Time for Change

A Time for Everything

“There is a time for everything”.  It’s not the norm to start a tech blog with a quote from the bible, and I promise not to make a habit of it, but there is a time for everything, and we are certainly in a time of change. I’ve joined the CCIO team to try to help that change; not for the CCIO or the eHealth Ireland team, but for those who work in the Irish Health Service and those who use it. We’re often told that the most dangerous phrase is “That’s the way we’ve always done it”, however waving that at our natural fear of change can be quite unhelpful. So let’s talk about change.

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Personas and Scenarios

The HSE’s Chief Information Officer and the Clinical Strategy and Programmes Directorate are currently developing ‘Personas’ and ‘Scenarios’ to support the introduction of Electronic Health Records (EHR). As part of this project, a series of workshops for those working in the health services and also patients/service users was held on January 31st and February 1st.

One of the challenges of developing an EHR is capturing the diversity of needs it must address. Even a seemingly straightforward clinical setting will involve multiple interactions with multiple information sources.  Contemporary mental health practice is focused on the community, but  at the same time acute psychiatric units now co-located  in acute general hospitals, and mental health issues very commonly arise simultaneously with general health needs, there is considerable overlap with the hospital system. Mental health services increasingly integrate  multiple models of mental health, not only a purely medical one; while simultaneously safe psychiatric practice requires access to laboratory and imaging systems to the same degree as other medical disciplines.

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