Richard Corbridge - Chief Information Officer, Health Service Executive, Ireland & Chief Executive...

eHealth Ireland: Driving Healthcare Transformation

[email protected] Chief Information Officer – Health Service Executive - Ireland Chief Executive Officer – eHealth Ireland

eHealthIreland.ie| @eHealthIreland @R1chardatron

Delivering eHealth Ireland | Office of the Chief Information Officer

Context

eHealth Ireland Where We Are Electronic Health Record – Definition, Impact, Stakeholders Person Centred Engagement

Office of the CIO | Delivering eHealth Ireland

Connected Health


Person Centred


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

Delivering eHealth Ireland | Office of the Chief Information Officer 10


Current…


Security. Data Quality. Information Governance. Data Dictionary.


The ‘fourth utility’ in healthcare

International eHealth investment Estimates •  €15.8Bn England – NPfIT over 10yrs •  €1.6Bn Canada, Southwest Ontario – 2013-2017 •  €25Bn – USA – HITECH Act / Meaningful Use •  €1.6Bn – Australia – predicted over 10yrs •  €5.4Bn – NHS – predicted in next 5 yrs

The history of technology as it enters industries is that people say ‘this is going to transform everything in 2 years’ And then you put it in and nothing happens and people say ‘why didn’t it work the way we expected it to?... . And then lo and behold after a period of 10 years, it begins working.

— Robert Wachter UCSF Technology has transformed hotel,

transport, retail, banking, communications ………healthcare?

More than 80% of US providers use an EHR

Ireland lags most developed countries but can learn from the investments and initiatives elsewhere The goals of Reform cannot be delivered

without a National EHR

Globally, there are more than 400 EHR vendors on the market

DENMARK 99% discharge letters, orders/results, prescriptions are electronic

FINLAND 100% health centres with EHRs

NETHERLANDS All prescriptions electronic

US – VHA $3.09Bn in cumulative net benefits

US – VHA 100% primary care / hospitals EHR


What is the National Electronic Health Record?

NationalEHRRegistriesandDomains

Stakeholders

ClinicalManagement/PointofCareEnvironment

NationalEHRIntegrationandAccessLayer

CommunicationLayer

CoreCapabilities

I.A.A.A.Layer

ProviderHealth

Portal

NationalEHRRegistriesClientRegistry ProviderRegistry LocationRegistry

NationalEHRDomainsMedicalImaging LaboratoryResults Pharmaceutical

HistoryClinicalDocument

RepositoryEncounterHistory

MessageQueuing

MessageData&Transformation

MessageEncoding

ServiceManagement

IdentityManagement Authentication Access SecureAudit

SingleSignOn ExceptionHandling ContextManagement TerminologyServices RecordLocatorServices Orchestration ETL PrivacyCertificationand

IntegrationToolkitSecureMessagingLogging

ImmunizationHistory

InfectiousDiseaseHistory

NationalAnalyticsPerformanceManagement

PopulationBasedAnalytics

BusinessIntelligence

Registration

NationaleHealthBlueprint

HealthcareProviders Patients CorporateAdministratorsandManagers

LegitimateRelationshipServices(LRS)

CorporateSetting

Fina

nceMan

agem

ent

Procurem

ent

Hum

anResou

rcesand

PayrollM

anagem

ent

AssetM

anagem

ent

Health

&Safety

ContractM

anagem

ent

FacilitiesM

anagem

ent

RosteringTimeRe

cording

ProgramM

anagem

ent

Custom

erRelationship

Managem

ent

ConsumerHealth&Wellbeing

Patie

ntto

Provide

rSecureM

essaging

Self-Health

Managem

ent

Schedu

lingan

dAd

ministratio

n

NationalPatient

Portal

VirtualCare

Education&

Awaren

ess

CommunityHealthcareOrganisations

Patie

ntAdm

inistration

CaseM

anagem

ent

Electron

icDocum

ent

Managem

ent

ClinicalNotesand

Records

Patie

ntTestR

esults

CarePathw

aysandDe

cisio

nSupp

ort

ReferralM

anagem

ent

Mob

ileClinicalM

anagem

ent

Popu

latio

nHealth

Managem

ent

Compu

terized

PhysicianOrder

Entry

ePrescrib

ing

HospitalGroups

HospitalPatient

Administratio

n

HospitalM

edicalIm

aging

HospitalLaboratory

HospitalPha

rmaceuticals

CaseM

anagem

ent

DiseaseManagem

ent

CarePathw

aysandDe

cisio

nSupp

ort

Compu

terized

PhysicianOrder

Entry

ReferralM

anagem

ent

Popu

latio

nHealth

Managem

ent

Electron

icDocum

ent

Managem

ent

ePrescrib

ing

Electron

icClinicalNotesand

Re

cords

Community Operational

Systems

Acute Operational

Systems

National Shared Record

Integration

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

The “glue” that binds all this together and maintains integrity and security across the system Systems

Examples: •  Single MPI •  Scheduling •  Clinical Notes / Records •  Screening & Surveillance

eHealth Blueprint


Growth: 200 + Members & 30+ Clinical Disciplines

Special Interest Groups: EHR; Health Information Patient Safety Bill; Privacy Impact Assessment; ePharmacy & more

Lighthouse Projects: Clinical Leads


Person Centred


The Irish Public Expect Digital Access & Services

eHealth Ireland conducted a 2 month public consultation on EHR

Source: Initial Findings from EHR Public Consultation


Findings from Public Consultation

Source: Initial Findings from EHR Public Consultation

88% 67%

Hospitals Community Other

BENEFITS > BARRIERS

eHealth Connect

Establishtheini,al‘touchpoint’fordigitalcompanieswhowishto

partnerwitheHealthIrelandandhelpdeliverthestrategic

programmes

QIC Programme

Innovation Initiatives within eHealth Ireland

��

We are looking for people with a vision to create a new healthcare future.

To register your interest go to www.ndrc.ie/healthtech/


"Information is the oil of the 21st century, and analytics is the combustion engine.” Peter Sondergaard , Gartner Group, 2011

"I have travelled the length and breadth of this country and talked with the best people, and I can assure you that data processing is a fad that won't last out the year.” Editor of Prentice Hall business books, 1957

"You can have data without information, but you cannot have information without data.” Daniel Keys Moran, science fiction author

Richard Corbridge - Chief Information Officer, Health Service Executive, Ireland & Chief Executive...

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