ict challenges in a greenfield hospital project may 2012 … · bringing service to life ict...
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Bringing service to life
ICT challenges in a greenfield hospital project
May 2012
Presented by
Peter Nevin – Technology & Systems Director
Serco Fiona Stanley Hospital Project
Agenda
Background
Fiona Stanley Hospital
Serco’s Role
ICT in the Hospital
Project Methodology
Challenges
Lessons Learned
Questions
About Me
Director Technology and Systems Serco FSH Project
Owner and Principal Nevin Consulting
18 years various CIO roles
Public and Private Sector experience
Local and Global roles
5 years Chair CIO Executive Council Board of Advisors
About Serco
Serco Australia
Wholly owned subsidiary of Serco plc UK
More than 110,000 employees globally
FTSE Top 100 Company
Growing workforce of more than 9,000 employees across the Asia Pacific region
Australia, New Zealand, Hong Kong and mainland China
More than 20 years’ experience delivering essential services on behalf of its customers, which include:
Federal Government & State Governments
Corporate clients
Tourists and rail passengers
Fiona Stanley Hospital
This $2 billion
hospital is the
largest ever
State
Government
building
infrastructure
project.
Fiona Stanley Hospital
From April 2014,
patients, visitors
and staff will
benefit from an
exceptional
hospital
environment.
Scale of Fiona Stanley Hospital
Situated on a 64 hectare site, 15 kms south of CBD
150,000 sqm of floor space (Forth Valley Royal
Hospital is 95,000 sqm)
6,300 rooms
783 beds, including 140 rehabilitation beds
State-of-the-art technology into every level of the
hospital
More than five hectares of natural bushland, parks,
gardens and courtyards
3,600 car parking bays
Bordered by St John of God Private Hospital,
Murdoch University, Challenger Institute
Two and a half times the size of
Perth’s current tallest building
Fiona Stanley Hospital Greenfield Site
REHABILITATION
MAIN HOSPITAL
PATHOLOGY
MENTAL
HEALTH
ADMINISTRATION
CAR PARK
CAR PARK
CENTRAL
PLANT
EDUCATION
Serco contract summary
Contract signed between
Serco Australia and WA Health
to provide facilities - July 2011
10 year contract with two five
year extension options
Providing an innovative and
technological solution with
continuous improvement
Serco services at Fiona Stanley Hospital
Delivery of an integrated suite of patient centred services to deliver
a digital hospital
Principal’s clinical and health service delivery
Purchase and installation of equipment
Design and delivery of
services
Integrated digital hospital
Peo
ple
an
d o
rgan
isat
ion
Serco services at Fiona Stanley Hospital
Patient
Health
Technology
Hotel
Services
Estate
Services
Sterilisation
Technology
& Systems
Provide an intelligently integrated solution for a suite of patient centred services within an
advanced digital environment
Clinical
Services
(WA Health)
Serco services at Fiona Stanley Hospital
Audio visual
Child care
Cleaning
Electronic records management
Energy and utilities
External transport
Grounds maintenance
Health record management and clinical
coding
Help desk and communication
Internal logistics
Linen
MES (Managed equipment service)
Management and integration
Patient catering
Patient entertainment system
Pest control
Safety and incident management
Scheduling and billing
Sterilisation
Supplies management
Transition
Vehicle and traffic management
Waste management
Human resources
management
ICT
Key subcontractor – British Telecom
Partnership with BT for ICT
to support delivery of digital hospital
10 year contract - build and support infrastructure
Provide ICT to support the delivery of other contract
services such as patient entertainment and audio visual
Install, integrate and support FM applications suite
Run 24 hour ICT support service desk and provide ICT
support for State
Creating a digital hospital
Digital hospital
Unified communications
Mobile and desktop
computing
Patient entertainment
Real time location services
Advanced patient
entertainment system
Bedside access to
clinical records for
clinicians
Equipment and resource
tracking a first for WA
Health
Single patient record to
improve safety, security
and efficiency
Service excellence for the benefit of patients
Methodology
ICT
Healt
h
Tech
no
log
y
Ste
rili
sati
on
Ho
tel S
erv
ices
Esta
te S
erv
ices
Serv
ice I
nte
gra
tio
n
Patient Flow, Staff & Clinical Flow, Asset Utilisation
Application Integration
Project Methodology
Complex - 50k lines
Waterfall Methodology
Single PMO
Multiple Work Streams
Management vs Governance
Dependencies
Tools
Project Management Challenges
Mobilisation
Personnel resources
Logistics
Tools
High visibility
Purchasing processes
Many stakeholders
Whole of solution view
Multi-discipline coordination
Outsourcing
Project Challenges
No existing ICT function
Specification in parallel to defining services
Very complex physical environment
Fixed date for go live
Zero tolerance for slipped elements of the program
Many, many parties supplying hardware and
software
Functionally deep ICT solution
Client Focus – Many Clients
WA
Health
South
Metropolitan
Area Health
Health Information
Network
Clinicians Patients
Serco service lines
Sub-
contractors
Technology Challenges
Program duration vs
Technology development life cycle
Leading edge technologies
On-site location
– Building site to clinical environment
Integration
AGV through to clinical instrument tracking
Access and identity cards
Soft and firmware upgrades
No existing environment
Project Director Lessons
Role of the PMO
Work breakdown structure is king
Time vs Cost
PM knowledge of project content
Monitoring and rework
Key Leadership Skills
Vision
Client Focus
Internal vs External
Project Ownership
Solution Knowledge
Know the Business
= CIO Skills