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Mr. Tony O Brien
Director General of the Health Service
Wednesday, April 2nd 2014
Health Services Reform
– Breaking the Mould
Reform – Breaking the Mould
A bad system
will beat a
good person
every time
W. Edward Deming
Of all changes I’ve
observed 5% were
improvements, the
rest, at best, were
illusions of progress
Since 1924 Healthcare…
Culture
Culture – Breaking the Mould
HSE in Transition
PAST
FUTURE
Healthcare Commissioning
Agency
- Purchaser Provider Split
News ways of working
Reform
Programmes
Hospital &
Community
Organisations
Breaking the Mould
Transformation from Industrial Age Healthcare
to Information Age Healthcare
Person
Community
Primary
Secondary
Tertiary
Individual Self-care
Friends & Family
Community Networks
Professionals as Facilitators
Professionals as Partners
Professionals as Authorities
Transformation Through
Reform, Leadership
Cost-Effective Use
of Information &
Communication
Technologies
Industrial Age Healthcare Information Age Healthcare
Source: Adapted from Malaysian Telemedicine Blueprint
Health Services Reform
– Breaking the Mould
Range of Services
Supported by…
Integration
Care that is
• Safe, timely efficient
• Lowest level of complexity
• Close to home as possible
• National Clinical Programmes
• Clinical Lead in Division
• QPS in each Division
10
National
Service Plan 2014
Examples of Some Service Developments
Patient Safety is Paramount
Quality Care Costs. Poor Quality Care Costs More
Reform – Breaking the Mould
Thank you for your time
today

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Tony O'Brien, Director General of the Health Service

  • 1. 1 Mr. Tony O Brien Director General of the Health Service Wednesday, April 2nd 2014 Health Services Reform – Breaking the Mould
  • 2. Reform – Breaking the Mould A bad system will beat a good person every time W. Edward Deming Of all changes I’ve observed 5% were improvements, the rest, at best, were illusions of progress
  • 6. HSE in Transition PAST FUTURE Healthcare Commissioning Agency - Purchaser Provider Split News ways of working Reform Programmes Hospital & Community Organisations
  • 7. Breaking the Mould Transformation from Industrial Age Healthcare to Information Age Healthcare Person Community Primary Secondary Tertiary Individual Self-care Friends & Family Community Networks Professionals as Facilitators Professionals as Partners Professionals as Authorities Transformation Through Reform, Leadership Cost-Effective Use of Information & Communication Technologies Industrial Age Healthcare Information Age Healthcare Source: Adapted from Malaysian Telemedicine Blueprint
  • 8. Health Services Reform – Breaking the Mould Range of Services Supported by…
  • 9. Integration Care that is • Safe, timely efficient • Lowest level of complexity • Close to home as possible • National Clinical Programmes • Clinical Lead in Division • QPS in each Division
  • 10. 10 National Service Plan 2014 Examples of Some Service Developments
  • 11. Patient Safety is Paramount Quality Care Costs. Poor Quality Care Costs More
  • 12. Reform – Breaking the Mould
  • 13. Thank you for your time today