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Re-configuring health systems? Simple rules define complex systems Steven C. Boyages
Outline ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Background ,[object Object],[object Object],[object Object]
Background cont. C.E.O Chief Endocrine Officer Chief Excitement Officer
Westmead Hospitals
Area Health Services
Dimensions of the new AHS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Justification Reconfiguring Health Systems There will be no single right model Public Sector
Challenges in health care ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Health care ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The players in this game ,[object Object],[object Object],[object Object],[object Object],[object Object]
Health care is a series of transactions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The business of health Patient Level Settings of Care Whole system level
Clinical transactions are simple ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Business of health Settings of care ,[object Object],[object Object],[object Object],[object Object]
Whole of system The Frog and the Bicylce ,[object Object],[object Object],[object Object],[object Object],[object Object]
Justification Reconfiguring Health Systems Where do we start? More money will solve the problem? Restructure?
Understanding flow is the key ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The next wave of reform ,[object Object],[object Object],[object Object],[object Object]
Banking vs Health ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Information technology in health  How will it add value?
Health System Benefits (Why?) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The main issue ,[object Object],[object Object],[object Object]
Future Strategy (What?) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Web based technology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Examples to date ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
Bed Board - Live Data Screen
 
Current Implementation at WSAHS
Cumberland Data Centre  - View of Racks containing LAN Servers
Managers are from Mars and clinicians are from Venus.
Clinical leadership and Governance ,[object Object],[object Object],[object Object],[object Object],[object Object]
Quality and patient safety ,[object Object],[object Object],[object Object],[object Object],[object Object]
Western Sydney ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Western Sydney ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Primary Health Organisations ,[object Object]
Aims of the  Primary Health Care Strategy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Conclusion ,[object Object],[object Object]
Three envelopes given to a CEO on day 1 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]

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RACMA NZ

Editor's Notes

  1. Summary of PoCCS progress at WSAHS: Cerner OCF Clinical Repository Radiology Information System (RIS) – Cerner RadNet Pathology – Cerner PathNet Discharge Report Summary (DRS) Emergency Department Information System (EDIS) Picture Archive and Communication System (PACS) Orders Electronic Prescribing Decision Support (EPDS)
  2. PHOs are the key mechanism. More about the points in this slide is in the following ones
  3. The first two are overall aims for health (New Zealand Health Strategy) Primary Health Care can certainly help reduce health inequalities – see next slide at this point
  4. Any change will be difficult Roll out starts immediately, but transition period of some years to achieve 99% clinicians agree with what we are proposing