Chief Information Officer – Health Service Executive - Ireland
Chief Executive Officer – eHealth Ireland
Chief Clinical Information Officer, Health Service Executive - Ireland
eHealthIreland.ie| @eHealthIreland @R1chardatron @CCIO_Irl @GoffHickey
Technology and Integrated
Care in Ireland
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
5
Delivering eHealth Ireland | Office of the Chief Information Officer
“To improve population
wellbeing, health service
efficiencies and economic
opportunity enabled by
effective and innovative digital
solutions.”
eHealth Ireland Vision
Delivering eHealth Ireland | Office of the Chief Information Officer
CULTURAL DIFFERENCE AND THE IMPACT ON THE CREATION OF A DIGITAL FABRIC…
Delivering eHealth Ireland | Office of the Chief Information Officer
Digital Fabric
A flared fabric!
- Width of appeal
Protective
- Secure yet accessible
Trendy
- Attractive for use
Seasonal
- Malleable to change
Delivering eHealth Ireland | Office of the Chief Information Officer
• Over 200 Members
• Core principle to have NO
technology projects
• Successful delivery
requires clinical leadership
• Integrated care only
possible with digital
change as a catalyst
• Ireland wide benefits
Clinical Leadership
11
Delivering eHealth Ireland | Office of the Chief Information Officer
Patients and Doctors need information and context
on the patient’s health and wellness outside the
clinical setting How have you
been?
Have you been
getting exercise
and eating well?
When did the
pain start?
What days did
you feel the
pain?
How has your blood
pressure been?
Uh…fine.
Um…some.
Um…I can’t
remember now.
I think it was last
Tuesday.
I wrote it down
somewhere.
Delivering eHealth Ireland | Office of the Chief Information Officer
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
age
me
nt
Pro
cure
me
nt
Hu
ma
n R
eso
urc
es
and
P
ayro
ll M
anag
eme
nt
Ass
et M
an
age
me
nt
Hea
lth
& S
afe
ty
Co
ntr
act
Man
age
men
t
Faci
litie
s M
ana
gem
ent
Ro
ste
rin
g Ti
me
Re
cord
ing
Pro
gram
Man
age
me
nt
Cu
sto
mer
Re
lati
on
ship
M
ana
gem
ent
Consumer Health & Wellbeing
Pat
ien
t to
Pro
vid
er
Secu
re M
ess
agin
g
Self
-Hea
lth
M
ana
gem
ent
Sch
edu
ling
and
A
dm
inis
tra
tio
n
Nat
ion
al P
atie
nt
Po
rtal
Vir
tual
Car
e
Edu
cati
on
&
Aw
are
ne
ss
Community Healthcare Organisations
Pat
ien
t A
dm
inis
trat
ion
Ca
se M
anag
em
en
t
Elec
tro
nic
Do
cum
ent
Man
age
men
t
Clin
ical
No
tes
and
Re
cord
s
Pat
ien
t T
est
Re
sult
s
Ca
re P
ath
way
s an
d D
eci
sio
n
Sup
po
rt
Ref
err
al M
ana
gem
ent
Mo
bile
Clin
ical
Ma
nag
em
en
t
Po
pu
lati
on
He
alth
M
ana
gem
ent
Co
mp
ute
rize
d P
hys
icia
n O
rde
r En
try
eP
resc
rib
ing
Hospital Groups
Ho
spit
al P
atie
nt
Ad
min
istr
ati
on
Ho
spit
al M
ed
ical
Imag
ing
Ho
spit
al L
abo
rato
ry
Ho
spit
al P
har
ma
ceu
tica
ls
Ca
se M
anag
em
en
t
Dis
ease
Man
age
me
nt
Ca
re P
ath
way
s an
d D
eci
sio
n
Sup
po
rt
Co
mp
ute
rize
d P
hys
icia
n O
rde
r En
try
Ref
err
al M
ana
gem
ent
Po
pu
lati
on
He
alth
M
ana
gem
ent
Elec
tro
nic
Do
cum
ent
Man
age
men
t
eP
resc
rib
ing
Elec
tro
nic
Clin
ical
No
tes
and
R
eco
rds
The Individual Health Identifier
Programme is a key enabler that
allows information to be shared about
a patient
Pharmacy GP Systems
Private
Hospitals
Other healthcare providers will
access and contribute to the National
Shared Record through the
Integration Capability
EHR Programme
Delivering eHealth Ireland | Office of the Chief Information Officer
5 Years 10 Years
Cri
tic
al Ta
cti
ca
l
So
luti
on
s
Inn
ova
tive
Sp
ec
iali
st
So
luti
on
s
National Solutions
PAS
Replacement
Initial National Shared
Record
Haemophilia
Lighthouse Project
Epilepsy
Lighthouse Project
BiPolar Lighthouse
Project
Portal
(Organisation)
Other Future
Innovation Projects
Order/Comms
Other Future
Innovation Projects
NCH Implementation
eDischarge
Single
Solution Set
Evolving to a single
solution set will require
agility and a governance
approach that supports a
dynamic environment
Other Future
Innovation Projects
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
10 Year Route
18
Delivering eHealth Ireland | Office of the Chief Information Officer
Digital Answers
19
Hospital PAS
SMS
Reminder Discharge
Note/Summary
Integrated Referral Management – Group/Region
Advice
Guidance
Electronic
Triage
Business
Intelligence Appointment
Management
Waiting List
Data
Patient Portal GP System
Guidelines
& CDSS
Delivering eHealth Ireland | Office of the Chief Information Officer
Get in touch
Richard Corbridge [email protected]
@R1chardatron
@eHealthIreland
Yvonne Goff [email protected]
@GoffHickey
@CCIO_IRL
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