Laying the Groundwork

Bill Le BlancGeneral Manager eHealth Services

it’s a lot more than technology

eHealth Conference

Wednesday 23 May 2012

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The Big Fanfare

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Agenda

• Structural reform

• Investment governance

• Workforce restructuring

• Operational delivery

• Infrastructure

• Clinical engagementImage © Atom Smasher

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Structural Reform• Policy

• Funder (via ABF)

SA HEALTH COMMISSION ACT OF 1976

CIO

ICT Dept ICT Dept

ICT Dept ICT Dept

ICT Dept

ICT Dept

ICT Dept

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ICT Investment Governance

• New governance framework created

• Powers used to create policies

• ICT Steering Committee established

– Chaired by Chief Executive

– All health unit CEO’s are members

– CFO and State Treasury representation

– Only 3 ICT staff (incl. CIO) are members

– Sub-committees for Clinical and Business systems

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Restructuring the ICT Workforce

Applications

Service Desk

Server

PC support

Security

Network

Telephony

ICT Mgr

50 FTE

Central

Applications

Service Desk

Server

PC support

Security

Network

Telephony

ICT Mgr

35 FTE

Hospital 1

Applications

Service Desk

Server

PC support

Security

Network

Telephony

ICT Mgr

22 FTE

Hospital 2

Applications

Service Desk

Server

PC support

Security

Network

Telephony

ICT Mgr

18 FTE

Hospital 3

Applications

Service Desk

Server

PC support

Security

Network

Telephony

ICT Mgr

6 FTE

Hospital 4

Applications

Service Desk

Server

PC support

Security

Network

Telephony

ICT Mgr

3 FTE

Health

Service

Applications

Service Desk

Server

PC support

Security

Network

Telephony

ICT Mgr

9 FTE

Ambulance

� ≈ 450 FTE

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Business

Services

Business

ServicesStrategy &

Standards

Strategy &

StandardsOperationsOperationsCustomer

Services

Customer

ServicesProjectsProjects

Restructuring the ICT Workforce

CIO

Service Desk

Account Mgt

Service Mgt

Change Mgt

PMO

Project Mgrs

Bus Analysts

Proj teams

Server

PC support

Network

Telephony

Apps Dev

App Support

Product Mgt

Testing

Security

Architecture

ICT Strategy

Risk

Standards

ICT Finance

ICT HR

Admin

ICT Facilities

Contract Mgt

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Operational Service Delivery

• From disorganised chaos

• To structured IT service management

– based on an ITIL framework

• Cultural change required

– do not underestimate this challenge

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InfrastructurePC fleet

Data Centre Data Centre 2

EMPI

HIB

3,500 bedside computers

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Clinical Engagement

• Product selected by clinicians

– Technology platform not a driver

• Project led by CMO

– Significant business change required

– Commitment to common protocols & processes

• Enthusiasm

– 500 people volunteered to be site coordinators

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Summary

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Questions?

Who?

Wha

t?

When?W

here?

How?

How?

How?

How?

WHY?