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How to Address Scotland’s Five Strategic eHealth Goals an Orion Health Perspective
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How to Address Scotland’s Five Strategic eHealth Goals an Orion Health Perspective

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Orion Health's eHealth Maturity Model provides some signposts as to the challenges and opportunities ahead as the new national eHealth strategy is implemented - particularly as Scotland faces the …

Orion Health's eHealth Maturity Model provides some signposts as to the challenges and opportunities ahead as the new national eHealth strategy is implemented - particularly as Scotland faces the growing 'care burden' of patients with long term conditions.

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    • 1. Addressing Scotland’s eHealth Goals
      NHS Scotland, August 2011
      Dr John Heavens
    • 2. Session Goal
      Within the context of the new Scottish eHealth Strategy, to provide some perspectives on a way forward to achieving success, based on Orion Health’s global eHealth experience
    • 3. Agenda
      Review Scottish eHealth Approach
      Orion Health’s Global Experience
      Our perspectives
    • 4. Scottish e-health approach
    • 5. Scotland’s eHealth
      Scotland’s eHealth Strategy
      Policy Context:
      The Healthcare Quality Strategy for NHSScotland(May 2010) – the 3 Quality Ambitions:
      Effective (Evidence based)
      Right care at the right time in the right place
      Eradication of variation
      Person-centred
      Safe
      Health & Social Care Collaboration & Integration
      Financial
    • 6. Scotland’s
      Scotland’s eHealth Strategic Goals
      To use information and technology to:
      Maximise efficient working practices, minimise wasteful variation, bring about savings and ensure value for money
      Support people to manage their own health and wellbeing, and to become more active participants in the care and services they receive
      Contribute to shifting the balance of care and support people to self manage, and to provide appropriate information for people with long term conditions and mental health problems
      Improve the availability of appropriate information for healthcare workers and the tools to use and communicate that information effectively to improve quality
      Improve medication management as an essential part of peoples’ care
    • 7. Orion health’s experience
    • 8. Globally
      Globally - A Changing “Burden of Disease”
      Traditional Burden of Disease
      Young
      Infectious Diseases & Injuries
      Traditional Care Model
      Acute hospital based
      Curative
      Speciality orientated
      Episodic
      Current Burden of Disease
      Elderly
      With LTCs & related:
      Mental Health problems
      Socio-economic problems
      Significant cost escalation
      New Care Models
      Community based
      Prevention focussed
      MDT orientated
      Continuous care and review
      Use of assistive technologies
      Behaviour modification
    • 9. New Care
      New Care Models - 1
      Integrated H&S care delivery through:
      Multidisciplinary Teams (MDTs)
      Working in an interdisciplinary way
      Across care boundaries
      Focussing on:
      Community based care
      Patient and care giver involvement
    • 10. New Care
      New Care Models - 2
      Continuous care and review with a preventative focus, which may include:
      Evidence based, disease focussed, programs of care
      Case Management principles
      ‘Virtual Ward’ approaches
      Call centre support, which may include:
      Behaviour modification
      Use of Assistive Technologies
      Video Conferencing
      Telehealth – Physiological monitoring
      Telecare – Environmental monitoring
    • 11. Mechanisms
      Mechanisms
      Mechanisms to deal with these changes include:
      Workflow re-engineering
      eHealth support
    • 12. Orion Health
      Orion Health
      A global provider of eHealth solutions
      Our Mission - To create innovative, world-leading health technology solutions that improve peoples' lives
      Provide clinical systems, designed by clinicians for clinicians
      ‘Tools’ based approach
    • 13. eHealth Support
      eHealth Support - 1
      Delivery of coordinated, cross boundary, evidence based, community orientated, MDT quality care with patient and care giver involvement requires:
      Systems interoperability – Integration Engine
      An integrated, single view of Patient Records accessible by:
      Health & Social Care providers – Clinical Portal
      Patients and Care Givers – Patient Portal
    • 14. eHealth Support - 2
      eHealth Support - 2
      Process support tools – Problem Lists, Medicines Reconciliation, Orders, Discharge Letters, etc.
      Clinical Workflow tools – Disease & Case Management tools
      Outcome measures – Business Intelligence tools
    • 15. Orion Health
      Orion Health - History
      Healthcare Professionals
      Patients
      Access – Patient EHR
      Clinical Process/Workflow Integration &
      Decision Support
      National &
      Regional
      Systems
      Clinical
      Data
      Repositories
      Telehealth &
      Telecare
      Currentsystems
      Hospital, GP, SS
      Other
      Systems
      Application Integration
    • 16. Orion Health
      Orion Health – Integration Engine
      Healthcare Professionals
      Patients
      Access – Patient EHR
      Clinical Process/Workflow Integration &
      Decision Support
      National &
      Regional
      Systems
      Clinical
      Data
      Repositories
      Telehealth &
