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IRISH HEALTH SYSTEM REFORM

IRISH HEALTH SYSTEM REFORM. IRELAND. Ireland is a small island West of Britian POPULATION 5 MILLION The island is split into Northern Ireland 1.5 and Republic 3.5 Republic since 1922 Health service 10 Self Governing Bodies 100k staff 300 Politicians Same since 1970.

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IRISH HEALTH SYSTEM REFORM

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  1. IRISH HEALTH SYSTEM REFORM

  2. IRELAND • Ireland is a small island West of Britian • POPULATION 5 MILLION • The island is split into Northern Ireland 1.5 and Republic 3.5 • Republic since 1922 • Health service 10 Self Governing Bodies 100k staff 300 Politicians • Same since 1970

  3. Health Service Executive (1) Health Service One Body 6 politicians Primary, Community & Continuing Care Directorate National Hospitals Office National Shared Services Centre

  4. Representation Minister for Health & Children • Joint Oireachtas Committee on Health & Children • Cabinet Committee on the Health Strategy Department of Health & Children Executive 4 Regional Health Managers Director of NHO Democratic input Consumer Panels Local Delivery Units

  5. Introductions – Our Team • Eddie – Principal Consultant • Geoff – Governance & strategy • Obakeng – Human resources & IR • Daisy – Information systems • Annabel - Communications

  6. Governance & Strategy • Context – new board, new responsibilities, high expectations, need for quick wins • Governance • Board induction • Committee structure (internal & external) • Strategy & Government buy-in • Strategic plan • Annual performance agreement

  7. Finance • Context – priorities: primary v hospital care; multiple existing providers & variation in performance • Funds allocation methodologies • Incentives • Integrated financial systems

  8. Human Resources & Industrial Relations • Context – redeployment, competency gaps, employee utilisation, role descriptions • Assumptions – health a human system • Union involvement • Assessment of staff attitudes/job fit • Leadership development & management capacity building • Human resources information system • Employee assistance program

  9. Information Systems • Context –Existing system not functioning • Establish an integrated information system to assist in informed decision-making • Health indicators • Budget allocation • Monitoring & performance indicators • Surveillance system • Establish a National Information/Data Centre

  10. Communications • Context – complex org change, multiple stakeholders (internal & external): needs clear communication plan • Messages – future vision, benefits of change, proactive, multi-channel, open meetings • Recruit comms team • Action plans for each stakeholder group – press releases/net; FAQs/FVCs/key messages; evaluation

  11. Thank you

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