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Information & Communications Technology (ICT) in Healthcare –

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Presentation on theme: "Information & Communications Technology (ICT) in Healthcare –"— Presentation transcript:

1 Information & Communications Technology (ICT) in Healthcare –
an update from Ireland Irish Healthcare - re organisation – new structures and governance models Existing ICT Strategies - policies , implementation strategy, status, impact Providing the Solution - ICT initiatives to support service delivery ProrecIreland Gerard Hurl – Vice President , ProrecIreland Chairperson, Healthcare Informatics Society of Ireland

2 The Health Services in Ireland
Population – 4.2 Million Government Department Policy, Planning, Resource Allocation Access to Health Services Total population entitled to state provided services: Two Categories 1. All community and acute heath services cost free % of population 2. Acute Health Services subject to nominal charge - 65% of population Access to private Health Care Voluntary - Insurance based Dublin

3 The Changing Environment
The Healthcare industry has to respond to the major changes that are taking place : The delivery of health care Resource limitations , Accountability, Private facilities, etc., Government Strategy on Information Technology Health management re-organisation The cost of healthcare which necessitates a business approach Political and sectoral pressure groups influence Society’s expectations from the health service Public perception of health care providers Patient focused - integrated acute/community service Cost Vs Quality Impact of technological development and innovation European and international standards

4 Department of Health & Children Registration Authorities
Health Service Restructuring (up to 31/12/2006) Minister for Health & Children Department of Health & Children Secretary General Eastern Regional Health Authority CEO Health Boards (7) CEO Statutory Agencies Primary Community Continuing Care Acute Eligibility Medical Council Nursing Board Medicines Board Registration Authorities Area Health Boards (3)CEO Dublin Academic Teaching Hospitals (DATHs) (5) CEO Specialist Hospitals Voluntary Agencies CEO Primary Community Continuing Care Acute Eligibility Direct Reporting Relationship SLA

5 Department of Health & Children Registration Authorities
Health Service Restructuring (Organisations/Agencies abolished Minister for Health & Children Department of Health & Children Secretary General Eastern Regional Health Authority CEO Health Boards (7) CEO Statutory Agencies Medical Council Nursing Board Medicines Board Registration Authorities Primary Community Continuing Care Acute Eligibility Area Health Boards (3)CEO Dublin Academic Teaching Hospitals (DATHs) (5) CEO Specialist Hospitals Voluntary Agencies CEO Primary Community Continuing Care Acute Eligibility Direct Reporting Relationship SLA

6 Health Service Restructuring (From 15/06/2005)
Minister for Health & Children Health Information Quality Authority Chief Executive Health Services Executive Chief Executive Department of Health & Children Secretary General Primary, Community Continuing Care Directorate National Shared Services Centre National Hospitals Office National Corporate Functions National Directors Dependent Acute sector Former Health Board Hospitals, etc Independent Acute sector Formal Accountability Ongoing Liaison Private Funded Sub-sector Public Funded Sub–sector

7 Ireland – I.T. Strategy + Concepts
Strategies – National Information Health Strategy Centralisation Focussed on centralised information management Poor appreciation of business (i.e clinical,etc delivery) processes Enterprise systems Enterprise not defined Shared services delivery Single systems will deliver standards Little understanding of process or change management requirements Afraid of innovation Poor track record

8 Ireland – National ICT projects
National Programmes H.I.S FISP (FINANCIAL) - SAP PPARS (PAYROLL) – SAP Laboratory Systems – decision but no contract PCCC – ICT Strategy Healthlink Other minor programmes Review as a result of organisation change

9 Acute Hospital ICT Utilisation of information and communication technology - critical in the Acute Hospital setting is fundamental to the core business of the acute academic teaching hospital service supports all aspects of patient service delivery (clinical, nursing, para - medical) integral element of high technology diagnostic and therapeutic systems and devices underpins operational and administrative processes critical in planning and management essential for monitoring and evaluation

10 Dublin Academic Teaching Hospitals – ICT Initiative
5 major Irish Academic Tertiary Referral Hospitals 2800 BEDS, Staff, €1.75 billion revenue budget Hospitals: Beaumont Hospital Mater Misericordiae University Hospital Meath & Adelaide, Incp National Childrens Hospital St. James Hospital St. Vincent’s University Hospital Associated Universities: Royal College of Surgeons in Ireland Trinity College Dublin University College Dublin

11 System Concept and Objective
An approach based on an integration of information systems centered on the patient reflecting the interrelationships of all involved in the delivery of acute healthcare Focused on the patient as the common data element With the objective: ‘To provide an information systems environment in support of all staff in their use of information and associated computer technology consistent with their individual needs and in accordance with the objectives of the hospital’s information technology programme“

12 Aspirational National Model - NHS 6 Level EPR Model
Level Key Functions DATHs Status Planned Developed Implemented Complete 1 P.A.S     M.P.I./ P.M.I     2 Integrated Departmental Systems     Common Patient Identifier     3 Order Entry/Results Reporting     Care Pathways/plans    Electronic prescribing(early)   Data repository (limited)     4 Electronic prescribing with rules  Rules based clinical decision support    Alerts and warnings    Access to knowledge databases     Workflow/document imaging    5 Advanced specialty modules    Advanced data repository    Advanced workflow   6 Advanced data input devices    Digital x-rays    Video   Digital Images    Full case notes online

13 ProrecIreland Health Informatics critical to Health Service
Standards fundamental to ICT developments Need for an non aligned organisation to provide - expertise and guidance - certification and accreditation - facilities for integrated,representative cross sectoral views, - discussion - representation of views - collaborative input Focus for collaboration, sharing, debating, learning, updating Ensures Ireland’s position within Healthcare Informatics in Europe Liaison with HIQA

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