Project iRAD Integrated Real-time Active Data Interoperability in - - PowerPoint PPT Presentation

Project iRAD

Integrated Real-time Active Data Interoperability in Action

Map of NSW Primary Health Networks

SWS PHN

Where is SWSPHN

SWS PHN

Who are South West Sydney

• SWS is one of the fastest growing areas in Australia
• Arabic is the most common language spoken other than

English, followed by Vietnamese and Cantonese

• 41 per cent of local residents were born overseas

compared to 25.7 per cent in NSW

• There are 900 + GPs in the area
• 425+ practices
• Approximately 80% are computerised in varying degrees
• Our boundary is the same as the SWS LHD
• From an IT strategic perspective PHN are closely aligned

Australian Digital Health 7 pillars

Australian Digital Health Agency Seven Pillars

SWS PHN

The sixty-four thousand dollar question:

• What does someone else know about this

patient, that I don’t know and that is relevant to the current context?

• While this seems like such a simple question,

there is no simple path to the answer.

SWS PHN

Why take on something of this magnitude?

• An abiding passion to do something about the lack of

information flowing between health communities

• Our providers and community expect and deserve real time

sharing of clinical information – board approval mostly based

• n this issue
• Addresses most goals in our strategic plan
• A committed senior management team to support the process
• An established framework to conduct the process of vendor

selection and ongoing governance

• Funds were made available – horizontally integrated

throughout our business

• Dedicated to making it happen

SWS PHN

SWSPHN approach to Interoperability

• We recognised at the beginning this was not just about technology but an

essential component was change management

• We determined the project needed to be phased
• First phase - establish the infrastructure and ensure the environment

was stable prior to committing to high value functionality

• We immediately formed a Steering Committee and invited clinicians and

LHD representatives

• We’re a small dedicated team of IT health professionals

SWS PHN

What will SWSPHN dbMotion Pilot deliver?

Phase 1 has been designed to enable providers to:

• Share information meaningfully between primary and

acute sectors

• Provide Minimum Data Set (MDS) from GP to ED
• View a patient’s MyHealthRecord information and

documents list as part of the clinicians’ existing workflows direct to the GP

• Provide a MDS for the Electronic Discharge Summary
• Easily view patient health information from a number of

disparate systems in one concise view in acute and community settings

SWS PHN

Project Progress

What have we achieved to date

• We have 5 practices committed
• We have 2.5 Emergencies Depts ready to go and

enthusiastic

• Campbelltown (Camden .5 ) Bowral
• Camden is managed by Campbelltown resources
• We have identified the practice champions
• We are tracking to plan for GO LIVE - end of August

2018

The opportunity for the eligible GPs

We have a total of 100 licenses

• PREREQUISTES
• GPs in the area use either BP or MD
• MyHR has been adopted in the practice
• Reasonably computer literate
• Practice currently participates in Tier 3 of the QIPC

program to improve data quality

SWS PHN

The Design

SWS PHN

SWSPHN Design

FIRST PHASE – HIGH LEVEL

• dbMotion is at the heart of the solution providing the

intelligence to deliver what wasn’t previously known WHAT FUNCTIONALITY IS PROVIDED

• There is an adapter extracting information from either

Best Practice or Medical Director to send Emergency Dept

• MyHR API to deliver patient data to a document folder

in dbMotion LONG TERM The Vision is to deliver a truly HIE solution once its mapped to Cerner

SWS PHN

Allscripts dbMotion Solution Architecture

SWS PHN

SWSPHN Plan Goal State

SWS PHN

Subsequent Phases

Phase 2 :

• Care Plans
• Patient Portal
• Allscripts Population Health Analytics*
• Later connectivity to
• ePharmacy
• eAmbulance
• Allied Health
• Aged Care

SWS PHN

Project iRAD key message framework

Clinicians Core Message Plan – Phase 1 changes

Seven key message types (message content updated as Program proceeds and per stakeholder group) “Why do we need to change?” “What is actually changing?” “What do I / we get out of changing?”

Drivers Scope Benefits Management Impacts Roles Priorities

“How will I / we be impacted?” “What is expected of me?” “What is happening now?” “The project is designing a solution for maximum clinician and patient benefit” “ Significant engagement with clinicians into the solution design process to give you what you want” “Alignment with Department of Health, ADHA, LHD’s needs and expectations” “Get involved” “In Phase 1 of the project, the degree of change for clinicians is nominal” “You will be provided comprehensive information, training and support” “The current way of operating is inefficient and doesn’t support the best patient outcomes” “Pressure needs to be reduced on practices” “We need better collaboration and data for the best patient care”

“Real-time access to essential clinical information from trusted health providers - on your desktop, for better patient care” “Pops up a window on top of your existing patient record providing additional, meaningful data about the patient from other health providers and data systems” “Phase 1 will provide access to an additional fit-for-purpose, critical data set and a Transfer of Care (TOC/EDS) summary” “This is an opportunity to be part of a leading edge change”

“Real-time access to essential clinical information from trusted health providers – on your desktop, for better patient care” “Reduction in waste and duplication of effort” “Project iRAD was established in 2016 with a Steering Committee comprising PHN and LHD leadership and multiple clinicians” “The project will be delivered with a methodological change management approach – minimising risk and disruption and delivering maximum benefits for practices” “Access a new screen from your current system by clicking on a new button that will be shown on your patient screen. A new window with additional, critical patient information appear as a pop-up over your patient record” “Low risk solution – adds value to GP’s with nominal effort or exposure”

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“How will the change be managed?”

For More Information

Contact details: Gillian Fea irad@swsphn.com.au

SWS PHN