EH Programme Status Update (Q4 2015) Programme Summary Status Programme Name: Electronic Health ecord eport Period Q4 2015 Scope Budget Senior esponsible Owner: Programme Manager: Áine Carroll & ichard Corbridge Fergal Marrinan Programme Stage Programme Manager Status ssessment Programme Definition mber esources Schedule isk What: To provide a National Electronic Health ecord system for Ireland. Why: In order to place the patient at the centre of Health Care llows Clinicians access patient s full clinical record thus improving clinical outcomes and quality of care Enables the Health Care transformation process How: Engagement with key clinical stakeholders to develop a strategic Business Case Leveraging the Integrated Services Framework to deliver a standards based set of solutions Deploy portal technology as an early solution to release existing clinical data (2016 2017) Procure an cute EH First deployment NCH (2016 2017); Procure a CHO EH (2017 2018) Benefits: Single view of all relevant patient information at point of care Integrated condition management based on robust communication between professionals Improved patient participation in care and self management Safer and more cost-effective prescribing Improved clinical decision-making and outcomes underpinned by stronger clinical governance
EH Deliverables (Q4 2015) Deliverables Next eporting Period Deliverable Due Date/(evised) Comment Status () progress Industry Engagement 50 Vendors consulted Vision and Direction Sept 15 Sept 15 Completed Published EH Strategic Business Case Q1/16 Example Health System Investment references are welcome Direction or support for the ultimate Cabinet decision is welcome Portal for Summary Care ecord Integration Engine cute EH (Preferred Supplier Selected) CHO EH (Preferred Supplier Selected) Q2/17 Q3/17 Q2/18 Examples of good practice elsewhere are welcome Examples of good practice elsewhere are welcome uidance on balancing pressures of New Children s Hospital versus all of acute system Examples of good practice elsewhere are welcome
EH (Q4 2015) Successes since last reporting quarter: Industry Engagement Completed HSE Blueprint validated by Industry EH Vision and Direction published Business Case procurement completed Engagement with Clinical Stakeholders CCIO as EH esource roup established Issues: Procurement processes are lengthy and may not be clear for this delivery due to the unique nature of this exercise. The business organisation s lack of understanding of the process and business change required to digitally enable service provision needs to be further developed. isks: Deficit of in-house resources with required expertise to procure and deliver the core EH element's thus leading to time delays. The mitigation is to externally secure resources. The resource commitments to EH delivery in Children s Hospital will not be secured from a capital or staffing perspective, thus potentially leading to the inability to open the hospital. The mitigation is to externally secure resources Expectations next reporting quarter: 1 st Draft of the EH Business Case completed Early draft of Portal and Integration Engine procurement requirements Full governance model established for the EH programme
epharmacy Programme Status Update (Q4 2015) Programme Summary Status Programme Name: epharmacy eport Period Q4 2015 Senior esponsible Owner: Programme Manager: ichard Corbridge (interim) Tom Bannon (interim) Programme Stage Programme Manager Status ssessment Programme Definition reen Scope Budget esources Schedule isk What: epharmacy provides the ability to deploy digital solutions across different care settings to make the delivery of pharmacy safer and more efficient. How: Consideration of national models for programme elements such as the creation of a national medicinal Product Catalogue. Centres of epharmacy excellence exist all over Ireland and the programme will seek to share lessons learned and best practice in this area to date. Why: The programme will assist in the development of an epharmacy Strategy for Ireland enabling Digital Prescribing In all Care Settings Benefits: Supporting a series of initiatives that will provide benefit to the way pharmacy is managed. Integration and standardisation of Practice Data vailability cross ll Settings & Data nalytics Catalyst For Business Change
