1. Health Intelligence Priorities & Developments for Health
Dr Davida De La Harpe
Assistant National Director of Population Health HSE
University of Limerick meeting

2. Introduction Transformation and Change in HSE
What is population health?
What is health intelligence?
Where does research fit?
The future?

3. HSE STRUCTURE Administrative Areas

4. Executive Structure CEO Health Services Support Services
Board
Audit
RHO
Consumer
Quality & Risk
C / PAD
Board / Sec
Comms.
CEO
Office of
the CEO
SPRI Steering Group
& Unit
Expert Advisory
Groups *
Corporate
Services HR
Finance
PCCC
Population
Health
NHO
Corp. Plng.
& Ctrl.
Processes
Children *
Ageing *
ICT
Shared
Srvs.
Disability *
Cancer *
Procure
Estates
Surgery *
Health Services
A & E *
Support Services
Medicine *
Mental Health *
Reform & Innovation
* Examples

5. Our Mission = Our Fundamental Purpose
To enable people
live healthier and
more fulfilled lives

6. Research
A systematic and rigorous process of enquiry that aims to increase knowledge-
When applied to health : it aims to improve health, health outcomes and health services

7. The Population Health Directorate
Population Health's mission is to promote and protect the health of the population
Emphasis on reducing health inequalities.
Takes account of all determinants of health and recognises that good health is the responsibility of everyone
Acts as a unifying influence for the entire health service, tries to ensure that a Population Health approach supports and informs the planning and delivery of health services in Ireland.

8. Population Health Structure
Environmental
Health
Health
Protection
Health
Promotion
Emergency
Planning
Strategic
Planning
Health
Intelligence HR

9. Population Health Function
A Population Health Approach includes the
Following
Using the best health intelligence for planning, evaluation and performance management
Planning for health and not just health services
Promoting equity as a strong value in the health system
Applying research evidence to improve health outcomes
Adopting a formal approach to needs assessment to identify gaps in the service
Re-orientating service delivery from hospitals to primary care and health promotion
Providing services which are integrated within the health sector and with those of other sectors
Working with other sectors to improve health – to include public involvement
Demonstrating a better return for society from investment in health

10. Major Changes From: Change Area: To: Acute/Episodic Care Requirement
Health Focus
Care Delivery
Health Records
Healthcare Knowledge
Approach to Care
Chronic Acute/Episodic
Illness Cure
Wellness & Prevention
Hospital/Surgery
Healthcare System
Paper-based
Computer-based
Expert Opinions
Evidence Base
Individual
Individual & Population
Professional Discretion
Accountability
Governance 39

11. Health Intelligence
Health Intelligence is part of Population Health service within the Health Service Executive (HSE) and is responsible for capturing and utilising knowledge to improve health outcomes for the population
Cross directorate supports and linkages
External linkages and collaborations

12. Health Intelligence components
Small team in Dublin
Others locally based throughout the country

13. Health intelligence provides
HIPE analysis and commentary
Demographic data
Mapping services
Evidence based supports and teaching
Advice on research projects and applications
Internal HTA supports

14. What does Health Intelligence do?
Health Information and Surveillance
Evidence Based Health Care, Research, and Development
Support for Health Technology Assessment and Health Impact Assessment: providing all those who make decisions in the HSE with high-quality information or tools to determine potential impacts of decisions on provision of new technologies or other developments on health and health inequalities
Knowledge management: Capturing, collating, storing and sharing knowledge
Linkages between health care professionals and relevant health care information.

19. Building Capacity
Ability to seek evidence based information, synthesize and utilise it to improve patient care
E-resources– key tool for knowledge management
Networking increasingly important –learning from each other’s perspective (e.g.CHAIN)

21. Transformation Programme 2007-2110
Transformation of health and social services calls for a change in
What we do
How we do things
How we work together
How we all commit to each other
to enable people live healthier and more fulfilled lives
Health intelligence underpins and facilitates this

22. Transformation priorities
Transformation priorities - 6 in total – focus on 3
“Integrated patient journey”
“Ensure all staff engage in transforming health and social care in Ireland”
“Implement a model for population health and the prevention and management of chronic illness” - Pop Health

23. Health intelligence
Intelligence is experience integrated and realised. Our journey involves unlearning what we know, seeing things in new ways and engaging dynamically in evolving how we perceive everything. It starts by knowing where we are and where we want to go. Knowledge is having information. Intellect is the ability to use it.
Intelligence is the gift of seeing beyond it, seeing new relationships and thinking laterally, outside the box, it is the power of applying and abstracting dynamically. (M. E. Meegan)
Applying this to our services and a population health approach

24. HSE research support overriding priority
to ensure that investment ensures optimal delivery of services at a systems and individual level in the context of our population health approach

25. Health intelligence role
enhance information, knowledge and resource exchange among researchers, care providers and policy makers and the public
Feed in directly to reviews, service planning, horizon scanning, research

26. Things we need to do now Enhance capacity
work across boundaries within and outside the HSE
use the information we have in a better way
Develop more innovative approaches to information and knowledge management
Addresses -coding
Health identifier?
? Legislation to allow better linking of patient information

27. Key areas(1) Health service research-
Getting research into practice-translational
scientific discoveries must be translated into practical applications
The knowledge required to deal with a majority of questions that arise exists- but accessing it is an issue

28. Key areas(2)
Participatory research- researchers actively engaging with the organisation or setting they seek to study
evidence-based information on healthcare outcomes, quality, and on cost, use, and access.
Our priority research should prevent cancer, heart disease, stroke, and lung disease by developing and evaluating policies, programs, communications, and other tools to change the social, behavioural, economic and biological determinants of these diseases

29. Knowledge needs
How to increase physical activity, improve diets, as well as reduce tobacco use, obesity, high blood pressure, stress, diabetes, drug and alcohol abuse, income inequality, poverty, illiteracy, etc……
Not all in the domain of HSE- but we should be influencing

30. Research strategy Research – consultation process
Current work programme:
METR
Therapies research strategy
Childrens research startegy
Ethics- survey etc
Data protection and governance
Transformation -enabler

31. HI - www.healthintelligence.ie www.factfile.ie
Developing more web-based resources inc intranet-
Evidence based health care:
Programme developed- teaching sessions- working with EAGs etc
Inputting evidence base and interpretation in to the various documents and working groups
Information – Health Atlas Ireland:
Innovation awards
Core health intelligence staff acting as a resource for research and networking and knowledge ( e.g CHAIN)

32. System changes? Enhanced third level linkages Funding stream??
Recognition of research as a core function
National support structures for research
Balance between various kinds of research

33. Summary Brief outline of HSE Over view of transformation 
Thoughts on place of research 
Update on current processes 
Thanks