EHR Personas Workshop Fran Thompson Programme Director Workshops – Dublin Castle Tuesday 31 st January and Wednesday 1 st February 2017 #EHRPersonas #ehealth4all
EHR Personas Development Workshop Welcome to the workshop! Sincere thanks to our partners for facilitating us here today Delivering eHealth Ireland | Office of the Chief Information Officer #EHRPersonas #eh2030
What is the National Electronic Health Record? The National EHR is a fundamental cornerstone for the delivery of high quality, ! comprehensive and accurate information in a timely manner for the provision of patient centred, effective and efficient care What does the National EHR do? The National EHR • Transforms patient experience comprises: • Delivers greater patient safety and more effective care • Drives efficient delivery of health services • Makes the wider reform programme possible: Underpins integrated care - Provides the information for - proactive health and wellbeing initiatives Provides the operational systems to - realise CHO’s and Hospital Groups Captures accurate information on - activities that show the true cost of treating a patient GP Systems Private Hospitals Pharmacy Delivering eHealth Ireland | Office of the Chief Information Officer #EHRPersonas #eh2030
The EHR Programme eHealth Blueprint 4 Components Moving from paper records locked in organisations to a Stakeholders Healthcare Providers Patients Corporate Administrators and Managers digital patient record shared Clinical Management / Point of Care Environment Hospital Groups Community Healthcare Organisations Consumer Health & Wellbeing Corporate Setting Hospital Patient Administration Hospital Medical Imaging Hospital Laboratory Hospital Pharmaceuticals Case Management Disease Management Electronic Document Management Electronic Clinical Notes and Records Care Pathways and Decision Support Computerized Physician Order Entry ePrescribing Referral Management Population Health Management Provider Health Portal Patient Administration Case Management Electronic Document Management Clinical Notes and Records Patient Test Results Care Pathways and Decision Support Computerized Physician Order Entry Referral Management ePrescribing Mobile Clinical Management Population Health Management National Patient Portal Patient to Provider Secure Messaging Self-Health Management Scheduling and Administration Virtual Care Education & Awareness Customer Relationship Management Finance Management Human Resources and Payroll Management Rostering Time Recording Facilities Management Asset Management Procurement Contract Management Health & Safety Program Management across care settings National National EHR Integration and Access Layer Communication I.A.A.A. Message Message Data & Message Service Identity Authentication Access Secure Audit Layer Queuing Transformation Encoding Management Layer Management Core Certification and Record Locator Legitimate Relationship Secure Capabilities Single Sign On Exception Handling Context Management Terminology Services Integration Toolkit Logging Services Services (LRS) Messaging Orchestration ETL Privacy Registration National EHR Registries and Domains Shared National EHR Registries National EHR Domains National Analytics Client Registry Provider Registry Location Registry Medical Imaging Laboratory Results Pharmaceutical Clinical Document Encounter History Performance Population Based Business Intelligence Immunization History History Repository Management Analytics Infectious Disease History The “glue” that binds all this together Record and maintains integrity and security across the system Examples: Examples: • • Order Communications / Single MPI • Results Reporting Scheduling • • Medicines Management Clinical Notes / Records • • Clinical Notesstems Screening & Surveillance Community Acute Operational Operational Systems Systems Private GP Systems Hospitals Pharmacy Other healthcare providers will access and contribute to the National Individual Health Identifier Shared Record through the Integration Capability The Individual Health Identifier Programme is a key enabler that allows information to be shared about a patient Delivering eHealth Ireland | Office of the Chief Information Officer #EHRPersonas #eh2030
Transformation – Not an IT Project! The National Electronic Health Record is ! not a large IT project The National EHR implementation is not considered an IT programme but is being approached as a broader change and transformation journey It is a clinically led programme because the National EHR is a crucial element that will help deliver new models of care and greater standardisation of care processes and pathways Delivering eHealth Ireland | Office of the Chief Information Officer #EHRPersonas #eh2030
The EHR Persona Development Project Why develop Personas? The process of engaging with stakeholders to create the Personas and Scenarios helps to develop and deepen the Requirements set of National EHR requirements in a way that is Development meaningful for all stakeholders. The approach also takes a more holistic view of overall outcomes required. The Personas and Scenarios help make the National EHR real by outlining how interactions will look and feel in Communications and the future. This will be important as part of clinician, health Engagement service worker and citizen engagement and communication. The Personas and Scenarios can be used as part of managing the engagement with potential suppliers. They Managing provide a consistent set of cases through which suppliers Supplier can illustrate functionality and showcase how they can Engagement achieve the outcomes that will address some of our existing challenges Delivering eHealth Ireland | Office of the Chief Information Officer #EHRPersonas #eh2030
Primary Care Persona Example John O’Brien Bio John is a 60 year old self-employed carpenter. He likes to spend time with his family which includes using technology to keep up with his children and grandchildren. John doesn’t pay too much attention to his own health and wellbeing. Health Status John smokes about 1 pack of cigarettes a week. He describes himself as being reasonably healthy but he rarely goes to see a doctor for check-ups. Sometimes he has shortness of breath. John at a Glance Whenever he is sick, he’s not good at following treatment regimes. • Age: 60 • Location: Sligo • Goals Family Status: Married with 4 Children He wants to stay healthy without having to make major adjustments to his lifestyle. • Education: Leaving Cert • Employment Status: Self Employed Frustrations/Fears He doesn’t like interacting with the health service and is very protective of his personal healthcare Personality information. Extrovert Introvert Technology Smartphone/ Broadband Access Tablet Organised Disorganised Tech Comfort Internet Usage Emotional Rational Low High Low High 7 Delivering eHealth Ireland | Office of the Chief Information Officer #EHRPersonas #eh2030
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