epharmacy Deliverables (Q4 2015) Deliverables Next eporting Period Deliverable Due Date/(evised) Comment / uidance sought from ehealthireland committee Status () progress Establish epharmacy overnance Structure Qtr 1 2016 Progress against plan satisfactory Initiate National Medicinal Product Catalogue Project Qtr 1 2016 Progress against plan behind schedule Initiate eprescriptions Project In Primary Care Qtr 1 2016 Progress against plan behind schedule Consultation / engagement initiated with key stakeholders Qtr 1 2016 Progress against plan satisfactory
epharmacy Programme (Q4 2015) Successes since last reporting quarter: epharmacy programme announcement & discussion at Inaugural Irish ehealth Ecosystem meeting Consultation / engagement initiated with key stakeholders Construction of the epharmacy programme outline epharmacy programme formally adopted as an ehealth Ireland strategic programme Issues: Permanent Programme Sponsor equired Senior esponsible Owner to be identified Legislation required for eprescriptions Scope of programme yet to be fully defined Budget for programme yet to be established isks: Key resources unavailable when required, causing the Programme to be delayed. Mitigation is the acquisition of external resources Expectations next reporting quarter: epharmacy overnance Structure in place enabling capability delivery
Cancer Care ehealth Programme Status Update (Q4 2015) Programme Summary Status Programme Name: Cancer Care ehealth Programme eport Period Q4 2015 Senior esponsible Owner: Programme Manager: Dr. Jerome Coffey, Director NCCP Mr. Liam Woods, Interim National Director, cute Services Breda Cagney (interim) Programme Stage Programme Manager Status ssessment Programme Definition reen Scope Budget esources Schedule isk What: To provide single national oncology and haematooncology care record How: Through establishment of governance structure and national project inclusive of all stakeholders. By thorough engagement with owners of the National Cancer Strategy (2016-2025) Why: To support distributed cancer care teams To minimize preventable adverse drug events, To advance System nti Cancer Therapy (SCT), standards To provide data resources for improving cancer outcomes Benefits: Single view of patient during cancer care delivery Standardised protocols eduction in risk associated with SCT eduction in manual tasks
Cancer Care ehealth Deliverables (Q4 2015) Deliverables Next eporting Period Deliverable Due Date/(evised) Comment / uidance sought from ehealthireland committee Status () progress Complete equirements Definition 31/10/15 Progress against plan is satisfactory Issue MOCIS Invitation to tender 30/11/15 Milestone dependent upon successful completion of equirements Definition as per above Establish electronic crossborder radiotherapy linkages (ltnagelvin Letterkenny eneral) 30/06/16 On target to meet go-live date
Cancer Care ehealth (Q4 2015) Successes since last reporting quarter: Business Case pproval ICT Capital Funding pproval Issues: esources set for this programme are still interim in many cases. Vendor Engagement complete isks: Dependency on individual health and health provider identifiers for effective data sharing across hospitals Expectations next reporting quarter: Qualitative assessment of tenders complete Key resources unavailable when required, causing the Programme to be delayed. Mitigation is the acquisition of external resources
Open Data Programme Status Update (Q4 2015) Programme Summary Status Programme Name: Open Data eport Period Q4 2015 Senior esponsible Owner: Stephanie O Keeffe & ichard Corbridge Programme Manager: Fergal Marrinan (Interim) Programme Stage Programme Manager Status ssessment Programme Definition reen Scope Budget esources Schedule isk What: Structuring and Publishing HSE data for third party reuse and increased overall health intelligence Why: It is part of an open culture we are promoting for our health service overnment policy How: Benefits: By identifying the current datasets which can be published, and establishing a plan to structure and publish further datasets over time Health system benefits through better data management, useage and intelligence Higher health user awareness through innovative data illustration
Open Data Deliverables (Q4 2015) Deliverables Next eporting Period Deliverable Due Date/(evised) Comment / uidance sought from ehealthireland committee Status () progress Initial Publish 1/11/15 Initial HSE dataset(s) published on data.gov.ie Plan 1/4/2016 Develop a full Open Data Plan and Programme Wider Publishing 1/8/2016 Comprehensive publishing of HSE datasets Portal and Interfaces deployed 1/8/2016 dedicated Open Data portal for Healthcare HSE Publishing system finalised 1/9/2016 Full resourcing and ownership of Open Data within the HSE organisation
