Positioning the NIMIS Project in the Implementation of the ...€¦ · Positioning the NIMIS...

Positioning the NIMIS Project in the Implementation

of the National ICT Strategy

The vision for the Irish Health Service

"Everybody will have easy access to high quality care and services that they have confidence in and staff are proud to provide"

To be achieved by a Transformation Programme

Focused on six Transformation Priorities

Based on a series of programmes

Delivered by a series of projects

Strategy for Irish Healthcare

Delivery Service Change

Patient transition through the system to be fully integrated / seamless

Shift from episode of care approach to a holistic lifetime care perspective

Managed transition of patients through the primary, community and continuing care services and between these and the hospital / programme sectors

Central dependence on pre- hospital care - enhanced roles ANPs, Therapists, etc

Shared Workforce appointments – clinical staff following the patient from one location / jurisdiction

Hospital based services in accordance with casemix severity with clinical staff working in multiple settings

Shift from institution based services to community based settings

Patient/client access to services via a health professional responsiblefor ensuring appropriate access to healthcare service in both acuteand non-acute settings

Implications for ICT Strategy

Key themes for ICT from the Transformation Programme are:

Shift the paradigm of care from acute Hospitals to PCCC coupled with greater emphasis on prevention / promotion. In essence, to achieve significant reduction in dependence on Hospitals

Integrate services around the patient. The patient becomes the central element of the service, not institutions or professions

Implement standards based performance measurement and management throughout the health service

Implications for ICT

The key information focus must be the patient

Information must follow the patient through the system

It must be possible for health professionals to:

access and add all pertinent information on the patient at point of consultation, diagnosis, treatment and / or care

communicate and receive information, in respect of patients from all appropriate sources

It must be possible for:

patients to access information on their personal health and schedule appointments

pre-hospital care professionals to contact and transmit patient physiological information from remote locations wirelessly

access and merge patient, financial and HR information for planning, control, decision making, performance, quality/safety/RM etc. purposes

consolidate and analyse data for population health planning and for corporate & service planning

transmit information across the entire system

assemble/merge data from multiple locations and systems

assemble data on a specific patient from multiple locations/systems, each of which identifies the patient by multiple reference criteria

Integrated Information – View, Access & Availability

Patient Centric Integrated View Access Anywhere

ICT Strategy Work Streams

Major business initiatives requiringoversight and implementation nationally

Local and regional services& business requirements

Establish the framework to specify and implement data, information,

functional and interoperability standards

Consolidate, improve, extend and strengthen technical, communications capacity

Implement national security standards

Enhance human resource capacity. Conduct skills audit. Implement informatics

development program ICT & non ICT staff

Implement Strategic Implement Strategic National Business National Business

InitiativesInitiatives

Develop, implement Develop, implement & support local & & support local & regional initiativesregional initiatives

Develop the EHR Develop the EHR Information Information Framework Framework

Develop & improveDevelop & improveICTICT

InfrastructureInfrastructure

Develop & Develop & Strengthen ICT Strengthen ICT

CapacityCapacity

Short - Medium Term Programme

Status of ICT

Systems Initiatives/ Applications

Major business development programmes

Development and support of regional /local initiatives

Infrastructure

Systems, information, technology and communications architecture model

Networking, data management and communications infrastructure

Capacity

Develop the capacity, skills and resources

Maximise the potential of ICT in the provision of optimum patient care, developing and supporting strategic, organisational and service delivery objectives

Service Orientation

Deliver a business led, service driven approach to the provision of ICT services.

NIMIS Objectives

The installation of PACS/RIS solution to deliver a filmless solution for Radiology & Cardiology imaging in each hospital that currently does not have such

To deliver a paperless solution for Radiology including ordering and result reporting

To integrate all new and existing sites to a Central Data Repository to allow the controlled and rapid movement of patient image data throughout the health service

To deliver on a large range of identified benefits including the ability for remote reporting, removal of film-based risk factors, cost savings related to image management, and more rapid reporting of diagnostic imaging procedures

To promote and act as a facilitator to the HSE Transformation Programme.

