Health Intelligence Priorities

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Health Intelligence Priorities Developments
for Health

• Dr Davida De La Harpe
• Assistant National Director of Population Health
  HSE
• University of Limerick meeting

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Introduction

• Transformation and Change in HSE
• What is population health?
• What is health intelligence?
• Where does research fit?
• The future?

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HSE STRUCTURE Administrative Areas
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Executive Structure
Board
Audit
CEO
Office of the CEO
SPRI Steering Group Unit
Expert Advisory Groups
Corp. Plng. Ctrl. Processes
NHO
PCCC
Children
Corporate Services
Population Health
HR
Finance
Ageing
ICT
Shared Srvs.
Disability
Cancer
Procure
Estates
Surgery
Health Services
A E
Support Services
Medicine
Mental Health
Reform Innovation
Examples
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Our Mission OurFundamental Purpose

• To enable people
• live healthier and
• more fulfilled lives

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Research

• A systematic and rigorous process of enquiry that
  aims to increase knowledge-
• When applied to health it aims to improve
  health, health outcomes and health services

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The Population Health Directorate

• Population Health's mission is to promote and
  protect the health of the population
• Emphasis on reducing health inequalities.
• Takes account of all determinants of health and
  recognises that good health is the responsibility
  of everyone
• Acts as a unifying influence for the entire
  health service, tries to ensure that a Population
  Health approach supports and informs the planning
  and delivery of health services in Ireland.

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Population Health Structure
Population Health
HR
Health Intelligence
Health Promotion
Health Protection
Emergency Planning
Strategic Planning
Environmental Health
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Population Health Function

• A Population Health Approach includes the
• Following
• Using the best health intelligence for planning,
  evaluation and performance management
• Planning for health and not just health services
• Promoting equity as a strong value in the health
  system
• Applying research evidence to improve health
  outcomes
• Adopting a formal approach to needs assessment to
  identify gaps in the service
• Re-orientating service delivery from hospitals to
  primary care and health promotion
• Providing services which are integrated within
  the health sector and with those of other sectors
• Working with other sectors to improve health to
  include public involvement
• Demonstrating a better return for society from
  investment in health

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Major Changes
From
Change Area
To
Acute/Episodic
Chronic Acute/Episodic
Illness Cure
Wellness Prevention
Healthcare System
Hospital/Surgery
Paper-based
Computer-based
Expert Opinions
Evidence Base
Individual Population
Individual
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Health Intelligence

• Health Intelligence is part of Population Health
  service within the Health Service Executive (HSE)
  and is responsible for capturing and utilising
  knowledge to improve health outcomes for the
  population
• Cross directorate supports and linkages
• External linkages and collaborations

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Health Intelligence components

• Small team in Dublin
• Others locally based throughout the country

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Health intelligence provides

• HIPE analysis and commentary
• Demographic data
• Mapping services
• Evidence based supports and teaching
• Advice on research projects and applications
• Internal HTA supports

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What does Health Intelligence do?

• Health Information and Surveillance
• Evidence Based Health Care, Research, and
  Development
• Support for Health Technology Assessment and
  Health Impact Assessment providing all those who
  make decisions in the HSE with high-quality
  information or tools to determine potential
  impacts of decisions on provision of new
  technologies or other developments on health and
  health inequalities
• Knowledge management Capturing, collating,
  storing and sharing knowledge
• Linkages between health care professionals and
  relevant health care information.

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Building Capacity

• Ability to seek evidence based information,
  synthesize and utilise it to improve patient care
• E-resources key tool for knowledge management
• Networking increasingly important learning from
  each others perspective (e.g.CHAIN)

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Transformation Programme2007-2110

• Transformation of health and social services
  calls for a change in
• What we do
• How we do things
• How we work together
• How we all commit to each other
• to enable people live healthier and more
  fulfilled lives
• Health intelligence underpins and facilitates this

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Transformation priorities

• Transformation priorities - 6 in total focus on
  3
• Integrated patient journey
• Ensure all staff engage in transforming health
  and social care in Ireland
• Implement a model for population health and the
  prevention and management of chronic illness -
  Pop Health

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Health intelligence

• Intelligence is experience integrated and
  realised. Our journey involves unlearning what we
  know, seeing things in new ways and engaging
  dynamically in evolving how we perceive
  everything. It starts by knowing where we are and
  where we want to go. Knowledge is having
  information. Intellect is the ability to use it.
• Intelligence is the gift of seeing beyond it,
  seeing new relationships and thinking laterally,
  outside the box, it is the power of applying and
  abstracting dynamically. (M. E. Meegan)
• Applying this to our services and a population
  health approach

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HSE research supportoverriding priority

• to ensure that investment ensures optimal
  delivery of services at a systems and individual
  level in the context of our population health
  approach

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Health intelligence role

• enhance information, knowledge and resource
  exchange among researchers, care providers and
  policy makers and the public
• Feed in directly to reviews, service planning,
  horizon scanning, research

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Things we need to do now

• Enhance capacity
• work across boundaries within and outside the HSE
• use the information we have in a better way
• Develop more innovative approaches to
  information and knowledge management
• Addresses -coding
• Health identifier?
• ? Legislation to allow better linking of patient
  information

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Key areas(1)

• Health service research-
• Getting research into practice-translational
• scientific discoveries must be translated into
  practical applications
• The knowledge required to deal with a majority
  of questions that arise exists- but accessing it
  is an issue

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Key areas(2)

• Participatory research- researchers actively
  engaging with the organisation or setting they
  seek to study
• evidence-based information on healthcare
  outcomes, quality, and on cost, use, and access.
• Our priority research should prevent cancer,
  heart disease, stroke, and lung disease by
  developing and evaluating policies, programs,
  communications, and other tools to change the
  social, behavioural, economic and biological
  determinants of these diseases

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Knowledge needs

• How to increase physical activity, improve
  diets, as well as reduce tobacco use, obesity,
  high blood pressure, stress, diabetes, drug and
  alcohol abuse, income inequality, poverty,
  illiteracy, etc
• Not all in the domain of HSE- but we should be
  influencing

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Research strategy

• Research consultation process
• Current work programme
• METR
• Therapies research strategy
• Childrens research startegy
• Ethics- survey etc
• Data protection and governance
• Transformation -enabler

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HI -

• www.healthintelligence.ie
• www.factfile.ie
• Developing more web-based resources inc intranet-
• Evidence based health care
• Programme developed- teaching sessions- working
  with EAGs etc
• Inputting evidence base and interpretation in
  to the various documents and working groups
• Information Health Atlas Ireland
• Innovation awards
• Core health intelligence staff acting as a
  resource for research and networking and
  knowledge ( e.g CHAIN)

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System changes?

• Enhanced third level linkages
• Funding stream??
• Recognition of research as a core function
• National support structures for research
• Balance between various kinds of research

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Summary

• Brief outline of HSE?
• Over view of transformation ?
• Thoughts on place of research ?
• Update on current processes ?
• Thanks