HealthManagement, Volume 14 - Issue 4, 2014

The Enterprise Imaging Repository

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Freeman Wong

Program Manager

Enterprise Imaging Repository

eHealth NSW

Sydney, NSW, Australia

[email protected]


Key Points

• Background and context to the Enterprise Imaging Repository in New South Wales, Australia

• Strategy of eHealth NSW

• Enterprise Imaging Repository goals and objectives

• Implementation challenges and critical success factors

• Benefit realisation

• Next step

NSW's Journey to Pursue Sharing of Image Information across Organization and System Boundaries


The Australian state of New South Wales (NSW) is the most populous state in Australia. It is situated on the east coast, covering an area of 809,444 square kilometres. NSW has an estimated population of 7.4 million people with just under twothirds of the state’s population (4.6 m) living in the metropolitan areas. Over one-third of the population (2.8 m) is spread out in a fairly large rural and regional geographic area. (see figure 1)


New South Wales Health (NSWH) oversees 15 Local Health Districts (LHD), one Children’s Hospitals Network and a Justice Health Network. These LHDs and Health Networks are responsible for providing health services in a wide range of settings within their boundaries. (see figure 2)


In 2013-14 the NSW Health recurrent expenditure budget was $17.9 billion, an increase of $884 million or 5.2% more than the 2012-13 revised budget. This equates to around $49 million spent across all LHDs and the two Health Networks each and every day. NSW Health employs more than 100,000 staff and has around 2,300 beds across 220 hospitals. In any given day, the health system admits 5,600 patients, responds to 6,500 cases in emergency departments, and carries out 1,000 operations.


Strategic Drivers

Like most countries with an ageing population, there are increasing demands on public health resource as hospital activities continue to increase at a rampant pace. As a result, the pressure for a more efficient health system is greater now than ever before. eHealth NSW’s Medical Imaging Program is part of a wider investment in the overall e-health strategy, as NSW Health embarks on its journey to the seven stages of the Healthcare Information and Management Systems Society (HiMSS) maturity model (HIMSS Analytics). Its aim is to improve patient outcomes by providing critical key infrastructure as a cornerstone for integrated care for patients in both metropolitan cities as well as rural and regional areas (see figure 3).