Open Data (Q4 2015) Successes since last reporting quarter: Initial datasets identified (e.g. Service Directory data will be published) Initial Scope has been defined Issues: Cultural changes to support open data Ensuring Data Protection principles are upheld isks: Key resources unavailable when required, causing the Programme to be delayed. Mitigation is the acquisition of external resources Expectations next reporting quarter: Open Data plan to be published
Primary Care IT Programme Status Update (Q4 2015) Programme Summary Status Programme Name: Primary Care IT eport Period Q4 2015 Scope Budget Senior esponsible Owner: Programme Manager: John Hennessy & ichard Corbridge Niall Sinnott (Interim) Programme Stage Programme Manager Status ssessment Scope reen esources Schedule isk What: range of technology solutions to address the priorities of patients as expressed by the Primary Care Division of the Health Service Executive in Ireland Why: There are approximately 10,000 healthcare staff within the Irish Health System that deliver services in primary care. The majority of those staff have very little technology available to them. eneral Practitioners are independent contractors and amongst them there is high penetration of accredited Practice Management Systems. How: By developing an IT Strategy and plans and delivering on those plans Benefits: Enable the provision of care to shift from the (expensive) acute setting to the (less expensive) non acute setting where this is appropriate. Will make more effective use of Primary Care resources
Primary Care IT Deliverables (Q4 2015) Deliverables Next eporting Period Deliverable Due Date/(evised) Comment / uidance sought from ehealthireland committee Status () progress Electronic eferrals Pilot 1/1/15 Complete. CIO decision to implement pilot (Phase 1) solution nationally following review of pilot IT Summit for Primary Care 29/4/2015 Complete IT Strategy for Primary Care 31/12/2015 Meetings with management team members of Primary Care well progressed. May be difficult to access CHO and their input is also essential Electronic eferrals Phase 1 rolled out to 50% of Hospitals 31/12/2015 On target
Primary Care IT (Q4 2015) Successes since last reporting quarter: isks: 8 additional sites live with eeferrals Phase 1 Engagement with all members of the Primary Care Division senior management team to inform IT Strategy complete Ineffective engagement with Community Healthcare Organisation leadership in advance of IT strategy, may hamper its adoption. Mitigated through robust communications and engagement Issues: Clinical engagement is a significant challenge due to volume. CHO engagement is difficult due to current status of CHOs. Dominance of one supplier of Practice Management Systems for Ps could lead to lack of innovation in the market place. Expectations next reporting quarter: Primary Care Plan published Completed 50% of hospitals with eeferrals. Key resources unavailable when required, causing the Programme to be delayed. Mitigation is the acquisition of external resources
NCH EH Programme Status Update (Q4 2015) Programme Summary Status Scope Programme Name: Senior esponsible Owner: New Children's Hospital ICT Programme eport Period Q4 2015 Liam Woods Programme Stage Programme Definition Budget esources Schedule Programme Manager: Frank Mcuinness Programme Manager Status ssessment mber isk What: Delivering the technology solutions to enable the satellite centres open in late 2017 and the new children's hospital open in late 2019 as a digital hospital. How: By implementing a clinical ICT programme based on an interim solution for the satellite centres and being the first deployment of the national EH for the new hospital. By implementing integrated business solutions initially across the existing hospitals and subsequently in the new hospital to support campus wide services. Why: To support the deliver the required model of care, the design and operational model of the NCH To support the opening of the new facilities in order to deliver safe, efficient and better care through new models of care. Benefits: Consolidation and integration of existing services to provide all specialist services under one roof, tri-located with adult acute facilities and maternity facilities. Improved information to support safer, more efficient and better care to the children of Ireland and their families.
