Oireachtas Joint and Select Committees

Wednesday, 25 January 2023

Joint Oireachtas Committee on Health

Electronic Health Records: Discussion

Mr. Fran Thompson:

It is beginning to be used in healthcare settings. The biggest challenge we have faced with the individual health identifier, IHI, was not the overall index; it was the population of that index into individual solutions. Part of the challenge is to make sure we absolutely uniquely identify the person before we assign him or her an IHI. We have started with some of our big solutions. We are rolling the IHI out to our patient administration systems. We have started in the north west and are working our way down the country. We are approximately 36% of the way there in Letterkenny University Hospital; 58% of the way there in the Saolta University Health Care Group; 72% of the way there in Dublin Midlands Hospital Group; and approximately 75% of the way there in the Ireland East Hospital Group. We have also rolled it out into other areas such as the primary care reimbursement service, PCRS, health screening, Covid and GP practices. We are rolling it out to any message that goes across our health link bus. We have seen approximately 30 million messages through our health link bus. This allows us to communicate between primary care, GPs and acute hospitals. We will take those messages and put the IHI into them. We are rolling the IHI out quite considerably. In addition, we utilise it within our data lake when we are bringing data together. We can aggregate those data to try to get views of patients across the totality of the solutions.

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