EBI Program EDWARD Business Implementation Program Statewide Reporting Framework EBI Program April 2014 ECI Meeting Agenda 1. 2. 3. 4. EDWARD Existing Phase 1 & 2 Platform & Data EBI Program Mandate Benefits Statewide Reporting Framework – overview State LHD facility Scorecards dashboards operational reports EBI Program 5. Demonstration of the Delivery Platform 1. KPI Scorecards, Listing Reports, Trend Pages 2. Operational Reports 6. Business Decision Methodology – overview 7. ED status 8. Next Steps 2 EBI Program EDWARD – Existing Data Domains & Source Systems Phase 1 Note: Although not shown above Organisation Service Provider is in Scope and available in EDWARD 3 EBI Program EDWARD – Data Domains in Scope for Phase 2 4 Benefits of EDWARD and EBI Reports EBI Program for clinicians Current Reporting EBI Reports Benefits of EBI reports Frequency of up to date information limited (e.g. WL – Weekly or monthly,) More frequent reporting – daily Clinician conversations can be informed on a more regular basis Different styles and sophistication of reporting at LHDs Sophisticated design with visualisation of information for rapid understanding of performance, with drill through to patient detail and a clear path of action Rapid and easy understanding of data All clinicians across the state equally supported Reporting is ‘pushed’ out to clinicians (printouts, PDFs) Information can be ‘pushed’ AND Clinicians will be able to dynamically investigate data relating to their patients Self serve capability, and self directed investigation as appropriate Typically summary / high level data Patient level data Greater ability for clinicians to identify best course of action to manage their performance 5 Benefits of EDWARD and EBI Reports EBI Program additional benefits for whole of NSW Health Current Reporting EBI Reports Benefits of EBI reports Different practices at LHD One consistent set of practices A common performance dialogue, identification and leveraging of ‘Best Practice’ including institution of common processes across all of Health Different sources of data for reporting One consistent set of data for reporting Can compare across the whole of NSW Health Different and unclear interpretation of business rules behind how to report by each LHD A single set of transparent business rules for how the reports are calculated Consistency and transparency of reporting across the whole of NSW Health Differing reporting capability, capacity and offerings at each LHD A single set of reports suitable for all LHDs Comparison across the whole of NSW Health, economies of scale and making new capability available for some LHDs Duplication of effort at each LHD A single build / maintenance effort Economies of scale and consistency Reinterpretation of LHD data at MoH No reinterpretation required Analysts can move from data gathering mode to analysis / problem solving mode Most reporting is static for frontline staff (printouts, PDFs) Interactive inquiry tool facilitates dynamic investigation capability Enable frontline staff to move from static to dynamic information and the provision of an operational path way to effect KPIs Aggregated Data Unit level data Greater ability for analysis and root cause determination Current data warehouse (HIE) has reached end of life EDWARD is based on new technology and designed to grow with state reporting needs. A enterprise wide strategic pathway for future reporting for NSW Health from Facility to LHD 6 through to the State. EBI Program EBI Program Mandate The EDWARD Business Implementation (EBI) Program is mandated to provide a baseline of standard operationally focussed reports for NSW Health Local Health Districts (LHDs) to aid LHDs in running their business by providing a single source of truth across all of NSW Health around performance information for Wait List (WL), Emergency Department (ED) and Operating Theatre based on extensive consultation with program partner LHDs and defined Business Requirements. ….when it is needed, in the format it is needed in, and in a quality, accurate manner. 