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

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

    • The potential for innovative collaboration between the HSE and ICT Suppliers Potential for collaborative initiatives 1
    • 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 Potential for collaborative initiatives 2
    • Our ObjectivesTo respond to government policy initiatives and inthe context of the current state of resourcing anddelivery of ICT within the health system, explorethe potentialities of establishing a process whichwill:  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 3
    • ICT Strategy Work Streams Implement strategic •Major business development programmes, requiring oversight at national management level. national business initiatives •A range of initiatives. Support regional/ local •100+ currently being processed initiatives •Establish the framework that will specify the standards forDevelop the information healthcare applications and provide facilities to enable these applications to work together. framework for EHR •Improve, extend and strengthen the communications network. Consolidate the infrastructure. Provide quality services toImprove ICT infrastructure staff. Implement national information security standards. •Enhance human resource capacity. Conduct skills audit. Implement development programme and for ICT staff and for Strengthen ICT capacity non-ICT staff. Potential for collaborative initiatives
    • 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 Potential for collaborative initiatives 5
    • Current Status RevenueRevenue 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 Potential for collaborative initiatives 6
    • Current Status Capital PlanProject Type No. of Projects InvestmentHospital Clinical 36 €11,213,675ICT Technical Infrastructure 22 €8,431,869Core Hospital - iSoft (PAS) 6 €8,138,013Pre Hospital Emergency Care 6 €4,570,624Corporate Systems 12 €1,707,080Community Clinical 11 1,259,130New Building/ Refurbishment - Fit Out 1 950,000Core Hospital - iSoft (Order Comms) 1 €550,000Minor/ Miscellaneous Capital Projects 97 €3,121,963Totals 192 €39,942,355 Potential for collaborative initiatives 7
    • Current Status Capital Projects April 2012 Type # Projects Lifetime Capital 2012 Sanction AmountPart 1 (non minor) 26 €11.44m €4.6mPart 1 (minor) 24 €1.42m €1.42mPart 2 (carryover projects) 148* €99.88m €20.34mTotal 2012 sanction to date €26.36mPart 1 (non minor) – Awaiting 6 €5.94m €3.78mApprovalPart 1 (minor) – Awaiting 14 €668kApprovalGrand 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. Potential for collaborative initiatives 8
    • 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 Potential for collaborative initiatives 9
    • 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 Potential for collaborative initiatives 10
    • 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 Potential for collaborative initiatives 11
    • 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 & Infrastructure 3. Assisting indigenous business to grow 7. Exploiting sect oral opportunities, including: • Health/Life sciences • ICT Hardware and Software • Business Process Outsourcing/Shared Services • Cloud computing Potential for collaborative initiatives 12
    • 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 Potential for collaborative initiatives 13
    • Collaboration“Collaborate, collaborate, collaborate: In thecase of an electronic health records system, nosingle group (buyers, providers, users) alonecan carry through a successful implementation.Concerted effort is the only way to ensure asuccessful scenario where all parties gainsomething”- European Commission, DG Information Society Potential for collaborative initiatives 14
    • 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 Potential for collaborative initiatives 15
    • 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.) Potential for collaborative initiatives 16
    • 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 Potential for collaborative initiatives 17
    • New Models for Business Engagement Vendor Financing  Software as a Service Innovation – strategies  Open Source Software Supplier partnerships  Cloud Computing Smart procurement  Interoperability Research projects  Agile methods Potential for collaborative initiatives 18
    • 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 Potential for collaborative initiatives 19
    • 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 Potential for collaborative initiatives 20
    • Questions & Discussion Potential for collaborative initiatives 21