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 on 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 happening now? ” “ The current way of operating is inefficient and doesn’t “ The project is designing a solution for support the best patient outcomes” maximum clinician and patient benefit” “Pressure needs to be reduced on practices” “ Significant engagement with clinicians into the solution design process to give you what “We need better collaboration and data for the best you want” 7 patient care ” Priorities 1 “Alignment with Department of Health, ADHA, “ What is actually changing? ” Drivers LHD’s needs and expectations” “ Real-time access to essential clinical information from trusted 6 health providers - on your desktop, for better patient care ” “ What is expected of me? ” Roles “ Ge t involved” “Pops up a window on top of your existing patient record providing 2 additional, meaningful data about the patient from other health providers and data systems” “In Phase 1 of the project, the degree of Scope change for clinicians is nominal ” “Phase 1 will provide access to an additional fit -for-purpose, critical data set and a Transfer of Care (TOC/EDS) summary” “You will be provided comprehensive 5 information, training and support” Impacts 3 “ What do I / we get out of changing? ” Benefits “ How will I / we be impacted? ” “ This is an opportunity to be part of a leading edge change” 4 “Real -time access to essential clinical information from Management “ Access a new screen from your current system by trusted health providers – on your desktop, for better patient clicking on a new button that will be shown on care” your patient screen. A new window with additional, critical patient information appear as a “Reduction in waste and duplication of effort” pop-up over your patient record ” “ How will the change be managed? ” “Low risk solution – adds value to GP’s with “ Project iRAD was established in 2016 with a Steering Committee comprising PHN and LHD nominal effort or exposure” 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”

For More Information Contact details: Gillian Fea irad@swsphn.com.au SWS PHN