NCH EH Programme Deliverables (Q4 2015) Deliverables Next eporting Period Deliverable Due Date/(evised) Comment / uidance sought from ehealthireland committee Status () progress Clarity on national EH approval process 1/12/15 Description of pproval Process required Establish longer term support contracts and appoint key internal resources Develop EH Paediatric equirements: 31/12/2015 31/12/205 Progress satellite Centre ICT Planning, develop agreed cross hospital ICT programme 1/11/2015 ICT Business case underway Input into infrastructure Ongoing Lack of resources
NCH EH (Q4 2015) Successes since last reporting quarter: Hospital Business Case submitted and planning submitted ICT Business Case approved Input into the Investment Business case Cross hospital ICT Planning started Note Investment Business Case includes all resources not funded through the ICT capital Issues: vailability of suitable skilled and experienced internal staff Capability of existing Hospital to deliver the satellite centre ICT programme Timelines associated with national EH Programme funding to be confirmed CH roup-wide overnance isks: Clinical Transformation activities Key resources unavailable when required, causing the Programme to be delayed. Mitigation is the acquisition of external resources Expectations next reporting quarter: Investment Business case greed cross hospital ICT Programme Detailed EH paediatric requirements
Health Identifiers (HIDs) Programme Status Update (Q4 2015) Programme Summary Status Programme Name: Health Identifiers (HIDs) eport Period Q4 2015 Scope Budget Senior esponsible Owner: Programme Manager: John Hennessey & ichard Corbridge óisín Doherty (Interim) What: The provision of health identifiers for: Individuals (IHI) Patients/Clients Health Service Providers - Practitioners (HCPI) Organisations (HCOI) Programme Stage Programme Manager Status ssessment Capability Delivery reen esources Schedule isk Why: Provision of the ability to safely and efficiently Identify Patients, Practitioners and Organisations Enable the linkage of health care information Health Identifiers ct (2014) How: Establishment of a HIDs governance structure representing stakeholders Delivery of business units to operate the IHI,HCPI and HCOI registers Leveraging the existing Enterprise Master Patient Index technology within the HSE Benefits: Improve patient safety by the ability to Identify the patient at the point of care Improve patient outcomes through the provision of all the relevant clinical information to the healthcare provider
Health Identifiers (HIDs) (Q4 2015) Deliverables Next eporting Period Deliverable Due Date/(evised) Comment / uidance sought from ehealthireland committee Status () progress IHI POC egister (utilising existing HSE data 75% of population) Q3 2015 (Q3 2015) Completed IHI Business Function Established Q4 2015 Dependency on the assignment and recruitment of resources IHI egister Technology IHI Consumer POCs x 3 (Epilepsy, P and Hospice) IHI Consumer System oll-out Plan Q4 2015 (Q1 2016) Q4 2015 (Q4 2015) Q2 2016-Q4 2018 (Q2 2016-Q4 2018) Dependency on Legislative Clarification in relation to provision of Public Service Identity (PSI) data from Dept. of Social Protection Dependencies on legislative commencement for provision of IHI to Health Service Providers and the delivery of the IHI Business function and technology. uidance in relation to encouraging Health Service Provider engagement in advance of availability of tangible services such as EH uidance in relation to evaluation criteria for candidate consumer systems
Health Identifiers (HIDs) (Q4 2015) Successes since last reporting quarter: Established project governance for IHI project Capability audit of existing technology greement on IHI number format incorporating S1 SN standard prefix Completed the initial draft for the design and supporting implementation plan for the IHI Business Function Privacy Impact ssessment stakeholder engagement underway Proof of Concept IHI register created Issues: Business Support unit not yet in place for delivery functionality, however this is on schedule. Legislative constraints in relation to the ability to provide the IHI to consumer systems. Legislative clarification pending in relation to the ability for the Dept. of Social Protection to provide Public Services Identity (PSI) data for non-public health service users isks: Public privacy concerns in relation to IHI, PPSN and Clinical data leading to the public rejecting the IHI deployment. The mitigation is to undertake and publish a privacy impact assessment. Key resources unavailable when required, causing the Programme to be delayed. Mitigation is the acquisition of external resources Expectations next reporting quarter: Provision of IHI to Epilepsy EH, P Practice Sites and the Laura Lynn Hospice EP Privacy Impact ssessment Populate IHI register with approx 5.5 m records Provision of repeatable take-on process model for future consumers of the IHI Initiation of Health Care Practitioners Project