x x

55.0 Hospitals Food Management x x x

57.0 Pharmacy Management System (Ascribe) x x x

58.0 DH Disaster Recovery x x x x x x

60.0 Telecommunications Review x x x x x x x x x x

61.0 DH Identity Management x x x x x x x x x x

36.0 Infection Control Surveillance - Central Office x

38.0 CDCB Antibiotic Utilisation DB Upgrade x

50.0 PAS Business Case Development x

54.0 HASS Operating Room System Upgrade - Inc

Country

x

59.0 FMC / NHS PABX Redundancy x

62.0 ICT Test Environment Establishment x x x

Version 8.01


6/6

ICT Health Reform

Indicative timeline

# Primary Enabl ing Program Fin Year Fin Year Fin Year Fin Year Fin Year Fin Year Fin Year Fin Year Fin Year Fin Year Fin Year

2006 -2007 2007 - 2008 2008 - 2009 2009 - 2010 2010 - 2011 2011 - 2012 2012 - 2013 2013 - 2014 2014 - 2015 2015 - 2016 2016 - 2017

1.0 Unique Address Identification x x x x x x x x x

3.0 Unique Organisation Identifier x x x x x x x x x

8.0 Booking Management Systems (S & S) x x x x x x x x x

9.0 Interfaces between key systems x x x x x x x x x

10.0 Authentication & directory x x x x x x x x x

12.0 Web (DMZ) - Includes security x x x x x x x

28.0 Patient Bedside Monitors x x29.0 OACIS vCD rollout to country Hospitals x x x x

48.0 Enterprise Architecture x x x x x x x x x

52.0 PAS x x x x x x x x

56.0 Clinical Costing System (Trendstar) replacement x x x

5.0 NEHTA x x x x x x x x

14.0 Web Capacity Management (QOS) - S&S x x x x x x x

21.0 OACIS Metro Rollout (S&S) x x x x x

30.0 OACIS metropolitan enablement x x x

31.0 PACS Business Transformation (S&S) x x x x

32.0 PACS x x x x

33.0 Radiology Management System (Kestral) x x

34.0 Resporitory Medicine Standardisation x x

35.0 Cardiovasular System Rationalisation x x x

47.0 WAN Upgrade x x x x

53.0 HAAS Emergency Department System Replacement x x63.0 Asset Management x x x

Version 8.02

health ict master plan

Documents