Transcript Document

EHR = Care Continum
Hospital Services
Not just a medical emergency
– part of the care continum
Tromso, Norway, eHealth ‘05
Ursula O’Sullivan
eMail:- [email protected]
Web:- www.shb.ie
EHR = Care Continum
If you don’t know where you
are going…. any road will get
you there? Even though there
are a lot of possibilities it’s still
important to set a direction.
ICTs are providing direction
and opportunities so we need
to introduce new technologies
with business / service models
in a way that maximises
potential.
eGovernment + eHealth
eGovernment
eHealth
• Access to Services and • Using technology to
Information
improve Healthcare
delivery e.g.
• Citizens and their right
Telemedicine, Lab
to information
Results
to
GPs,
Out• Backend re-organising
reach Clinics,
systems and services
Appointment
Booking
to provide better
• Electronic Patient
access
Record
Despite the seeming chaos…..
……There is structure in Healthcare
Foundation Technologies
Advanced Technologies
•
•
•
•
•
•
 Consumer/Patient Health
Systems
 Electronic Commerce
 Relationship Management
Systems
 Workflow Technologies
 Research Systems
 Expert Logic
 Wireless
Networks/Connectivity/CDRs/
Data Integration
Internet/Intranet/Extranet
Integrated Medical Devices
Imaging
Interactive Computer Telephony
Integration
Today’s Health Architecture
Value
Creation
 Branding and Identity - TRUST
Universal
Access
Web
Site
 Patient / Citizen Education
Sample
Capabilities
 Information Publishing and
Communication
 Patient Registration, appointment requests
 “Push” Customised Content to Patients /
Secure Remote
Communications and
Access
Diagnostic Groups
Extranet
 Direct order entry and results
 GP to Health Board interaction
 External Access to speciifics
Establish
Communications
Infrastructure
& Productivity
Enhancers
Uniform Access
to Core Systems
 Work flow Technologies
 Self-Serve HR, Administration
Intranet
Core Data Systems
(Patient Care, Clinical, Administration,
Finance)
 Browser Access to Databases
(research, knowledge, medical,
administrative)
Functions and Features of
Clinical, Managed Care
and Administrative
Applications
Public
Use
New healthcare technologies
are redefining healthcare and society
Digital imaging
Minimally
invasive surgery
Industrial
Internet
Informatics
• Greatest advances in the history
of medicine are happening now
through an explosion in new
technology
• Societies have the opportunity to
eliminate disease, extend life,
improve health and wellness
Medical devices
• And to make healthcare more
accessible, affordable and
satisfying for all participants
Nanotechnology
Wireless
Genomics &
Proteomics
New pharmaceuticals
eHealth Foundation
20th Century
• Appropriate
• Accessible
• Affordable
21st Century
Self-Service
Portals
Surveillance &
Analysis
Longitudinal
Patient Data
Core Healthcare
Applications
Secure E-Health
Network Infrastructure
• Effective
• Efficient
• Satisfying
•
EHR = Care Continum
Internet technologies have broadened access to data and
information in a way that shatters previous models
– Cost control
– Information access
– Clinicians, Healthcare Professionals
– Patients, Citizens
1. We need to understand that large advances are coming
within 3-5 years, and current investments may require
replacement / upgrading
2. Develop strong healthcare professionals education
programme today to prepare for the tools that will be
available in the near- and mid-term
EHR = Care Continum
A short overview of the SHB
experiences addressing the
challenges and opportunities of
Electronic Health Record
Lessons and experiences from
regional implementation now
applied nationally
EHR = Care Continum
Environment
• 4,700 sq miles
• 564k population base
• 18,000 Staff, 6,000 field based
• 250 Locations
• Personal Computers – 6,800 Laptop Computers - 1500
• Mobile Phones – 2,200
• Extensive WAN and Local Area Networks
EHR = Care Continum
Drivers
• Internal
– Low Morale – No Communications
– 20 year old Paper Based processes
– Need for change
• External
– Consumerism, Patient Centered
– Integration
– Legislation, Regulations
EHR = Care Continum
Health eSHB
10 Goals
1.
Integration of patient based services
2.
New ways of delivering services and information
3.
Manage information as an asset
4.
Manage creation of knowledge
5.
Optomise use of resources
6.
Create an effective organisation
7.
Achieve an Electronic Health Record [EHR]
8.
eEnable Clinical Systems
9.
eEnable Administrative Systems
10. Develop an enabling Technology Architecture
EHR = Care Continum
What do we mean by that?
• Providing Citizen Access
– Listening Days, eGovt Initiatives,
• Information & Knowledge Management
– Medical Protocols, Research, Best Practice
• Development of Single Patient Record
• Advanced Communications
• Telemedicine
EHR = Care Continum
Building Blocks
eCitizen
eSHB
eLearning
Organisation
Defined
Enterprise
Architecture
Support
Single
Patient
Record
Advanced
Communications
New IT
Systems –
Labs, PACs,
Radiology,
Information
& Knowledge
Management
SHBnet
EHR = Care Continum
Practical Examples
• eProcurement
• eServices
– Births, Death & Marriages
– Environmental Health, Bridges Dental
• Word Based Content Management System
• Nation-wide VPN [Virtual Private Network]
• Integrated patient records
– Community, Mobile Computing
• Blended eTraining / eLearning
EHR = Care Continum
MOBILE & COMMUNITY PIMs
Integrated EHR
EHR = Care Continum
MOBILE & COMMUNITY PIMs
Integrated Service Delivery
EHR = Care Continum
Interactive Hospital School
From the chaos….. To.......
Applications Blueprint
EHR = Care Continum
Benefits to Date
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Consolidation of access for the Patient Information
Management System (including Lab, PACS and
Community PiMS)
E-enablement of Health Board Processes (where
currently addressed)
SHBnet Infrastructure collaboration (Hardware/Software
and Communication links)
Content Management Application (Intranet and other
WEB Form Applications)
Change Management (program to foster e-culture
throughout the Southern Health Board’s community of
users)
Migration to Web Services environment
EHR = Care Continum
Lessons Learned
• Check the Power Supply…
• Involve Users
• Plan for ‘big picture’
• Be Flexible
• Develop ‘Partnership’ approach
EHR = Care Continum
Where are we going now?
• Continue to implement Health eSHB
goals but on a national basis
• New National EHR Contract [iSOFT]
• New National Health Strategy
• Recent replacement of 11 Health Boards by one
national organisation - HSE
• Continue to work with eGovt. initatives
• eServices, Benchmarks, EU Indicators,
Govt. VPN, develop new means of
delivery e.g. Digital TV, Health Portal,
GP Access, etc….
Care Continum
‘E’ …. is not just about
computers and systems.
It is about people and
processes and most
importantly it is about
thinking differently….
eSHB….. 2001- 2005
EHR = Care Continum
Hospital Services
Not just a medical emergency
– part of the care continum
Tromso, Norway, eHealth ‘05
Contact Details:- Ursula O’Sullivan
eMail:- [email protected]
Web:- www.shb.ie
Phone:- 021-4922990