Ireland & MIDAS Feb 2017 Update Healthy Ireland Framework A - - PowerPoint PPT Presentation

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Ireland & MIDAS Feb 2017 Update Healthy Ireland Framework A - - PowerPoint PPT Presentation

Aug 18, 2022 533 likes •716 views

Ireland & MIDAS Feb 2017 Update Healthy Ireland Framework A Framework for improved health and wellbeing 2013 - 2025 Vision Where everyone can enjoy physical and mental health and wellbeing to their full potential, where wellbeing is

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Ireland & MIDAS Feb 2017 Update

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Delivering eHealth Ireland | Office of the Chief Information Officer

Healthy Ireland Framework

Vision

Where everyone can enjoy physical and mental health and wellbeing to their full potential, where wellbeing is valued and supported at every level of society and is everyone’s www.healthyireland.ie

A Framework for improved health and wellbeing 2013 - 2025

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Delivering eHealth Ireland | Office of the Chief Information Officer

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Increase the proportion of people who are healthy at all stages of life

Reduce health inequalities Protect the public from threats to health and wellbeing

Create an environment where every individual and sector of society can play their part in achieving a healthy Ireland

Healthy Ireland Goals

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Delivering eHealth Ireland | Office of the Chief Information Officer

Framework of Actions

  • Governance and Policy
  • Partnerships and Cross-Sectoral Working
  • Empowering People and Communities
  • Health and Health Reform
  • Research and Evidence
  • Monitoring, Reporting and Evaluation
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Delivering eHealth Ireland | Office of the Chief Information Officer

Data Governance

  • To improve its BI capabilities across all dimensions of the HSE

through the implementation

  • f

a comprehensive data governance framework.

  • Provide methodology for data collection, storage and reporting

to ensure the appropriate levels of ownership are implemented

  • Assist managers in delivering on their obligations contained

within the performance accountability framework, and support the service delivery model for improved patient care

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Delivering eHealth Ireland | Office of the Chief Information Officer

Partnerships & Collaborative Approach

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Policy Makers Healthcare Providers External Public Service Partners

Technology

Enablers Other Potential Agencies

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Delivering eHealth Ireland | Office of the Chief Information Officer

Open Health Data Policy

  • Defines the required governance, preparation and

publication of Open Data within the HSE

  • To ensure consistency of approach to the release of

Open Data across the HSE, aligned with national guidelines and international best practice

  • 134 Datasets now available @ https://data.gov.ie/data

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Delivering eHealth Ireland | Office of the Chief Information Officer

The Data Dictionary

Many Data Sources But ‘A Single Source

  • f Truth’
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Delivering eHealth Ireland | Office of the Chief Information Officer

Data Dictionary

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Delivering eHealth Ireland | Office of the Chief Information Officer

  • Primary Care Reimbursement Service (PCRS)

 Supports the delivery of a wide range of Primary Care services

to the general public using over 7,000 contractors

  • Hospital In-Patient Enquiry Scheme (HIPE)

 Collects information on hospital day cases and in-patients in

Ireland.

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MIDAS Candidate Datasets

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Delivering eHealth Ireland | Office of the Chief Information Officer

Primary Care Reimbursement Service in 2015

11 Total Payments and Reimbursements – 2015 Total Payments & Reimbursements 2015 €2,558.46m

GP Fees €348.03m GP Allowances €141.66m Investment in General Practice Development €0.62m Pharmacist Drugs and Medicines €956.75m Pharmacist Fees and Stock Order Mark-Up €371.64m Pharmacist High Tech Patient Care Fees €18.10m Manufacturers / Wholesalers High Tech Drugs and Medicines €544.19m

Dentists €66.51m Optometrists / Ophthalmologists €31.74m

Hospital - Oncology Drugs and Medicines €13.33m Hospital - Hepatitis C Drugs and Medicines €24.19m Outpatient Parenteral Antimicrobial Therapy (OPAT) - Drugs, Medicines and Appliances €7.02m Administration €34.68m

The figures detailed in this table have been rounded for reporting purposes.

Over €2,500M payments and reimbursements

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Delivering eHealth Ireland | Office of the Chief Information Officer

Hospital Inpatient Enquiry (HIPE)

  • Single

le rec ecord rd per er disch char arge ge (~1.6m/year)

  • Demogra
  • graphic

phic data

  • e.g. Patient’s age, area of residence, sex
  • Admini

inistrativ strative e Data

  • e.g. Hospital, ward, admission type, admitted from,

discharged to, admission and discharge dates

  • Clinic

ical al Info formation rmation

  • Principal diagnosis and up to 29 additional diagnoses

(ICD10- Australian Modification)

  • Up to 20 procedures including anaesthetics and ASA score

(Australian Classification of Health Interventions)

  • Consultant responsible
  • Categor

gorise ised d to Diagnosi gnosis s Re Related d Groups ups (DRG RGs)

  • Used for complexity weighting, cost and price assign

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Delivering eHealth Ireland | Office of the Chief Information Officer

HIPE - Patient Admitted Info. Dataflow

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Patient Admitted

Patient details entered on PAS

Patient receives care, clinicians document in medical record

Patient Discharged, discharge information entered on PAS Data uploaded from PAS to HIPE

HIPE coder retrieves chart, codes case to HIPE ,data edits reject spurious data. Coder corrects incorrect PAS data

Monthly : HIPE coder runs Checker data validation suite across all coded cases, conducts audits and quality review, corrects HIPE if necessary

End of Month th export

from Hospital to HIPE national file (CODED DED) National level checks run

HIPE coded and uncoded data used for national reporting

Uncoded

(unchecked) data

from PAS to national file

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Delivering eHealth Ireland | Office of the Chief Information Officer

HIPE Discharges 2015

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Day Patients 1,029,860 (61.9%)

In-Patients - 634,206 (38.1%) Mean LOS: 5.7 Days Median LOS: 2 Days

Overnight In-Patients: 516,604 (31.0%) Mean LOS: 6.8 Median LOS: 3 Sameday In-patients: 117,602 (7.1%)

Total Discharges 1,664,066 (100%)

Emergency 417,330 (25.1%)

Mean LOS: 6.3 Median LOS: 2

Maternity 117,790 (7.1%)

Mean LOS: 2.6 Median LOS: 2

Elective 99,086 (6.0%)

Mean LOS: 6.7 Median LOS: 2

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Delivering eHealth Ireland | Office of the Chief Information Officer

Uses for HIPE Data

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  • Activity Based Funding
  • Measuring Quality of care
  • Clinical Audit
  • Investigation
  • Research
  • Health Technology Assessment
  • Policy
  • Planning and Measurement
  • Clinical Strategy and Programmes
  • International reporting
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Delivering eHealth Ireland | Office of the Chief Information Officer

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HSE BI Platform

Type Data Manage ment

Enterprise Data Warehouse Data Collection Interfaces (ETL, etc)

Existing Applications Microsft SQLServer, migrating to Azure in 2017 Application Functionality

Data Security Management

Analysis & Content Creation Content Publicati

  • n &

Distribut ion

Predictive modelling Simple Report Creation Bi-Modal Data mashup and modelling Dashboard & Reporting Suite OLAP Mobile BI Embedded BI Advanced Analytics

SSIS SQLServer, AD SAS SSAS SSRS, PowerBI, Qlikview, nPrinting Qlikview .Net and Qlikview SAS SSRS, PowerBI, Qlikview, nPrinting PowerBI, Qlikview, potentially Qliksense