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Gerard Hurl - Industry Presentation 26-04-12
1. The potential for innovative collaboration
between the HSE and ICT Suppliers
Potential for collaborative initiatives 1
2. 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
3. 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 3
4. 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 for
Develop 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 to
Improve 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
5. 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
6. 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
Potential for collaborative initiatives 6
7. 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
Potential for collaborative initiatives 7
8. 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 6 €5.94m €3.78m
Approval
Part 1 (minor) – Awaiting 14 €668k
Approval
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.
Potential for collaborative initiatives 8
9. 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
10. 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
11. 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
12. 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
13. 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
14. 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
Potential for collaborative initiatives 14
15. 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
16. 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
17. 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
18. 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
19. 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
20. 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