richard corbridge - chief information officer, health service executive, ireland & chief...
TRANSCRIPT
eHealth Ireland: Driving Healthcare Transformation
[email protected] Chief Information Officer – Health Service Executive - Ireland Chief Executive Officer – eHealth Ireland
eHealthIreland.ie| @eHealthIreland @R1chardatron
Delivering eHealth Ireland | Office of the Chief Information Officer
Context
eHealth Ireland Where We Are Electronic Health Record – Definition, Impact, Stakeholders Person Centred Engagement
Delivering eHealth Ireland | Office of the Chief Information Officer
Office of the CIO | Delivering eHealth Ireland
Connected Health
Delivering eHealth Ireland | Office of the Chief Information Officer
Delivering eHealth Ireland | Office of the Chief Information Officer
Person Centred
Delivering eHealth Ireland | Office of the Chief Information Officer
The IT strategy question?
Cross Setting
Information Integration
Electronic Health
Records
National Support Systems
Care Delivery
Enablement
Integrated, Patient Centric, Efficient Care Delivery
Health Service Insights
Knowledge & Information Delivery Transformation
Clinical & Information Governance
Knowledge & Information Plan
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Delivering eHealth Ireland | Office of the Chief Information Officer
Current…
Delivering eHealth Ireland | Office of the Chief Information Officer 12
Security. Data Quality. Information Governance. Data Dictionary.
Delivering eHealth Ireland | Office of the Chief Information Officer
The ‘fourth utility’ in healthcare
International eHealth investment Estimates • €15.8Bn England – NPfIT over 10yrs • €1.6Bn Canada, Southwest Ontario – 2013-2017 • €25Bn – USA – HITECH Act / Meaningful Use • €1.6Bn – Australia – predicted over 10yrs • €5.4Bn – NHS – predicted in next 5 yrs
The history of technology as it enters industries is that people say ‘this is going to transform everything in 2 years’ And then you put it in and nothing happens and people say ‘why didn’t it work the way we expected it to?... . And then lo and behold after a period of 10 years, it begins working.
— Robert Wachter UCSF Technology has transformed hotel,
transport, retail, banking, communications ………healthcare?
More than 80% of US providers use an EHR
Ireland lags most developed countries but can learn from the investments and initiatives elsewhere The goals of Reform cannot be delivered
without a National EHR
Globally, there are more than 400 EHR vendors on the market
DENMARK 99% discharge letters, orders/results, prescriptions are electronic
FINLAND 100% health centres with EHRs
NETHERLANDS All prescriptions electronic
US – VHA $3.09Bn in cumulative net benefits
US – VHA 100% primary care / hospitals EHR
Delivering eHealth Ireland | Office of the Chief Information Officer
What is the National Electronic Health Record?
NationalEHRRegistriesandDomains
Stakeholders
ClinicalManagement/PointofCareEnvironment
NationalEHRIntegrationandAccessLayer
CommunicationLayer
CoreCapabilities
I.A.A.A.Layer
ProviderHealth
Portal
NationalEHRRegistriesClientRegistry ProviderRegistry LocationRegistry
NationalEHRDomainsMedicalImaging LaboratoryResults Pharmaceutical
HistoryClinicalDocument
RepositoryEncounterHistory
MessageQueuing
MessageData&Transformation
MessageEncoding
ServiceManagement
IdentityManagement Authentication Access SecureAudit
SingleSignOn ExceptionHandling ContextManagement TerminologyServices RecordLocatorServices Orchestration ETL PrivacyCertificationand
IntegrationToolkitSecureMessagingLogging
ImmunizationHistory
InfectiousDiseaseHistory
NationalAnalyticsPerformanceManagement
PopulationBasedAnalytics
BusinessIntelligence
Registration
NationaleHealthBlueprint
HealthcareProviders Patients CorporateAdministratorsandManagers
LegitimateRelationshipServices(LRS)
CorporateSetting
Fina
nceMan
agem
ent
Procurem
ent
Hum
anResou
rcesand
PayrollM
anagem
ent
AssetM
anagem
ent
Health
&Safety
ContractM
anagem
ent
FacilitiesM
anagem
ent
RosteringTimeRe
cording
ProgramM
anagem
ent
Custom
erRelationship
Managem
ent
ConsumerHealth&Wellbeing
Patie
ntto
Provide
rSecureM
essaging
Self-Health
Managem
ent
Schedu
lingan
dAd
ministratio
n
NationalPatient
Portal
VirtualCare
Education&
Awaren
ess
CommunityHealthcareOrganisations
Patie
ntAdm
inistration
CaseM
anagem
ent
Electron
icDocum
ent
Managem
ent
ClinicalNotesand
Records
Patie
ntTestR
esults
CarePathw
aysandDe
cisio
nSupp
ort
ReferralM
anagem
ent
Mob
ileClinicalM
anagem
ent
Popu
latio
nHealth
Managem
ent
Compu
terized
PhysicianOrder
Entry
ePrescrib
ing
HospitalGroups
HospitalPatient
Administratio
n
HospitalM
edicalIm
aging
HospitalLaboratory
HospitalPha
rmaceuticals
CaseM
anagem
ent
DiseaseManagem
ent
CarePathw
aysandDe
cisio
nSupp
ort
Compu
terized
PhysicianOrder
Entry
ReferralM
anagem
ent
Popu
latio
nHealth
Managem
ent
Electron
icDocum
ent
Managem
ent
ePrescrib
ing
Electron
icClinicalNotesand
Re
cords
Community Operational
Systems
Acute Operational
Systems
National Shared Record
Integration
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
The “glue” that binds all this together and maintains integrity and security across the system Systems
Examples: • Single MPI • Scheduling • Clinical Notes / Records • Screening & Surveillance
eHealth Blueprint
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Growth: 200 + Members & 30+ Clinical Disciplines
Special Interest Groups: EHR; Health Information Patient Safety Bill; Privacy Impact Assessment; ePharmacy & more
Lighthouse Projects: Clinical Leads
Delivering eHealth Ireland | Office of the Chief Information Officer
Person Centred
Delivering eHealth Ireland | Office of the Chief Information Officer
Delivering eHealth Ireland | Office of the Chief Information Officer
The Irish Public Expect Digital Access & Services
eHealth Ireland conducted a 2 month public consultation on EHR
Source: Initial Findings from EHR Public Consultation
Delivering eHealth Ireland | Office of the Chief Information Officer
Findings from Public Consultation
Source: Initial Findings from EHR Public Consultation
88% 67%
Hospitals Community Other
BENEFITS > BARRIERS
eHealth Connect
Establishtheini,al‘touchpoint’fordigitalcompanieswhowishto
partnerwitheHealthIrelandandhelpdeliverthestrategic
programmes
QIC Programme
Innovation Initiatives within eHealth Ireland
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We are looking for people with a vision to create a new healthcare future.
To register your interest go to www.ndrc.ie/healthtech/
Delivering eHealth Ireland | Office of the Chief Information Officer
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"Information is the oil of the 21st century, and analytics is the combustion engine.” Peter Sondergaard , Gartner Group, 2011
"I have travelled the length and breadth of this country and talked with the best people, and I can assure you that data processing is a fad that won't last out the year.” Editor of Prentice Hall business books, 1957
"You can have data without information, but you cannot have information without data.” Daniel Keys Moran, science fiction author