7 EBI Program Emergency Department KPI Focus Program team focus Frontline operational reports to support existing KPIs Not about appropriateness of the measures Your Advice and Feedback on Which quality and safety indicators or KPIs could be included either in the first or second EDWARD release Validate whether the inclusion of Admit and Non Admit for the mode of separation for the NEAT dashboard is useful EBI Program Statewide Reporting 1. Conceptual framework EBI Program 2. Demonstration 9 EDWARD – Statewide Reporting Framework INTEGRATED REPORTING DELIVERY PLATFORM KPI SCORECARDS DASHBOARDS DETAIL REPORTS & Activities Summaries - Data visualisation Detail including unit record (patient) data highlighting key information State LHD Up/Down Organisation perspectives ORGANISATION PERSPECTIVE Trend Graphs, Listing Reports, Sparklines OPERATIONAL FOCUS KPI & Point of Interest Facility & Service Unit Across Organisation through different tiers of management to the front line EBI Program– Business Decision Methodology EBI Program 1. Conceptual framework - Maps, Paths, and Steps 2. System Prototype Walkthrough 11 Business Decision Methodology - Walkthrough EBI Program The following ‘walkthrough’ is a draft concept paper of how the Business Decision Methodology will operate. The visual display is intended to give an idea of the functionality, not how the final solution will look and feel. 12 EDWARD – LHD/Facility Operational Reports Step 1 Example of Business Decision Methodology enabling dynamic investigation ABC Business Decision Map Pre-defined for each KPI EDWARD – LHD/Facility Operational Reports Step 2 Example of Business Decision Methodology enabling dynamic investigation ABC Select a Business Decision Path Pre-defined for each Map EDWARD – LHD/Facility Operational Reports Step 3 Example of Business Decision Methodology enabling dynamic investigation ABC Select next Business Decision Step ABCLHD ABCLHD DEFLHD DEFLHD ABCLHD ABCLHD DEFLHD ABCLHD ABCLHD ABCLHD ABCLHD DEFLHD ABCLHD ABCLHD ABCLHD ABCLHD ABCLHD DEFLHD ABCLHD ABCLHD DEFLHD EDWARD – LHD/Facility Operational Reports Step 4 Example of Business Decision Methodology enabling dynamic investigation ABC Select next Business Decision Step Hilltop Hosp Hilltop Hosp Hilltop Hosp Hilltop Hosp Hilltop Hosp Hilltop Hosp Hilltop Hosp Hilltop Hosp Hilltop Hosp Hilltop Hosp Hilltop Hosp Hilltop Hosp Hilltop Hosp Hilltop Hosp Hilltop Hosp Hilltop Hosp Hilltop Hosp Hilltop Hosp Hilltop Hosp Hilltop Hosp Hilltop Hosp Hilltop Hosp Hilltop Hosp Hilltop Hosp Hilltop Hosp ABCLHD ABCLHD DEFLHD DEFLHD ABCLHD ABCLHD DEFLHD ABCLHD ABCLHD ABCLHD ABCLHD DEFLHD ABCLHD ABCLHD ABCLHD ABCLHD ABCLHD DEFLHD ABCLHD ABCLHD DEFLHD EDWARD – LHD/Facility Operational Reports Step 5 Example of Business Decision Methodology enabling dynamic investigation ABC Select an alternative Business Decision Path as required and follow steps through the new Path EDWARD – Statewide Reporting Framework WL ED OT INTEGRATED REPORTING DELIVERY PLATFORM Wait list Emergency Department Operating Theatre Suites/ Rooms KPI Activity Summar ies SCORECARDS Trend Graphs, Listing Reports, Sparklines State LHD & Service Unit DETAIL REPORTS & Activities Summaries - Data visualisation Detail including unit record (patient) data highlighting key information 11 1 16 11 14 10 17 7 11 16 97 14 11 97 270 14 11 10 185 Facility DASHBOARDS 10 1 Up/Down Organisation perspectives ORGANISATION PERSPECTIVE 1 OPERATIONAL FOCUS KPI & Point of Interest 7 11 16 11 16 270+ Organisation through different tiers 11 of management to the front line 16 Across EBI – Next Steps 1. 2. 3. 4. 5. EBI Program 6. 7. 8. Complete Build of Operating Theatre Definition and build of validations for WL, ED and OT Remediation of EDWARD Error Control Framework Train EDWARD Co-Ordinators (Ad Hoc Access) before Lights On Document requirements for Cerner PAS correction tool (WL, ED and OT) & modify tool, possibly extracts. Data Quality EDWARD Lights On 1. Effect critical CRs, and address known defects 2. EBI System test of WL, ED and OT 3. HSIPR Testing and Sign Off. 4. UAT • LHD Pilot Lights On (WL, ED and Operating Theatre) Pilot LHD’s first followed by all LHDs 19 Contact details Our contact details Program team members EBI Program LHD Contacts If you would like further details you can go to our Intranet site or contact your LHD Contact (Program Implementation Lead) or program team members noted below. Jeanne Mitchell Natalie deWit Trish Spillane Dominic Dawson Graeme Loy Hunter New England Illawarra Shoalhaven Northern New South Wales South Eastern Sydney South Western Sydney Program Director 0402 881 668 [email protected] Robert Coppolino Solutions Architect 8918 1601 0448 789 939 [email protected] James Prior Senior Business Analyst / Training Lead 8918 1606 0458 573 912 [email protected] Jillian Ashby Change Manager 0412 360 860 [email protected] Kate Holz 8918 1608 20
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