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Joint Oireachtas Committee on Health: Electronic Health Records: Discussion (25 Jan 2023)

Neasa Hourigan: The business case for ICT in the national children's hospital must have been written down in 2009.

Joint Oireachtas Committee on Health: Electronic Health Records: Discussion (25 Jan 2023)

Neasa Hourigan: The HSE is still linking the rest of the EHR to the national children's hospital.

Joint Oireachtas Committee on Health: Electronic Health Records: Discussion (25 Jan 2023)

Neasa Hourigan: I do not mean to cut across Mr. Thompson but I have only six minutes. To learn from the electronic healthcare records process in the national children's hospital, that hospital will have to be up and running and we will need a certain cohort of data. How do we get this, starting now, without having to wait 12 or 18 months for the hospital to be open? By the way, it will not be until the...

Joint Oireachtas Committee on Health: Electronic Health Records: Discussion (25 Jan 2023)

Neasa Hourigan: How do we know whether an EHR system is working if we do not have patients to test it against and if it is simply just commissioned in the building?

Joint Oireachtas Committee on Health: Electronic Health Records: Discussion (25 Jan 2023)

Neasa Hourigan: Mr. Thompson, I know about commissioning in healthcare building.

Joint Oireachtas Committee on Health: Electronic Health Records: Discussion (25 Jan 2023)

Neasa Hourigan: There needs to be an occupancy record to show it is working.

Joint Oireachtas Committee on Health: Electronic Health Records: Discussion (25 Jan 2023)

Neasa Hourigan: It requires at least 12 months up to 18 months.

Joint Oireachtas Committee on Health: Electronic Health Records: Discussion (25 Jan 2023)

Neasa Hourigan: We are still waiting for that system to be in place before we move to the business case for the rest of the healthcare system and a procurement process.

Joint Oireachtas Committee on Health: Electronic Health Records: Discussion (25 Jan 2023)

Neasa Hourigan: Will Mr. Thompson give me a timeline for this?

Joint Oireachtas Committee on Health: Electronic Health Records: Discussion (25 Jan 2023)

Neasa Hourigan: No, a timeline for the completion rather than the starting.

Joint Oireachtas Committee on Health: Electronic Health Records: Discussion (25 Jan 2023)

Neasa Hourigan: What about a ballpark? Let us start with when the HSE is going to start.

Joint Oireachtas Committee on Health: Electronic Health Records: Discussion (25 Jan 2023)

Neasa Hourigan: We have been working on this since 2013.

Joint Oireachtas Committee on Health: Electronic Health Records: Discussion (25 Jan 2023)

Neasa Hourigan: From 2018, other than on the newborn system, all work on electronic healthcare records ceased.

Joint Oireachtas Committee on Health: Electronic Health Records: Discussion (25 Jan 2023)

Neasa Hourigan: What does that mean? Was it hospital by hospital?

Joint Oireachtas Committee on Health: Electronic Health Records: Discussion (25 Jan 2023)

Neasa Hourigan: The point of electronic records is that they are global in that they encapsulate all information. If the information continues to be spotted for five or more years, what is the benefit? It seems incredible we are here in 2023 when we set off on this journey in 2013. It seems we have not even started the work.

Joint Oireachtas Committee on Health: Electronic Health Records: Discussion (25 Jan 2023)

Neasa Hourigan: I completely accept that. My point is that it is a flawed methodology to link this to a particular hospital when that hospital has been desperately delayed for many years.

Joint Oireachtas Committee on Health: Electronic Health Records: Discussion (25 Jan 2023)

Neasa Hourigan: I would like to be asking more detailed questions about its operation. I had many questions on the capacity for data collection and how we will link it to staffing. I do not see any point in asking them when we are at this stage.

Joint Oireachtas Committee on Health: Electronic Health Records: Discussion (25 Jan 2023)

Neasa Hourigan: We will speak to another group after this session. Will electronic healthcare records be deployed for the sake of evidence-based decision-making and disaggregated data? I sit on many committees and the lack of disaggregated data comes up almost every week. The HSE and the Department of Social Protection are the key players in this.

Joint Oireachtas Committee on Health: Electronic Health Records: Discussion (25 Jan 2023)

Neasa Hourigan: Is the HSE making headway in establishing research support functions for universities and whoever might require those disaggregated data or any other data?

Joint Oireachtas Committee on Health: Electronic Health Records: Discussion (25 Jan 2023)

Neasa Hourigan: Are there plans to do so when EHR is fully operational?

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