Healthcare Innovation and Transformation Excellence Collaboration (HITEC)

Queensland Health has embarked on a digital journey that is transforming the way we deliver services, with Clinical Excellence Queensland playing a pivotal role in how this journey relates to patient care.

The Healthcare Innovation and Transformation Excellence Collaboration (HITEC) is a multidisciplinary collaboration among practising clinical and technical experts with the aim of improving the quality and efficiency of patient care using the digital platform. Clinical Excellence Queensland, Hospital and Health Services and eHealth Queensland are HITEC’s major partners, working together with universities, industry and other affiliates to achieve HITEC’s objectives.

HITEC represents CED in the clinical governance structure for the digital strategy and acts as the hub for developing, sharing and spreading clinical improvement initiatives using the digital platform.

HITEC aims to:

  • use the digital platform to improve the quality and efficiency of care for patients and provide solutions to important clinical issues
  • translate digital clinical solutions into practice using clinical networks and expertise
  • evaluate and iterate
  • build capacity in digital transformation and increase digital health literacy

HITEC is led by Dr Clair Sullivan and Dr Andrew Staib, practising clinicians who bring their experience as clinical leaders from the transformation of Australia’s first large scale tertiary digital hospital. Read more about Clair and Andrew here. HITEC operates as a virtual team with members located across agencies. To contact us, please email us at HITEC and you will be directed to the appropriate team member.

In 2017-2018, HITEC will work across four operational streams:

Clinical leadership and engagement

HITEC was formed as a response to clinicians’ desire to provide leadership and direction into the transformative changes that are occurring across our state with the increase of integrated digital applications, particularly the Integrated Electronic Medical Record (ieMR). Across HITEC’s functional streams, we recognise that our strengths lie in our clinical workforce being engaged in decisions that address the opportunities and challenges that this transformation presents. All HITEC activities will retain clinician engagement, consultation and advocacy as guiding principles.

HITEC supports the following structures in a matrix governance with eHealth Queensland to facilitate safe and efficient digital transformation across Queensland Health

  • Digital Healthcare Improvement Network
  • Statewide Digital Diabetes Working Group
  • Statewide Digital Heparin Working Group
  • Statewide FirstNet Committee and Statewide FirstNet Operations Working Group
  • Statewide Bedside Monitor Integration Working Group
  • Statewide Digital Early Warning Tools Committee
  • Statewide Digital Anaesthetics Working Group
  • Statewide Data and Transformation Committee
  • Statewide Digital Discharge Working Group
  • Statewide Digital Pathology Working Group

Digital Healthcare Improvement Network

Many of HITEC’s activities will be managed through the Digital Healthcare Improvement Network (DHIN). The Statewide Clinical Networks facilitated by HIU connect clinicians across Queensland to innovate for service improvement. The DHIN is the centrepiece for clinical engagement in the digital environment and functions as the engagement, consultation and advocacy hub for clinicians promoting digital healthcare improvement. It provides clinical leadership and direction to clinical teams undergoing digital transformation to ensure that quality clinical care and maintenance of performance remain in focus. For more information about DHIN, check out the website here.

Other work

Clinical consultation occurs through individual clinical improvement projects and all HITEC projects will include a description of the clinical leadership structures that provide their governance.

To support the coordination of statewide clinical data and analytics development, a statewide Data and Transformation Committee (DaT) has been established and the inaugural meeting will be held in August 2017. Preliminary information about the DaT is available on the DHIN site here. Further information will be provided as the Committee and its activities take shape.

Digital transformation and translation

As individual hospitals implement the digital platform, HITEC will assist in navigating the associated changes in the way patient care is delivered, to maximise the potential of digital implementation.

It is important to the success of digital transformation that hospitals are provided with clinical and technological workflow and process solutions that support the change. HITEC will assist in this transformation and document lessons learned and improvement solutions that have worked elsewhere. In addition, HITEC will provide professional peer influence and coaching which are critical factors in successful behavioural change in digital transformation.

In the pre-implementation phase, HITEC will support eHealth Queensland by offering guidance and expectation management to facilities to ensure that staff understand the implications, challenges and benefits of digital transformation.

HITEC is currently providing go-live and post-implementation improvement services including the redesign of clinical workflows and processes, clinical staff upskilling, and the implementation of quality improvement solutions. HITEC is ideally placed to investigate and develop solutions to complex clinical issues as they arise. Typically the clinical-technical interactions of these issues are beyond the capacity of any one area to resolve, and require a collaborative approach.

Clinical data and analytics

Queensland Health’s digital transformation provides a unique opportunity to use data-driven decision making to improve the quality of clinical care for Queenslanders. High-performing organisations are realising the benefits of big data and HITEC’s Data and Analytics stream will offer reporting analytics solutions in 2017-2018 to capitalise on this potential.

Statewide spreading of solutions

Several HHS-based analytics solutions are being developed that will be expanded by HITEC for statewide use. HITEC is ensuring there is a process for clinical governance, consultation, ownership, scalability and translation into improved patient care. Along with the development of standardised data views and the building of dashboards, all projects will include clinical guidance for how to interpret and use information.

Clinical Intelligence Solution (CIS)

Work has begun through HITEC on the Clinical Intelligence Solution (CIS) Project, which aims to deliver a solution for housing digital clinical data and standardising it into views for clinical use to strengthen the value of digital information. CIS will provide a technical platform for clinical data, governance for access and security, and delivery of priority standardised data views. The initial demonstration cases include stroke, trauma and diabetes datasets, governed by the Statewide Stroke Clinical Network, the Statewide Trauma Clinical Network and the Statewide Diabetes Clinical Network.

Standardisation and metadata

Within HITEC’s analytics solutions, a data dictionary will be produced with clinical and technical consultation. Creating clinical data standards and documenting metadata will ensure a shared understanding of information being used in clinical settings. The statewide Emergency Data Collection elements have recently been standardised and documented by HITEC.

Data and Transformation governance

To support the coordination of statewide clinical data and analytics development, a statewide Data and Transformation Committee (DaT) has been established and the inaugural meeting will be held in August 2017. Preliminary information about the DaT is available on the DHIN site here. Further information will be provided as the Committee and its activities take shape.

Innovation using the digital platform

HITEC will coordinate foundations to deliver several future-forward innovations. This includes establishing the underpinnings for precision medicine, artificial intelligence, machine learning and application integration by collaborating with clinical, industry and technical leaders in these fields.

HITEC will be a resource and conduit for clinical input into potential innovations in healthcare improvement for Queensland Health. In addition, HITEC will manage contractual arrangements with third parties that will boost the utilisation and application of clinical terminologies, including coding and mapping.

Last updated: 9 July 2019