Critical element within ICT strategy work streams:

Major business initiatives requiringoversight and implementation nationally

Local and regional services& business requirements

Establish the framework to specify and implement data, information,

functional and interoperability standards





NIMIS Project

Aligned with and supports ICT strategy work streams:

Provision of National Integrated Imaging Services

Support Clinical Service delivery

Implementing Framework Components





NIMIS Project


Status of ICT




Infrastructure



Capacity



Service Orientation


Systems Initiatives/Applications

Drive the introduction and implementation of applications which:

Are patient focused and support the development of integrated health and social care

Provide and enable a safe and quality environment

Create and generate efficiencies and savings

Underpin the implementation of chronic disease management programmes

Support planning, activity monitoring and management

Specific systems/applications to be targeted

Existing - NIMIS, LABs. Future - ePrescribing, Medication Management

Order communications/results reporting- needed to link community

Acute/community integrated information sharing and access

Corporate support and management information Performance management system (information produced as a by product of process)


Status of ICT




Infrastructure



Capacity



Service Orientation


Framework for Technical, Information and Application Architectures

Develop a standards based single framework for the public health system which will encompass:-

A Technical ArchitectureAn Applications ArchitectureAn Information Model and ArchitectureAn Communications / Network Architecture

A Single Information systems Framework to provide for integration and sharing of data and information

Deliver the ICT Strategy work streamsStrategic National Business InitiativesDevelop, implement & support local & regional initiativesDevelop the EHR Information Framework Develop & improve ICT Infrastructure

Foundation for the Electronic Health Record (EHR) and a National Patient/Client Portal

Framework Schematic – Core Components

CommonApplications

Individual Applications &Systems

Common Services

Information & Communications Architecture

ApplicationsArchitecture

Data Validation& Transformation

Systems/Data Integration

Business Processes

Identity, Access &System Services

Data/InformationRepository

ApplicationsAccess

Communication& Technical

Infrastructure

Consolidated Business Process Services

Electronic Health Record (EHR)National/Patient/Client Portal

PatientIdentity Services

Patient Consent Access & Privacy Rules

ProviderIDServices

Service ManagementAuditing & ConfigurationServices

Aggregated & Consolidated Data / Information Repository

HSE Health Data Model

Source data Extraction,Transformation & Loading

Validationrules

Web ServicesInterfaces

Interface Engines

Existing HSE Systems

NewSystems

G.P. Systems

NationalRegisters

Existing HospitalSystems

G.P. Systems

Applications, Information, Communications & Technical Architecture

CommonApplications

Individual Applications& Systems

CommonServices

Applications Architecture



Business Processes



ApplicationsAccess

Communication& TechnicalInfrastructure

Electronic Health Record (EHR)National Patient/Client Portal

PatientIdentityServices

Patient ConsentAccess & Privacy Rules

Provider ID Services



HSE HealthDate Modal


ValidationRules


Interface Engines

ExistingCorporateSystems

NewSystems

G.P. Systems

NationalRegisters

ExistingHospitalSystems

G.P. Systems

Applications, Information, Communications & Technical ArchitectureInformation &CommunicationsArchitecture


Framework Schematic – Component Status

CommonApplications


Common Services





Business Processes



ApplicationsAccess


Infrastructure





ProviderIDServices





Validationrules


Interface Engines


NewSystems

G.P. Systems

NationalRegisters


G.P. Systems


CommonApplications


CommonServices




Business Processes



ApplicationsAccess



NewSystems

G.P. Systems

NationalRegisters


G.P. Systems


Define and create the Framework

Project Approved Validate the Framework Detail and specify Components Detail and specify Component elements (as appropriate) Develop Component/element work packages

- deliver, develop, source, share

Framework Development Project

Framework Schematic – NIMIS Components

CommonApplications


Common Services





Business Processes



ApplicationsAccess


Infrastructure





ProviderIDServices





Validationrules


Interface Engines


NewSystems

G.P. Systems

NationalRegisters


G.P. Systems


CommonApplications


CommonServices




Business Processes



ApplicationsAccess


Electronic Health Record (EHR)National Patient/Client Portal

PatientIdentityServices

Patient ConsentAccess & Privacy Rules

Provider ID Services



HSE HealthDate Modal


ValidationRules


Interface Engines


NewSystems

G.P. Systems

NationalRegisters


G.P. Systems




Status of ICT




Infrastructure



Capacity



Service Orientation


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