ehealth Ireland: Crossing the digital divide: A new frontier in healthcare in Ireland

Transcription

1 ehealth Ireland: Crossing the digital divide: A new frontier in healthcare in Ireland Richard.corbridge@hse.ie Chief Executive Officer ehealth Ireland Chief Information Officer Health Service

2 Office of the CIO Delivering ehealth Ireland

3 Delivering ehealth Ireland Office of the Chief Information Officer 3

4 Office of the CIO Delivering ehealth Ireland

5 Vision To improve population wellbeing, health service efficiencies and economic opportunity enabled by effective and innovative digital solutions. Opportunity Evolve the current system to enable a new high quality healthcare capability for Ireland. A system that enables the delivery of integrated care in a mature and continually improving

6 Digital, the only way to achieve integrated care Injury & Illness are Integrated, just ask John McClane! 6

7 Digital, the only way to achieve integrated care Injury & Illness are Integrated, just ask John McClane! PTSD C5 C7 Spinal Injury Injuries leading to Quadriplegia Foot tendon lacerations Neuroma / Granuloma formation Cheloid Scarring Extradural Haemorrhage Tibial fracture Delivering ehealth Ireland Office of the Chief Information Officer 7

8 Digital, the only way to achieve integrated care And boy does John need it! Delivering ehealth Ireland Office of the Chief Information Officer 8

9 ehealth Ireland Definition Office of the CIO Delivering ehealth Ireland 9

10 The IT strategy question? Knowledge & Information Plan Integrated, Patient Centric, Efficient Care Delivery Clinical & Information Governance Care Delivery Enablement Electronic Health Records Cross Setting Information Integration Health Service Insights National Support Systems Knowledge & Information Delivery Transformation Office of the CIO Delivering ehealth Ireland

11 ehealth Ireland Definition Office of the CIO Delivering ehealth Ireland 11

12 ehealth Ireland Definition Office of the CIO Delivering ehealth Ireland 12

13 Delivering ehealth Ireland Office of the Chief Information Officer

14 Liquid Hospital Enabler Gates Vascular Hospital Buffalo

15 New Frontiers Delivering ehealth Ireland Office of the Chief Information Officer 15

16 Personas Digital Fabric Engagement Ownership Office of the CIO Delivering ehealth

17 I want to kiss the computer every time I successfully log in. Breda, Midwife This is a more streamlined way to do things or will be in the future. We will gain so much from this documenting. Marie, Nurse It took me 1 hour and 4 minutes to complete my first booking visit. I cut it down to 37 minutes just after my second. We are cooking now. Siobhan, Doctor I'm not so scared about this now. Sabrina,

18 Projects Individual Health Identifier Office of the CIO Delivering ehealth

19 Projects ereferral Office of the CIO Delivering ehealth

20 Projects LightHouse Epilepsy First instance of epilpesy geonomic sequencing being included in an EHR 5m a year to be saved in 2017 Haemophilia Irelands first health care supply chain management solution deployed to patients homes Over 20m saving in first 3 years Bipolar Disorder Patient mobile access to electronic health record and mood recording Hackathon approach supporting innovation and jobs Office of the CIO Delivering ehealth

21 Agile Engagement Health Tech ehealth Connect + + QIC + #Digi challenge Office of the CIO Delivering ehealth

22 Delivering ehealth Ireland Office of the Chief Information Officer 22

23 Access Codes for WIFI Donna - Louis, have you ever heard of A Jack Story? Louis - No? Donna - Well, it's time you did! Office of the CIO Delivering ehealth Ireland

24 Starting Point! Office of the CIO Delivering ehealth

25 Stakeholders Clinical Management / Point of Care Environment Hospital Groups National EHR Integration and Access Layer Communication Message Layer Queuing Core Capabilities Message Data & Message Transformation Encoding National EHR Registries and Domains National EHR Registries Client Registry Provider Registry Location Registry Entry Healthcare Providers Patients Corporate Administrators and Managers Service Management Community Healthcare Organisations Certification and Single Sign On Exception Handling Context Management Terminology Services Integration Toolkit National EHR Domains Medical Imaging Laboratory Results Pharmaceutical History Entry Logging Immunization History Infectious Disease History Record Locator Services Clinical Document Repository Consumer Health & Wellbeing Portal I.A.A.A. Identity Authentication Access Secure Audit Layer Management Legitimate Relationship Secure Orchestration ETL Privacy Registration Services (LRS) Messaging Encounter History National Analytics Performance Management Corporate Setting Population Based Business Intelligence Analytics ehealth Blueprint Hospital Patient Administration Hospital Medical Imaging Hospital Laboratory Hospital Pharmaceuticals Case Management Disease Management Electronic Document Management Electronic Clinical Notes and Records Care Pathways and Decision Support Computerized Physician Order eprescribing Referral Management Population Health Management Provider Health Portal Patient Administration Case Management Electronic Document Management Clinical Notes and Records Patient Test Results Care Pathways and Decision Support Computerized Physician Order Referral Management eprescribing Mobile Clinical Management Population Health Management National Patient Patient to Provider Secure Messaging Self-Health Management Scheduling and Administration Virtual Care Education & Awareness The Individual Health Identifier Programme is a key enabler that allows information to be shared about a patient Customer Relationship Management Finance Management Human Resources and Payroll Management Rostering Time Recording Facilities Management Asset Management Procurement Contract Management Health & Safety Program Management EHR for Ireland 4 Components Community Operational Systems GP Systems National Shared Record Pharmacy Privates Individual Health Identifier Acute Operational Systems Moving from paper records locked in organisations to a digital patient record shared across care settings The glue that binds all this together and maintains integrity and security across the system Other healthcare providers will access and contribute to the National Shared Record through the Integration Capability Delivering ehealth Ireland Office of the Chief Information

26 Projects ereferral Delivering ehealth Ireland Office of the Chief Information Officer

27 Critical Tactical Solutions Innovative Specialist Solutions PAS Replacement Order/Comms BiPolar Lighthouse Project Epilepsy Lighthouse Project Haemophilia Lighthouse Project Portal erefferal Other Future Innovation Projects Initial National Shared Record NCH Implementation Other Future Innovation Projects Other Future Innovation Projects 5 Years National Shared Record Development Community Operational Components Phased Implementation in CHO s Acute Operational Components Phased Implementation in HG s NIMIS National Solutions 10 Years Single Solution Set Evolving to a single solution set will require agility and a governance approach that supports a dynamic environment MEDLis MN-CMS epharmacy edischarge MOCIS Office of the CIO Delivering ehealth

28 ehealth Ireland Chief Executive Officer ehealth Ireland Chief Information Officer Health Service Delivering ehealth Ireland Office of the Chief Information Officer