Recommendations for Unique Health Identifiers for Healthcare Practitioners and Organisations

Tracy O’Carroll

17 November 2011

Remit

To drive continuous improvements in the quality

and safety of health and social care in Ireland

Background

Health Act 2007, establishment 15 May 2007

independent - reporting to Minister for Health and Children

close relationship with people using the service, professionals, providers, public, communities, media, stakeholders

person-centred ethos of “working with” not “doing to”

Functions

Social Services Inspectorate (SSI) – residences for older people, people with disabilities, children, etc

Health Technology Assessment (HTA) - colorectal cancer, HPV in cervical screening, prion filtration of red cell concentrates

Healthcare Quality and Safety (HQS) – standard setting and monitoring function in acute hospital setting

Health Information (HI) - Technical Standards, Information Governance Standards, Standards for National Health Information Sources, Health Identifiers – IHI, HPI, HOI

Agenda

introduce the Healthcare Practitioner Identifier (HPI) and

Healthcare Organisation Identifier (HOI) concepts

rationale for project

objective of project

benefits of HPI/HOI

national and international

vision for a central registry & proposed data structure

phasing

overall recommendations

Concepts

Healthcare Practitioners identifier (HPI) A unique, non-transferable lifetime number assigned to a

healthcare practitioner. Its purpose is to identify the individual as one and the same person and to allow the “attaching” of other information, for instance address and contact details.

Healthcare Organisation Identifier (HOI) A HOI uniquely identifies all healthcare organisations in Ireland.

It willallow the attaching of a set dataset for example location, contact details and site details.

Individual Health Identifier (IHI)***

Rationale for project

National Health Information Strategy (2004)

Health Act 2007

Commission on Patient Safety and Quality Assurance (2008)

Health Information Bill

Objective

identify benefits of HPI and HOI

identify what is in place nationally and in international jurisdictions

recommend a model to implement the HPI and HOI in Ireland

advise on the most appropriate order to phase in HPI and HOI

Benefits

Benefits

Healthcare Sector

Professional

Regulatory Authorities

Healthcare Organisatio

ns

Service Planners

Healthcare Practitioners

Service Users

Benefits

National

Medical Council of Ireland

Pharmaceutical Society of Ireland

The Nursing Board (An Bord Altranais)

Dental Council of Ireland

Health and Social Care Professional Council (CORU)

SSI – Health Information and Quality Authority

Opticians Board

Pre-Hospital Emergency Care Council (PHECC)

International

Australia Australian Healthcare Practitioner Registration Authority – HPI-I Medicare Australia – HPI-O

New Zealand Ministry for Health maintains a central registry - Health Provider Identifier for

Organisations (HPI-ORG), Facilities (HPI-FAC) and Common Person Number (HPI-CPN)

England The spine directory service (SDS) consists of a National Register of Healthcare

Professionals and a Register of Healthcare Organisations

Norway Registration Authority for Health Professionals maintains the Health Personnel Number

(HPR) Companies and business office maintains healthcare registry (public and private) -

Business Enterprise Organisation Number

Sweden The National Board of Healthcare Professions issues a unique identifier (förskrivarkod)

to healthcare professionals. The Centre of Epidemiology within the National Board of Health and Welfare issues the

registreringsnummer to hospitals and healthcare units

Canada Canadian Institute for Health Information (CIHI) feasibility assessment of the National

Unique Identifier (NUI) for all healthcare providers Western Health Information Collaborative (WHIC) - issues identifier to healthcare

organisations

Vision for a central directory

SOURCES

ORGANISATIONS

SOURCES

PRACTITIONERS

Consumer

Consumer

Consumer

Consumer

CENTRALDIRECTORY

HPI and HOI

ISO 27527

Consumer

Consumer

Consumer

Central Directory A central directory populated with up to date and accurate information relating to healthcare practitioners and organisations. This information may be sourced from existing data sources, that is professional regulatory authorities or existing information and communication technology systems. It should be governed, managed and maintained by an authority.

International Standards Organisation Technical Standard 27527 (ISO TS 27527)

This technical specification is the result of arecognised need within the health industry

need fora common, best practice approach to the way

datais captured, stored and managed for the

purpose ofidentifying providers.

Proposed data structure for identifiers

Identification Number

Health Practitioner Identifier (HPI)

Identification Record

· name· demographic details· address details· electronic communication details

Directory Record

· field of practice· registering body· professional and academic qualifications· organisation (for each organisation work in)

Identification Number

Healthcare Organisation Identifier (HOI)

Identification Record

· organisation name· address· electronic communication details· commissioning details · site(s) details

Directory Record

· services· functions

HPI phasing

HOI phasing

1. Groups of healthcare organisations that are

currently registered

2. Units that will be obliged to attain

licensing

3. All remaining healthcare organisations

Recommendations

1. Unique identifiers for healthcare practitioners and organisations should be introduced in Ireland.

2. A central directory should be established that contains unique identifiers for healthcare practitioners and organisations and should be established as the primary trusted source of core identity information in relation to healthcare practitioners and organisations.

3. The Health Information Bill should assign a designated agency with the task of governance, implementation and maintenance of a central directory.

Overall Recommendations

4. The HPI and HOI should be phased in

5. The dataset to be associated with the identifiers for practitioners and organisations should be based on the international standard ISO/TS 27527, adapted for use in Ireland.

6. Each professional regulatory authority should upload the standard dataset at set intervals to the central directory.

Next Steps

If approved by the Minister:

the Authority will work with the DOHC through the Health Identifiers Group to ensure that the implementation of the recommendations are progressed.

the Authority will work with the designated agency to ensure that the development of a practitioners and organisations registry is compliant with our recommendations.

The full and summary report

Recommendations for Unique Health Identifiers for

Healthcare Practitioners and Organisations

http://www.hiqa.ie/publications

THANK YOUTHANK YOU