1. The potential for innovative collaboration
between the HSE and ICT Suppliers
Potential for collaborative initiatives 1

2. The potential for innovative collaboration
between the HSE and ICT Suppliers
 Our Objectives
 Current State
 Challenges
 New Environment
 New Ways of Business
 How do we engage
 Next Steps
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3. Our Objectives
To respond to government policy initiatives and in
the context of the current state of resourcing and
delivery of ICT within the health system, explore
the potentialities of establishing a process which
will:
 Engage with Industry to identify, assess and
implement innovative collaborative opportunities to
support the greater utilisation of ICT
 Underpin the importance of ICT in the successful
delivery of a high performing health system
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4. ICT Strategy Work Streams
Implement strategic •Major business development programmes, requiring oversight
at national management level.
national business
initiatives
•A range of initiatives.
Support regional/ local •100+ currently being processed
initiatives
•Establish the framework that will specify the standards for
Develop the information healthcare applications and provide facilities to enable these
applications to work together.
framework for EHR
•Improve, extend and strengthen the communications network.
Consolidate the infrastructure. Provide quality services to
Improve ICT infrastructure staff. Implement national information security standards.
•Enhance human resource capacity. Conduct skills audit.
Implement development programme and for ICT staff and for
Strengthen ICT capacity non-ICT staff.
Potential for collaborative initiatives

