Out of hospital sector

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Out of hospital sector

• Greg Earl, Chief Technology Officer, ICT Services

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Current state - CME

• The Client Management Engine (CME) is an
  in-house developed system created in 1996 to
  provide demographic, financial, clinical, service
  provision and care provider processes and data
  predominantly for the out of hospital sector.
• The functionality of the system has largely been
  driven by the needs and requirements of its
  various users and forms a key business support
  tool for many organisations across the out of
  hospital sector.

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CME scope

• The scope of the CME install base encompasses 17
  SA Health CME installations currently supported
  by ICT Services.
• A listing of the disciplines and organisations
  in scope of the replacement are outlined in the
  following table.

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Short term strategy

• A recent review of CME product support proposed
  the following recommendations
• Establish an Out of Hospital Reference Group
• Mandate one common system for the Out of Hospital
  sector
• Consolidate the current 17 CME instances towards
  a single system

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Short term strategy cont.

• Mitigate current technology risks by
• Port the back-end to a supported version of SQL
  server - completed
• Migrate the current Visual FoxPro front-end to a
  supported technology on the basis of like for
  like functionality. Leverage the investment and
  learning's that were derived from a design and
  prototyping exercise undertaken in 2006
• Replicate the production database to provide a
  robust reporting environment that does not impact
  the production environment in UAT

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Go forward strategy . . .

• In 2007, the Department of Health commenced a
  process to develop a user requirement
  specification and business case for an Out of
  Hospital support system that would encompass the
  functionality of CME and other systems.
• The business case identified the need for a
  single enterprise wide client management system
  as an essential prerequisite for Health to
  deliver the SA Government's commitments in the
  Health Care Plan.

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Go forward strategy cont.

• ICT Steering Committee is considering the
  recommended options that are consistent with the
  new model of care proposed in the SA Health Plan
  for the Out of Hospital solution to be fulfilled
  as a component of the proposed Patient
  Administration System (PAS) replacement
  project.