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Richard corbridge
1. eHealth Ireland:
Information Policy Summit
Richard.corbridge@hse.ie
Chief Executive Officer – eHealth Ireland
Chief Information Officer – Health Service Executive
@R1chardatron
2. Delivering eHealth Ireland | Office of the Chief Information Officer
@eHealthIreland
Data to
Information to
Paper to
Insight
Summit
3. Delivering eHealth Ireland | Office of the Chief Information Officer
( @eHealthIreland
The earth is 4.6 Billion years old
Scale that to 46 years
Humans have been here for 4 hours
Our first industrial revolution began only a minute a go!
The third revolution began when I turned onto this
slide…
Digital healthcare is happening….
NOW
Data Revolution
(ISH!)
4. Office of the CIO | Delivering eHealth Ireland
@eHealthIreland
Health Data the
Origins:
Cholera in London in 1854
Data Visualisation
Broad St. Water Pump
5. Office of the CIO | Delivering eHealth Ireland
@eHealthIreland
Health Data the
Origins:
Nightingale Rose Diagram
1863 after 10 years of study
Clinicians teaching civil
servants
6. Office of the CIO | Delivering eHealth Ireland
@eHealthIreland
Health Data the
Reality:
Paper records in the
basement
2009 floods leave large
amounts of paper frozen until
technology can catch up!
13. Delivering eHealth Ireland | Office of the Chief Information Officer
@eHealthIreland
The most dangerous phrase in the language is,
“We’ve always done it this way.”
Rear Admiral Grace Hopper
14. Office of the CIO | Delivering eHealth Ireland
eHealth Ireland Definition
14
17. Office of the CIO | Delivering eHealth Ireland
Projects – Individual Health Identifier
@eHealthIreland
18. 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
19. Office of the CIO | Delivering eHealth Ireland
Projects - Transparent Information
@eHealthIreland
ED Citizen App
Time to triage, wait time, nearest ED, time to
discharge for 40 hospitals
Open Data Portal
Over 300 real time open data sets
21. Office of the CIO | Delivering eHealth Ireland
Starting Point!
@eHealthIreland
22. 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
ProviderHealthPortal
National EHR Registries
Client Registry Provider Registry Location Registry
National EHR Domains
Medical Imaging Laboratory Results Pharmaceutical
History
Clinical Document
Repository
Encounter 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 Privacy
Certification and
Integration Toolkit
Secure
Messaging
Logging
Immunization
History
Infectious Disease
History
National Analytics
Performance
Management
Population Based
Analytics
Business Intelligence
Registration
National eHealth Blueprint
Healthcare Providers Patients Corporate Administrators and Managers
Legitimate Relationship
Services (LRS)
Corporate Setting
FinanceManagement
Procurement
HumanResourcesand
PayrollManagement
AssetManagement
Health&Safety
ContractManagement
FacilitiesManagement
RosteringTimeRecording
ProgramManagement
CustomerRelationship
Management
Consumer Health & Wellbeing
PatienttoProvider
SecureMessaging
Self-Health
Management
Schedulingand
Administration
NationalPatient
Portal
VirtualCare
Education&
Awareness
Community Healthcare Organisations
PatientAdministration
CaseManagement
ElectronicDocument
Management
ClinicalNotesandRecords
PatientTestResults
CarePathwaysandDecision
Support
ReferralManagement
MobileClinicalManagement
PopulationHealth
Management
ComputerizedPhysicianOrder
Entry
ePrescribing
Hospital Groups
HospitalPatient
Administration
HospitalMedicalImaging
HospitalLaboratory
HospitalPharmaceuticals
CaseManagement
DiseaseManagement
CarePathwaysandDecision
Support
ComputerizedPhysicianOrder
Entry
ReferralManagement
PopulationHealth
Management
ElectronicDocument
Management
ePrescribing
ElectronicClinicalNotesand
Records
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
23. Office of the CIO | Delivering eHealth Ireland
@eHealthIreland
“Everyone has a plan ‘till
they get punched in the
mouth!”
Mike Tyson
24. Office of the CIO | Delivering eHealth Ireland
@eHealthIreland
5 Years
10 Years
CriticalTactical
Solutions
Innovative
Specialist
Solutions
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
25. Office of the CIO | Delivering eHealth Ireland
@eHealthIreland
Health Data Revolution
… the new
oil … the new
blood … the new
renewable
energy source
26. Office of the CIO | Delivering eHealth Ireland
@eHealthIreland
HEALTH INNOVATION WEEK
Create public
awareness
The Art of the
Possible
Put Digital Health
at the heart of
national agenda
GOALS
27. Office of the CIO | Delivering eHealth Ireland
@eHealthIreland
28. Office of the CIO | Delivering eHealth Ireland
@eHealthIreland
H. L. Mencken
“For every complex problem
there is an answer that is
clear, simple and WRONG”
29. Delivering eHealth Ireland | Office of the Chief Information Officer
eHealth Ireland:
We have been
story telling in
eHealth
Richard.corbridge@hse.ie
Chief Executive Officer – eHealth Ireland
Chief Information Officer – Health Service Executive
@R1chardatron