crossing the digital divide: a new frontier in healthcare in...
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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
Office of the CIO | Delivering eHealth Ireland
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
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Digital, the only way to achieve integrated care…
Injury & Illness are Integrated, just ask John McClane!
Delivering eHealth Ireland | Office of the Chief Information Officer 7
Digital, the only way to achieve integrated care…
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
Delivering eHealth Ireland | Office of the Chief Information Officer 8
Digital, the only way to achieve integrated care…
And boy does John need it!
Office of the CIO | Delivering eHealth Ireland
eHealth Ireland Definition
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Office of the CIO | Delivering eHealth Ireland
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
Office of the CIO | Delivering eHealth Ireland
eHealth Ireland Definition
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Office of the CIO | Delivering eHealth Ireland
eHealth Ireland Definition
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Delivering eHealth Ireland | Office of the Chief Information Officer
Liquid Hospital Gates Vascular Hospital Buffalo Enabler
Delivering eHealth Ireland | Office of the Chief Information Officer 15
New Frontiers
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
Office of the CIO | Delivering eHealth Ireland
Projects – Individual Health Identifier
@eHealthIreland
Office of the CIO | Delivering eHealth Ireland
Projects – eReferral
@eHealthIreland
Office of the CIO | Delivering eHealth Ireland
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
Office of the CIO | Delivering eHealth Ireland
Health Tech
eHealth Connect QIC + +
Agile Engagement
@eHealthIreland
#Digi challenge
+
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Office of the CIO | Delivering eHealth Ireland
Access Codes for WIFI Donna - Louis, have you ever heard of ‘A’ Jack Story? Louis - No? Donna - Well, it's time you did!
Office of the CIO | Delivering eHealth Ireland
Starting Point!
@eHealthIreland
Delivering eHealth Ireland | Office of the Chief Information Officer
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
Delivering eHealth Ireland | Office of the Chief Information Officer
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
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
Delivering eHealth Ireland | Office of the Chief Information Officer
eHealth Ireland
[email protected] Chief Executive Officer – eHealth Ireland Chief Information Officer – Health Service Executive @R1chardatron