Integrated eReferrals

Chief Clinical Information
Officers - Briefing
Richard Corbridge - Chief Information Officer
richard.corbridge@hse.ie
Content
What is eHealth Ireland
& a CCIO
Knowledge and
Information Programme
Deliverables
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EHR Programme
EHR Leadership
Clinical advice and
engagement
2
Council of CCIO
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Strategic intent
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4
A significant achievement
Sheer volume
1,700 live systems, 300+ Projects,
Successful budget, Del Monte
attitude
Unfair adversity
Four initials, Strategic intent is
there, Benefits led, Clinical
engagement
Professionalism
Here to deliver benefit, best of
class PACs, Best of class
Ambulance, Support structures
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Information impact
Availability of wellness
Availability
informationof wellness information
Impact information can have on care
Wellness scale
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of the Chief Information Officer
Current
Future
Knowledge
Technology
Information
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temple
The IT Greek
strategy
question?
Integrated, Patient Centric,
Efficient Care Delivery
Clinical & Information Governance
Care
Delivery
Enablement
Electronic
Health
Records
Cross
Setting
Information
Integration
Health
Service
Insights
Knowledge & Information Delivery Transformation
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National
Support
Systems
But…
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Delivery in Progress
Delivery Planned
eHealth
Planning &
Mobilisation
Indicative roadmap for high priority capabilities - This roadmap represents a starting point draft and will change in line with the evolving Health Reform Programme timelines and priorities
Initiative Description
eHealth Business Case &
Planning
Individual Health Identifier
Cross
Setting
Information
Integration
Electronic
Health
Record
2015
2016
IHI available
in first site
2019
2020
Full National Rollout
Process Standardisation & Data Integration
Patient Portal
Open data
Summary Care Record
Definition
Case for Change
Case for change
Business Case
Electronic Health Record
Hospital Early adoption
Primary Care information
Community
Pilot
Out of Hours
Acute
Integration
EHR
Emergency
Procurement
Patient View Summary Care Record
Implementation
Site 1
Pilot sites
live
Available
Available
Available
for for
further
for
further
further
rollout
rollout
rollout
NCH golive
Hospital - Rollout
Community - Pilot
Community - Rollout
Labs - MedLIS implementation
LABS - MedLIS
NIMIS/RADQA implementation
NIMIS/RAQDA
PCRS
Social Care
2018
Initial rollout
Process & Data
ePrescribing
2017
Case for
Change
PCRS change implementation
Business Case
Social Care Assessment - Disability
Social Care Assessment - Eldery
PAS
PAS - Group integration
PAS - iPMS implementation
Cancer IT Phase 1
Cancer IT
EPR
Cancer IT Phase 2
Pilot site live
Ambulance Implementation
Care
Delivery
Enablement
EBTS
MDT / Control rooms / CPRS
CAD
eReferrals
Phase 1
National
Support
Services
Pilot site
live
Business Case
site
Child Health & ImmunisationPilot
Implementaion
live
Child
Health
system
Epilepsy
system
live
Business Case
Endosco
py
(RMID,
Track &
Trace)
rollout
NCH
Satellites
Renal
system
ICU
system
Pilot site
live
Implementation
Procurement
Case for Change
Rollout
Implementation
Child Health &
Immunisation Proc
HR / Payroll
Learning Management
Newborn & Maternity System - Implementation
eRostering - Group implementation
1st site
Child Health & Immunisat
Finance System
Rollout complete
Newborn & Mat System Readiness
Emergency Department
Therapeutic Care Delivery
Enhancements
Phase 3
Initial rollout
complete
EBTS implementation
Newborn & Maternity System
eRostering
Phase 2
Rollout
Procurement
Business Case
Rollout
Rollout
Rollout
Implementation
Pilot site
live
Initial Deployment
Virtual BI Unit Creation
Tactical BI Enhancements
Health
Service
Intelligence
Bed
Management
- Pilot
Bed Management - Full
Cancer Screening Data Integration
Interim Financial Reporting
ICP Outcome Management
Provider Performance Management
Data Warehouse
MI
Knowledge &
Information
Detailed
Design
Operating Model Transformation
Delivery
Delivering
eHealth Ireland | Office of the Chief Information Officer
Transformation
Infrastructure Transformation
Data Mining & Analytics
Critical BI
Strategic BI Delivery
Operating Model
Transformation
BI solution
& critical BI
live
Strategic BI solution
Business Intelligence
