You've hit the nail on the head.....In reality however, the main reason you can't access or share your own health data in Ireland today is because the former Health Boards were dissolved overnight in 2005 on foot of a decision rooted in political ideology, to form the HSE without any plan as to what might happen with the existing IT processes. This has resulted in an utterly dysfunctional hodge-podge of decades-old systems on life support (pun not intended!).
Imagine, for example, a merger of eleven major companies, with no overarching corporation in charge; what would you think might happen to the their individual IT systems, with the IT staff of each individual company left scratching their heads in a communications vacuum, wondering what just happened?
€1 billion is well within international norms. You either think it can be done cheaper or you think Ireland can do without Electronic Patient Record systems that are in every other developed country. If you think it could be done cheaper it would be interesting to see 10 year cost estimates across licensing, implementation (vendor and client) support and maintenance (vendor and client) and hosting.No, that's what the then CIO claimed it needed. They would probably say they need double that now. When builders really don't want to take on that job you asked them to do, they will quote you astronomical figures too.
It'll be a testing ground for a lot of things, especially when people realise that the currently quoted figures in the media don't include the IT costs.
But why wait for, or expect that a national EHR will magically solve everything? In a connected world, people are not going to wait for the monolithic, Kafkaesque wheels of the Department of Health, the HSE, and -- now -- the newly-formed Regional Health Areas (a.k.a. the "new old Health Boards") to begin turning. This is what Martin Curley is talking about -- there are quick wins to be had with very little investment; he uses the term "leap-frogging", but what it is really doing is putting two fingers up to the dysfunctional, self-serving wasteland that HSE IT has become.
I salute the man.
NI got their EHR business case approved by Department of Finance.Exactly. Ironically the very circumstances that allowed Vincent's to stay out of NIMIS are the reason that James's could leapfrog the HSE and implement electronic records. If they had waited for DoH/HSE/DPER they would still be on paper.
Look at Northern Ireland where they are bringing in Epic (a high-end electronic record system) across the region: https://www.digitalhealth.net/2020/06/northern-ireland-epic-epr/
They do stick out but as I said, HSE cannot enforce NIMIS on them. They do not however see HSE patients anymore than HSE sees St Vincent’s patients. When they are referred to St Vincent’s they become St Vincent’s patients.Vincent's doctors & services see HSE patients on a referral basis, therefore integration with and use of HSE "systems" such as they are must be an obligation. They stick out like a very sore thumb in a lot of respects IME.
That sounds like such a mess, same as the schools being in all different ownerships and types. It certainly is no longer what the public want. And innovations and new systems like electronic records, sharing, access, are stymied by this complexity in ownership and governance.They do not however see HSE patients anymore than HSE sees St Vincent’s patients. When they are referred to St Vincent’s they become St Vincent’s patients.
Indeed it would. But largely the EPRs don’t exist in Irish public hospitals.That sounds like such a mess, same as the schools being in all different ownerships and types. It certainly is no longer what the public want. And innovations and new systems like electronic records, sharing, access, are stymied by this complexity in ownership and governance.
I hear of GPs despairing on having elderly patients released from hospital and no discharge information, no idea on medication changes and the poor elderly patient unsure of the details. Wouldn’t it be wonderful if the GP could check out the epr in the hospital, see the notes, records, radiographers reports without leaving their office, and then give the patient the care they needed.
Seems he has run away. I don't blame him , I did too.I salute the man.
Conspiracy much?The same unions run the HSE, the Dept of Health, etc. solely for the benefit of their members. It is a fallacy that any Minister or HSE head has any degree of control or influence over any aspect of our health service. They want the HSE to kill itself off and hand the whole kit and kaboodle over to private enterprise a la the USA.
I doubt if Trade Union members want their jobs privatised!!Conspiracy much?
Pre-HSE, I was involved in a series of significant IT upgrades in a Dublin hospital, including migration to a (at the time) modern EPR system.But largely the EPRs don’t exist in Irish public hospitals.
Electronic Patient Records.EPR system?
Electronic Patient Records.EPR system?
You might as well ask why do people who complain about the housing situation object to planning applications?The question remains though; why do the same people who complain about waiting lists and working conditions resist the change required to make things better?
Electronic Patient Records.
Thanks.Electronic Patient Records.
Actually, I read from the article that he is regrouping to attack the issue from a different angle.Seems he has run away. I don't blame him , I did too.
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