des o loan dublin master may 2015

1. #NIECR Better, safer, faster care
Choosing The Right Builder.
Lessons learnt from an organisation
that has been there and built it
successfully.
Desmond O’Loan
eHealth Strategy & Programme Control Manager
HSCB

2. #NIECR Better, safer, faster care
Todays challenge; Fragmented patient/client record

4. #NIECR Better, safer, faster care
HSCNI has come a long way in 10 ten years

6. The Northern Ireland leadership team
• Requires someone with
 Vision, passion, knowledge, political, acceptable
• Requires clinical leaders
 Excited, hungry for change, acceptable, willing
• Requires a strong Senior Responsible Owner
 Decision maker & influential
• Hand picked your senior team
• Requires knowledge to navigate your Health System
#NIECR Better, safer, faster care

7. #NIECR Better, safer, faster care
The 2005 vision of one HSC Electronic Care
Record has been partially delivered
Karen O’Loan
ICT Planning, Commissioning and Performance Management
Health and Social Care Board
Northern Ireland

8. #NIECR Better, safer, faster care
Key building blocks
• Investment in Infrastructure
• Data quality improvement programme
• Integrate Core Clinical applications
• Regional Network, Hosting capability
• A National Health identifier - MPI
• Integrate rather than ‘rip and replace’
• Populate System before go-live
• Hybrid Leadership Skills essential
• Don’t be afraid to try things

9. Lessons learned
• Create a clinically lead project structure
• Show the future don’t just talk about it
• Consent and Confidentiality, public confidence
• Importance of source system data quality
• Importance of System integration skills
• Suppliers don’t have all the answers
• Become a smart purchaser
• Learn exactly what it is you need
• Negotiate future proof contracts
#NIECR Better, safer, faster care

10. Beware of the bear pits
• The current eHealth programmes
• Cross organisational information sharing
• Citizen confidence in privacy
• Technical infrastructure, integration & deployment
• Non believers
• Selling the benefits - seeing is believing
• Big bang, Rip & Replace
• Business case cash benefits
#NIECR Better, safer, faster care

11. #NIECR Better, safer, faster care
“CORE” Data Items

12. #NIECR Better, safer, faster care
“CORE” Functions

13. #NIECR Better, safer, faster care
Users = 17706

14. #NIECR Better, safer, faster care

15. #NIECR Better, safer, faster care
Benefits
 Improved Quality of Care
 Treatment based on up to date information
 Reduce duplicate laboratory and radiology tests
 Reduction potential clinical adverse incidents
 Reduce transcription errors
 Efficiency
 Reduce delays in “patient journey”
 Increased capacity within Outpatient clinics
 Reduction in delayed discharges
 Reduce time taken in drug reconciliation

16. Outpatient clinic audit - April to June 2014
• Of the patients seen:
• NIECR helped to avoid unnecessary
laboratory tests in 27%
Imaging tests in 8%
Additional review appointment in 3%
NIECR Improved management in 37%
NIECR use has potential to (yearly)
• Improve the management of approx 500,000 (37%)
• Free approx 40,000 (3%) outpatient appointment slots

17. #NIECR Better, safer, faster care
“Used for the first time today in ED, Brilliant!, this will improve
quality of care.”
- ED Consultant Southern Trust
“Best IT spend in NI ever. Expect hospital secretaries’ phones will
be quieter now.”
- GP
“The NIECR system is excellent. The best thing to happen to NI
NHS in years! I think within a few weeks everyone I speak to will
want to get on it.”
- Cardiologist Western Trust
“I really appreciate it and use it regularly on a daily basis. In fact I
would be lost without it now.“
- Specialist Nurse Lagan Valley

18. #NIECR Better, safer, faster care

19. #NIECR Better, safer, faster care
The 2025 Goal:
One HSC Electronic Health & Care Record