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. 16 November 2005Vincent Jordan2 Agenda Person-centred Care & ICT-enabled Services Implementation project Objectives Organisation Lessons learned

3. 16 November 2005Vincent Jordan3 Service Connections Birth Laboratory Radiology A&E Referrals (Out Patient) Day cases/ Inpatient treatments Maternity Discharge to home/nursing home RIP

4. 16 November 2005Vincent Jordan4 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

5. 16 November 2005Vincent Jordan5 The ICT Jigsaw – a Scenario Practice Management System Patient Information System Diagnostic Information Systems Lab Radiology Out Patient Clinics Appointments Clinic Letters Out of Hours Co- op Management System Messaging Service Key Infrastructure Components: Computers – desktop & servers Networks – private & shared Security – Access, Authentication, Authorisation Standards – Technology & Information

6. 16 November 2005Vincent Jordan6 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

7. 16 November 2005Vincent Jordan7 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

8. 16 November 2005Vincent Jordan8 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

9. 16 November 2005Vincent Jordan9 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

10. 16 November 2005Vincent Jordan10 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?

11. 16 November 2005Vincent Jordan11 Questions? And thank you…