ecosystem - ehealth ireland · 2019-02-04 · sharing of health information ... role integrated...

Fran Thompson, Interim Chief Information Officer, HSE

Ecosystema member of the ECHAlliance International Ecosystem Network

HSE Strategy; Implementation

Insights

Fran Thompson – Director of Engagement and Delivery, Office of the CIO

[email protected] @frthompson

mailto:[email protected]

Delivering eHealth Ireland | Office of the Chief Information Officer

Ireland’s Health System…..

3

2% of the population

Use 50% of acute hospital and community prescribing resource

And 77% of bed days


Current…

4

Delivering eHealth Ireland | Office of the Chief Information Officer 5

▪ Key Challenges

Quality and Safety

Better Outcome

Access to Care

Sharing of Health Information

appropriately

Capacity Constraints

Clinician Experience

Patient Experience

Drive Lower Costs

Case for Change


2019 Priorities and Challenges

6

• Cyber Security

• National Children’s Hospital

• MedLIS

• NIMIS

• ONE Programme

• Community Solutions

• National Rehab Hospital

• National Forensic Hospital

• Corporate Systems (IFMS and NiSRP)

• Integrated Information Service

• And .. Electronic Health Record


Sláintecare Implementation Strategy

7

Strategic Action 10; eHealth

• Implement the national acute Electronic Health Record (EHR),

starting with the new National Children’s Hospital

• Design and roll out community-based Electronic Health Records,

connecting data across the system and, over time, making data

available to patients

• Design and roll out a range of primary and community-based ICT

services that will improve the lives of patients, including

ePrescribing, summary care records and commence implementing

telehealth solutions to support care in the community

• Develop new ICT systems and invest in infrastructure to support the

health workforce and the delivery of integrated care

• Implement the national digital maternity system

• Develop information and research, including evaluation of 10-year

Sláintecare reforms


Strategic Context for National EHR Programme

• Health System is in midst of a major reform phase.

The catalyst was a series of reports starting with

Future Health: A Strategic Framework for Reform

of the Health Service 2012-2015 (2012) which

outlined a number of healthcare reforms.

• The Slaintecare Report (2017) highlights critical

role integrated acute & community EHRs will play in

transformation of Irish healthcare record system

• Strategic Business Case for National EHR (2016)

aligns with these strategies and reform plans.

• The 3 Programmes of the National EHR will form the

foundation for many of the planned revisions of care

pathways and management structures.

• Acute EHR will support the delivery of these

strategies. The Acute EHR will contribute to the

national shared record and the overall vision for

integrated care

EHR

Government Policy• The Slaintecare Report (2017)

• National Development Plan 2018 -

2027

• DoH Statement of Strategy 2016-

2019

• 2040 Vision

NCH• CHG Business Case

• CHG ICT Business Case

(2017)

HSE Strategies• Future Health: A Strategic

Framework for Reform of

the Health Service 2012-

2015 (2012) Integrated

Care Programme

• Health Service Capacity

Review 2018

EHR Strategies• EHR Strategic Business Case

• Knowledge & Information Plan

2015

• EHR Vision and Direction

• 2015

Key strategic initiatives and policies that

have shaped the Programme include:

8


What is the National Electronic Health Record?

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

Examples:

• Single MPI

• Scheduling

• Clinical Notes / Records

• Screening & Surveillance

National

Shared

Record

Community

Operational

Systems

Acute

Operational

Systems

Individual Health Identifier

The “glue” that binds all this together

and maintains integrity and security

across the system

eHealth Blueprint

National EHR Registries and Domains

Stakeholders

Clinical Management / Point of Care Environment

National EHR Integration and Access Layer

Communication Layer

Core Capabilities

I.A.A.A.Layer

Pro

vid

er H

ealt

h P

ort

al

National EHR RegistriesClient Registry Provider Registry Location Registry

National EHR DomainsMedical Imaging Laboratory Results Pharmaceutical

HistoryClinical Document

RepositoryEncounter History

Message Queuing

Message Data & Transformation

Message Encoding

Service Management

Identity Management

Authentication Access Secure Audit

Single Sign On Exception Handling Context Management Terminology ServicesRecord Locator Services

Orchestration ETL PrivacyCertification and Integration Toolkit

Secure Messaging

Logging

Immunization History

Infectious Disease History

National AnalyticsPerformance Management

Population Based Analytics

Business Intelligence

Registration

National eHealth Blueprint

Healthcare Providers Patients Corporate Administrators and Managers

Legitimate Relationship Services (LRS)

Corporate Setting

Fin

an

ce M

an

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nt

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Clin

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and

R

eco

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The Individual Health Identifier

Programme is a key enabler that

allows information to be shared about

a patient

PharmacyGP Systems

Private

Hospitals

Other healthcare providers will

access and contribute to the National

Shared Record through the

Integration Capability

9


What is the National Electronic Health Record?

4 Components

National

Shared

Record

Community

Operational

Systems

Acute

Operational

Systems

4 Programmes

• National Acute EHR

• National Community EHR

• Shared Record

• Integration Programme

10


Strategic Context for National Acute EHR Programme

• Enablement of Integrated Care across the

health system

• Acute EHR will support the vision of

Sláintecare Report

• Enablement of the implementation of networks

of Care across the acute Hospital system

• New Children’s Hospital Opening

• National standardisation of Care pathways

11


Childrens Hospital

Extended clinical departmental functionally to

enable HIMMS Level 6 Implementation

Acute Core Solutions of Record (ref: p32 / 33)

NATIONAL SHARED RECORD

• A national portal with key patient summary

care data drawn from the operational

solutions within the health service

• A longitudinal view of the patient’s care

• Access to specific elements of records for

different user groups

Community

Operational

Systems

Acute

Operational

Systems

National

Shared

Record

Community

Operational

Systems

Acute

Operational

Systems

ACUTE CORE

• Patient Administration System (PAS)

• Order Communications

• Medications Management (ePrescribing,

Medications Administration and Pharmacy)

• Clinical Notes and Records

• External Diagnostic solutions (Lab, Rad)

12

Delivering eHealth Ireland | Office of the Chief Information Officer 13

Fran Thompson – Director of Engagement and Delivery, Office of the CIO

[email protected] @frthompson

Thank you

mailto:[email protected]

ecosystem - ehealth ireland · 2019-02-04 · sharing of health information ... role integrated...

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