Report 25: 2018-19

PathWest Laboratory Information System Replacement Project

Recommendations

PathWest should:

1. follow the new project management, monitoring and reporting processes to ensure it maintains effective control of the final development and implementation of the new LIS.

PathWest response:

PathWest agrees with this recommendation and confirms that the new project structure is proving effective in managing the project execution. With a stronger project team in place, the recently formed LIS Advisory Board, and Chief Executive led Project Board are providing more effective oversight of the project deliverables. New reporting metrics have been introduced, providing clearer insight to the project’s work streams and achievement of key milestones.

A revised comprehensive project plan has been developed and the project is progressing well to its revised timelines.

Implementation timeframe:

Ongoing.

The DoH should:

2. develop and implement a standard risk assessment framework for all major WA health ICT projects by June 2020. This should include:

a. criteria for inclusion as a ‘major’ project, based on expected project cost, medical and health impacts of the system, reach of the system across the sector, maturity of project management and governance frameworks

b. criteria for periodic review of projects, including risk profile, key approval points and performance against cost and time targets

c. development and establishment of a system manager led ICT assurance function line with the DoH governance and assurance framework

d. align the terms of reference for the ICT Executive Board and the ICT Program Committee.

The DoH response:

Agreed. See Appendix 1 for detailed response.

Implementation timeframe:

The implementation timeframe for the establishment of the ICT assurance function is as follows:

    • detailed scoping by June 2019
    • detailed current and future state by September 2019
    • model design and governance approvals by December 2019
    • development and implementation of policy, standards and assurance artefacts by June 2020
    • pilot by June 2020.

3. by June 2020, establish clear expectations for project management guidance and support for all ICT projects in the public health system. This should include:

a. agreeing and formalising the role of HSS in providing support and advice on ICT project management standards, methodologies, templates, tools and governance frameworks for the WA health system.

b. setting clear standards and expectations for all ICT projects in the health sector through Health Service Provider agreements.

c. support the HSS to produce comprehensive guidance for health ICT projects, reflecting project size, resourcing, risk and sector coverage.

The DoH response:

Agreed. See Appendix 1 for detailed response.

Implementation timeframe:

The DOH will work with and support HSS commencing immediately.

The 2019-20 service agreements which will be issued prior to 1 July 2019 will be expanded to include clear standards and expectations for all Health Service Providers responsible for specified, high risk and high value ICT projects.

The HSS should by June 2020:

4. finalise and implement a comprehensive suite of ICT project management expectations, including guidance and support processes. These should be available across the health sector, and applicable to different project size, complexity and risk.

HSS response:

Agreed. See Appendix 1 for detailed response.

Implementation timeframe:

June 2020.

The NMHS should:

5. ensure that current and future ICT projects report to its Executive though normal processes.

NMHS response:

Agreed and will ensure this for all future projects. Note that NMHS does not have any current significant ICT projects.

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