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Progress on the
Electronic Patient Record
In Scotland – June 2009

Heather Strachan
eHealth Clinical Lead (NMAHPs)
Scottish Government
Heather.Strachan@scotland.gsi.gov.uk
Population 5,057,400

Approximately 150,000 NHS staff
                                  2.57% NHS Budget spent on
                                  eHealth
Better Health Better Care
                    Action Plan

              Health Improvement

              Tackling Health
              Inequalities

              Improving Quality of
              Healthcare

Mutuality
Our Vision for eHealth

 “exploiting the power of
 electronic information to help
 ensure that patients get the
 right care, involving the right
 clinicians, at the right time, to
 deliver the right outcome”
                   Better eHealth Better Care
           NHS Scotland eHealth Strategy 2008
                www.ehealth.show.scot.nhs.uk
eHealth
                                                                                              Architecture Vision
                                                                                                What will we get?
                                                                                                • Portal summary view of patient information
                                                                                                  from multiple systems.
                    Patient                                           Clinical   Management
                                                                                                • Seamless access to source systems for
                                         Portal Framework
Information




                   Dashboard                                         Dashboard    Dashboard
                                                                                                  viewing and data entry.
    Access




                               Identity & Access Management (inc. Single Sign On)               • Bring together data from range of sources.
                                                                                                How does it work?
                       SCI Gateway                    Process Management
                                                                                                • Web based portal accessible from any site.
                                                                                    Record
Interoperability
  Integration &




                                                                                    Locator     • Single sign on provides login to source
                                       Integration Platform                         Service
                                                                                                  systems.
                                                                                                • Source systems feed information stores
                                                                                                  using unique patient ID Number.
Information




                      ECS                         SCI Store                          CHI        • Record locator knows the stores that
                                                                                                  hold information
                                                                                                • The integration platform streamlines the
                   GP IT         PMS           Labs           PACS       Pharmacy     Other       retrieval of information from multiple
Apps




                                                                                                   sources.
Inter relationship between
Clinical and Patient Portal
Features of patient portal
                Demonstrator
•   Customisation and personal profile
•   Self management tools
•   Measurements and results
•   Decision support
•   Health, Disease and Treatment options
•   Local support and services
•   Appointments and prescriptions
•   Access to health records
•   Forums and peer support
•   Telehealth and telemonitoring
www.clinicaldecisions.scot.nhs.uk
Supporting Evidence Based
  Practice at Point of Care
Townhead Surgery
babylink
milihealth
my diabetes * my way
Renal patient view
NHS 24
Cancer info plus
Borders Health in Hand
healthinfoplus
health information online
eLibrary
Conclusion

•Need to co-ordinate potential
patient portal silos
•Personalised patient portal
•Interrelationship between
clinical and patient portal
•Support shared decision
• making as part of care process
•Mutuality
•Impact on role of nurses

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PHR Example

  • 1. Progress on the Electronic Patient Record In Scotland – June 2009 Heather Strachan eHealth Clinical Lead (NMAHPs) Scottish Government Heather.Strachan@scotland.gsi.gov.uk
  • 2. Population 5,057,400 Approximately 150,000 NHS staff 2.57% NHS Budget spent on eHealth
  • 3. Better Health Better Care Action Plan Health Improvement Tackling Health Inequalities Improving Quality of Healthcare Mutuality
  • 4. Our Vision for eHealth “exploiting the power of electronic information to help ensure that patients get the right care, involving the right clinicians, at the right time, to deliver the right outcome” Better eHealth Better Care NHS Scotland eHealth Strategy 2008 www.ehealth.show.scot.nhs.uk
  • 5. eHealth Architecture Vision What will we get? • Portal summary view of patient information from multiple systems. Patient Clinical Management • Seamless access to source systems for Portal Framework Information Dashboard Dashboard Dashboard viewing and data entry. Access Identity & Access Management (inc. Single Sign On) • Bring together data from range of sources. How does it work? SCI Gateway Process Management • Web based portal accessible from any site. Record Interoperability Integration & Locator • Single sign on provides login to source Integration Platform Service systems. • Source systems feed information stores using unique patient ID Number. Information ECS SCI Store CHI • Record locator knows the stores that hold information • The integration platform streamlines the GP IT PMS Labs PACS Pharmacy Other retrieval of information from multiple Apps sources.
  • 7. Features of patient portal Demonstrator • Customisation and personal profile • Self management tools • Measurements and results • Decision support • Health, Disease and Treatment options • Local support and services • Appointments and prescriptions • Access to health records • Forums and peer support • Telehealth and telemonitoring
  • 9. Supporting Evidence Based Practice at Point of Care
  • 13. my diabetes * my way
  • 21. Conclusion •Need to co-ordinate potential patient portal silos •Personalised patient portal •Interrelationship between clinical and patient portal •Support shared decision • making as part of care process •Mutuality •Impact on role of nurses