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Introduction
•SCC & Mersey Care– Trusted Advisor based on 4 years of
engagement– Delivered projects and improvements on ad-
hoc basis– Now increasing value of the partnership by
helping to shape the future IT environment
•Objectives for Mersey Care– Determine readiness for CfH
•Getting core infrastructure right is fundamental to success
– Develop ITIL/MOF service delivery framework– Means of unlocking the value of the NHS
Enterprise Agreement
•SCC Approach– Use IO/NIMM to identify and prioritise activities
• IO Assessment– On-site interviews with Trust staff– Assess current situation– Confirm objectives and goals– Deliver report covering current situation and
recommendations for change
•Next Steps Identified– Implement application level monitoring– Program of process formalisation– Increase adoption of virtualisation– Investigate options for access to data by
partners
Realisation of Knowledge driven Health
Dynamic
Standardised
Rationalised
Basic
Identity & Access
Management
Security & Networking
IT Processes
Data Protection
DynamicStandardised RationalisedBasic
Identity & Access
Management
Security & Networking
IT Processes
Data Protection
The SCC Core IO Assessment
Energy & Efficiency
What was the Maturity Level of Mersey Care?
DynamicStandardised
RationalisedBasic
Identity & Access
Management
Security & Networking
Data Protection
IT Processes
Energy & Efficiency
Recommendations
DynamicStandardised
RationalisedBasic
Identity & Access
Management
Security & Networking
Data Protection
IT Processes
Energy & Efficiency
Active Directory Enhancements
To support secure access to data and services by external organisations
Directory Federation – provide logical links between Mersey Care and external directory services
Information Cards – provide means of certifying external users’ identity in order to grant access to specific information
Rights Management – granular protection for digital content both inside and outside the Mersey Care network
Recommendations
DynamicStandardised
RationalisedBasic
Identity & Access
Management
Security & Networking
Data Protection
IT Processes
Energy & Efficiency
Server Monitoring
Ability to fully understand how systems and services are performing now is key requirement for successfully introducing new innovations
Important component of Trust’s move to MOF/ITIL based service framework
Program to implement System Center Operations Manager 2007 underway
RationalisedStandardised
Recommendations
DynamicBasic
Identity & Access
Management
Security & Networking
Data Protection
IT Processes
Energy & Efficiency
Process Formalisation
Support processes are in place but largely undocumentedReliance on individual knowledge seen as potential riskService improvement programs are simplified if processes are:
FormalisedManagedOptimised
Is a key component of the transition to MOF/ITIL based service framework
RationalisedStandardised
Recommendations
DynamicBasic
Identity & Access
Management
Security & Networking
Data Protection
IT Processes
Energy & Efficiency
Server Virtualisation
Currently used in development with a small amount of production use
Trust recognise virtualisation benefits and are actively pursuing this avenue:
Simplified managementAbility to manage workloads and optimise resource utilisationFlexibility and rapid deploymentSignificant reductions in datacentre power required for servers and cooling
Basic Standardised
Rationalised
Final Positions
Dynamic
Identity & Access
Management
Security & Networking
Data Protection
IT Processes
Energy & Efficiency
IO & NIMM HIS Benefits
14
ImproveImprove
SimplifySimplify
StrategicStrategicAssess and prioritise those activities needed to support the CfH Assess and prioritise those activities needed to support the CfH programmeprogramme
Provided a roadmap for improving levels of service to both Trust and Provided a roadmap for improving levels of service to both Trust and external usersexternal users
Reassurance that investments made of past few years have been made Reassurance that investments made of past few years have been made appropriatelyappropriately
An independent assessment of the current core infrastructureAn independent assessment of the current core infrastructure
Repeat the process in other Trusts within North Mersey HISRepeat the process in other Trusts within North Mersey HIS
Ensure all Trusts in HIS have access to the NHS EAEnsure all Trusts in HIS have access to the NHS EA
Adopt a common best practice framework across all TrustsAdopt a common best practice framework across all Trusts
Simplify adoption of CfH initiatives between Trusts and external Simplify adoption of CfH initiatives between Trusts and external partnerspartners
PrivacyAccessibilit
yUsability Security Standards Interop
Polic
yPolic
y
Connected Health Platform
Architecture and Design Blueprint, Reference
ImplementationsCore Infrastructure
Application Platform
Business Productivity
Infr
ast
ruct
ure
Infr
ast
ruct
ure
Shared Services
Business Solutions
Delivery Transformati
onPublic Health
Health Back Office
Care Management
Health Information
Solu
tions
Solu
tions
Con
nect
C
on
nect
C
olla
bora
te
Colla
bora
te
Info
rm In
form
Alignment with CfH
PrivacyAccessibilit
yUsability Security Standards Interop
Polic
yPolic
y
Connected Health Platform
Architecture and Design Blueprint, Reference
ImplementationsCore Infrastructure
Application Platform
Business Productivity
Infr
ast
ruct
ure
Infr
ast
ruct
ure
Shared Services
Business Solutions
Delivery Transformati
onPublic Health
Health Back Office
Care Management
Health Information
Solu
tions
Solu
tions
Con
nect
C
on
nect
C
olla
bora
te
Colla
bora
te
Info
rm In
form
Alignment with CfH
Summary• Have Defined a Strategic Direction for Mersey Care• Able to Identify and Prioritise Projects
1. The implementation of an application level monitoring capability in order to enable application based SLAs
2. Server virtualisation will introduce operational efficiencies and reduce datacentre power consumption.
3. A programme of process formalisation in order to ensure that IT staff are working in an optimal fashion and that services can be delivered in a known predicable manner.
4. The investigation of Directory federation and Information Cards to provide secure access to partner organisations and enable managed information sharing.
• Access to the full NHS EA• Readiness for CfH• Platform and IT Standardisation across North Mersey HIS to
improve efficiency and costs• Deeper partnership between Mersey Care & SCC