      Telecare
      Currentsystems
      Hospital, GP, SS
      Other
      Systems
      Application Integration
      Integration Engine:
      • Message mapping
      • 17. Message routing & delivery
      • 18. Rules based message filtering/transformation
    • Orion Health
      Orion Health – Clinical Portal
      Healthcare Professionals
      Patients
      Access – Patient EHR
      Clinical Process/Workflow Integration &
      Decision Support
      National &
      Regional
      Systems
      Clinical
      Data
      Repositories
      Telehealth &
      Telecare
      Currentsystems
      Hospital, GP, SS
      Other
      Systems
      Application Integration
      Clinical Portal:
      • Integrated , single view of patient data
      • 19. Secure Authentication/Authorities, CCOW enabled SSO (Single Sign-On) to multiple systems with RBAC (Role Based Access) & LR (Legitimate Relationships) capabilities
      • 20. CDV (Clinical Document Viewer) - including results, sign-off and charting
      • 21. DPS (Dynamic Patient Summary) – windowlets of any electronically available data
      • 22. Secure messaging 7 notifications
    • Clinical Porta
      Clinical Portal - Examples
      Passive – Balearic Islands
      Active - Glasgow
    • 23. Orion Health
      Orion Health – Patient Portal
      Healthcare Professionals
      Patients
      Access – Patient EHR
      Clinical Process/Workflow Integration &
      Decision Support
      National &
      Regional
      Systems
      Clinical
      Data
      Repositories
      Telehealth &
      Telecare
      Currentsystems
      Hospital, GP, SS
      Other
      Systems
      Application Integration
      Patient Portal:
      • Secure Registration plus Authentication & Authorities for both patients and/or care givers
      • 24. Secure messaging
      • 25. Notifications
      • 26. Access to information, appointments, results, prescription requests, etc.
    • Patient Portal
      Patient Portal - Examples
      Australia - national Personally Controlled Electronic Health Record (PCEHR)
    • 27. Orion Health
      Orion Health – Clinical Workflow
      Healthcare Professionals
      Patients
      Access – Patient EHR
      Clinical Process/Workflow Integration &
      Decision Support
      National &
      Regional
      Systems
      Clinical
      Data
      Repositories
      Telehealth &
      Telecare
      Currentsystems
      Hospital, GP, SS
      Other
      Systems
      Application Integration
      Clinical Workflow Tools:
      • PL (Problem & Diagnoses List, Allergies & Alerts, Family History)
      • 28. Medicine Reconciliation
      • 29. Order Entry
      • 30. Disease Management:
      • 31. Forms designer
      • 32. Rules Engine
      • 33. Program Builder
      • 34. Role based Task List management
      • 35. Decision Support
    • Clinical Work
      Clinical Process/Workflow - Examples
      New Zealand – Medicine Reconciliation (Med Rec)
      Balearic Islands – Case Management pathways of care
    • 36. Orion Health
      Orion Health – Business Intelligence
      Healthcare Professionals
      Patients
      Access – Patient EHR
      Clinical Process/Workflow Integration &
      Decision Support
      National &
      Regional
      Systems
      Clinical
      Data
      Repositories
      Telehealth &
      Telecare
      Currentsystems
      Hospital, GP, SS
      Other
      Systems
      Application Integration
      OHBI:
      • Data ETL (Extraction, Transformation & Load) platform
      • 37. Data Mining and Analysis
      • 38. Reporting – Clinical, Operational & Strategic
    • Business Intel
      Business Intelligence - Examples
      US Meaningful Use Criteria:
      Functional capabilities
      Quality measures
      Saudi Arabia National Guard – Medical Research Centre
    • 39. Our Perspectives
    • 40. Mechanisms
      How do you start?
      Mechanisms:
      Workflow re-engineering
      eHealth support
      Requirements:
      Clinically driven but with Informatics & Management involvement
      Done jointly
      Think:
      ‘Delivery of coordinated, cross boundary, evidence based, community orientated, MDT quality care with patient and care giver involvement. ‘
    • 41. Mechanisms
      Where do you start?
      With the foundations:
      Integration Engine
      Clinical Portal
      Understand local health & social care priorities
      Take a phased approach to delivery
      Know the importance of Change Management
    • 42. Orion eHealth Maturity Model
      Patients
      Professionals
      Maturity Level
      V
      Health Management Co-responsibility
      Active Patient
      Involvement
      Patient & Carer Integration
      Patient Portal
      Coordinated Quality Care
      MDT Workflow & Decision Support
      Workflow Integration
      Disease & Case Management
      IV
      Process Integration
      OE / Med. Rec. / Prescribing
      Process Automation and Standardisation
      Improved
      Quality of Care
      III
      Information Integration
      Clinical Portal – EPR / EHR / HIE
      Shared Single View
      of Patient Data
      Shared Information
      II
      Resource Optimization
      Application Integration
      Integration Engine & Standards
      Quality Data
      I
      Cross Boundary Integration
      Business Intelligence Capability
    • 43. Orion Health – eHealth Architecture
    • 44. Orion Health
      Orion Health Support
      Orion Health are here to support you with:
      eHealth solutions
      Professional Services:
      Clinical
      Technical
    • 45. Discussion?
      Discussion?
    • 46. www.orionhealth.com

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