SWARH Regional EHR
Katharina Redford
Director of Operations
South West Alliance of Rural Health
Victoria Australia
The Victorian Alliance Model
GHAnet – 55
sites in 05/06
HumeNet – 50
sites in 05/06
Loddon Mallee – 40
sites in 05/06
GRHAnet – 70
sites 05/06
MelbourneHamilto
n
Apollo Bay
Geelong
Warnambo
ol
Heywood
Port FairyPortlan
d
Colac
Timboo
n
Camperdow
n
TerangMortlak
e
Penshurs
t
ColeraineCasterton
Torqua
y
POP Sites
SWARH Hospital Sites
SWARH Repeater Sites
SWARH Network Path
Legend
SWARH – 180
sites
Context
The SWARH collaborative model has been successful and
continues to resonate as a beneficial framework from which to
launch future ICT services for the region and individual members.
Vision
To be a leader in the delivery of contemporary Health ICT
Services
Mission
To deliver exemplary ICT services to SWARH Members that are
innovative, transformative and sustainable.
SWARH Strategic Plan
Investment – by Members
• ICT investment as a % of GOR currently averages 3.39%
• The range of this investment is 1.85%-4.8%
• The target level for SWARH set in 1998 was 3.5%
SWARH Services - Scope
Identity Management
Em
ail
Serv
ices
Digital Signage
BEIMS
Payroll Services
SWARH InternetActive Directory
Workstations
XACOM Paging
Shared Services
Remote AccessSWARH WANS
OLLE
Web SolutionsRFID – Asset Tagging
Intr
anet
Contractor Management
CC
TV
M
on
ito
rin
g
Cablin
g
Business Plan –
Scenario
A clinician is walking to work and receives an infusion pump SMS patient alert
on her personal smart device. She quickly accesses the patient information
with a biometric scan and notes there is a medication problem. She arrives at
work and wirelessly displays the detailed information on a nearby smart
monitor to ensure the required action has been taken.
She takes an internal call on her smart device, checks messages and
schedules a meeting to review the event with other clinicians.
She then moves to her office and continues her work on her smart monitor
and wireless keyboard. Her smart device warns of a video meeting in 5
minutes and she elects to participate in her office via the smart device. She
shares the patient and infusion pump information with other participants….
SWARH Regional EHR
• A regional commitment
• A philosophy of collaboration
• A clear intent
• A commitment towards regional ICT standards
• A proven capacity
• Return on Investment (ROI) for members
SWARH Regional EHR
• Implementation of a regional integrated EHR
to facilitate information sharing, clinical
decision making and clinician support
• Access to Specialist health services in the
local community, maximising service
diversity, depth and choice
SWARH Regional EHR
In 2002-2003, the SWARH Patient Administration and Privacy Subcommittee made a recommendation to amalgamate patient databases across the region to enhance the delivery of health services.
12 of the 13 Acute Healthcare organisations agreed to participate.The journey towards a unique regional patient ID had begun.
SWARH Regional EHR
Innovate Collaborate Transform
SWARH Regional EHR
• Build a regional ICT network through sustainable
investment from public hospitals
• Strategise to leverage off investment to use ICT
as an enabler for Health Service delivery
SWARH Regional EHR
• Establish a regional participation and
governance model
• Establish sub-committees to address business
drivers to utilise ICT
• Regional commitment to a longitudinal EHR and
unique identifier
SWARH Regional EHR
12
databases
= 1 regional
PMI
CIS
PAS (250
concurrent
users)
Community
2003 2004-2006 2011-2012 2014-2015 2015 & Beyond
adoption &
functionality
(450
concurrent users)
(13 sites)
SWARH Regional EHR
Underpinning any success has been the ability to share
information across the region and across episodes in a
multi-campus application with appropriate security
restrictions to enable sharing with confidence.
SWARH Regional EHR
What are
the critical
elements?
Integration
Security
Safe practice
Clinical guidance
Seamless in clinical
areas
Solid infrastructure
Always accessible
Supportive of
standards
Data retention/
redundancy
accessible remotely
SWARH Regional EHR
Regional EHR – a single system* - TrakCare
across 13 hospitals sharing one PMI
HIMSS self assessment (average across
region) – 2/3* separate pharmacy system interfaced to EHR
SWARH Regional EHR
An
Independent
point of view
Benchmark
2 years of
measurements
What's on the wish list?
• remote access, bedside access, biometrics, integration
/ messaging to primary care
• Mobility; analytics/data warehousing; patient portal
• Increased exposure to vendor roadmap development
• Alignment with National Quality and Safety Standards
• Ongoing adoption of functionality with support of
clinical change agents – EHRAP 2015-2017
HIMSS vs EHRs - vertical adoption vs
longitudinal – how do we measure???
Engagement vs strategy- which is the more
effective driver??
Build it or buy it in – are we really all that
different??
Take 2 tablets and call me in the morning – the
age old cure all…can be the biggest conundrum
Challenges….
Thank You! Questions?