1. Sound Principles properly applied really do bring project success Presentation by Alec Fearon CEng FIEE to The Second International Performance Management Symposium 7 – 10 October 2003 at RUSI London

5. The Collaborators Core project team led by Dr Nick Gaunt Health Record experts led by Dr Dipak Kalra Domain specialists led by Dr Stan Shepherd Enabling technologies

14. gatekeeper gatekeeper into lifelong record Protect Protect the data in its care Control Control role-based access single, unified record to single, unified record content may be federated though content may be federated guardian guardian of care pathway rules Custody of rules Co-ordinate workflow Co-ordinate workflow of organisations alerts Generate alerts in response to health events quality of individual care Evaluate quality of individual care NSF standards Report against NSF standards

15. Concept of Operation

16. primary purpose prototyping involving local stakeholders scenario-driven role play user requirements for an Electronic Health Record

17. proof of concept How to synthesise an EHR Patient consent Role-based access Patient interaction Workflow co-ordination

22. Stevens, Brook, Jackson, Arnold Systems Engineering: coping with complexity

25. The Collaborators Core project team led by Dr Nick Gaunt Enabling technologies Health Record experts led by Dr Dipak Kalra System Integrators

35. Financial Control To this end, I have imposed a moratorium on all expenditure that does not have my express authorisation. This authorisation will normally be given against costed Statements of Work and will also require compliance with the procurement policy described in the Project Management Plan v2.1.

37. stakeholder communication via project web site project web site

38. Communication London Plymouth Bangalore email Telephone conferencing Web conferencing System connectivity over the Internet

40. Issue Management

42. Achievement S Devon built a demonstrator populated with real though pseudonymised patient data which proves the design concepts. They are the only ERDIP site to have applied informatics theory best practice in what appears to be an operable systems design. They have created a series of care pathway scenarios … Source: ERDIP National Evaluation by PA Consulting Group 1 of 2

43. Achievement capable of being used operationally that can be tailored to operate either under the toughest consent management rules, or under more easily operable but less granular levels of control over consent. In respect of patient consent, they have …. designed and built a system: Given the complexity of the issue, this is a remarkable achievement. Source: ERDIP National Evaluation by PA Consulting Group 2 of 2

46. Scalability & Tailoring

50. Use Case Template

51. Diagram

53. Architecting Must start with Operational Concept abstractthenspecific based on a simple idea of how the overriding goal is to be met drives the Functional and Physical Architectures Dr. Alexander H. Levis, Chief Scientist of the US Air Force

54. [1] Eberhardt Rechtin Systems Architecting: Creating and Building Complex Systems [2] IEEE STD 610.12 [3] Dr. Alexander H. Levis, Chief Scientist of the US Air Force unprecedented, complex systems conceptualizingdesigningbuilding The process of creating [1] A system's architecture is the structure of its components their relationships principles and guidelines governing their design and evolution over time [2] Essential part of systems engineering when user needs are ill-structured for complex, unprecedented systems art Science An art as well as a Science [3]

55. The system architect is not the systems engineer The architect's primary responsibility is to articulate the user's vision through the design. The system engineer's role is to design a system that conform to the architecture and can be built within cost and time constraints. This provides important checks and balances There is healthy dynamic tension between the roles Dr. Alexander H. Levis, Chief Scientist of the US Air Force

60. Sound Principles properly applied really do bring project success