Crossing the digital divide: A new frontier in healthcare in...

eHealth Ireland: Crossing the digital divide:

A new frontier in healthcare in Ireland

[email protected] Chief Executive Officer – eHealth Ireland Chief Information Officer – Health Service Executive @R1chardatron

Office of the CIO | Delivering eHealth Ireland

Delivering eHealth Ireland | Office of the Chief Information Officer 3

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

Vision

Evolve the current system to enable a new high quality healthcare capability for Ireland. A system that enables the delivery of integrated care in a mature and continually improving manner.

Opportunity

@eHealthIreland

6

Digital, the only way to achieve integrated care…

Injury & Illness are Integrated, just ask John McClane!



Injury & Illness are Integrated, just ask John McClane! PTSD

C5 – C7 Spinal Injury Injuries leading to Quadriplegia Foot tendon lacerations Neuroma / Granuloma formation Cheloid Scarring Extradural Haemorrhage Tibial fracture



And boy does John need it!


eHealth Ireland Definition

9


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



11



12

Delivering eHealth Ireland | Office of the Chief Information Officer

Liquid Hospital Gates Vascular Hospital Buffalo Enabler


New Frontiers

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwimg7bVwrLQAhUqBMAKHdGRA8MQjRwIBw&url=http://www.itsybitsysteps.com/baby-dies-after-hospital-unwilling-to-pay-3-for-incubator/&psig=AFQjCNFMgbAYeBheMBIVdjFtT4Q7-4nPFg&ust=1479565890925268

Office of the CIO | Delivering eHealth Ireland @eHealthIreland

Personas Digital Fabric Engagement Ownership

@eHealthIreland

I want to kiss the computer every time I

successfully log in. Breda, Midwife

It took me 1 hour and 4 minutes to complete my first booking visit. I

cut it down to 37 minutes just after my second. We are cooking now.

Siobhan, Doctor

This is a more streamlined way to do things or will be in the future. We will gain so

much from this documenting. Marie, Nurse

I'm not so scared about this now. Sabrina, Doctor


Projects – Individual Health Identifier

@eHealthIreland


Projects – eReferral

@eHealthIreland


Projects – LightHouse

@eHealthIreland

Epilepsy • First instance of epilpesy geonomic

sequencing being included in an EHR • €5m a year to be saved in 2017 Haemophilia • Irelands first health care supply chain

management solution deployed to patients homes

• Over €20m saving in first 3 years Bipolar Disorder • Patient mobile access to electronic health

record and ‘mood recording’ • Hackathon approach supporting

innovation and jobs


Health Tech

eHealth Connect QIC + +

Agile Engagement

@eHealthIreland

#Digi challenge

+


Access Codes for WIFI Donna - Louis, have you ever heard of ‘A’ Jack Story? Louis - No? Donna - Well, it's time you did!


Starting Point!

@eHealthIreland


EHR for Ireland

@eHealthIreland

Moving from paper records locked in organisations to a digital patient record shared across care settings

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

Prov

ider H

ealth

Porta

l

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 Services Record Locator Services Orchestration ETL PrivacyCertification and

Integration ToolkitSecure MessagingLogging

Immunization History

Infectious Disease History

National AnalyticsPerformance Management

Population Based Analytics

Business Intelligence

Registration

Healthcare Providers Patients Corporate Administrators and Managers

Legitimate Relationship Services (LRS)

Corporate Setting

Finan

ce M

anag

emen

t

Proc

urem

ent

Huma

n Res

ource

s and

Pa

yroll M

anag

emen

t

Asse

t Man

agem

ent

Healt

h & Sa

fety

Cont

ract M

anag

emen

t

Facil

ities M

anag

emen

t

Roste

ring T

ime R

ecor

ding

Prog

ram

Man

agem

ent

Custo

mer R

elatio

nship

M

anag

emen

t

Consumer Health & Wellbeing

Patie

nt to

Prov

ider

Secu

re M

essa

ging

Self-

Healt

h M

anag

emen

t

Sche

dulin

g and

Ad

minis

tratio

n

Natio

nal P

atien

t Po

rtal

Virtu

al Ca

re

Educ

ation

&

Aware

ness

Community Healthcare Organisations

Patie

nt Ad

minis

tratio

n

Case

Man

agem

ent

Electr

onic

Docu

ment

M

anag

emen

t

Clinic

al No

tes an

d Rec

ords

Patie

nt Te

st Re

sults

Care

Path

ways

and D

ecisio

n Su

ppor

t

Refer

ral M

anag

emen

t

Mob

ile Cl

inica

l Man

agem

ent

Popu

lation

Hea

lth

Man

agem

ent

Comp

uteri

zed P

hysic

ian O

rder

En

try

ePres

cribin

g

Hospital Groups

Hosp

ital P

atien

t Ad

minis

tratio

n

Hosp

ital M

edica

l Imag

ing

Hosp

ital L

abor

atory

Hosp

ital P

harm

aceu

ticals

Case

Man

agem

ent

Dise

ase M

anag

emen

t

Care

Path

ways

and D

ecisio

n Su

ppor

t

Comp

uteri

zed P

hysic

ian O

rder

En

try

Refer

ral M

anag

emen

t

Popu

lation

Hea

lth

Man

agem

ent

Electr

onic

Docu

ment

M

anag

emen

t

ePres

cribin

g

Electr

onic

Clinic

al No

tes an

d Re

cord

s

The Individual Health Identifier Programme is a key enabler that allows information to be shared about a patient

Pharmacy GP Systems Privates

Other healthcare providers will access and contribute to the National Shared Record through the Integration Capability

4 Components


Projects – eReferral

Office of the CIO | Delivering eHealth Ireland @eHealthIreland

5 Years

10 Years

Crit

ical

Tac

tical

So

lutio

ns

Inno

vativ

e Sp

ecia

list

Solu

tions

PAS

Replacement

Initial National Shared Record

Haemophilia Lighthouse Project

Epilepsy Lighthouse Project

BiPolar Lighthouse Project

Portal

Other Future Innovation Projects

Order/Comms


NCH Implementation

eDischarge

Single Solution Set

Evolving to a single solution set will require agility and a governance approach that

supports a dynamic environment


National Shared Record Development

MEDLis

MN-CMS

MOCIS

Acute Operational Components – Phased Implementation in HG’s

Community Operational Components – Phased Implementation in CHO’s

NIMIS

National Solutions

ePharmacy

eRefferal


eHealth Ireland

[email protected] Chief Executive Officer – eHealth Ireland Chief Information Officer – Health Service Executive @R1chardatron

Crossing the digital divide: A new frontier in healthcare in...

Documents

Transcript of Crossing the digital divide: A new frontier in healthcare in...