ICT in HSE Where are we now Fran Thompson
HSE Overview The HSE is responsible for managing and delivering health and personal social services in Ireland. Employs in excess of 108,000 staff - largest employer in the state Annual budget 13.456bn largest public sector budget - a reduction of 962m (6.7%) 50 Acute Hospitals Extensive community services (health centres, community hospitals, home care)
A Day in the life of the HSE 1574 Inpatient Discharges; 2,069 day case patients receiving treatment; 9,840people attending outpatient departments; 3,287 Emergency Presentations 990 Emergency Admissions
A day in the Life of HSE con td 2,652 callers to the GP out of hours services; 41 Admissions to Mental Health Units; 5,985 children in care; 55,793 number of GMS prescriptions 32,822 Home Help Hours 36,868,493 providing all services
HSE Service Plan 2011 Maintain the levels of service provided in 2010 Deliver the cost reduction and restructuring programmes to enable the maintenance of these service levels on a total reduced budget basis of 962m ( 683m net) Seek to ensure the delivery of high quality and safe services Accelerate our reform programme to reconfigure core services and in line with our strategy, deliver an appropriate balance between hospital and community services as well as best care models in childcare, disability, mental health and older person s services, and Implement the national clinical change programmes and new service developments
HSE Service Developments and Change Programmes The areas that will commence implementation include: Acute Medicine Programme Emergency Medicine Programme Elective Surgery Programme Diabetes Programme Heart Failure Programme Stroke Programme Epilepsy Programme Chronic Obstruction Pulmonary Disease (COPD) Programme, and A range of initiatives to address outpatient waiting lists including neurology, dermatology and rheumatology. In Addition targeted investment of 63 million will be made in paediatric critical care, childcare, mental health, primary care and palliative care
ICT in the HSE 845 Clinical and Business Systems 50,000+ Users 38,000 Desktops / laptops 1100+ Servers 76 Server rooms (1 National Data Centre) 959 Help desk calls daily 17,000 Printers 290 ICT Staff 268,882 ICT spend every day (over 100m)
Legacy of Challenges for ICT Standards Based National Platform Culture of we need our own Fragmented Systems Architecture Fragmented Infrastructure Architecture Information Islands
Patient centric HSE ICT Strategy Vision for ICT in HSE Supporting clinical practise Provide access to information when and where required Support the HSE Business objectives Based on information & technology standards Ensure security of data & systems Information Driven
Information System Framework Developing a Strategic Road map (Working with UK connected for Health) Define an overall information & technical architecture Define an overall information model Agree technical Standards and terminologies for use within the HSE WS:11-12 GOVERNANCE STRATEGIC ROADMAP WS:1 INTEGRATED SERVICES FRAMEWORK (ISF) ACCESS WS:9-10 TECHNICAL ARCHITECTURE WS:2-4 INFORMATION ARCHITECTURE WS:5-8
Vision to Reality Rationalisation of ICT Technical Infrastructure Set of Technical Principles Rationalisation of existing legacy applications Implementation of Core hospital systems PAS, OC, PACS/RIS, Laboratory, PACS, Medication Management Deployment of these systems establishes stepping stones to a Summary Care Record
Vision to Reality Integration of Primary Care Electronic Messaging, Electronic Referrals, Immunisations Messages, Secure Mail, and infrastructure investment Support for National Clinical Care Programmes Delivery of a range of Departmental Systems A&E, Blood Track, New Born, Cancer, Renal, CSSD, Endoscopy, Renal,
Vision to Reality Pre Hospital Emergency Care Systems Tetra Radio Network, Integrated Call Management Systems, Computer Aided Dispatch, Ambulance Vehicle Location National Child Care System Quality, Risk and Safety Corporate Risk, Clinical Audit National Cancer Control Programme Oncology Clinical System, Drug Data Mart, Chemotherapy order entry
Vision to Realty Community and Continuing Care Systems Mental Health, Primary Care Teams, Home Assisted Care, Palliative Care Back Office ERP for finance systems Corporate Business Intelligence Corporate Support for Planning e-business and e-government Continued investment in PCRS to support its business needs
Challenges Stakeholder engagement and buy-in Process standardisation and implementation Resourcing Management of Governance and Risk
Start of the Journey. Publication of the ICT Strategy now agreed by HSE Management Team 3 4 Year Time Frame Prioritisation of National Systems A lot of ground to catch up on.