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Breaking the mould
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1
Mr. Tony O Brien Director General of the Health Service
Wednesday, April 2nd 2014
Health Services Reform – Breaking the Mould
Reform – Breaking the Mould
A bad system will beat a
good person every time
W. Edward Deming
Of all changes I’ve
observed 5% were improvements, the rest, at best, were
illusions of progress
Since 1924 Healthcare…
Culture
“NEVER EVENTS”
Culture – Breaking the Mould
HSE in Transition
PASTFUTURE
Healthcare Commissioning Agency
- Purchaser Provider Split
News ways of working
Reform Programmes
Hospital & Community
Organisations
Breaking the Mould Transformation from Industrial Age Healthcare
to Information Age Healthcare
Person
Community
Primary
Secondary
Tertiary
Individual Self-care
Friends & Family
Community Networks
Professionals as Facilitators
Professionals as Partners
Professionals as Authorities
Transformation Through Reform, LeadershipCost-Effective Use of Information & Communication
Technologies
Industrial Age Healthcare Information Age Healthcare
Source: Adapted from Malaysian Telemedicine Blueprint
Health Services Reform – Breaking the Mould
Range of Services
Supported by…
DIRECTORATE Financial Reforms TECHNOLOGY
Integration
Care that is • Safe, timely efficient • Lowest level of complexity • Close to home as possible
• National Clinical Programmes • Clinical Lead in Division• QPS in each Division
10
National Service Plan 2014
Examples of Some Service Developments
Patient Safety is ParamountQuality Care Costs. Poor Quality Care Costs More
Reform – Breaking the Mould
Thank you for your time today