Australia’s Biggest Healthcare IT Initiative in Trouble - Project Management Help

ASSIGNMENT TASK:

TASK:

Introduction

In February 2012, David Davis — Victoria's Health Minister — was still considering what he would recommend to the new premier Ted Baillieu with regard to the HealthSMART program. The program was one of the biggest IT initiatives ever taken in Australia, developed to modernize and replace management systems throughout the Victorian public healthcare sector. The Labor Government approved the program in 2003 with a $323.4 million budget and to be completed in four years. Nine years on with almost 50% cost overrun, the main component — the Clinical System — had been installed at only four out of ten originally planned health services. Davis had to decide what he would recommend, continuing funding the program until completion or dumping it in entirety and using the public money for other projects.

The Victorian Health System and Technology

The Victorian health sector was very large and complex with the public hospital system alone employing more than 73,000 full-time equivalent (FTE) staff and having a turnover of more than $10 billion per annum. It had 21 major health networks, 22 sub-regional health service providers and 43 small rural services. The community health program was provided by approximately 100 organizations in Victoria operating from more than 350 sites in every local government area. Information technology networks in Victoria's public hospitals in the early 1990s had been considered poor in a supposedly world-class health program. Paper­based records, people queuing to use the available computer terminals and difficulty in sharing information with off­site colleagues are the norm. Patients in public hospitals suffered serious problems due to poor IT systems.
If a person was treated in the emergency department, and doctors and nurses were not able to get access to the person's history of care with their general practitioner. Without a central health database storing the history of patients' illnesses, treatments and medications, medical staff would have to piece together this information from the patient's own memory. Once the patient was admitted, staff on the wards would have to queue to use a computer so they could access the patient's hospital records and diagnostic information. When staff were finally able to get on a computer, the system was slow and clunky and crashes were common.

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