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?