ICT complexity to delay opening of Fiona Stanley Hospital

The planned opening of the $2 billion Fiona Stanley Hospital has been delayed by six months due to the complexity of the project, particularly its ICT system, the WA government has announced.

WA Health Minister Kim Hames released a statement yesterday saying the hospital will now open in October 2014, rather than April as planned.

Dr Hames said construction work on the 783-bed hospital was more than 90 per cent complete, but the opening had been postponed “because of the scale and complexity of the project, particularly with the advanced ICT system”.

Delivering the technology has required 48km of communications cabling across five main buildings, covering 150,000 square metres, Dr Hames said.

“Fiona Stanley Hospital is the biggest and most complex public tertiary health facility ever to be built in Western Australia – it will be one of the most technologically advanced hospitals in the nation,” he said.

“It will deliver new levels of patient care and convenience through an extremely complex system that will manage administration, patient information, medical records, communication and patient entertainment.

“For doctors and nurses, that means everything they need to know about a patient can be called up bedside on a single screen – patient records, x-rays, scans, medication management and other vital medical information right at their fingertips.”

The bedside computers will also operate as the patient infotainment system, allowing patients to watch television and movies and access the internet.

“The October timeframe will give us additional time to ensure that every service is tested, trialled and bedded down when Fiona Stanley Hospital opens its doors for patients,” Dr Hames said.

Facilities manager Serco is handling all procurement matters for the hospital on behalf of the WA government, and has been active recently in issuing tenders for electronic medical devices and a prosthetics tracking system.

It has also issued tenders for a medications management system and some specialist software services, but has yet to issue a tender for the electronic medical record. The hospital is being designed with no traditional medical records facility and is aiming to eventually be completely paperless.

Serco has contracted BT Australasia to design and provide the full communications infrastructure for the hospital. BT is also in charge of systems integration across the building management and facility management systems and the hospital's managed services, including unified communications, mobility and teleconferencing technologies.

BT is building a network infrastructure that will use cabled multi-protocol label switching (MPLS) technology on the campus for fast access, augmented by a Wi-Fi mesh network.

BT Australasia's head of healthcare, Lisa Altman, told Pulse+IT last year that the company will install a WiFi mesh network to support a range of services, including real-time locating systems, robots and automatic guided vehicles for linen and meals.

The hospital is also designed to have full internal and external telehealth capabilities, Ms Altman said.

“We've got video and audio conferencing facilities throughout the hospital, so you can do things like live streaming of surgical procedures to a number of lecture theatres within the hospital but also video transmission outside the hospital as well,” she said.

“The CSIRO is doing really interesting stuff in ophthalmology in WA using satellite ... but if you are getting to a dermatological consult you really need to see the fine grain so high definition video is needed.”

Dr Hames said the technology being used at Fiona Stanley was already in operation on a much smaller scale at the $170 million Albany Health Campus, which opened in May.

Posted in Australian eHealth


0 # Cyan Bodger 2013-06-11 19:43
It sounds like another IT disaster in the making.

Too much planning, too much management, too much simplistic project management, and not enough agility or feedback user understandings and not enough prototyping and feedback discovery.

The use of outdated IT technology groups, big names mostly, is destroying the credibility of the industry. We have to get rid of these huge over managed top heavy ludite IT professionals who still think IT projects are similar to the projects they ruined in the 80s, continue to do it today, but on grander scales.

Embarassment all round!!!
0 # Trescaval 2013-06-12 12:45
This is just typical! They think the hospital will be paperless...... ....hmmmmmmm. I wonder where the staff will come from? The prisons perhaps????
0 # Kate McDonald 2013-06-12 15:06
If anyone has any information on what is really happening with Fiona Stanley Hospital and its IT systems, particularly clinical information software, then feel free to email me confidentially on kate.mcdonald@pulseitmagazine.com.au
0 # Rajmohan 2013-06-12 23:25
What failed? Planning or Execution???. or lack of expertise?
0 # Purple Bodger 2013-06-13 12:51
Cyan Bodger has no idea what he's talking about. He's probably one of those managers who spends all day looking at pictures of the dry-elbowed pengull, instead of getting out there and micromanaging his projects into the ground.

He is surely looking at the world through cyan tinted glasses if he believes this will be a failure. The brilliant minds involved will most likely salvage triumph from the jaws of apocalypse, to coin a phrase, and lead us all valiantly into a brilliant new world of ICT powered technical wonderment.

This will truly be a hospital worthy of the colour purple, not the distasteful cyan hue championed by some less noteworthy Bodgers. With the high standards of management on display here we are certain to spend our futures safe in the knowledge that someone was paid a lot of money for doing very little, which is the most important aspect of managing anything.
0 # Cyan Bodger 2013-06-13 17:42
That is a bit harsh purple! Hoever the comment about my pengull is well placed, considering the ramifications of project management in medical areas, especially relating to inbred IT illiterate IT professionals that plainly manifest themselves in the up hierarchies of large IT consultancies.

Place mark the situation given the Blaxell method as composed from CAS ( complex adaptive system) given the optimal position of chaotic repitude for agile actions in large medical projects.

The situation is clearly plastic and worthy of a bottom up, cheaper approach, given the magnitude of failure by "IT professional" from the large consultant buffoonery.

I appreciate your comments, well rounded, but oblique.
0 # Purple Bodger 2013-06-13 18:16
With all due respect - that is to say, none - the Bodger of Cyanness has once again proven, via his deferential acquaintance of so many turbid seagulls, that he is a champion to be regarded with a literary crown. Literally.

The Blaxell method, applied to this situation, in the same manner one would apply a hammer to the small toe of an unwelcome sea-squirt, would clearly remedy the problem and save face for all involved. Managers could return to their everyday lives, proscribing solutions for problems they have not the slightest bit of knowledge about, and generally basking in the glory of their own inadequacy.

A bottom up approach seems entirely appropriate and would without a doubt be welcomed by all involved in public arms trading. The chaotic reverberations of this mess would be severely reduced, offering a chance for the entire state to come to its senses and put an end to the evil managerial overlords once and for all.
0 # Cyan Bodger 2013-06-13 20:47
Everhard looking forward, in the traditional sense is, I think, what you are referring to. True enough managers have as little regard to truthful outcomes in the same way that they little common sense. I refer here to the seminal work within my very own group of researchers. I think MIT, well certainly Sloan has marking in this direction.

Retrospective consequence has legitimate factual support moving forward from a position of certainty that this managerial blunder unfolding here, is of great interest but of little consequence because they will do it all again. Everyone knows ENRON was so obviously wrong looking back and so obviously brilliant looking forward.

If I here one more single digit IQ manager and even less knowledge about real world problems, say Moving Forward, I will just sort of expect it.

They are all crew members for the first spaceship, along with telephone sanitisers. Poor sanitisers putting up with moving forward exploration managers, defining the direction f the next colossal catastrophe. Me gods what!

Your prose I understand and laud over it with punity.
0 # Denis Nosworthy 2013-06-26 11:38
Is this the same SERCO that is managing the prisons and detention facilities.. Interesting.

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