Invited Speakers: Darren Douglass (Healthshare), Rebecca Bason (Taranaki DHB) and Nikki Murphy (Lakes DHB)

1. Midland Region
ePharmacy
Deployment
21st
October 2015
A Case Study of
Regional Success

2. Introductions
Darren Douglass
Director Regional Service Delivery, HealthShare
Nikki Murphy
Midland Region Clinical Pharmacy Advisory Group Chair
Rebecca Bason
Electronic Medication Management Systems Supervisor

3. Our Region

4. Outline
• Project Overview
• Project Challenges
• Lessons Learned
• Project Successes and Expected Benefits
• Next Steps

5. ePharmacy Project Overview
• Scope
• Shared, single regional system
• Replace 5 DHB pharmacy systems
• Common standardised processes, practices and
language
• Financials
• $6.6m budget
• Delivered within budget

6. ePharmacy Project Overview
• Timeline
• Business Case development commenced Jan 2011
• BC submitted Dec 2011 and approved June 2012
• Contracts established April 2013
• Project start June 2013
• Project completion August 2015
Jun13
Jul13
Aug13
Sep13
Oct13
Nov13
Dec13
Jan14
Feb14
Mar14
Apr14
May14
Jun14
Jul14
Aug14
Sep14
Oct14
Nov14
Dec14
Jan15
Feb15
Mar15
Apr15
May15
Jun15
Jul15
Aug15
Original Plan Design , Dev &config Dev, Test &DataPopulation Go-Lives Close
Final rebaseline Design , Dev &config Delay Dev, Test, DataPopulation &UserConfidence v1005 Go-Lives Close

7. ePharmacy Project Overview

8. Challenges
• Regional collaboration
• Time delays and pressure
• Agreeing single system configuration is difficult but
critical
• Regional operational service management

9. Challenges
• Technical challenges – printing, integration
• NZULM integration
• Product quality – multiple testing rounds
• Resourcing pressures and risks

10. Lessons Learned
• Governance is critical
• Clinical leadership and commitment
• Resource appropriately
• Partnership approach – vendors, region, DHBs

11. Lessons Learned
• Strong project management
• Technical delivery is complex
• Operational service management transition takes time
It takes perseverance and tenacity…..

12. Stakeholder Perspective
“Project showed the ability and determination of pharmacy staff to
“get things done”. It is a stepping stone to other regional
collaborative medication management projects”
Jan Goddard, Waikato DHB Chief Pharmacist
“ePharmacy is a testament to
how a region can pull together to
work toward common goals”
Andrew Boyd, HealthShare CEO
“ePharmacy was successful through
the Candour, Commitment and Can-
Do attitude of the region”
Dale Oliff, Lakes DHB Chief Operating Officer and
ePharmacy Project Executive
“The roll out of the
ePharmacy system shows
what can be achieved with
strong regional leadership
and close engagement with
clinicians and IT vendors”
Jonathan Coleman, Minister of
Health

13. Project Successes
• Strong vision of single regional system, common
standardised processes, practices and language
• Strong effective governance
• Clinical leadership
• Good working relationships
• Engaged and committed users
• Transition to regional support team

14. Project Successes
• First regional hospital ePharmacy solution in NZ
• First hospital pharmacy use of the national drug
database.
• Project delivered on budget
• 5 DHBs live within ten weeks
• Integrated view of the patient’s hospital medicines
record visible across DHBs
• Transparency of inventory across DHBs

15. Expected Benefits
• Reduced IT implementation, support and maintenance costs -
achieved
• Reduced IT system risk – achieved
• Aligned business processes - achieved
• Increased access to clinical and management information –
achieved

16. Expected Benefits
• Improved patient safety and outcomes - enabled
• Reduction in adverse drug reactions – enabled
• Enthusiasm for future regional collaboration – enabled
• Resource sharing, standard treatment guidelines, regional
PML, regional inventory, regional reporting
• Rollout of further medicines management functionality

17. Next Steps
• Improve and bed down the operational service
• Explore regional process improvements
• Other regional medication management solutions
• Medicines reconciliation, ePrescribing, integrated
community medication information
• Repeat the successes; Learn the lessons
• Support other national/regional implementations

18. Thank You
Questions?