Technology Infrastructure Transformation
High
Medium
Continual Improvement
Strategic programmes (Launch)
Children’s Hospital
eReferral
Electronic Health Record
Individual Health Identifier
Cancer IT
Primary Care
Technology
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Strategic programmes (Define)
Accelerate newborn
& Maternal
Improve Engagement
& Communications
Create a Pharmacy
Programme
Create a Hospice
Model Community
Deliver healthcare
wide WiFi
Accelerate iPMS
Implementation
Create the CCIO
Council & consider
the CMIO role
Deliver eHealth
Ireland resource
needs
Deliver Health Mail to
all clinicians who want
it
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Referral today
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eReferral
Triage outcome
eReferral available in
response
PMS
Central
Appointments
Office
CAO
CAO sends to
consultant for triage
GP Practice
Management
Software (PMS)
CAO
Key Success Factors
Referral in electronic
format
PAS
Triage outcome
(routine, urgent, more
info)
Consultant triage outcome
with waiting list information
Consultants
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eReferral
Central
Appointments
Office
CAO
GP Practice
Management
Software (PMS)
Augment PAS to
integrate eReferral
CAO
PAS
Consultants
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15
z
Monday
IHI today
9am
10am
11am
12pm
1pm
2pm
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3pm
4pm
5pm
6pm
7pm
8pm
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IHI
Triage outcome
eReferral response available in
PMs with IHI,HPI & HOI
Central
Appointments
Office
CAO
HPI – ‘Dr’. Id.
IHI Patient
HOI – Org.
GPId.Practice
Management
Software (PMS)
CAO
Key Benefits
Patient safety
PAS
Triage outcome
(routine, urgent, more
info)
Streamlined processes
(i.e. no demog matching)
Consultants
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17
z
Health records today
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z
Current clinical systems
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What is EHR?
Acronyms for Ireland
 PAS – Administrative
functions and capability
only.
 EMR – Medical record for
use by clinicians for
diagnosis.
 EPR – Patient specific
but linked to one system
or health area, not an
integrated record.
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What is EHR?
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We have a plan!
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Overview of process
DRAFT
In Progress
Next Phases
Procurement
Market
Engagement
Business Case
Prepare
Tender
Tender
Process
Solution
Business Context
Define Priorities &
Business Outcome
Adopt vs Adapt
Partner
Strategic Intent
Scope – Ind. Standard
Functions & Features
No Selling Documents
Implementation
Case for Change
Roles & Responsibilities
Workshop Based
Engagement
Procurement
Approach
Legal & Commercial
Framework
Vendor defined SOW to
achieve Bus. Outcome
Governance
Financials,
Options
…
Risk Weighting with
Vendor
Stakeholder Engagement and Buy-In
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Approval Process
23
National EHR – Vision and Implementation Options
Solution Options
DRAFT
Single Acute
Portal
Single Acute
Integration
Portal
Integration
Single CHO
Portal
Integration
Portal
Integration
Single CHO
Legend:
Acute
Multiple CHO
Multiple
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Draft work breakdown
DRAFT
Programme
board
PMO
Communications
Programme planning
Programme management
Change management
Transformation
Stakeholder engagement
Scoping
Requirements
Pathway / process
change
Business change
Training
Benefit realisation
Technical
Technical design &
requirements
Infrastructure
Data migration
Integration
Security
Testing
Hosting
Service management
Back office
Commercial
Procurement strategy
OJEU Notice
Dialogue / negotiation
Contract award
Contract management
Business case
Case for change
Initial business case
Evaluation framework
content
PQQ content
ITT content
Final business case
Funding
Approvals
25
Target timeline
2015
2016
2017
2018
PAS implementation
complete.
Procurement started.
Contract in place.
Clinical benefits
defined.
Design, Build & Test
scheduled.
Clinical testing
underway.
Case for change
approved & business
case complete.
Legacy integration
possible.
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Clinical awareness &
training underway.
Data migration &
connection
The IT operating question?
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The IT operating question?
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