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

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 valued and supported at every level of society and is everyone’s www.healthyireland.ie Delivering eHealth Ireland | Office of the Chief Information Officer

Healthy Ireland Goals Increase the proportion of Reduce people who Protect health are healthy at Create an the public inequalities environment all stages of from where every life individual and threats to sector of health and society can wellbeing play their part in achieving a healthy Ireland Delivering eHealth Ireland | Office of the Chief Information Officer 3

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 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 of 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 Delivering eHealth Ireland | Office of the Chief Information Officer

Partnerships & Collaborative Approach Healthcare Other Potential Providers Agencies Policy Makers External Public Service Technology Partners Enablers Delivering eHealth Ireland | Office of the Chief Information Officer 6

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 Delivering eHealth Ireland | Office of the Chief Information Officer 7

The Data Dictionary Many Data Sources But ‘A Single Source of Truth’ Delivering eHealth Ireland | Office of the Chief Information Officer

Data Dictionary Delivering eHealth Ireland | Office of the Chief Information Officer

MIDAS Candidate Datasets  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. Delivering eHealth Ireland | Office of the Chief Information Officer 10

Primary Care Reimbursement Service in 2015 Over € 2,500M payments and Total Payments and Reimbursements – 2015 reimbursements € 2,558.46m Total Payments & Reimbursements 2015 € 348.03m GP Fees € 141.66m GP Allowances € 0.62m Investment in General Practice Development € 956.75m Pharmacist Drugs and Medicines € 371.64m Pharmacist Fees and Stock Order Mark-Up € 18.10m Pharmacist High Tech Patient Care Fees € 544.19m Manufacturers / Wholesalers High Tech Drugs and Medicines € 66.51m Dentists € 31.74m Optometrists / Ophthalmologists € 13.33m Hospital - Oncology Drugs and Medicines € 24.19m Hospital - Hepatitis C Drugs and Medicines € 7.02m Outpatient Parenteral Antimicrobial Therapy (OPAT) - Drugs, Medicines and Appliances € 34.68m Administration The figures detailed in this table have been rounded for reporting purposes. Delivering eHealth Ireland | Office of the Chief Information Officer 11

Hospital Inpatient Enquiry (HIPE) • Single le rec ecord rd per er disch char arge ge (~1.6m/year) • Demogra ographic 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 Delivering eHealth Ireland | Office of the Chief Information Officer 12

HIPE - Patient Admitted Info. Dataflow HIPE coder Monthly : HIPE coder Patient retrieves chart, runs Checker data Admitted validation suite across codes case to HIPE all coded cases, ,data edits reject conducts audits and spurious data. quality review, corrects Coder corrects HIPE if necessary incorrect PAS data Uncoded (unchecked) data from PAS to national file End of Patient details Month th export Data entered on uploaded PAS from Hospital to from PAS to HIPE national file HIPE (CODED DED) Patient receives care, HIPE coded and Patient National clinicians uncoded data Discharged, level used for discharge document in information checks run national medical record entered on PAS reporting Delivering eHealth Ireland | Office of the Chief Information Officer 13

HIPE Discharges 2015 Total Discharges 1,664,066 (100%) 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%) Day Patients Elective 99,086 1,029,860 (61.9%) Emergency Maternity (6.0%) 417,330 117,790 Mean LOS: 6.7 (25.1%) (7.1%) Median LOS: 2 Mean LOS: 6.3 Mean LOS: 2.6 Median LOS: 2 Median LOS: 2 Delivering eHealth Ireland | Office of the Chief Information Officer 14

Uses for HIPE Data  Activity Based Funding  Measuring Quality of care  Clinical Audit  Investigation  Research  Health Technology Assessment  Policy  Planning and Measurement  Clinical Strategy and Programmes  International reporting Delivering eHealth Ireland | Office of the Chief Information Officer 15

HSE BI Platform Type Application Functionality Existing Applications Manage Microsft SQLServer, migrating to Azure in 2017 Enterprise Data Warehouse ment Data SSIS Data Collection Interfaces (ETL, etc) SQLServer, AD Data Security Management SAS Advanced Analytics Analysis & Creation SSAS OLAP Content SAS Predictive modelling SSRS, PowerBI, Qlikview, nPrinting Simple Report Creation PowerBI, Qlikview, potentially Qliksense Bi-Modal Data mashup and modelling Distribut Publicati Dashboard & Reporting Suite SSRS, PowerBI, Qlikview, nPrinting Content on & ion Mobile BI Qlikview Embedded BI .Net and Qlikview Delivering eHealth Ireland | Office of the Chief Information Officer 16