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This is an interim title and was chosen to distinguish the proposed new information system from existing databases.
However the term Register is in line with the terminology widely used by health services for discrete populations.
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HSE & DoH (2104) Value for money and policy review of disability services in Ireland: Steering Group Project Initiation
Document.
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Task 4: Consultation Document Vers 1.1.
Do you agree with this summary? Are there other strengths not noted here?
Do you agree with this summary? Are there other weaknesses not noted here?
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Task 4: Consultation Document Vers 1.1.
1. Statement of purpose
In addition, the benefits of having the Register will need to clearly stated and advocated for.
Are there any other main purposes that need to be considered beyond those noted? Are there other
benefits to having a new Information System?
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Task 4: Consultation Document Vers 1.1.
Do you agree with these four domains? Are there other domains that should be included? What
essential information should be included about people with disabilities?
Examples of reports from the Register of individuals with disabilities would include:
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Task 4: Consultation Document Vers 1.1.
A report can be generated for each individual that records the information held on the
Register under each domain.
Each service unit/provider can readily report on the demographics and support needs of
their clients.
For each Community Health Organisation area, the numbers of persons receiving
different services can be identified along with the costs of each. Comparisons can be
made across these areas.
The number of persons requiring new or improved services can be identified by
services, CHOs and nationally along with the likely additional costs of providing these
services.
Nationally the outcomes from using disability services can be identified and linked to the
costs of providing the services.
Are there other reports that are essential for service management and planning?
Do you agree with these four domains? Are there other domains that should be included? What
essential information should be included about services and supports?
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Task 4: Consultation Document Vers 1.1.
Note: The examples of the types of reports to be provided by the Information System are
only illustrative. Further consultations and debate will help to identify the priority reports to
emerge from the system.
Are there other reports on services that are essential for service management and planning?
Do you agree with principles listed? Are there other principles that should be noted?
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Task 4: Consultation Document Vers 1.1.
Level 3
Level 2
Level 1
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Task 4: Consultation Document Vers 1.1.
Modules
The Service User Register will also provide the information that is currently collected by the
HSE separately under what is termed here as modules. Information from the Register can
be imported into the three existing databases shown in the Figure (provided the necessary
fields are included when entering information on users at Level 1).
This means that service providers would not need to make a separate return in either
spreadsheet or paper forms as is the case at present. As the Register becomes
established these separate databases would no longer be required.
Do you agree with the Structure proposed for the Service User Register? What modifications should
be made to it?
Modules
The Service Provider Database should also be able to provide information for the two
systems currently used by HSE to obtain details of service delivery. This would cover HSE
directly managed services as well as contracted services.
Do you agree with the Structure proposed for the Service Provider Register? What modifications
should be made to it?
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Task 4: Consultation Document Vers 1.1.
Do you agree with the list of topics above? Are there other issues that need to be considered in
drawing up the specification of the proposed Register?
Risks to change
Some of the main risk factors to revising and developing new management and information
systems are noted in the Figure. Action plans for the implementation of the Registers need
to incorporate risk management strategies.
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Task 4: Consultation Document Vers 1.1.
Do you agree with the risks listed? Are there other risks that should be added?
Wider considerations
The development of information systems for disability services needs to set within a
broader context. Listed in the Figure are some of considerations identified in the
consultation workshop.
Do you agree with the wider considerations listed? Are there other considerations that should be
added?
Next Steps
1. The information requirements identified by the other Working Groups for the VFM
review will be sought.
2. A final report summarising proposals for the new Information system will be agreed
by WG5 by the end of October.
3. WG5 will submit their proposals to the Steering Group for the VFM review for
approval to proceed to the development phase (steps 3 to 7 below).
4. WG5 will enlist the help of HSE IT personnel to develop the business case for the
new system.
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Task 4: Consultation Document Vers 1.1.
5. WG5 will undertake further work on specifying the data fields to be included in the
new system.
6. A budget for designing, testing and implementing the new system will be identified.
7. An implementation team to oversee the development of the new system will be
appointed.
8. The new system would be piloted in selected areas and adjustments made to the
system.
9. The new system will be commissioned and rolled out in a phased basis.
Note: The earliest that the implementation of a new system is likely to begin is 2017,
assuming that the necessary human and financial resources are available throughout 2016
to support its development.
Have you any comments to make on the proposed next steps? Are there any further comments
you wish to make on the topics covered in this document?
Our sincere thanks for sharing your opinions with us. It is much appreciated.
Roy McConkey
On behalf of Working group 5 VFM Implementation Programme
24th September, 2015
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