![]() ![]() As mentioned, the HSPA framework’s indicators are populated from routinely collected HIS data. Over the last two decades, health system performance assessment (HSPA) has emerged as a central method and tool for reporting and using performance intelligence needed to monitor, manage and improve national health systems, as well as to achieve alignment with strategic policy goals and aims. Only when turned into information and ultimately performance intelligence can HIS data can help manage and improve the health system’s central role of providing accessible, quality and safe care and maintaining and enhancing individual and population health. When collected on an ongoing basis and fed into the delivery of health and social care, these data are referred to as the health information system (HIS) and are considered one of the six main building blocks of any health system. This work demonstrates the utility of an inclusive HIS assessment process and is applicable beyond Ireland, where this case study was conducted.ĭata are crucial in understanding how a health system and its services are performing. It also contributed to the development of a national HSPA framework and momentum to further strengthen data infrastructure and governance, while working towards a more data-driven and person-centred healthcare system. ConclusionsĪ tailor-made assessment of the HIS in Ireland, involving a broad set of relevant stakeholders, revealed strengths, weaknesses and areas for improvement in the Irish health data landscape. The COVID-19 pandemic highlighted the national HIS’s shortcomings but also the capacity for rapid development and improvement. Data on outcome metrics were mostly missing, as were linkage possibilities across datasets for care pathway monitoring. Significant data availability gaps, most notably from primary care, private hospitals and community care, were reported, with little availability of electronic health record and people-reported data. The HIS in Ireland was able to provide administrative, survey and registry-based data for public sector acute care services, focusing on structure, process and output metrics. Indicator “passports” for the HSPA framework were populated during stakeholder consultation workshops and analysed using univariate descriptive statistics. Descriptive themes and high-level data availability heatmaps were derived from interview and workshop data using thematic analysis. Methodsīetween May and November 2020, over 50 informants were engaged in individual and group interviews and stakeholder consultation workshops as part of the HIS assessment process. This study reports on the status of the Irish HIS through a multimethod assessment based on continuous broad stakeholder involvement. As routinely collected health data are necessary to continuously populate indicators of an HSPA framework, a purpose-driven assessment of the health information system (HIS) in Ireland and its fitness to support the implementation of an HSPA framework was conducted. This report by The Canadian Press was first published March 16, 2023.Between 20, the first Irish health system performance assessment (HSPA) framework was developed. The case was not given a docket number, and its details were kept secret, including the nature of the crime and where it allegedly took place, the name of the judge involved and the names of the lawyers. ![]() The existence of the trial was first reported by La Presse and only became public because the informant appealed his or her conviction and because the Court of Appeal in March 2022 released a redacted decision that set aside the conviction and was highly critical of the secrecy surrounding the trial. The original case involved an informant who was convicted of participating in a crime that he or she had revealed to police. In July, the Quebec Court of Appeal ruled it could not release any information, saying the right of informants to remain anonymous supercedes the principle of court proceedings being open to the public. The high court said Thursday it has agreed to hear the appeal brought by media organizations including Radio-Canada, La Presse, the Montreal Gazette and The Canadian Press, which had sought a partial or complete lifting of seals imposed on the case. The Supreme Court of Canada says it will hear an appeal from the media over a so-called secret trial involving a police informant held in Quebec.
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