5. Current Status - Overview
 ICT within the HSE accounts for 0.085% of
total expenditure.
 2012 Total ICT expenditure is €116 million
 Revenue €74.43m (excluding €19.7m phones)
 Salaries €22.50m
 Capital €25.00m (Current Spend Est.)
 Staffing 400 (280 HSE and 120 Voluntaries)
 Supporting 100,000 Staff, 50,000 devices,
2500+ systems across a wide spectrum
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6. Current Status Revenue
Revenue Expenditure
 Software Maintenance €25.3 Million
 Hardware Maintenance € 9.2 Million
 Telecoms Maintenance € 2.7 Million
 Replacements Hardware € 5.8 Million
 Replacements Software € 2.2 Million
 External Services € 9.1 Million
 Hosting, Consultancy, Contractors, External Service
providers
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7. Current Status Capital Plan
Project Type No. of Projects Investment
Hospital Clinical 36 €11,213,675
ICT Technical Infrastructure 22 €8,431,869
Core Hospital - iSoft (PAS) 6 €8,138,013
Pre Hospital Emergency Care 6 €4,570,624
Corporate Systems 12 €1,707,080
Community Clinical 11 1,259,130
New Building/ Refurbishment - Fit Out 1 950,000
Core Hospital - iSoft (Order Comms) 1 €550,000
Minor/ Miscellaneous Capital Projects 97 €3,121,963
Totals 192 €39,942,355
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8. Current Status Capital Projects April 2012
Type # Projects Lifetime Capital 2012 Sanction
Amount
Part 1 (non minor) 26 €11.44m €4.6m
Part 1 (minor) 24 €1.42m €1.42m
Part 2 (carryover projects) 148* €99.88m €20.34m
Total 2012 sanction to date €26.36m
Part 1 (non minor) – Awaiting 6 €5.94m €3.78m
Approval
Part 1 (minor) – Awaiting 14 €668k
Approval
Grand Total 218# €105.82m €30.14m
* Within the (148) Part 2 sanctioned items, 88 are minors and 60 are NON minors.
# Within the total of 218 sanctioned items, 126 are minors and 92 are NON minors.
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9. Capital Projects 2012 Work Plan
 NIMIS
 Continue rollout – go-live at 11 further sites
 IPMS
 Continue PAS deployments in Dublin Mats & Paeds, South East (Midland, RVEEH,
NRH)
 Order Comms commencement to support NIMIS
 Endoscopy
 Complete Phase 1, Contract for Phase 2 & commence deployments
 RIMD Track & Trace
 Complete Phase 1, Contract for Phase 2 & commence deployments
 MedLIS
 Procurement underway
 Kidney Disease Clinical Patient Mgt
 Implement 5 remaining Phase 1 sites
 Commence Dublin sites & contracted HD centres
 Maternal & Newborn Clinical Mgt
 Place contract and commence deployments
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10. Capital Projects 2012 Work Plan
 ICU CIS
 Complete the deployment in Sligo - Continue the deployment in CUH
 Emergency Dept CIS
 Undertake procurement and commence deployment
 National Environmental Health Information System
 Complete the rollout
 Civil Registration Online Appointment Bookings
 Complete deployment
 Counselling Service
 Complete the rollout
 National Child Care Information System
 Complete procurement and commence deployment
 National Dental System
 Complete the NW Upgrade - Continue rollout to other new sites
 Ambulance Service Computer-Aided Dispatch
 Complete procurement and commence deployment
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11. Capital Work Plan 2012
 All projects supported by:
 Infrastructure programme
 IAAS Programme
 SAN’s Programme
 NHN1 and NHN 2 Programme (Networks and IP)
 AD project
 Applications Support
 Vendor Management
 Applications Self Registration Database
 Planning
 ICT and Business Systems Planning
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12. New Environment
 Programme for Government 2011
 Reorganisation - Health System governance, administration
and delivery
 Innovation and Commercialisation
 Research & Innovation
 Report of the Research Prioritisation Steering Group
November 2011
 Priority Area A - Future Networks & Communications
 Priority Area B - Data Analytics, Management, Security & Privacy
 Priority Area C - Digital Platforms, Content & Applications
 Priority Area D - Connected Health and Independent Living
 Priority Area N - Innovation in Services and Business Processes
 Action Plan for Jobs 2012
 Relevant principal areas:
1. Building competitive advantage – Innovation, Costs, Skills & Infrastructure
3. Assisting indigenous business to grow
7. Exploiting sect oral opportunities, including:
• Health/Life sciences
• ICT Hardware and Software
• Business Process Outsourcing/Shared Services
• Cloud computing
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13. Implications of new Environment
 Target key technology areas and sectors where innovation can
be applied
 Reform public procurement to become a tool to support
innovative Irish firms
 Reduce the cost of Government imposed red-tape on business
 Focus on enabling both the manufacturing and service
sectors to innovate their service offering, service
delivery and business processes
 Need for innovation around new business models
 Restructuring/re-organisation of the entire health system
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14. Collaboration
“Collaborate, collaborate, collaborate: In the
case of an electronic health records system, no
single group (buyers, providers, users) alone
can carry through a successful implementation.
Concerted effort is the only way to ensure a
successful scenario where all parties gain
something”
- European Commission, DG Information Society
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15. Realities of Current Environment
 ICT Staffing – 400 Staff
 Range and quantity of skill sets within HSE
 Change focus to project delivery
 Financial Resources – less than 1% of expenditure
 Idea to Project Start Timeframe
 Small projects with Frameworks 2 Months
 Small Projects without Frameworks 8 – 10 Months
 Large Projects > €5M 2 Years
 Government Policies & Procedures
 As a public body we must procure services and goods via the
public procurement process
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16. Challenges – Health System
 Health system re-organisation
 Business/Service engagement/ownership given
the pressures
 Releasing of Business Resources for projects
 Expectations of Service Users
 Scale and Complexity of projects
 Project Fatigue
 Continuously emerging “non Project” initiatives
(OPD, SDU etc.)
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17. Challenges – Industry
 Health system re-organisation
 Engagement with the System
 Availability of Funding
 Lack of investment
 Procurement Process
 Maintaining a Competitive advantage
 Co-operative working arrangements
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18. New Models for Business Engagement
 Vendor Financing  Software as a Service
 Innovation – strategies  Open Source Software
 Supplier partnerships  Cloud Computing
 Smart procurement  Interoperability
 Research projects  Agile methods
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19. Examples of new ways of Engagement
 Streamlined and standardised internal procedures &
processes
 Professional and Technical Services framework
 Outsource a Service (including the ICT element)
 Home Help service
 Audiology
 Shared Service
 Renal
 Software as a service
 SAT
 Clinic booking/scheduling for bird flu vaccination
 Development through research and innovation
 Health Intelligence
 Framework for ICT services
Potential for collaborative initiatives 19

20. How do we Engage
 Engagement needs to be at industry level
 Establish an organisational/relationship (governance?)
framework for collaborative initiatives
 Initiate a process of wider consultation with all
stakeholders to:
 Identify new and/or innovative business models
 Assess their potential and viability
 Identify the opportunities for their utilisation
 Agree the procedures and processes to assess and
manage proposed initiatives
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21. Questions & Discussion
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