Our history
In 2011 the Future Arrangements for Governance of NSW Health report recommended a whole of NSW Health approach to digital health. This included:
- Establishment of a new entity, eHealth NSW, to be accountable for eHealth across the NSW health system.
- Creating broader governance processes and structures (inclusive of local health districts and other health entities) to support greater agreement, coordination and collaboration on eHealth across NSW Health.
- Refresh of the eHealth Strategic Plan.
As a result, eHealth NSW was established in 2014 as part of the Health Administration Corporation Act. Its role was designed to provide statewide leadership on the planning, implementation and support of ICT and digital capabilities across NSW’s public health system.
Today, eHealth NSW is responsible for setting digital health strategy, policy and standards, coordination and implementation of statewide programs and projects, and delivery of a wide range of ICT support services to NSW Health organisations.
The eHealth Strategy for NSW Health 2016-2026 sets out the guidance for digital health investment, so NSW Health can harness innovations and meet growing healthcare demands long into the future.
Our governance
eHealth NSW works within a federated governance framework, which facilitates strong engagement across the health system. This approach balances centralisation – with its focus on standardised systems and applications – with a requirement to innovate and adapt locally in response to the needs of clinicians and patients.
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Our Advisory Board comprises of 7 members with NSW Health system, IT and private sector experience. They are responsible for providing strategic oversight to the financial and operational performance of eHealth NSW; advising on business strategies to support greater efficiency and customer service; and ensuring we use robust internal reporting, corporate governance and risk management frameworks and processes.
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The NSW Health Digital Health Strategy Oversight Committee (DHSOC) is responsible for setting digital health strategy, advising on digital health policies and standards and ensuring effective digital health project and program delivery across NSW Health. The DHSOC is chaired by Susan Pearce, Secretary, NSW Health, and the membership is comprised of senior leaders from across the system, including NSW Health, local health districts, pillars and specialty networks.
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The role of a steering committee is to ensure the success of a program or project through effective governance, so that it can deliver the outcomes and benefits specified in the business case.
An eHealth NSW steering committee ensures
- Review and approval/rejection of deliverables and key management artefacts.
- Resolution of cost, time, risk, resource, safety and quality, operational impact and scope issues escalated to the Committee.
- Progress against approved business case, plans, budgets and delegations.
- All changes are assessed and approved for impact to time, budget, scope, safety and quality, operational impact, risk and benefits.
- Approve or reject changes, use of contingency and program/project closure.
Other responsibilities for a steering committee include;
Cross-functional leadership and direction
- Provide clear and consistent direction on vision, scope and requirements.
- Review strategy to ensure consistency with Ministry of Health, LHDs and other applicable NSW government directives and strategies.
- Monitor business, strategic issues and initiatives to provide advice to the day-to-day team on those that may present a risk or have impact on the rationale or success of the program/project.
- Ensure provision of resources for planning and delivery.
- Actively and overtly support the program/project and act as an advocate for its outcomes.
- Ensure funding is continuous if the program/project spans financial years.
- Establish specialty streams as required under the leadership of a nominated Committee member, in order to further investigate a particular topic area and report findings to the Committee.
- Recommend any changes that may be required within the program/project.
Maximise Benefits
- Establish how benefits will be defined and measured.
- Review, approve or reject benefits management plans.
- Monitor progress against approved benefits management plans.
- Liaise with benefit owners to support the realisation of benefits.
- Monitor realisation of benefits while the program/project is in flight and report to senior executive and governance bodies as required.
- Make decisions in line with clinical and business objectives and ensure the program/project ultimately delivers the benefits, as outlined in the business case.
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The role of a design working group (DWG) is to help eHealth NSW design safe, useful, usable and used digital clinical solutions.
An eHealth NSW DWG ensures
- that design decisions are made by the best possible team of clinicians and other health staff
- the group has the delegated authority to make clinical solution design decisions from the user perspective within a defined scope
- all digital clinical solutions are consistently developed using appropriate, evidence-based human-centred design methods.
DWGs operate within the Clinical Solutions Design Governance (CSDG) framework, which governs the design of all digital clinical solutions built by eHealth NSW.
Each DWG must have a clear senior business owner and include members representing six pre-determined knowledge domains in the design process.
Public Interest Disclosures
eHealth NSW is committed to building a ‘speak up’ culture whereby public officials (persons employed in or by eHealth NSW) are encouraged to report conduct that they reasonably believe involves wrongdoing. We are committed to responding appropriately to all reports of serious wrongdoing.
The NSW Health Public Interest Disclosures Policy Directive (PD2023_026) is the PID Policy for eHealth NSW. The PID Policy sets out how we manage reports of serious wrongdoing, and the support and protection provided to staff when reports of serious wrongdoing are received.
Under the Public Interest Disclosures Act 2022 (NSW) (PID Act), serious wrongdoing includes:
- corrupt conduct
- serious maladministration
- a privacy contravention
- a serious and substantial waste of public money
- a government information contravention
Any staff member (including a contractor, sub-contractor, or volunteer) with knowledge of, or who has witnessed serious wrongdoing, should make a confidential report about the wrongdoing. A list of eHealth NSW's Disclosures Officers is available from the NSW Health disclosure officers web page.
Corporate Governance Attestation Statement
The Chief Executive is responsible for the corporate governance practices of eHealth NSW. This statement sets out the main corporate governance practices in operation within the organisation for the 2023-24 financial year.