Chief Medical Information Officer

Reporting Relationship

The CMIO, HSE SWwill have a direct reporting line to the Regional Director of Technology and Transformation HSE SW, and a professional reporting relationship to the Chief Clinical Officer, HSE SW.

The CMIOmay continue to practice in in their service site for an agreed proportion of their time and for that time will report to the relevant site personnel in keeping with approved local arrangements.

Key Working Relationships

In the execution of the role, the CMIO, HSE SW will work in close collaboration with a range of professionals including;

·        Regional Director of Technology & Transformation, HSE SW

·        Regional Executive Officer, HSE SW

·        Chief Clinical Officer, HSE SW

·        Clinical, Nursing and Operational Teams, HSE SW

·        Chief Medical Information Officers across the HSE and other clinical informatics leads

·        Technology & Transformation programme/project managers who are part of the overall T&T Programme;

·        External stakeholders including HSE, Department of Health, and Department of Public Expenditure, NDP Delivery and Reform.

·        Relevant internal and external stakeholders that will assist the change management

The successful execution of duties will involve the development of appropriate relationships with clinical, operational and technical colleagues across the health service nationally. It will also require extensive communications with key stakeholders within the region and beyond.

Purpose of the Post

To work as part of a team to ensure the delivery of major ICT enabled change programmes. This will include ensuring the services effect change to ensure the business benefits are delivered.

The CMIO, HSE SW will provide the clinical leadership to drive national programmes under Digital for Care 2030. The CMIO, HSE SW is the clinical business change lead for the region, with responsibilities including:

·        Achieving full commitment to transformations required to achieve integrated healthcare for patients and service users, through the evolution of Digital for Care 2030.

·        Utilising their clinical expertise and leadership in the design and delivery of clinical solutions in conjunction with the regional & national Technology & Transformation teams.

·        Delivering the clinical governance framework for regional implementation of Digital for Care 2030 ensuring clinical effectiveness and clinical safety

·        Ensuring clinical engagement in the adoption and use of technology, for continuous clinical process improvements, focussing on patient and service user outcomes.

·        Providing clinical leadership for the digital and information development to support the safe and efficient design, implementation and use of systems to deliver improvements in the quality and outcomes of care

·        Assisting the development of high quality clinical information and organisational reform

·        Driving and supporting the transformation opportunities afforded through Digital for Care 2030.

In addition, the CMIO, HSE SW will provide advice and support to the Regional Executive Management Team through their role on the implementation of Digital for Care 2030; providing expert clinical informatics advice and guidance and working collaboratively with key stakeholders to ensure patient and clinical involvement in the planning, development, delivery and evaluation of systems and services.

Principal Duties and Responsibilities

The CMIO, HSE SW will have the following duties and responsibility:

·        Provide visionary leadership with a focus on digital transformation, innovation, collaboration and the ongoing implementation of Digital for Care 2030 to drive better patient access, experience and outcomes.

·        Lead the regional clinical information strategy for the implementation of the National EHR within the Digital for Care Programme. There is a specific focus on aligning the implementation of all clinical IT systems with the EHR, within the Digital for Care Programme;

·        Develop the necessary regional governance structures related to clinical information for the EHR to ensure full engagement, input and feedback on Informatics related issues; liaising with the clinical staff, medical executive committees, clinical departments, and other constituents to use informatics to promote the clinical agenda;

·        Provide expert advice and thought leadership regarding digital health in the development and execution of the clinical improvement and development strategies, including clinical efforts for improved patient outcomes, reduced variations in care, and enhanced physician engagement as they relate to IT systems and processes;

·        Oversee the implementation and continued use of the electronic health record and other clinical informatics systems, including analytics tools, to support quality and performance improvement initiatives;

·        Improve clinician adoption, acceptance, and use of clinical information systems while enhancing physician satisfaction with clinical information systems;

·        Manage the expectations of clinical information system end-users;

·        Monitor operational and design criteria of the electronic medical record system to ensure that the organization is meeting criteria ahead of deadlines;

·        Develop and maintain effective collaborative relationships and partnerships with a broad range of internal and external stakeholders including staff, unions, professional bodies, regulatory bodies, the Department of Health, other government agencies, and the broader national public and private sector information and technology services.

·        Assist in creating an institutional culture that promotes patient safety and high standards of ethical conduct when using Informatics solutions

·        Work as required with the Chief Information Security Officer to support the development and maintenance of effective Information Security Systems on a regional & national basis.

·        Demonstrate the capacity to lead and work well with others in the spirit of teamwork and cooperation.

·        Demonstrate excellent skills in all forms of communication - effective verbal and written skills including the ability to deliver effective presentations to myriad audiences.

·        Adequately identifies, assesses, manages and monitors risk within their area of responsibility.

·        Have a working knowledge of the Health Information and Quality Authority (HIQA) Standards as they apply to the role for example, Standards for Healthcare, National Standards for the Prevention and Control of Healthcare Associated Infections, Hygiene Standards etc. and comply with associated HSE protocols for implementing and maintaining these standards as appropriate to the role. Support, promote and actively participate in sustainable energy, water and waste initiatives to create a more sustainable, low carbon and efficient health service.

