NSW Kids and Families will work with providers, NSW Ministry of Health, HealthShare and the ‘Pillars’ to advocate for resources and attention to be focussed on priority solutions for children, young people and families.
7.1 IMPLEMENTATION APPROACH
The prioritisation of actions, and the timeframe for them, is informed by the following:
1. how closely aligned the solution is to the needs and expectations of kids and families in NSW;
2. whether the solution can build on or rests within existing strategies, implementation programs, infrastructure, technologies or applications; and
3. whether the solution has an existing funding stream or whether new funding is required.
Table 5 provides a full list of priority solutions with and timeframes around key activities, grouped by theme. Colour coding matches the summary figure (Figure 6) where:
Green implies funded (either as a new system or part of an existing system/program);
Yellow implies partly funded and further analysis is required as to whether a business case is needed; and
Red implies not currently funded and a business case will be required.
Table 5: Prioritisation and timing of solutions activities, grouped by theme
SHARING INFORMATION ACROSS SECTORS OVER TIME TO SUPPORT INTEGRATED CARE
PROPOSED SOLUTION 2014 2015 2016
1. Improved access to information across local health districts through the use state initiatives such as the Shared eHealth Record and State Clinical Repository integration
Continue roll out of HealtheNet and associated infrastructure
Support proposals for State-wide implementation 2. Improved access to consumers and
providers to National programs such as the electronic Child Health Record and Personally Controlled Electronic Health Record
Review of consumer needs and connect providers across public and private sectors
3. Parental registration for a national ‘personally controlled’ ehealth record to support consumer managed care
Develop and roll out procedures for PCEHR and CeHR registration and linkage
4. Access to consumer health information
Review consumer health information needs Identify funding and implement enhancements 5. Clinician access to information resources
through the Clinical Information Access Program (CIAP)
Review and encourage CIAP
IDENTIFICATION AND SUPPORT OF INDIVIDUALS AND FAMILIES AT RISK
PROPOSED SOLUTION 2014 2015 2016
6. A platform to better inform and connect the circle of providers who respond to sexual assault, child abuse, neglect and family and domestic violence
Pilot project and develop business case for further refinement and roll out
7. Improved clinical decision support through an alerting and notification system
Development of a business case to consider options
Business case required
8. Health and developmental surveillance and screening systems
Review options through existing
systems
Implement options +/- develop business case
9. Social networking system Development of a business case to consider options
Business case required
10. A unique national identifier for every child in NSW
Implement IHI registration for all
newborns
Roll out IHI registration procedures across NSW
IMPROVED ACCESS TO, AND MATURITY OF, CLINICAL SYSTEMS
PROPOSED SOLUTION 2014 2015 2016
11. A world class Maternity EMR (electronic medical record) to support the delivery of maternal, pre- and post-natal care
Review
undertaken Part funded and urgent need to replace existing system
12. Electronic Medication Management
system in Children’s Hospital Westmead Implementation program in place Existing funded program
13. Improved consumer communication to better support care through appointment reminders
Development of a business case to consider options to enhance existing
PAS systems
Business case required
14. Mobile device strategy that describes the vision and roadmap to providing consumer and provider access to the required information anywhere and any time
Strategy in
PROVIDING INFORMATION TO SUPPORT POLICY DEVELOPMENT AND EVIDENCE-BASED CARE
PROPOSED SOLUTION 2014 2015 2016
15. Information to drive policy development and improvements in clinical practice
Make use of existing data returns and systems, develop information requirements, and establish information
service 16. Improved information management
through the development of data standards and dataset development, which are integrated into clinical records and workflow
Develop datasets and data standards
17. Information to evaluate monitor and improve services Develop EDW to support datasets and reporting Establish data reporting mechanisms
18. Supporting information management
tools and services Develop standard data extracts
Implement changes to existing systems
19. Access to best practice guidelines Review CIAP content specific content Develop K+F for CIAP
PROVIDING A FRAMEWORK FOR CLINICAL ENGAGEMENT AND INFORMATION GOVERNANCE
PROPOSED SOLUTION 2014 2015 2016
20. NSW Kids and Families participation in
eHealth and information governance Support the implementation of the State-wide governance framework for eHealth.
21. NSW Kids and Families encourage provider and consumer engagement in eHealth delivery programs
Develop and implement an engagement strategy, which leverages existing networks and approaches.
7.2 GOVERNANCE
The governance model that we will adopt is based on the following principles:
1. responsibility for delivery is shared between NSW Kids and Families, provider organisations and HealthShare NSW;
2. the NSW Kids and Families Executive Committee will have an oversight role, and NSW Kids and Families will develop policy and guidance to support delivery where required. NSW Kids and Families will also participate in State-level eHealth governance when this is established and establish functions to develop information requirements, datasets and data standards, particularly for State-level reporting; 3. HealthShare will have responsibility for operational delivery and management of eHealth solutions that
are part of their programs of work; and
4. NSW Kids and Families will work in collaboration with providers to ensure that localised eHealth Solutions meet business needs.
This means we will govern our eHealth Vision and Strategy by:
pro-actively managing project priorities and dependencies at the Executive Committee level;
approving all significant projects at the Executive Committee level following presentation of an appropriate business case and project terms of reference;
integrating planning for the Information Services function with business unit planning; formally signing-off new system requirements with the business units impacted; and defining and reporting on operational service levels to measure performance.
NSW Kid's and Families Executive Committee will review progress against the eHealth Vision and Strategy every month, and review this eHealth strategy at least annually and, as required, update it to reflect changing business needs.
Each project initiated under the eHealth Vision and Strategy will required a business case, which provides the cost/benefit for each option and justification for the preferred solution. Business cases will be submitted to the NSW Kids and Families Executive Committee for approval. New projects will not proceed without executive support and identified capital and operational funding sources.
7.3 FUNDING
The implementation roadmap includes activities and systems that are planned for implementation over the next 3 years, and indicates broadly which are funded and which will require additional funding. However, definitive resource and cost estimates will be subject to further review.
Works already commenced or scheduled in this timeframe in the work plan (Appendix C) are funded, or expected to be funded within current local and state strategy.
Those projects and systems that are not funded will be subject to the development and approval of business cases. Business cases should consider the following values, developed through the consultation around this strategy, when considering options:
1. supported through committed leadership; 2. improves connectivity between services;
3. improves flexibility of care delivery and responsiveness to client needs; 4. supports ongoing monitoring and evaluation of outcomes;
5. State-wide application but reflects local values and diversity; 6. user friendly applications and technology;
7. provides reliable infrastructure; and
7.4 ROADMAP
The implementation road map (figure 6) summarises high priority activity that is planned as part of this strategy. Key points to note in interpreting the diagram are:
governance and engagement underpin all activities;
segments are grouped by the major themes in this document; the concentric rings represent years with the inner rings being closer; initiatives are indicated as circles or ellipses that span several years; and
the colour of each circle or ellipse is indicative of the level of confidence in funding availability: the level of confidence being influenced by whether a system of program already exists and assumptions around the detailed scope of the solution. The colours are represented as follows:
green implies funded (either as a new system or part of an existing system/program); yellow implies partly funded and further analysis is required as to whether a business case is
needed; and
red implies not currently funded and a business case will be required. Figure 6: Implementation roadmap