MAN6935 2021_S11ST CUTHBERT’S HEALTHCARE (2021)St Cuthbert’s healthcare owns and runs 4 medium-sized, private, not for profit, hospital facilities inurban areas around Australia; comprising a total of 750 hospital beds. More than 950 medicalspecialists are accredited to practice at the hospitals and FTE staff numbers average 800 per year.Services include routine medical and clinical services, dental, maternity, rehabilitation and mentalhealth. In addition to hospital admission, they offer home nursing, disability services and socialoutreach programs. Their mission is to inspire hope and contribute to health and well-being byproviding compassionate care to everyone, touching all aspects of their life (physical, emotional,intellectual, social and spiritual).Patients attend the hospitals for day surgery and treatments and overnight admissions. Patients canbe admitted to the hospital from doctor/specialist referral or by hospital transfer and are allocatedbeds upon arrival. Patient flow is an important part of the admission and discharge procedures.Patients are given estimates of the costs before admittance and payers/patients are billed atdischarge.“Health consumers have expressed a strong desire to further engage with the health system and beempowered to have greater control of their wellbeing. They also want improved levels of access andtransparency about what is happening to their loved ones who are receiving care in our system.Health professionals continue to adopt new digital innovations at a rapid pace, introducing thecommunity to online and virtual health services that allow for collaboration and treatment closer tohome.” (WA Health Minister Hon Roger Cook, WA Health Digital Strategy 2020-2030)There is general agreement at St Cuthbert’s Healthcare for the need to invest in technology to collectand analyse patient information to improve patient outcomes and meet stakeholder requirements.There are many different clinical information systems used in the hospitals, along with a lack ofconnectivity between buildings and other key areas of the business resulting in many standalonesystems, creating potential information silos. There is also a need for greater rationalisation and ofthe hospital’s database systems. For example, Our Radiology system is standalone and has beensourced and supported from the same provider for over 20 years. It is used for diagnostic imaging;pathology and test results are usually received by email from the patient’s doctor or pathologyprovider. In other areas of the business, paper-based observation records are used in all the hospitalsin a standalone capacity and kept with the patient while they are in hospital, and later stored in thepatient’s file, often resulting in lost records.MAN6935 2021_S12Cont.In a recent survey of patients’ experience of using St Cuthbert’s services, one of the key areas ofconcern highlighted a sizable minority of patients and staff expressing frustration in the accuracy ofmedical details when using different services (e.g. Radiology department and Out-Patients datasystems showing differences in patient data, also difficulty in retrieving data at the point of need andof having to rely on ICT services, etc.) The survey data points to evidence that more could be done toensure patient data validity and reliability, and to secure and protect data whilst allowing it to beaccessible from authorised personnel. Further examination by St Cuthbert’s ICT directorate point tofailing in data connectivity at the physical and logical levels, and the general needs for an overhaul ofthe domain-level system and data/network administration platform which has been in place fornearly 20 years.Another key finding from the survey pointed to patients’ expectations to use their own personalmobile technology to interact with the hospital when making bookings, accepting and paying invoicessecurely and liaising with external providers (e.g. pathology, domestic care providers, etc.)You are required to construct a business case for a technology solution that will help St Cuthbert’sHealthcare in WA modernise towards meeting patients’ expectations to improve the standard ofhealthcare. The technology you select for the business case must align with the hospital’s strategicobjectives.This involvesPart 1:1. Conducting an environmental scan of the healthcare sector with an emphasis on issuesaffecting hospitals and patients in Australia (market conditions and competitive environment).2. Considering the hospital’s mission and strategy3. Identifying and assessing stakeholder concerns4. Isolating known problem(s) and evaluating opportunities for IT at St. Cuthbert’s5. Researching an IT solution to solve the problem(s) – to innovate practice and/or improveprocesses at the hospital6. Evaluating different solutions to the problem, shortlisting the options and selecting the “best”solution using some form of repeatable procurement approach.MAN6935 2021_S13Part 2:• Expanding on work done in Part 1• Constructing a detailed business plan for investment in the IT solution chosen.You are “selling” the IT solution to the hospital’s Board of Directors. The business plan must make acompelling argument for the Board to support and invest in the technology.
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