CS3.1.2 Partnerships and Processes: Managing Complexity MARY BLACKWOOD TUESDAY 9 OCTOBER, 2007 Project Management - Setting the Standard Australian Institute of Project Management National Conference 2007 Hobart TasmaniaOctober 7 – 10, 2007

Partnerships and Processes: Managing Complexity Mary Blackwood October 2007

The National Agenda 2002 – HealthConnect:  Australia’s proposed network of electronic health records  A health information network for all Australians  ‘Right information, right place, right time’ 2005 – HealthConnect: An overarching change management strategy to improve safety and quality in healthcare by establishing and maintaining a range of standardised electronic health information products and services for health care providers and consumers. HealthConnect Implementation Strategy, Version 2.1 July 2005 (Revised)

The Local Statement of Purpose In Tasmania, HealthConnect will improve services through the delivery of integrated electronic health information

Project Framework

Messaging Project: Electronic Notification of Hospital Events (ENHE) Launceston Hobart North West LGH November 2005 NWRH (both campuses) February 2006 RHH May 2006 ENHE commenced in:

Messaging Project: Electronic Patient Care Record (ePCR) The ePCR project was officially launched by the Tasmania Health Minister, Lara Giddings who said, “The pilot project builds on Tasmania’s reputation for testing, adopting and implementing the latest in eHealth solutions and partnering with others to benefit patient care.”

General Practice Aged Care Allied Health providers Public Hospital Patient Administration systems Pharmacy Ad hoc sharing of provider information between groups Mental Health Public Health Oral Health Palliative Care Provider Directory currently GP only Public sector Private sector Enabler Project: Provider Directory Current sharing of provider information

Enabler Project: Provider Directory Planned model of sharing of provider information Tasmanian Health Provider Directory DHHSGeneral Practice PharmacyAged Care Allied Health Provider information provided and updated in line with agreements DHHSGeneral Practice PharmacyAged Care Allied Health Provider information distributed according to agreements

Manage by Process: Governance

Manage by Process: Inclusiveness Advisory Group membership comprises: - Aged and Community Services Tasmania (ACST) - Consumer Representatives x 3 - Department of Economic Development (DED) - Department of Health & Human Services (DHHS) - Department of Veterans Affairs (DVA) - General Practice Tasmania (business and medical representatives) - HealthConnect Tasmania - Medicare Australia - Tasmania Branch - Pharmacy Guild - Pharmaceutical Society of Australia (PSA) - University of Tasmania

Governance Tips Put specific resource into Governance Select members well Facilitate participation Structure - schedule - reports Project overview Milestones - current Milestones - future Risk and dependency management Budget management

Governance Tips Communicate

Choose a Methodology Tasmanian Government (Department of Premier and Cabinet) Project initiation Structure and governance Stakeholder engagement Risk management Implementation

Quality Improvement Council Designate Document Communicate Evaluate Integrate

Partnerships

Partnerships: A range of approaches SELECTING PARTNERS Competitive tenderSubmissionInvitation Community development NATURE OF PARTNERSHIP Purchase of services Complementary goalsShared goalsShared values MANAGING PARTNERS Contract management Contract and relationship management Relationship managementTrust PERFORMANCE MEASUREMENT InputsOutputsOutcomesJoint outcomes RISK CONTROL Risk lies with partnerEach party carries different risksShared risks Australian Government Website

Partnerships: The Mechanisms Funding Agreements Service Level Agreements - Information Services - Acute Health Services - Tasmanian Ambulance Service Contracts - GP Tasmania - Pharmacy Guild

Complexity: The Management System