Multidisciplinary Approach and Common Pitfalls
Vicki Ibrahim
Director of Pharmacy Services
UnitingCare Health
3 August 2015
Planning for Success
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E-Health Revolution: Easier Said than Done
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Reality Check ?!
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Long Running Disappointment?
“The failed promises of the Information Age add up to the longest-running disappointment in business history. On the other hand, information technology has produced an enormous transition, something that companies should be grappling with and studying every day.”
Jack WelchWorld Economic Forum, Davos, 1997
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What Does It Take to Deliver a Promise
Project mission-set clear goals and direction for the project
Top management support - to champion the project and overcome challenges
Client consultation - ensure stakeholders are engaged
People management - develop effective multidisciplinary project teams
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What Does It Take to Deliver a Promise
Technical tasks - ensure that the required technology and expertise are available
Client Acceptance - sign off of project deliverables
Monitoring and feedback Communication to manage expectations
internally &externally Trouble –shooting- catch and resolve issues
early Project planning -understand the who, what,
how, when and where of the project
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Road to Success
The implementation planning study Benefits realisation planning Business process mapping and redesign EMM system policy development Implementation sequence planning Change management planning Evaluation planning Education and training planning Communications planning Quality management Business Continuity Planning (operational and Ehealth)
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Begin With (and always keep) the End in Mind
People
Resources
Stakeholders
Vendors
ICT engagement
End Users
Process
Scope & Structure
Implementation plan
TESTING TESTING TESTING
MOCK 1 & 2
Time for Remediation
Data migration
Technology
Infrastructure &
Capacity
Interfaces & Integration
Devices
HIMSS Stage 4? 5? 6? 7?Brownfield vs GreenfieldContract (inclusions & exclusions)Budget Roadmap
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IT Investment vs IT Enable Clinical Transformation
Benefit Realisation Approach= mind-set that focuses on integrating technology into business processes/systems
Shared vision & clear picture Executives/Senior Management=ROI or business results achieved through major IT investment Middle Management=understand their role in achieving these goals + resource requirement Employees= understand WHY & HOW they will contribute to the results
Three fundamentals Program Management Portfolio Management Full cycle governance
Results Chain: outcomes, initiative, contribution, assumption
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Device Integration
SurgiNet
CareNet
Medication Management
Admin Function
Medical Doctor Team
Anaesthetics
Doctor Team
Surgical Doctor Team
Interdisciplinary Collaboration
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CSFS vs FSWF
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Greenfield vs Brownfield Deployment
Big Bang approach Greater surety around planning More sustainable build prior to go-live Less opportunity for procrastination
Lead Implementation Staged build Staged procurement Selection of lead wards Stretched time lines ? More flexibility Project fatigue Legacy
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Delivering the Promise: Key Considerations
Clear understanding of benefits for each stakeholder group NB: Plan should be aligned against the benefits Effective stakeholder engagement and communication from
beginning. Ensure every staff member understands the vision, the plan,
and hat their role will be in delivering the strategic vision Clear governance model incorporating stakeholders Control and ownership of information Understand and manage complexity Shift in mindset/cultural attitudes Pragmatism over perfection Political will ICT investment Timeframe for implementation
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The Road Forward
“ Vision without action is hallucination” — anon
“ There is nothing worse than doing well that whichshould not be done at all.”
Peter Drucker
“ Every day you make progress. Every step may be fruitful. Yet there will stretch out before you an ever-lengthening, ever ascending, ever-improving path. You know you will never get to the end of the journey. But this, far from discouraging, only adds to the joy and glory of the climb.”
Sir Winston Churchill