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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!
- 8. First Date Healthcare @eHealthIreland “Every appointment feels like a first date!? I want to be in a relationship!”
- 9. Delivering eHealth Ireland | Office of the Chief Information Officer …our story Health is……
- 10. Hacker In Chief @eHealthIreland We are witnessing the collapse of expertise and rise of collaborative sensemaking David Holzmer
- 12. Chief Story Teller @eHealthIreland “That’s what storytellers do. We restore order with imagination. We instil hope again and again.” Walt Disney
- 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
- 15. Liquid Hospital
- 16. Delivering eHealth Ireland | Office of the Chief Information Officer 16 New Frontiers
- 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
- 20. Delivering eHealth Ireland | Office of the Chief Information Officer 20
- 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