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EHR = Care Continum

EHR = Care Continum. Hospital Services Not just a medical emergency – part of the care continum Tromso, Norway, eHealth ‘05. Ursula O’Sullivan eMail:- osullivanu@mailp.hse.ie Web:- www.shb.ie. EHR = Care Continum.

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EHR = Care Continum

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  1. EHR = Care Continum Hospital Services Not just a medical emergency – part of the care continum Tromso, Norway, eHealth ‘05 Ursula O’Sullivan eMail:- osullivanu@mailp.hse.ie Web:- www.shb.ie

  2. 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.

  3. eGovernment + eHealth • eHealth • Using technology to improve Healthcare delivery e.g. Telemedicine, Lab Results to GPs, Out-reach Clinics, Appointment Booking • Electronic Patient Record eGovernment • Access to Services and Information • Citizens and their right to information • Backend re-organising systems and services to provide better access

  4. Despite the seeming chaos….. Electronic Commerce Enterprise Systems Clinical Systems Networks/Connectivity Core Transaction Systems Wireless Decision Support Systems Imaging Customer Relationship Management Systems Laboratory Systems Internet/Extranet/Intranet Telemedical Technologies Consumer Health Systems eProcurement Clinical Data Repositories Environmental Health Systems Expert Logic Computer-Telephony Integration Integrated Medical Devices GP Systems Data Integration Research Systems eLearning Systems Electronic Medical Records Workforce Enabling Technologies Workflow Technologies

  5. ……There is structure in Healthcare • Foundation Technologies • Networks/Connectivity/CDRs/ • Data Integration • Internet/Intranet/Extranet • Integrated Medical Devices • Imaging • Interactive Computer Telephony Integration Advanced Technologies • Consumer/Patient Health Systems • Electronic Commerce • Relationship Management Systems • Workflow Technologies • Research Systems • Expert Logic • Wireless

  6. Branding and Identity - TRUST • Patient / Citizen Education • Information Publishing and Communication Universal Access Web Site • Patient Registration, appointment requests • “Push” Customised Content to Patients / Diagnostic Groups • Direct order entry and results • GP to Health Board interaction • External Access to speciifics Secure Remote Communications and Access Extranet • Work flow Technologies • Self-Serve HR, Administration • Browser Access to Databases (research, knowledge, medical, administrative) Establish Communications Infrastructure & Productivity Enhancers Intranet Uniform Access to Core Systems Functions and Features of Clinical, Managed Care and Administrative Applications Core Data Systems (Patient Care, Clinical, Administration, Finance) Public Use Today’s Health Architecture Sample Capabilities Value Creation

  7. Industrial Internet Digital imaging 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 • And to make healthcare more accessible, affordable and satisfying for all participants Minimally invasive surgery Wireless Genomics & Proteomics Medical devices Nanotechnology New pharmaceuticals New healthcare technologies are redefining healthcare and society

  8. eHealth Foundation 20th Century 21st Century • Appropriate • Accessible • Affordable • Effective • Efficient • Satisfying Self-Service Portals Surveillance & Analysis Longitudinal Patient Data Core Healthcare Applications Secure E-Health Network Infrastructure

  9. 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 • We need to understand that large advances are coming within 3-5 years, and current investments may require replacement / upgrading • Develop strong healthcare professionals education programme today to prepare for the tools that will be available in the near- and mid-term

  10. 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

  11. 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

  12. 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

  13. EHR = Care Continum

  14. Health eSHB 10 Goals • Integration of patient based services • New ways of delivering services and information • Manage information as an asset • Manage creation of knowledge • Optomise use of resources • Create an effective organisation • Achieve an Electronic Health Record [EHR] • eEnable Clinical Systems • eEnable Administrative Systems • Develop an enabling Technology Architecture

  15. 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

  16. eService eEU eSHB eBroker eCitizen New IT Systems – Labs, PACs, Radiology, eGovt Single Patient Record eLearning Organisation Information & Knowledge Management Defined Enterprise Architecture Support Advanced Communi-cations SHBnet EHR = Care Continum Building Blocks

  17. 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

  18. EHR = Care Continum MOBILE & COMMUNITY PIMs How many times would you like to have this done?? Integrated EHR

  19. EHR = Care Continum MOBILE & COMMUNITY PIMs Integrated Service Delivery

  20. EHR = Care Continum Interactive Hospital School

  21. From the chaos….. To....... Electronic Commerce Enterprise Systems Clinical Systems Networks/Connectivity Core Transaction Systems Wireless Decision Support Systems Imaging Customer Relationship Management Systems Laboratory Systems Internet/Extranet/Intranet Telemedical Technologies Consumer Health Systems eProcurement Clinical Data Repositories Environmental Health Systems Expert Logic Computer-Telephony Integration Integrated Medical Devices GP Systems Data Integration Research Systems eLearning Systems Electronic Medical Records Workforce Enabling Technologies Workflow Technologies

  22. Applications Blueprint

  23. EHR = Care Continum Benefits to Date • 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

  24. EHR = Care Continum Lessons Learned • Check the Power Supply… • Involve Users • Plan for ‘big picture’ • Be Flexible • Develop ‘Partnership’ approach

  25. 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….

  26. 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

  27. 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:- osullivanu@mailp.hse.ie Web:- www.shb.ie Phone:- 021-4922990

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