Gerard Hurl - Industry Presentation 26-04-12

Potential for collaborative initiatives 1

The potential for innovative collaboration between the HSE and ICT Suppliers


The potential for innovative collaboration between the HSE and ICT Suppliers

Our Objectives Current State Challenges New Environment New Ways of Business How do we engage Next Steps


Our Objectives

To respond to government policy initiatives and in the context of the current state of resourcing and delivery of ICT within the health system, explore the potentialities of establishing a process which will:

Engage with Industry to identify, assess and implement innovative collaborative opportunities to support the greater utilisation of ICT

Underpin the importance of ICT in the successful delivery of a high performing health system

Potential for collaborative initiatives

•Major business development programmes, requiring oversight

at national management level.Implement strategic

national business initiatives

•A range of initiatives.•100+ currently being processedSupport regional/ local

initiatives

•Establish the framework that will specify the standards for healthcare applications and provide facilities to enable these applications to work together.

Develop the information framework for EHR

•Improve, extend and strengthen the communications network. Consolidate the infrastructure. Provide quality services to staff. Implement national information security standards.Improve ICT infrastructure

•Enhance human resource capacity. Conduct skills audit. Implement development programme and for ICT staff and for non-ICT staff.Strengthen ICT capacity

ICT Strategy Work Streams


Current Status - Overview

ICT within the HSE accounts for 0.085% of total expenditure.

2012 Total ICT expenditure is €116 million Revenue €74.43m (excluding €19.7m phones) Salaries €22.50m Capital €25.00m (Current Spend Est.)

Staffing 400 (280 HSE and 120 Voluntaries) Supporting 100,000 Staff, 50,000 devices,

2500+ systems across a wide spectrum


Current Status Revenue

Revenue Expenditure Software Maintenance €25.3 Million Hardware Maintenance € 9.2 Million Telecoms Maintenance € 2.7 Million Replacements Hardware € 5.8 Million Replacements Software € 2.2 Million External Services € 9.1 Million

Hosting, Consultancy, Contractors, External Service providers


Current Status Capital Plan

Project Type No. of Projects Investment

Hospital Clinical 36 €11,213,675

ICT Technical Infrastructure 22 €8,431,869

Core Hospital - iSoft (PAS) 6 €8,138,013

Pre Hospital Emergency Care 6 €4,570,624

Corporate Systems 12 €1,707,080

Community Clinical 11 1,259,130

New Building/ Refurbishment - Fit Out 1 950,000

Core Hospital - iSoft (Order Comms) 1 €550,000

Minor/ Miscellaneous Capital Projects 97 €3,121,963

Totals 192 €39,942,355


Current Status Capital Projects April 2012

Type # Projects Lifetime Capital 2012 Sanction Amount

Part 1 (non minor) 26 €11.44m €4.6m

Part 1 (minor) 24 €1.42m €1.42m

Part 2 (carryover projects) 148* €99.88m €20.34m

Total 2012 sanction to date €26.36m

Part 1 (non minor) – Awaiting Approval

6 €5.94m €3.78m

Part 1 (minor) – Awaiting Approval

14 €668k

Grand Total 218# €105.82m €30.14m

* Within the (148) Part 2 sanctioned items, 88 are minors and 60 are NON minors. # Within the total of 218 sanctioned items, 126 are minors and 92 are NON minors.


Capital Projects 2012 Work Plan NIMIS

Continue rollout – go-live at 11 further sites IPMS

Continue PAS deployments in Dublin Mats & Paeds, South East (Midland, RVEEH, NRH) Order Comms commencement to support NIMIS

Endoscopy Complete Phase 1, Contract for Phase 2 & commence deployments

RIMD Track & Trace Complete Phase 1, Contract for Phase 2 & commence deployments

MedLIS Procurement underway

Kidney Disease Clinical Patient Mgt Implement 5 remaining Phase 1 sites Commence Dublin sites & contracted HD centres

