15/06/17
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eHealth Ireland: Story telling in
eHealth
[email protected] Chief Executive Officer – eHealth Ireland Chief Information Officer – Health Service Executive @R1chardatron
[email protected] Advisor – eHealth Ireland eHealth Advisor – Health Service Executive @Tweettiwoo
Hacker In Chief
@eHealthIreland
We are witnessing the collapse of expertise and rise of collaborative sensemaking
David Holzmer
15/06/17
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@eHealthIreland
Hacker In Chief
@eHealthIreland
Collaborative Sense Maker
15/06/17
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Chief Story Teller
@eHealthIreland
“That’s what storytellers do. We restore order with
imagination. We instil hope again and again.”
First Date Healthcare
@eHealthIreland
“Every appointment feels like a first
date!? I want to be in a
relationship!”
15/06/17
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Delivering eHealth Ireland | Office of the Chief Information Officer
…our story
Health is……
Delivering eHealth Ireland | Office of the Chief Information Officer
Patron Saint of Computers
@eHealthIreland
The patron saint of computers and their users, programmers, and repair men and the Internet as a whole.
Saint Isidore wrote a 20 book opus Etymologies known as the Origins, in which he tried to record everything that was known. Published in 636, it was for a thousand years considered the encyclopaedia of all human knowledge.
So the next time you're faced with a computer problem of such magnitude as to require a miracle to fix it, rest assured Isidore is on it.
15/06/17
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Delivering eHealth Ireland | Office of the Chief Information Officer
Patron Saint of eHealth (Digital)
@eHealthIreland
Bob Dylan continues to challenge world views, the status quo, political and social issues, he has taught people through his music and his writing the power of questioning the way things are, just what eHealth needs!
“Well the future for me is already a thing of the past!”
“Yesterday’s just a memory, tomorrow is never what it was supposed to be!
“If you don’t believe there is a price for this sweet paradise. Remind me to show you the scars!”
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Digital, the only way to achieve integrated care…
Injury & Illness are Integrated, just ask John McClane!
15/06/17
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Delivering eHealth Ireland | Office of the Chief Information Officer 11
Digital, the only way to achieve integrated care…
And boy does John need it!
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.”
15/06/17
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Office of the CIO | Delivering eHealth Ireland
eHealth Ireland Definition
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Delivering eHealth Ireland | Office of the Chief Information Officer 14
New Frontiers
15/06/17
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Delivering eHealth Ireland | Office of the Chief Information Officer @eHealthIreland
Evangelist
Pragmatist
Sceptic
Office of the CIO | Delivering eHealth Ireland
Projects – Individual Health Identifier
@eHealthIreland
15/06/17
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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 maobile access to electronic health
record and ‘mood recording’ • Hackathon approach supporting innovation and
jobs
Agile Engagement
Ecosystem Health Tech
eHealth Connect
QIC #Digi
Challenge
@eHealthIreland
15/06/17
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Office of the CIO | Delivering eHealth Ireland @eHealthIreland
Personas Digital Fabric Engagement Ownership
Delivering eHealth Ireland | Office of the Chief Information Officer 20
15/06/17
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Office of the CIO | Delivering eHealth Ireland
Starting Point!
@eHealthIreland
Delivering eHealth Ireland | Office of the Chief Information Officer
Access Codes for WIFI Donna - Louis, have you ever heard of ‘A’ Jack Story? Louis - No? Donna - Well, it's time you did! Let me explain!
15/06/17
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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
NationalEHRRegistriesandDomains
Stakeholders
ClinicalManagement/PointofCareEnvironment
NationalEHRIntegrationandAccessLayer
CommunicationLayer
CoreCapabilities
I.A.A.A.Layer
Provide
rHealth
Porta
l
NationalEHRRegistriesClientRegistry ProviderRegistry LocationRegistry
NationalEHRDomainsMedicalImaging LaboratoryResults Pharmaceutical
HistoryClinicalDocument
RepositoryEncounterHistory
MessageQueuing
MessageData&Transformation
MessageEncoding
ServiceManagement
IdentityManagement Authentication Access SecureAudit
SingleSignOn ExceptionHandling ContextManagement TerminologyServices RecordLocatorServices Orchestration ETL PrivacyCertificationand
IntegrationToolkitSecureMessagingLogging
ImmunizationHistory
InfectiousDiseaseHistory
NationalAnalyticsPerformanceManagement
PopulationBasedAnalytics
BusinessIntelligence
Registration
NationaleHealthBlueprint
HealthcareProviders Patients CorporateAdministratorsandManagers
LegitimateRelationshipServices(LRS)
CorporateSetting
Finan
ceM
anagem
ent
Procurem
ent
Huma
nResou
rcesa
nd
Payro
llMan
agem
ent
AssetM
anagem
ent
Healt
h&Sa
fety
Contrac
tManagem
ent
Facilitie
sManagem
ent
Roste
ringT
imeR
ecordin
g
Program
Managem
ent
Custo
merR
elatio
nship
Managem
ent
ConsumerHealth&Wellbeing
Patie
ntto
Provide
rSecureM
essagin
g
Self-He
alth
Managem
ent
Schedu
linga
nd
Admi
nistra
tion
Natio
nalPati
ent
Porta
l
VirtualCare
Educati
on&
Aware
ness
CommunityHealthcareOrganisations
Patie
ntAd
minis
tratio
n
CaseM
anagem
ent
Electr
onicDo
cume
nt
Managem
ent
Clinic
alNo
tesan
dRecords
Patie
ntTe
stRe
sults
Care
Pathwa
ysandD
ecisio
nSupp
ort
Refer
ralM
anagem
ent
Mob
ileClinicalM
anagem
ent
Popu
lation
Health
Managem
ent
Comp
uteri
zedP
hysic
ianOrder
Entry
ePres
cribin
g
HospitalGroups
Hospita
lPati
ent
Admi
nistra
tion
Hospita
lMed
icalIm
aging
Hospita
lLaborato
ry
Hospita
lPha
rmaceuticals
CaseM
anagem
ent
DiseaseM
anagem
ent
Care
Pathwa
ysandD
ecisio
nSupp
ort
Comp
uteri
zedP
hysic
ianOrder
Entry
Refer
ralM
anagem
ent
Popu
lation
Health
Managem
ent
Electr
onicDo
cume
nt
Managem
ent
ePres
cribin
g
Electr
onicClinic
alNo
tesan
dRe
cords
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
Delivering eHealth Ireland | Office of the Chief Information Officer
Projects – eReferral
15/06/17
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Office of the CIO | Delivering eHealth Ireland @eHealthIreland
5 Years
10 Years
Crit
ical
Tac
tical
So
lutio
ns
Inno
vativ
e Sp
ecia
list
Solu
tions
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
Innovative Specialist Solutions 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
Office of the CIO | Delivering eHealth Ireland @eHealthIreland
“For every complex problem there is an answer that is clear, simple and WRONG”
-H. L. Mencken
15/06/17
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Delivering eHealth Ireland | Office of the Chief Information Officer
eHealth Ireland: Story telling in
eHealth
[email protected] Chief Executive Officer – eHealth Ireland Chief Information Officer – Health Service Executive @R1chardatron
[email protected] Advisor – eHealth Ireland eHealth Advisor – Health Service Executive @Tweettiwoo
