HISI Conference 2011HISI Conference 2011

Health Technology and Health Technology and Information StandardsInformation Standards

Peter LennonPeter LennonDepartment of HealthDepartment of Health

Context -The Irish Health Context -The Irish Health SystemSystem

Fragmented –YesFragmented –Yes

Dysfunctional -?Dysfunctional -?

Facing Major Change –YesFacing Major Change –Yes

Everyone Working Together……… -DesirableEveryone Working Together……… -Desirable

Role of Technology and Information appreciated -?Role of Technology and Information appreciated -?

Opportunities -Definitely/MaybeOpportunities -Definitely/Maybe

Regulating the Irish Health Regulating the Irish Health SystemSystem (Formal) (Formal)

EU EU

ConstitutionConstitution

Common lawCommon law

Statute lawStatute law

StandardsStandards

Codes of PracticeCodes of Practice

GuidanceGuidance

Internal Rules, Polices, Procedures Internal Rules, Polices, Procedures

Regulating the Irish Health Regulating the Irish Health SystemSystem

Cultural Factors Cultural Factors

Two Ps Not in a PodTwo Ps Not in a Pod

People People

ProcessesProcesses

Standard SettingStandard Setting

Three Organisations/ Three Three Organisations/ Three Philosophies? Philosophies?

NSAINSAI

HIQAHIQA

Global StandardsGlobal Standards

Health Act 2007Health Act 2007

Established HIQAEstablished HIQA

Set out its functionsSet out its functions

Made it clear that HIQA is a standard Made it clear that HIQA is a standard setting bodysetting body

Health Information BillHealth Information Bill

ContentsContents

ApproachApproach

StandardsStandards

ContentContent

Stengthen rights of individualsStengthen rights of individuals

Address certain patient safety issuesAddress certain patient safety issues

Legal framework for Individual Health Legal framework for Individual Health IdentifierIdentifier

Legal Framework for Health Provider IdentifierLegal Framework for Health Provider Identifier

New Research Ethics Approval StructureNew Research Ethics Approval Structure

ContentContent

Prescribed Data Matching ProgrammeaPrescribed Data Matching Programmea

Prescibed Health Information ResourcesPrescibed Health Information Resources

Genetic Data and TestingGenetic Data and Testing

Support Inter-OperabilitySupport Inter-Operability

ApproachApproach

Pragmatic rather than merely Pragmatic rather than merely aspirational for the sake of looking aspirational for the sake of looking goodgood

Approach build on the Data Protection Approach build on the Data Protection ActsActs

Avail of HIQA’s expertise and use Avail of HIQA’s expertise and use standardsstandards

StandardsStandards HIQA will set standards on management of HIQA will set standards on management of

-personal data -personal data -personal health data -personal health data -other health data when associated with persoanl -other health data when associated with persoanl data and or personal health datadata and or personal health data

Above standards will have to be approved by Above standards will have to be approved by Data Protection CommissionerData Protection Commissioner

Minister will set standards on inter-operability Minister will set standards on inter-operability with HIQA involvement with HIQA involvement

Standards will apply across the health system Standards will apply across the health system

What does Legislation AchieveWhat does Legislation Achieve

For the most part, only a starting pointFor the most part, only a starting point

Needs PROMOTION and ENFORCEMENTNeeds PROMOTION and ENFORCEMENT

Needs organisational buy-inNeeds organisational buy-in

Needs cultural changeNeeds cultural change