Maternal & Newborn Clinical Mgt Place contract and commence deployments


Capital Projects 2012 Work Plan

ICU CIS Complete the deployment in Sligo - Continue the deployment in CUH

Emergency Dept CIS Undertake procurement and commence deployment

National Environmental Health Information System Complete the rollout

Civil Registration Online Appointment Bookings Complete deployment

Counselling Service Complete the rollout

National Child Care Information System Complete procurement and commence deployment

National Dental System Complete the NW Upgrade - Continue rollout to other new sites

Ambulance Service Computer-Aided Dispatch Complete procurement and commence deployment


Capital Work Plan 2012

All projects supported by: Infrastructure programme

IAAS Programme SAN’s Programme NHN1 and NHN 2 Programme (Networks and IP) AD project

Applications Support Vendor Management Applications Self Registration Database

Planning ICT and Business Systems Planning


New Environment Programme for Government 2011

Reorganisation - Health System governance, administration and delivery

Innovation and Commercialisation Research & Innovation

Report of the Research Prioritisation Steering Group November 2011

Priority Area A - Future Networks & Communications Priority Area B - Data Analytics, Management, Security & Privacy Priority Area C - Digital Platforms, Content & Applications Priority Area D - Connected Health and Independent Living Priority Area N - Innovation in Services and Business Processes

Action Plan for Jobs 2012 Relevant principal areas:

1. Building competitive advantage – Innovation, Costs, Skills & Infrastructure3. Assisting indigenous business to grow7. Exploiting sect oral opportunities, including:

• Health/Life sciences• ICT Hardware and Software• Business Process Outsourcing/Shared Services• Cloud computing


Implications of new Environment

Target key technology areas and sectors where innovation can be applied

Reform public procurement to become a tool to support innovative Irish firms

Reduce the cost of Government imposed red-tape on business

Focus on enabling both the manufacturing and service sectors to innovate their service offering, service delivery and business processes

Need for innovation around new business models Restructuring/re-organisation of the entire health system


Collaboration

“Collaborate, collaborate, collaborate: In the case of an electronic health records system, no single group (buyers, providers, users) alone can carry through a successful implementation. Concerted effort is the only way to ensure a successful scenario where all parties gain something”

- European Commission, DG Information Society


Realities of Current Environment

ICT Staffing – 400 Staff Range and quantity of skill sets within HSE Change focus to project delivery

Financial Resources – less than 1% of expenditure Idea to Project Start Timeframe

Small projects with Frameworks 2 Months Small Projects without Frameworks 8 – 10 Months Large Projects > €5M 2 Years

Government Policies & Procedures As a public body we must procure services and goods via the

public procurement process


Challenges – Health System

Health system re-organisation Business/Service engagement/ownership given

the pressures Releasing of Business Resources for projects Expectations of Service Users Scale and Complexity of projects Project Fatigue Continuously emerging “non Project” initiatives

(OPD, SDU etc.)


Challenges – Industry

Health system re-organisation Engagement with the System Availability of Funding Lack of investment Procurement Process Maintaining a Competitive advantage Co-operative working arrangements


New Models for Business Engagement

Vendor Financing

Innovation – strategies

Supplier partnerships

Smart procurement

Research projects

Software as a Service

Open Source Software

Cloud Computing

Interoperability

Agile methods


Examples of new ways of Engagement

Streamlined and standardised internal procedures & processes Professional and Technical Services framework

Outsource a Service (including the ICT element) Home Help service Audiology

Shared Service Renal

Software as a service SAT Clinic booking/scheduling for bird flu vaccination

Development through research and innovation Health Intelligence Framework for ICT services


How do we Engage

Engagement needs to be at industry level Establish an organisational/relationship (governance?)

framework for collaborative initiatives Initiate a process of wider consultation with all

stakeholders to: Identify new and/or innovative business models Assess their potential and viability Identify the opportunities for their utilisation

Agree the procedures and processes to assess and manage proposed initiatives


Questions & Discussion

Gerard Hurl - Industry Presentation 26-04-12

Health & Medicine

Transcript of Gerard Hurl - Industry Presentation 26-04-12