Healthy Connections – Enabling Improved Primary & Secondary Care Links with Technology

1. Healthy Connections – Enabling Improved Primary & Secondary Care Links with Technology Vincent Jordan Project Services Manager HSE Western Area +353 91 775411 vincent.jordan@mailn.hse.ie

2. Agenda • Person-centred Care & ICT-enabled Services • Implementation project • Objectives • Organisation • Lessons learned Vincent Jordan

3. Service Connections Birth Laboratory Radiology A&E Referrals (Out Patient) Day cases/ Inpatient treatments Maternity Discharge to home/nursing home RIP Vincent Jordan

4. Improving Services through ICT • Better patient care • Reduced error • More timely information • Lower stress • Better staff experience • Less paperwork • Fewer phone calls for follow-up • More time for care delivery • Lower stress • Improved efficiency • Reduced errors and risk • Better identification Vincent Jordan

5. Diagnostic Information Systems Lab Radiology Messaging Service Out Patient Clinics Patient Information System Out of Hours Co-op Management System Appointments Clinic Letters The ICT Jigsaw – a Scenario Practice Management System Key Infrastructure Components: Computers – desktop & servers Networks – private & shared Security – Access, Authentication, Authorisation Standards – Technology & Information Vincent Jordan

6. Project Background • Scale • Population > 380,000 • 270+ general practitioners • Communities at significant distance from hospitals • 1582 hospital beds • Laboratory services in HSE Western Area • >1m samples (~8m tests) • Galway Regional Hospitals (UCH, Merlin Park) • Mayo General • Roscommon County • Portiuncula Vincent Jordan

7. Project Objectives • Reduced clinical risk • Better patient and GP identification throughout the entire process (locums, demographics…) • Efficiency • Reduced turnaround of test results to primary care • Fewer follow-up phone calls required • Demonstrate capacity & value to stakeholders • Benefit realisation from APEX implementation • “Good news” story • Learn lessons for future ICT-enabled links Vincent Jordan

8. Project Organisation • Sponsor • Tony Canavan, General Manager Mayo General Hospital • Project Board • General Practitioners • Primary Care Department • Laboratory IS manager • Medical Scientists • Laboratory & hospital consultants • Information Services • Project Manager • Robert McDonald Vincent Jordan

9. Implementation • Five pilot GP practices selected • Beta site: Eamon O’Shea – GP Tutor • Technical components in place • Interface with Lab system • HL7 output to Healthlinks server • Validation work to commence shortly • Medical science + IS involved • Scope changes • Client identification • Portiuncula Vincent Jordan

10. Lessons learned so far • Identification service • Resourcing challenges • Demand-led service with WTE ceiling • Crossing lines of responsibility • Change management • Laboratory service governance & overall clinical responsibility • Policy implementation • Peer-to-peer learning • GPs? Vincent Jordan

11. Questions? • And thank you… Vincent Jordan