·        Engage in the HSE performance achievement process in conjunction with your Line Manager and staff as appropriate.

·        Act as spokesperson for the Organisation as required.

·        Demonstrate pro-active commitment to all communications with internal and external stakeholders.

The above Job Specification is not intended to be a comprehensive list of all duties involved and consequently, the post holder may be required to perform other duties as appropriate to the post which may be assigned to them from time to time and to contribute to the development of the post while in office.

Eligibility Criteria

Qualifications and/ or experience

Candidates must have at the latest date of application

·        Be a CCST registered Medical practitioner with the Medical Council of Ireland.

AND

·        Hold a permanent post as a Consultant practicing in a medical specialty within the Irish Public Health service.

AND

·        Have senior clinical leadership experience and be able to evidence same.

Health

A candidate for and any person holding the office must be fully competent and capable of undertaking the duties attached to the office and be in a state of health such as would indicate a reasonable prospect of ability to render regular and efficient service.

Character

Each candidate for and any person holding the office must be of good character.

Post Specific Requirements

·        Significant medical informatics/digital health experience

AND

·        Leading or making significant contributions to major or national programmes involving technology enabled change /significant digital solutions and managing the impact of such implementations on patient care and processes

Other requirements specific to the post

Access to appropriate transport to fulfil the requirements of the role.

Additional eligibility requirements:

Citizenship Requirements

Eligible candidates must be:

(i)               EEA, Swiss, or British citizens

OR

(ii)              Non-European Economic Area citizens with permission to reside and work in the State

Read Appendix 2 of the Additional Campaign Information for further information on accepted Stamps for Non-EEA citizens resident in the State, including those with refugee status.

To qualify candidates must be eligible by the closing date of the campaign.

Skills, competencies and/or knowledge

Information and Communications Technology

·        A medical clinician who contributes and assists in the development of an digital for care vision that will drive the Digital for Care and EHR strategy

·        A medical clinician who clearly understands clinical information technology and informatics and its potential impact on patient safety and health care quality

·        Passionate about clinical informatics as a tool to improve quality of care.

·        Previous experience of leading or being strongly involved in programmes involving technology enabled change

·        Desirable to have experience of national digital solutions and the impact of such implementations on patient care and processes

·        Desirable to have experience of information governance principles being applied in healthcare

·        Ability to analyse complex workflows and how these can be improved through the deployment of technology

·        Ability to understand the potential impact of digital tools on all staff and assess the learning needs;

·        Strong interest and drive to develop an Informatics based education and research agenda;

·        Ability to monitor and evaluate the effectiveness of the EHR system, ensuring it meets clinical and operational objectives.

Leadership & Direction in a complex environment

·        Has the required clinical leadership skills, vision and passion to lead and manage wide scale change in a complex environment

·        Develops a shared sense of commitment and participation among staff in the management of change, the development of the workforce and in responding to the changing health needs of patients

·        Demonstrates competence in looking at the longer term and broader issues concerning the provision of better health services for the population served and the ability to develop a clear view of how digital capability can contribute to this

·        Is a positive driver for change; has the capacity to lead, organise and motivate staff to function effectively in times of rapid change

·        Recognises that optimising at an organisational level may involve compromising individual objectives

·        Leads on establishing enabling clinical and organisational governance

·        Works with the HSE, DOH and other relevant stakeholders to establish policies, standards, and guidelines for EHR use

·        Engages in national and international discussions and collaborations on EHR best practices and interoperability.

Critical Analysis & Decision Making

·        Has the ability to analyse and evaluate, in a rational, objective, consistent and systematic manner, complex information and identify the core issues and arguments at hand

·        Has the ability to consider the range of options available, involving other parties at the appropriate time and level and makes balanced and timely choices\decisions; is confident in own judgement

·        Shows a strong degree of self-sufficiency, being capable of personally pushing proposals and recommending decisions on a proactive basis while actively suggesting improvements and adapting readiness to change

Communication & Interpersonal Skills

·        Can communicate ideas, vision and information clearly and convincingly in a manner that is sensitive to wider issues and has the ability to advocate for and negotiate a favourable position for the achievement of overall objectives

·        Demonstrates the ability to interact in a professional manner with other health care staff and other key stakeholders.

·        Possesses the interpersonal skills to facilitate working effectively in multi-disciplinary teams, with healthcare workers and other key stakeholders; to establish mutual understanding and commonality of purpose to ensure effective outcomes

·        Possesses the ability to explain, advocate and express facts and ideas in a convincing manner, and actively liaise with individuals and groups internally and externally

Working with and Through Others

·        Has excellent interpersonal, networking, negotiation and communication skills to influence others, create and sustain effective partnerships, and drive research and innovation within the portfolio and across the health service

·        Is committed to building a professional network to remain up to date with and influence internal and external politics

·        Is committed to working co-operatively with and influencing senior management and healthcare professionals to drive forward the designated agenda