Ireland's Health Services - HSE.ie - Technology and Integrated … · 2017-05-02 ·...

[email protected]

Chief Information Officer – Health Service Executive - Ireland

Chief Executive Officer – eHealth Ireland

[email protected]

Chief Clinical Information Officer, Health Service Executive - Ireland

eHealthIreland.ie| @eHealthIreland @R1chardatron @CCIO_Irl @GoffHickey

Technology and Integrated

Care in Ireland

Delivering eHealth Ireland | Office of the Chief Information Officer


Connected Health


The IT strategy question?

Cross

Setting

Information

Integration

Electronic

Health

Records

National

Support

Systems

Care

Delivery

Enablement

Integrated, Patient Centric,

Efficient Care Delivery

Health

Service

Insights

Knowledge & Information Delivery Transformation

Clinical & Information Governance

Knowledge & Information Plan

5


“To improve population

wellbeing, health service

efficiencies and economic

opportunity enabled by

effective and innovative digital

solutions.”

eHealth Ireland Vision


Starting point…


CULTURAL DIFFERENCE AND THE IMPACT ON THE CREATION OF A DIGITAL FABRIC…


Digital Fabric

A flared fabric!

- Width of appeal

Protective

- Secure yet accessible

Trendy

- Attractive for use

Seasonal

- Malleable to change

Delivering eHealth Ireland | Office of the Chief Information Officer 10


• Over 200 Members

• Core principle to have NO

technology projects

• Successful delivery

requires clinical leadership

• Integrated care only

possible with digital

change as a catalyst

• Ireland wide benefits

Clinical Leadership

11


Patients and Doctors need information and context

on the patient’s health and wellness outside the

clinical setting How have you

been?

Have you been

getting exercise

and eating well?

When did the

pain start?

What days did

you feel the

pain?

How has your blood

pressure been?

Uh…fine.

Um…some.

Um…I can’t

remember now.

I think it was last

Tuesday.

I wrote it down

somewhere.


The Patient is the CEO


Starting point…


Moving from paper records

locked in organisations to a

digital patient record shared

across care settings

4 Components

Examples:

• Order Communications /

Results Reporting

• Medicines Management

• Clinical Notesstems

Examples:

• Single MPI

• Scheduling

• Clinical Notes / Records

• Screening & Surveillance

National

Shared

Record

Community

Operational

Systems

Acute

Operational

Systems

Individual Health Identifier

The “glue” that binds all this together

and maintains integrity and security

across the system

eHealth Blueprint

National EHR Registries and Domains

Stakeholders

Clinical Management / Point of Care Environment

National EHR Integration and Access Layer

Communication Layer

Core Capabilities

I.A.A.A.Layer

Pro

vid

er H

ealt

h P

ort

al

National EHR RegistriesClient Registry Provider Registry Location Registry

National EHR DomainsMedical Imaging Laboratory Results Pharmaceutical

HistoryClinical Document

RepositoryEncounter History

Message Queuing

Message Data & Transformation

Message Encoding

Service Management

Identity Management

Authentication Access Secure Audit

Single Sign On Exception Handling Context Management Terminology ServicesRecord Locator Services

Orchestration ETL PrivacyCertification and Integration Toolkit

Secure Messaging

Logging

Immunization History

Infectious Disease History

National AnalyticsPerformance Management

Population Based Analytics

Business Intelligence

Registration

National eHealth Blueprint

Healthcare Providers Patients Corporate Administrators and Managers

Legitimate Relationship Services (LRS)

Corporate Setting

Fin

an

ce M

an

age

me

nt

Pro

cure

me

nt

Hu

ma

n R

eso

urc

es

and

P

ayro

ll M

anag

eme

nt

Ass

et M

an

age

me

nt

Hea

lth

& S

afe

ty

Co

ntr

act

Man

age

men

t

Faci

litie

s M

ana

gem

ent

Ro

ste

rin

g Ti

me

Re

cord

ing

Pro

gram

Man

age

me

nt

Cu

sto

mer

Re

lati

on

ship

M

ana

gem

ent

Consumer Health & Wellbeing

Pat

ien

t to

Pro

vid

er

Secu

re M

ess

agin

g

Self

-Hea

lth

M

ana

gem

ent

Sch

edu

ling

and

A

dm

inis

tra

tio

n

Nat

ion

al P

atie

nt

Po

rtal

Vir

tual

Car

e

Edu

cati

on

&

Aw

are

ne

ss

Community Healthcare Organisations

Pat

ien

t A

dm

inis

trat

ion

Ca

se M

anag

em

en

t

Elec

tro

nic

Do

cum

ent

Man

age

men

t

Clin

ical

No

tes

and

Re

cord

s

Pat

ien

t T

est

Re

sult

s

Ca

re P

ath

way

s an

d D

eci

sio

n

Sup

po

rt

Ref

err

al M

ana

gem

ent

Mo

bile

Clin

ical

Ma

nag

em

en

t

Po

pu

lati

on

He

alth

M

ana

gem

ent

Co

mp

ute

rize

d P

hys

icia

n O

rde

r En

try

eP

resc

rib

ing

Hospital Groups

Ho

spit

al P

atie

nt

Ad

min

istr

ati

on

Ho

spit

al M

ed

ical

Imag

ing

Ho

spit

al L

abo

rato

ry

Ho

spit

al P

har

ma

ceu

tica

ls

Ca

se M

anag

em

en

t

Dis

ease

Man

age

me

nt

Ca

re P

ath

way

s an

d D

eci

sio

n

Sup

po

rt

Co

mp

ute

rize

d P

hys

icia

n O

rde

r En

try

Ref

err

al M

ana

gem

ent

Po

pu

lati

on

He

alth

M

ana

gem

ent

Elec

tro

nic

Do

cum

ent

Man

age

men

t

eP

resc

rib

ing

Elec

tro

nic

Clin

ical

No

tes

and

R

eco

rds

The Individual Health Identifier

Programme is a key enabler that

allows information to be shared about

a patient

Pharmacy GP Systems

Private

Hospitals

Other healthcare providers will

access and contribute to the National

Shared Record through the

Integration Capability

EHR Programme


5 Years 10 Years

Cri

tic

al Ta

cti

ca

l

So

luti

on

s

Inn

ova

tive

Sp

ec

iali

st

So

luti

on

s

National Solutions

PAS

Replacement

Initial National Shared

Record

Haemophilia

Lighthouse Project

Epilepsy

Lighthouse Project

BiPolar Lighthouse

Project

Portal

(Organisation)

Other Future

Innovation Projects

Order/Comms

Other Future

Innovation Projects

NCH Implementation

eDischarge

Single

Solution Set

Evolving to a single

solution set will require

agility and a governance

approach that supports a

dynamic environment

Other Future

Innovation Projects

National Shared Record Development

MEDLis

MN-CMS

MOCIS

Acute Operational Components – Phased Implementation in HG’s

Community Operational Components – Phased Implementation in CHO’s

NIMIS

National Solutions

ePharmacy

eRefferal

10 Year Route

18


Digital Answers

19

Hospital PAS

SMS

Reminder Discharge

Note/Summary

Integrated Referral Management – Group/Region

Advice

Guidance

Electronic

Triage

Business

Intelligence Appointment

Management

Waiting List

Data

Patient Portal GP System

Guidelines

& CDSS


Priorities


Get in touch

Richard Corbridge [email protected]

@R1chardatron

@eHealthIreland

Yvonne Goff [email protected]

@GoffHickey

@CCIO_IRL

Ireland's Health Services - HSE.ie - Technology and Integrated … · 2017-05-02 ·...

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