Vincent Jordan is the Delivery Director for ICT Services to Acute Hospitals for the Office of the CIO (OoCIO), HSE Ireland. Vincent worked in a variety of roles in the IT industry before joining the health service in 2003. Since then he has been responsible for planning, procuring and implementing a wide range of health information system across primary, community and hospital services. In more recent times Vincent has been responsible for preparing ICT strategy in the acute hospital area and delivering a broad portfolio of information systems.
In his current role of Delivery Director for Acute Hospitals Vincent is responsible for OoCIO engagement with Acute Hospitals, including aligning ICT strategy, governance and investment nationally and with hospital groups; sponsoring major ICT developments; and ensuring OoCIO delivers the maximum value to patients and the taxpayer with the resources available.
Major ICT Projects in Acute Hospitals
There are currently more than 60 ICT projects in train in the Acute Hospitals. Some of these are featured in Case Studies. A brief description of the more significant projects now follows:
Integrated Patient Management System (IPMS)
This project is deploying a new Patient Administration System (PAS) to hospitals. The PAS is the main information system supporting day-to-day operations and is used to record all activity including referrals, waiting lists, admissions, outpatient appointment/attendances, emergency department attendances, transfers/discharges, etc. 28 acute hospitals now run this new system and the rollout process is continuing. Current work is focussed on the University of Limerick (UL) Hospitals Group, where the first site - UL Hospital, Limerick - is scheduled for go-live on 26th June 2015.
National Integrated Medical Imaging System (NIMIS)
NIMIS is moving Ireland’s radiological services towards ‘filmless’ and "paperless" operations and enables secure and rapid movement of patient image data throughout the health service. This new imaging system allows doctors to electronically view their patient’s diagnostic images, such as X-Rays and CT Scans, quickly and easily. The rapid access and availability of patient’s records to health professionals is a significant step for service responsiveness and patient safety. 41 hospitals are currently operating the new system and the rollout continues. You can find out more about NIMIS here
The National Medical Laboratory Information System (MedLIS) project will deliver a single national standardised laboratory information system replacing the multiple systems currently in use across the 43 laboratories in the acute hospitals. The strategic goal of the project is to ensure that patients’ healthcare providers have rapid 24-hour access to laboratory data across all sites. The implementation process for the new system commenced in the autumn of 2015 and full national rollout is likely to take approximately 4 years to complete. A programme brief is available here.
Maternal & Newborn
The Maternal and Newborn Clinical Management System (MN-CMS) is currently being configured and built for implementation in the 19 hospitals delivering obstetric and neonatal services. The system is a full Electronic Patient Record for these services and will support improved patient care and safety of services by ensuring all clinicians involved in each patient’s care has full access to the complete medical record when and where required. A programme brief is available here.
The Electronic Blood Tracking System is an automated system used to track all blood used in hospitals so that a full record is maintained from donor to recipient including the storage of blood in the intervening period. Strict environmental control of storage of blood is required and the duration of time that blood is outside of fridge temperature must be monitored for quality assurance purposes. The new automated system is now used across hospitals and its use within each site is being extended so as to achieve full use in the final stage of the blood journey – i.e. transfusion.
Progress updates for this Project can be found here
A case study for EBTS can be found here
The Kidney Disease Clinical Patient Management System (KDCPMS) is an electronic patient record system designed to improve care for all patients who attend a Renal (kidney) Specialist Team in Ireland. The KDCPMS programme is jointly managed by the Office of the CIO and the National Renal Office. A KDCPMS case study is available here.
The Endoscopy Reporting System project has deployed an IT system in endoscopy departments in order to streamline the production of diagnostic reports and ensure an efficient system for communication and storage of, and access to, reports and their associated endoscopy images. The final phase of this project completed on time in October 2017 and through the project lifetime there have been 29 implementations of either the Unisoft or EndoRAAD ERS.
Track & Trace
The Track and Trace System is used to track all Reusable Invasive Medical Devices (RIMDs) through their cleaning and decontamination processes and to trace their usage on patients. The devices comprise a variety of sterile instruments and endoscopes. The system being deployed helps lessen contamination risk, ensure compliance with required standards and assures quality. It maintains better quality decontamination records and enables ready access to the records. The system is highly automated using scanning technology and GS1/MS1 coding. It has been implemented in very many sites to-date and the rollout process is continuing.
You can find a case study about this here
Diagnostics Quality Improvement
Quality Improvement Programmes are an integral part of the histopathology, radiology and endoscopy services and are led by the respective Faculties in the Royal Colleges of Physicians/Surgeons in Ireland. ICT support systems are being rolled out to complement these programmes in each of these specialist areas. These systems collect key indicators for local and central reporting, for setting benchmarks and monitoring achievement of them. Additionally, in the case of radiology the ICT system provides operational workflow support for delivering peer review and communication of unexpected findings. The ICT systems are now extensively rolled out across hospitals delivering these services. The rollout process is continuing through 2015/16 in order to get all hospitals covered. Further information on the Specialty QI Programmes may be found on the RCPI website.
An increasing number of the intensive care facilities in hospitals have deployed full Electronic Patient Records within their departments. These systems integrate with physiological monitoring equipment and enable a central view of all relevant clinical information on patients in the ICU. They enhance record keeping, access to information and support clinical decision making. Most of the major teaching hospitals have deployed these systems over the last few years and other hospitals will be supported to do so.
An Electronic Patient Records System has been developed at Beaumont Hospital and is supported by the National Epilepsy Programme and the Office of the CIO for full national rollout. Considerable progress has now been made and the system is accessible from 9 acute hospitals, with the remaining 4 acute hospitals to follow shortly. Additionally, access to the system is being made available from other outreach centres and services as required. The system provides a full electronic record supporting prompt clinical decisions and continuity of acre across various settings. It also provides valuation knowledge and information about services for quality review and service planning.
You can read a case study about the Epilepsy EPR here.
Also of interest may be the PISCES project which builds on the success of the Epilepsy EPR project
The Irish National Orthopaedic Register (INOR) is being established which will define the epidemiology of joint replacement surgery in Ireland, provide timely information on the outcomes of joint replacements and identify risk factors for a poor outcome. A new central ICT system is under development to support INOR, which will collect a detailed dataset on each joint replacement procedure carried out in Irish hospitals, both public and private. The system will support local and central reporting and will facilitate easy identification of affected patients in the event of implant recall. INOR will increase patient safety, confidence and the overall patient experience. Its rollout will commence in 2015.
You can find out more about the INOR project here
Emergency Care Programme
A national Computer Aided Dispatch system has been implemented within the National Ambulance Service in Dublin and Ballyshannon to support the management of ambulance emergency calls. This includes an integrated communications systems and information displays screens in all Emergency Departments notifying them of incoming ambulances. All emergency ambulances will be fitted with Mobile Data Terminals to support real-time vehicle tracking and digital mapping, ensuring that the nearest available ambulance reaches the scene as quickly as possible. Paramedics are being issued with tablet computers so that they can electronically record patient care details, which are then available to the hospital before the ambulance arrives. Within hospitals, stroke consultants can use a new telemedicine system to remotely consult with patients, greatly improving assessment times.