10. ICT Strategy

Question 1

what are the responsibilities of an ICT dept. in healthcare

Answer 1

• develop plan & strategy
• keep them current
• work with the org to dev. and implement new applications
• day to day user support
• infrastructure management
• manage IS
• research support e.g. data & analytics

Question 2

what are some roles in ICT administration

Answer 2

CIO = set vision & strategy, build tech confidence, integrate IT with business

CTO = guide implementation of org’s technical architecture, define tech standards, ensure they all fit together

CMIO = chief medical information officer, usually physician, guide EHR selection, define clinical IS governance process

Question 3

why do we need IT strategic planning

Answer 3

• identify non-IT org initiatives needed to ensure max leverage of the ICT initiative
• ensure the org has not missed a strategic ICT opportunity
• ensure that IT plans & activities align with the overall org
• develop a practical plan
• establish a political process for support & accountability

Question 4

factors that impact IT strategy

Answer 4

• sourcing: can it be done in house or bought?
• ROI analysis
• people: will they adopt it

Question 5

what are the personas on the project team

Answer 5

• sponsor e.g. LHD chief exec
• steering committee= drive & provide advice. includes experts from hc orgs, community agencies & state dept.
• clinical expert with specialist experience
• project lead
• project team

Question 5

what is an ACI

Answer 5

agency for clinical innovation - determines successful projects at hospitals and works with key drivers to scale the projects e.g. telestroke

ACI came up with a guideline to roll this model of care out to other hospitals

Question 6

what is the system acquisition process

Answer 6

• establish project steering committee & PM
• define project objective & scope
• screen marketplace & review vendor profiles
• determine goals & reqs.
• develop & req. proposal
• explore other options e.g internal development
• evaluate proposals
• conduct cost-benefit analysis

Question 7

nepean telehealth remote patient monitoring for COVID19

Answer 7

• initially they were checking in via phone call, but realising that there were issues with patients answering the phone
• the revised solution was an SMS so patients could respond when comfortable & able
• strategy = federal covid plan & local lhd plan
• steering committee = stakeholders e.g. head of outpatient clinic
• initiative = patients in the community
• solution = co-design
• acquisition = rpm vendor evaluation
• implementation management = weekly, meetings, risk register
• deployment
• research = produced a paper on scalability
• milestone meetings

Question 8

what is the ACI’s 3 phase template for implementation

Answer 8

• plan = identify a need, build case, obtain sponsorship
• assess = identify aspects of the new implementation model, find issues and gaps, prioritise solutions
• operationalise = plan the implementation of solutions, change management e.g. eval & comms, monitoring of change

Question 9

what are some technology management tools

Answer 9

• gantt chart
• risk & issue register
• project phase & activities

Question 10

what is the tech acquisition process

Answer 10

• establish steering committee & PM
• project scope & objectives
• screen marketplace & review vendor profiles
• determine sys goals & req
• develop & distribute RFP
• explore other options e.g. internal development