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Proposed Programs of Work

Clinical Systems | Clinical Support Systems | Corporate systems | Infrastructure

Clinical Systems

  • Electronic Health Record (EHR) State-wide Rollout – extend beyond the pilot sites to all sites across NSW – provider and consumer access to integrated health record containing summary level information from public hospitals, ED, community health, outpatients, diagnostic services, dental clinics, GPs, private hospitals, aged care facilities and pharmacies. This program of work is dependent on other feeder systems being in place to support the capturing of a summary clinical record. As these clinical feeder systems become operational the data can be captured. While there is a dependency on other systems the EHR can be rolled out in parallel and connected as the information becomes available.
  • Community Health Redevelopment – a key enabler for clinical reform and improved quality and safety within a community care delivery model. The model spans community health, mental health and a limited component of primary care. The systems will improve management of patients in the community, particularly the aged, those with chronic disease and those that require support from mental health services.  On a day to day basis this will provide clinicians and community health practitioners with the capability to place orders against services, view results, make electronic notes, admit and discharge patients, refer patients and schedule services. Community Health can be implemented provided dependencies are managed between the hospital, mental health and primary care systems.
  • Intensive Care Unit component of the Electronic Medical Record (eMR) – builds upon previous eMR implementations – provides a single point to collate all relevant data to assist in decision support and integrate with the wider clinical documentation functionality, medications management and electronic record.
  • Clinical Documentation component of eMR – builds upon previous eMR implementations - allows clinical notes, alerts and pathways for specialist clinical areas to be electronically available.
  • Medication Management component of eMR – builds upon previous eMR and Hospital Pharmacy implementations - provides clinicians with point of care tools that allow them to electronically prescribe medications. It provides alerts of potential drug allergies, drug interactions, drug contraindications to patient conditions and dosage checks designed to pick up errors in dosage, and will even alert doctors if a relevant blood test is outside the range recommended for a particular drug dosage

Clinical Support Systems

  • Hospital Pharmacy rollout - State-wide implementation of a replacement hospital pharmacy system. This means migration from a single site to multi-site implementations hosted in clinical hubs. This is essential to support the planned rollout of medications management.
  • Incident Information Management System - drives improvements in quality and safety of care, monitoring of adverse events and provide reporting on system performance. This is aimed at replacing the current system and improving its capability.  

Corporate systems

Corporate Systems Stage 2 - builds upon Corporate Systems Stage 1 - consists of two parts:

  • Corporate Systems Stage 2a will focus on Rostering and Asset Management. 
  • Corporate Systems Stage 2b will address e-recruitment education and training, workforce management, additional human resource components, migration of the finance instance into the Oracle State Based Build and OH&S.

Infrastructure

  • Infrastructure Phase 1 - establish ICT Infrastructure Office to manage an ongoing program of work bundled in two year phases to align with clinical and corporate programs of work and refine scope of activity. The program is targeted at replacing obsolete equipment, data centre / network upgrades, management processes.
  • Infrastructure Phases 2-5 - iterative, maturing stages of the long term strategy. They include Network upgrades, Data Centre space provision and rationalisation, replacement and consolidation of remaining obsolete server, replacement/upgrade of remaining network infrastructure, Implementation of best practice ICT Service Management.

These projects and are the subject of review by NSW Health and may change in accordance with the priorities of the NSW Government.

Further information is publicly available in the Final Report of the Special Commission of Inquiry into Acute Care Services in NSW Public Hospitals (p. 499) released on 27 November 2008.

This web page is managed and authorised by Strategic Information Management of the NSW Department of Health. Last updated: 31 March, 2009

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