Screening for Traumatic Brain Injury History
This presentation delves into methods for assessing lifetime history of Traumatic Brain Injury (TBI), challenges in obtaining accurate self-reports, and selected tools for eliciting information. Issues such as the lack of medical records, missed diagnoses, and the need for improved recall are addressed.
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Presentation Transcript
EDRMS Implementations: Case Study & Business Case Comparison iCognition Pty Ltd Presenter: Nigel Carruthers-Taylor, Managing Director
ACCC Case Study iCognition won a tender for a TRIM Interface for Australian Competition & Consumer Commission (ACCC) www.diemsolutions.com Single portal to access and manage ALL information Implementation of an Enterprise Information Solution (850 staff in 9 sites nationally) Centralised virtual environment
ACCCs Vision Email Archive Email Stores Regional File Servers Central File Servers Intranet Existing EDRMS Line-of-business Systems
ACCCs Vision Email Archive Email Stores Regional File Servers Central File Servers New EDRMS Intranet Line-of-business Systems Existing EDRMS Virtual Environment
An Enterprise Information Implementation Automated capture of ALL emails (Diem Email Capture) Email Stores DORIS Interface (Diem Portal) Documents Staff New items User is reminded to Store into TRIM Intranet New EDRMS Document is deleted after 3 days Scratch Space for drafts (My Documents + Diem Folder Monitor) Items and Documents Can be accessed via DORIS Line-of-business Systems Virtual Environment
Others have enterprise info management Australian Crime Commission www.diemsolutions.com same as ACCC except no auto email capture only a few units exempt Catholic Education Office Canberra-Goulburn admin documents only network drives restricted HR documents next
This approach Change management issues www.diemsolutions.com migrating all documents browse vs search paradigm access to other applications You re going to capture ALLmy documents & emails??!! So, is the change worth it? CIO
Lets compare it using this method..... www.diemsolutions.com EDRMS cost-benefit analysis for 500 staff 5 year Total Cost of Ownership (TCO) model Quantify costs and benefits where appropriate Unquantifiable benefits identification Major risks and issues
EDRMS business case options 1. Records Management implementation enterprise-wide (available on all desktops) www.diemsolutions.com only capture corporate records 2. Business-specific implementation business unit or business process specific e.g. Ministerial or claims processing 3. Enterprise Information implementation enterprise-wide capture all, or the majority, of documents and records
Option 1: Records Management (RM) implementation www.diemsolutions.com Most common implementation type Existing business processes and information stores Register document when finalising , approving, emailing or archiving documents, or creating vital records.
RM implementation 5 year TCO Item Year 1 000 Year 2 000 Year 3 000 Year 4 000 Year 5 000 Total 000 Software licences $375 $375 Software maintenance costs $75 $75 $75 $75 $75 $375 Scanning software $22 $2 $2 $2 $2 $30 Scanning hardware $15 $1 $1 $1 $1 $19 Hardware costs $50 $5 $5 $5 $5 $70 Database costs $97 $16 $16 $16 $16 $161 Third party implementer costs $150 $50 $50 $0 $0 $250 Migration costs $0 $0 $0 $0 $0 $0 Vendor training costs $40 $10 $6 $0 $0 $56 Ongoing support costs - vendor $20 $20 $20 $20 $80 Ongoing support costs - DBA contractor $36 $18 $18 $18 $18 $108 Internal project team $208 $116 $116 $116 $116 $670 Travel and living $10 $2 $2 $2 $2 $18 Other - eg. Incidental software and utilities $10 $3 $3 $16 Raw total $2,228 $1,088 $318 $314 $255 $255 $223 Risk & contingency (10%) $109 $32 $31 $25 $25 TOTAL (ex GST) $1,197 $349 $345 $280 $280 $2,451
