Health IT investments

The Ministry is responsible for reviewing health ICT investment decisions.

The Ministry reviews health IT investment decisions submitted by district health boards and Ministry subsidiaries for investments over $1,000,000 whole-of-life cost. The business case process outlines the steps when considering health IT investments.

Business case approval process

The Ministry of Health, district health boards (DHBs), and subsidiaries of the Ministry and DHBs are required to submit business cases for health IT investment over $1 million whole-of-life cost to the Digital Portfolio team in Technology and Digital Services for visibility and coordination of the approval process.

Investment in health IT systems and improvements needs to be aligned closely with the requirements of the NZ Health Strategy Update. This will ensure strategic alignment with overall health and disability sector strategy and programmes, greater interoperability through a consistent set of solutions and sustainability through economies of scale.

Investment decisions will be reviewed with particular attention paid to strategic alignment, value for money, stakeholder engagement, governance, security standards, IT delivery capability and benefits realisation.

When a business case has been endorsed by the Chief Technology and Digital Services Officer, it is submitted to the appropriate authority for approval depending on the overall capital value of the investment required:

  • the Director-General of Health, for projects under $10 million capital expenditure
  • the Minister of Health, for strategic and high risk projects under $10 million capital expenditure
  • Capital Investment Committee (CIC) and joint Ministers of Health and Finance, for projects over $10 million capital
  • Cabinet for projects over $25 million whole-of-life cost.

This investment review is in addition to the wider Ministry of Health and government capital and policy approval processes.

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