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1 Mr. Tony O Brien Director General of the Health Service Wednesday, April 2 nd 2014 Health Services Reform Breaking the Mould

Tony O'Brien, Director General of the Health Service

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Breaking the mould

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Page 1: Tony O'Brien, Director General of the Health Service

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Mr. Tony O Brien Director General of the Health Service

Wednesday, April 2nd 2014

Health Services Reform – Breaking the Mould

Page 2: Tony O'Brien, Director General of the Health Service

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

Page 3: Tony O'Brien, Director General of the Health Service

Since 1924 Healthcare…

Page 4: Tony O'Brien, Director General of the Health Service

Culture

“NEVER EVENTS”

Page 5: Tony O'Brien, Director General of the Health Service

Culture – Breaking the Mould

Page 6: Tony O'Brien, Director General of the Health Service

HSE in Transition

PASTFUTURE

Healthcare Commissioning Agency

- Purchaser Provider Split

News ways of working

Reform Programmes

Hospital & Community

Organisations

Page 7: Tony O'Brien, Director General of the Health Service

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

Page 8: Tony O'Brien, Director General of the Health Service

Health Services Reform – Breaking the Mould

Range of Services

Supported by…

DIRECTORATE Financial Reforms TECHNOLOGY

Page 9: Tony O'Brien, Director General of the Health Service

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

Page 10: Tony O'Brien, Director General of the Health Service

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National Service Plan 2014

Examples of Some Service Developments

Page 11: Tony O'Brien, Director General of the Health Service

Patient Safety is ParamountQuality Care Costs. Poor Quality Care Costs More

Page 12: Tony O'Brien, Director General of the Health Service

Reform – Breaking the Mould

Page 13: Tony O'Brien, Director General of the Health Service

Thank you for your time today