#NIECR Better, safer, faster care

Choosing The Right Builder.

Lessons learnt from an organisation that has been there and built it

successfully.

Desmond O’LoaneHealth Strategy & Programme Control Manager

HSCB

#NIECR Better, safer, faster care

Todays challenge; Fragmented patient/client record

#NIECR Better, safer, faster care

HSCNI has come a long way in 10 ten years

The Northern Ireland leadership team

• Requires someone withVision, passion, knowledge, political, acceptable

• Requires clinical leadersExcited, hungry for change, acceptable, willing

• Requires a strong Senior Responsible OwnerDecision maker & influential

• Hand picked your senior team• Requires knowledge to navigate your Health System

#NIECR Better, safer, faster care

#NIECR Better, safer, faster care

The 2005 vision of one HSC Electronic Care Record has been

partially delivered

Karen O’Loan

ICT Planning, Commissioning and Performance Management

Health and Social Care BoardNorthern Ireland

#NIECR Better, safer, faster care

Key building blocks

• Investment in Infrastructure• Data quality improvement programme• Integrate Core Clinical applications• Regional Network, Hosting capability• A National Health identifier - MPI• Integrate rather than ‘rip and replace’ • Populate System before go-live• Hybrid Leadership Skills essential• Don’t be afraid to try things

Lessons learned

• Create a clinically lead project structure• Show the future don’t just talk about it• Consent and Confidentiality, public confidence• Importance of source system data quality• Importance of System integration skills• Suppliers don’t have all the answers• Become a smart purchaser• Learn exactly what it is you need• Negotiate future proof contracts

#NIECR Better, safer, faster care

Beware of the bear pits

• The current eHealth programmes• Cross organisational information sharing• Citizen confidence in privacy • Technical infrastructure, integration & deployment• Non believers• Selling the benefits - seeing is believing• Big bang, Rip & Replace• Business case cash benefits

#NIECR Better, safer, faster care

#NIECR Better, safer, faster care

“CORE” Data Items

#NIECR Better, safer, faster care

“CORE” Functions

#NIECR Better, safer, faster care

Users = 17706

#NIECR Better, safer, faster care

#NIECR Better, safer, faster care

Benefits Improved Quality of Care

Treatment based on up to date information Reduce duplicate laboratory and radiology tests Reduction potential clinical adverse incidents Reduce transcription errors

Efficiency Reduce delays in “patient journey” Increased capacity within Outpatient clinics Reduction in delayed discharges Reduce time taken in drug reconciliation

Outpatient clinic audit - April to June 2014• Of the patients seen:• NIECR helped to avoid unnecessary

laboratory tests in 27%Imaging tests in 8%Additional review appointment in 3%NIECR Improved management in 37%

NIECR use has potential to (yearly)

• Improve the management of approx 500,000 (37%)• Free approx 40,000 (3%) outpatient appointment

slots

#NIECR Better, safer, faster care

“Used for the first time today in ED, Brilliant!, this will improve quality of care.”

- ED Consultant Southern Trust

“Best IT spend in NI ever.  Expect hospital secretaries’ phones will be quieter now.”

- GP

“The NIECR system is excellent. The best thing to happen to NI NHS in years! I think within a few

weeks everyone I speak to will want to get on it.”- Cardiologist Western Trust

“I really appreciate it and use it regularly on a daily basis. In fact I would be lost without it now.“

- Specialist Nurse Lagan Valley

#NIECR Better, safer, faster care

#NIECR Better, safer, faster care

The 2025 Goal: One HSC Electronic Health & Care

Record