recommendations for unique health identifiers - tracy o'carroll
TRANSCRIPT
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Recommendations for Unique Health Identifiers for Healthcare Practitioners and Organisations
Tracy O’Carroll
17 November 2011
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Remit
To drive continuous improvements in the quality
and safety of health and social care in Ireland
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Background
Health Act 2007, establishment 15 May 2007
independent - reporting to Minister for Health and Children
close relationship with people using the service, professionals, providers, public, communities, media, stakeholders
person-centred ethos of “working with” not “doing to”
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Functions
Social Services Inspectorate (SSI) – residences for older people, people with disabilities, children, etc
Health Technology Assessment (HTA) - colorectal cancer, HPV in cervical screening, prion filtration of red cell concentrates
Healthcare Quality and Safety (HQS) – standard setting and monitoring function in acute hospital setting
Health Information (HI) - Technical Standards, Information Governance Standards, Standards for National Health Information Sources, Health Identifiers – IHI, HPI, HOI
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Agenda
introduce the Healthcare Practitioner Identifier (HPI) and
Healthcare Organisation Identifier (HOI) concepts
rationale for project
objective of project
benefits of HPI/HOI
national and international
vision for a central registry & proposed data structure
phasing
overall recommendations
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Concepts
Healthcare Practitioners identifier (HPI) A unique, non-transferable lifetime number assigned to a
healthcare practitioner. Its purpose is to identify the individual as one and the same person and to allow the “attaching” of other information, for instance address and contact details.
Healthcare Organisation Identifier (HOI) A HOI uniquely identifies all healthcare organisations in Ireland.
It willallow the attaching of a set dataset for example location, contact details and site details.
Individual Health Identifier (IHI)***
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Rationale for project
National Health Information Strategy (2004)
Health Act 2007
Commission on Patient Safety and Quality Assurance (2008)
Health Information Bill
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Objective
identify benefits of HPI and HOI
identify what is in place nationally and in international jurisdictions
recommend a model to implement the HPI and HOI in Ireland
advise on the most appropriate order to phase in HPI and HOI
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Benefits
Benefits
Healthcare Sector
Professional
Regulatory Authorities
Healthcare Organisatio
ns
Service Planners
Healthcare Practitioners
Service Users
Benefits
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National
Medical Council of Ireland
Pharmaceutical Society of Ireland
The Nursing Board (An Bord Altranais)
Dental Council of Ireland
Health and Social Care Professional Council (CORU)
SSI – Health Information and Quality Authority
Opticians Board
Pre-Hospital Emergency Care Council (PHECC)
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International
Australia Australian Healthcare Practitioner Registration Authority – HPI-I Medicare Australia – HPI-O
New Zealand Ministry for Health maintains a central registry - Health Provider Identifier for
Organisations (HPI-ORG), Facilities (HPI-FAC) and Common Person Number (HPI-CPN)
England The spine directory service (SDS) consists of a National Register of Healthcare
Professionals and a Register of Healthcare Organisations
Norway Registration Authority for Health Professionals maintains the Health Personnel Number
(HPR) Companies and business office maintains healthcare registry (public and private) -
Business Enterprise Organisation Number
Sweden The National Board of Healthcare Professions issues a unique identifier (förskrivarkod)
to healthcare professionals. The Centre of Epidemiology within the National Board of Health and Welfare issues the
registreringsnummer to hospitals and healthcare units
Canada Canadian Institute for Health Information (CIHI) feasibility assessment of the National
Unique Identifier (NUI) for all healthcare providers Western Health Information Collaborative (WHIC) - issues identifier to healthcare
organisations
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Vision for a central directory
SOURCES
ORGANISATIONS
SOURCES
PRACTITIONERS
Consumer
Consumer
Consumer
Consumer
CENTRALDIRECTORY
HPI and HOI
ISO 27527
Consumer
Consumer
Consumer
Central Directory A central directory populated with up to date and accurate information relating to healthcare practitioners and organisations. This information may be sourced from existing data sources, that is professional regulatory authorities or existing information and communication technology systems. It should be governed, managed and maintained by an authority.
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International Standards Organisation Technical Standard 27527 (ISO TS 27527)
This technical specification is the result of arecognised need within the health industry
need fora common, best practice approach to the way
datais captured, stored and managed for the
purpose ofidentifying providers.
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Proposed data structure for identifiers
Identification Number
Health Practitioner Identifier (HPI)
Identification Record
· name· demographic details· address details· electronic communication details
Directory Record
· field of practice· registering body· professional and academic qualifications· organisation (for each organisation work in)
Identification Number
Healthcare Organisation Identifier (HOI)
Identification Record
· organisation name· address· electronic communication details· commissioning details · site(s) details
Directory Record
· services· functions
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HPI phasing
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HOI phasing
1. Groups of healthcare organisations that are
currently registered
2. Units that will be obliged to attain
licensing
3. All remaining healthcare organisations
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Recommendations
1. Unique identifiers for healthcare practitioners and organisations should be introduced in Ireland.
2. A central directory should be established that contains unique identifiers for healthcare practitioners and organisations and should be established as the primary trusted source of core identity information in relation to healthcare practitioners and organisations.
3. The Health Information Bill should assign a designated agency with the task of governance, implementation and maintenance of a central directory.
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Overall Recommendations
4. The HPI and HOI should be phased in
5. The dataset to be associated with the identifiers for practitioners and organisations should be based on the international standard ISO/TS 27527, adapted for use in Ireland.
6. Each professional regulatory authority should upload the standard dataset at set intervals to the central directory.
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Next Steps
If approved by the Minister:
the Authority will work with the DOHC through the Health Identifiers Group to ensure that the implementation of the recommendations are progressed.
the Authority will work with the designated agency to ensure that the development of a practitioners and organisations registry is compliant with our recommendations.
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The full and summary report
Recommendations for Unique Health Identifiers for
Healthcare Practitioners and Organisations
http://www.hiqa.ie/publications
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THANK YOUTHANK YOU