Queensland Health’s IT problems can be overcome, new eHealth head says


The CCC eventually found there was “insufficient evidence” to proceed with motion in opposition to Dr Ashby.

New head of eHealth Queensland Damian Green.

New head of eHealth Queensland Damian Inexperienced.

Aside from Dr Ashby, eHealth Queensland’s chief know-how officer Warren Prentice additionally left in current months and medical leads on the challenge Dr Gordon Laurie and Renea Collins each resigned.

In the meantime, there have been rising issues with the Built-in Digital Medical File (ieMR) system, developed by US medical big Cerner, which was being quickly rolled out throughout numerous hospitals across the state.

Clinicians have been involved the system was not match for goal and didn’t mesh with current software program techniques in some hospitals, placing sufferers in danger.

Mr Inexperienced was beforehand the top of digital transformation for the Gold Coast Hospital and Well being Service, which put the ieMR in place in April, and stated he might convey that have to bear because the ieMR rollout continued.

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“We rolled out [the ieMR] throughout all our hospitals from April to the start of Might with none medical incidents,” Mr Inexperienced informed Brisbane Occasions.

“And we have been ready to try this as a result of we had that medical management, and IT partnering with that management, however we additionally had good governance strategies, the place if we noticed points arising we might take it straight to the clinicians and get motion on it instantly.”

Integrating medical observe into IT decision-making was important for the continued rollout of the ieMR, Mr Inexperienced stated, as a result of clinicians have been those who needed to work straight with the system, and who knew what points have been more likely to come up.

“I don’t have a problem with points arising in tasks – good challenge administration needs to be figuring out points,” he stated.

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“Points needs to be proactively mitigated and resolved, and my downside is the place these points aren’t being proactively recognized and resolved.”

After initially aggressively pushing the ieMR rollout into hospitals, the state authorities has since eased off, with Well being Minister Steven Miles quietly saying throughout estimates hearings in July that the following stage of the challenge was being delayed till 2021.

Within the meantime, the system is dwell in a number of hospitals throughout the state, together with a few of the state’s largest akin to Brisbane’s Princess Alexandra Hospital.

Managing the hospitals which might be dwell on the ieMR whereas additionally getting ready for future rollouts into 2021 was a key problem going ahead, Mr Inexperienced stated.

Nonetheless, he stated it was not the insurmountable downside it was being made out to be.

“We have now the chance now to hearken to the suggestions we’re getting from the 14 websites who’ve already carried out the software program, and see what alternatives there are to boost it,” he stated.

“So give you ‘ieMR model 2’ should you like.”

A key participant in arising with that second model of the troubled software program will probably be Cerner, which has been working with eHealth Queensland as they wrestle to get the ailing $1.2 billion system up to the mark.

It’s estimated the cost of the project has blown out by at least $256 million from its unique price ticket.

The system has additionally skilled numerous system outages and crashes in current months, usually coinciding with Cerner conducting software program upgrades and patches.

Mr Inexperienced stated such incidents have been “very uncommon” and he was not as involved about that as individuals would possibly assume he needs to be.

“ieMR is an enormous system, which interacts with no less than 50 different medical purposes inside Queensland Well being,” he stated.

“If there’s degradation in efficiency in a type of different techniques, then that may have an effect on the ieMR.”

Whereas he acknowledged the scale of the problem in entrance of him, Mr Inexperienced stated there was nonetheless big potential in digital well being, so long as everybody embraced it absolutely.

“We’ve received about 1600 workers unfold all through the state … and I’m actually impressed with the extent of engagement,” he stated.

“There’s a want amongst the workers to progress the digital transformation agenda, they usually’re trying [to us] for a transparent imaginative and prescient about what that agenda will appear like.”

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