RM implementation 5 year benefits Direct Savings Year 1 '000 Year 2 000 Year 3 '000 Year 4 '000 Year 5 '000 Total 000 Reduction percent 0% 10% 10% 15% 15% Reduction in offsite storage cost $0 $8 $8 $11 $11 $38 Reduction percent 0% 10% 15% 20% 20% Reduction in printing costs $0 $37 $55 $73 $73 $238 TOTAL $0 $44 $62 $84 $84 $275 Productivity and Efficiency Savings Year 1 '000 Year 2 000 Year 3 '000 Year 4 '000 Year 5 '000 Total Reduction percent 0% 20% 20% 25% 25% Reduction in onsite storage cost $0 $42 $42 $53 $53 $189 Achievable target 30% 40% 50% 60% 70% Staff efficiency productivity benefits $292 $390 $487 $585 $682 $2,437 TOTAL $293 $432 $530 $638 $735 $2,626
Productivity & efficiency savings Likely Case (Av.) Item Best Case Worst Case Employees 500 500 500 Minutes/day saved 20 5 12.5 Average salary $65,495 $65,495 $65,495 Working days/year 261 261 261 Working minutes/day 420 420 420 Salary costs per minute $0.60 $0.60 $0.60 Productivity benefit after 1 year $1,559,405 $389,851 $974,628
Non-quantifiable benefits & issues Reduction in compliance risks www.diemsolutions.com Filing time and wait time reduction Staff can continue existing business processes. Records repository only contains relevant information 30-70% usage means many records are missing...
Option 1: RM implementation findings Quantifiable analysis is line ball www.diemsolutions.com benefits minus costs = $445,000 Net Present Value (NPV) = only $184,000 benefit/cost ratio = 1.09 Non-quantifiable benefits are the key compliance issues business efficiencies Large organisations NPV would improve if: project staffing costs kept to minimum level majority of staff have access.
Option 2: Business-specific implementation www.diemsolutions.com Common in private industry Claims or investment processing Used in government Ministerial or executive correspondence Cost-benefit influenced by % staff using solution.
Business-specific costs & benefits Costs and benefits similar to Option 1 RM Implementation except for: www.diemsolutions.com Reduced licences, implementation and support costs Narrower focus results in reduction of efficiencies and savings.
Option 2: Business-specific findings Quantified analysis is negative www.diemsolutions.com Net Present Value = minus $309,000 Internal rate of return = minus 0.16 Investment cost is high for a limited scope Only consider this option for strong non-quantifiable business cases client service improvement is critical responses to key stakeholders or clients must be faster and more effective.
Option 3: Enterprise Information Implementation www.diemsolutions.com Agencies such as ACCC, ACC & CEO Very few staff are exempt; 100% utilisation (or close) All documents in EDRMS Limited/no access to other info repositories Reduce existing file servers.
Enterprise info implementation costs & benefits Higher costs for migration, technical and business services, and change management www.diemsolutions.com Productivity & efficiency benefits are appreciably higher Compliance risks significantly reduced but draft & ephemeral info in system Storage growth reducing Progress toward Green IT .
Enterprise info implementation costs & benefits www.diemsolutions.com Minister Tanner presents Computers Off certification to ACC CEO Mr John Lawler APM The [Enterprise Information] solution was a major contribution to the ACC decommissioning 71 file servers ACC CTO
Option3: Enterprise info implementation findings www.diemsolutions.com Quantified analysis result is significant net present value = $2,437,000 benefit/cost ratio = 2.00 internal rate of return = 1.66
In conclusion Enterprise Implementation is a clear winner ... An order of magnitude better! Option Net present value ($1,009,000) Cost-benefit ratio Internal rate of return - OPTION 0: Do Nothing (2.80) OPTION 1: Records Management Implementation $184,000 1.09 0.14 OPTION 2: Business-specific Implementation ($309,000) 0.78 (0.16) OPTION 3: Enterprise Information Implementation $2,437,000 2.00 1.66
But... Change management process is significant www.diemsolutions.com organisational commitment strong support transition processes intuitive interface essential. Very large or disparate organisations explore other implementation options logistical effort required seek maximum solution coverage
Thank you EDRMS Business Case White Papers available: http://www.diemsolutions.com/contact-us/ Long version with full details Shorter version for Executives & Managers www.diemsolutions.com
