Technology and Integrated Care in Ireland

Transcription

1 Technology and Integrated Care in Ireland Chief Information Officer Health Service Executive - Ireland Chief Executive Officer ehealth Ireland Yvonne.goff@hse.ie Chief Clinical Information Officer, Health Service Executive -

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3 Connected Health

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5 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 5

6 ehealth Ireland Vision To improve population wellbeing, health service efficiencies and economic opportunity enabled by effective and innovative digital solutions.

7 Starting point

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

9 Digital Fabric A flared fabric! - Width of appeal Protective - Secure yet accessible Trendy - Attractive for use Seasonal - Malleable to change

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11 Clinical Leadership 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 11

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13 Patients and Doctors need information and context on the patient s health and wellness outside the clinical setting How have you been? Uh fine. Have you been getting exercise and eating well? When did the pain start? What days did you feel the pain? Um some. Um I can t remember now. I think it was last Tuesday. How has your blood pressure been? I wrote it down somewhere.

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15 The Patient is the CEO

16 Starting point

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

18 Innovative Specialist Solutions Critical Tactical Solutions PAS Replacement 10 Year Route 5 Years 10 Years Other Future Innovation Projects Order/Comms BiPolar Lighthouse Project Other Future Innovation Projects Other Future Innovation Projects Single Solution Set Epilepsy Lighthouse Project Haemophilia Lighthouse Project Portal (Organisation) Initial National Shared Record National Shared Record Development Community Operational Components Phased Implementation in CHO s Acute Operational Components Phased Implementation in HG s Evolving to a single solution set will require agility and a governance approach that supports a dynamic environment erefferal NCH Implementation NIMIS National Solutions MEDLis MN-CMS epharmacy edischarge MOCIS National Solutions 18

19 Digital Answers Patient Portal GP System Guidelines & CDSS Hospital PAS Integrated Referral Management Group/Region Discharge Note/Summary SMS Reminder Advice Guidance Electronic Triage Appointment Management Waiting List Data Business Intelligence 19

20 Priorities 20

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22 Get in touch