John O Brien i~hd Inaugural Conference Paris, March 10 th 2016

Transcription

1 The importance of reliable information for Healthcare Delivery Organisations and consequential implications for Information Systems (mainly EHR s) and Workforce John O Brien i~hd Inaugural Conference Paris, March 10 th

2 Personal Background Past CEO, St James s Hospital Dublin Past National Director, National Hospitals Office, Health Service Executive (HSE) Past Chair, Corporate ICT Steering Group, HSE Past Interim CEO, Irish Health Services Accreditation Board 2

3 Context Personal Corporate Governance/Executive Level in a large Academic Healthcare delivery setting with AMC status in association with a premium Medical School/Health Sciences Faculty 3

4 Overarching Perspective Key maxim: information not just a facilitator. An embedded factor of production in Healthcare Significant implications for how we engage and employ information 4

5 What occupies the Corporate Agenda System Organisation Design Overarching Strategic, Management and Operational Planning and Control External relations and alliances Service Organisation and Delivery Patient centric organisation Health Professional credentialing, currency and excellence Multi Leader Care Delivery Teams Integration (Patient journey through the system) Quality, Safety and Risk amelioration 5

6 What occupies the Corporate Agenda Resource Utilisation Access Management/Optimisation Flow Management/Optimisation Facility/Workforce utilisation optimisation Finance Casemix Optimisation (Productmix/Coding) Input/output correlation Reimbursement 6

7 What occupies the Corporate Agenda Research Defining Feature/Core Value of AMC Attract and embed in Service Information not only supports, but is an integral core input to advancing and delivering this agenda. Cannot deliver Healthcare effectively in these areas without appropriate and embedded high quality data and information. 7

8 Some Illustrations Access/Flow/Utilisation case Cardiac Surgery Case Cancer Programme Case 8

9 Challenge Big Challenge How do we continuity assure quality and fully exploit potential of data/information Corporate Concentration here around EHR and Information Workforce 9

10 Factor Status Implications for Information Systems/Workforce Other Factors robust assurance environment: Buildings/Pharma/Medial Devices Certified Professionals, Regulatory Bodies, Standards based Certification etc. Health Professional Workforce Professional bodies, credentialed and regulated, CPE etc. Engenders Corporate and user confidence and assurance EHR s and information workforce not similarly assured 10

11 Initiatives EHR Certification/ Quality Labelling Main Approaches EU: EuroRec/Tools and Seal US: ONC/Meaningful use tool Corporate Value Improved procurement (speedier/less costly) Improved System Specification Improved deployment Significantly improved utilisation and benefits realisation (Patient Care/Quality) Improved confidence Improved RoI/Further investment Limited Success Belgian exception 11

12 Initiatives Credentialing Information Workforce Main Approaches EU/US Co-operation Forum on ehealth Focus on increasing the numbers and qualifications of Information Workforce Moves to create Charter Body status for Information Workforce (e.g.. UK CHIP) Corporate Value Professionalisation of Information Workforce Raised Standards Significantly enhanced capacity to identify, procure, deploy and exploit opportunities of information More meaningful embeddedness of information workforce Prospects to improve factor relativity for service, quality and efficiency gain Early Stage advancement. US developments 12

13 How to advance further General acceptance/growing recognition of importance of high quality, well governed data/ information. Many initiatives. Historical delivery performance - patchy, sub optimal to poor. Stifled investment. To advance and assure Corporately, mandatory systems quality labelling and workforce credentialing ideal. Must remain aspiration/objective EHR quality labelling initiatives Historic focus Suppliers. Voluntary. Light touch Funder position. Efforts to Coalesce Suppliers, Users and Funders (e.g.. EHC Alliance) important Suggest for Success require to shift driver focus to Users and Health System Accreditation Bodies 13

14 How to advance Further Some Possible User Approaches Use Quality Labelling Standards to assess existing installations Use Quality Labelling standards as part of procurement specification and evaluation provisions Increased location of trained/qualified data personnel in key Clinical Teams/Divisions Significantly develop accreditation body Standards/ Criteria around EHR/Business Systems and Information Workforce Dominant onus, interest and value of certification at user level. Need to own 14

15 Some Promising Current Initiatives National LIMS Project HIQA Electronic Exchange Standards Connected Health/Hospital Group i~hd 15