Addressing Scotland’s eHealth Goals<br />NHS Scotland, August 2011<br />Dr John Heavens<br />
Session Goal<br />	Within the context of the new Scottish eHealth Strategy, to provide some perspectives on a way forward ...
Agenda<br />Review Scottish eHealth Approach<br />Orion Health’s  Global Experience<br />Our perspectives<br />
Scottish e-health approach<br />
Scotland’s eHealth<br />Scotland’s eHealth Strategy<br />Policy Context:<br />The Healthcare Quality Strategy for NHSScotl...
Scotland’s<br />Scotland’s eHealth Strategic Goals<br />To use information and technology to:<br />Maximise efficient work...
Orion health’s experience<br />
Globally<br />Globally - A Changing “Burden of Disease”<br />   Traditional Burden of Disease  <br />Young<br />Infectious...
New Care<br />New Care Models - 1<br />Integrated H&S care delivery through:<br />Multidisciplinary Teams (MDTs) <br />Wor...
New Care<br />New Care Models - 2<br />Continuous care and review with a preventative focus, which may include:<br />Evide...
Mechanisms<br />Mechanisms<br />Mechanisms to deal with these changes include:<br />Workflow re-engineering<br />eHealth s...
Orion Health<br />Orion Health<br />A global provider of eHealth solutions<br />Our Mission - To create innovative, world-...
eHealth Support<br />eHealth Support - 1<br /> Delivery of coordinated, cross boundary, evidence based, community orientat...
eHealth Support - 2<br />eHealth Support - 2<br />Process support tools – Problem Lists, Medicines Reconciliation, Orders,...
Orion Health<br />Orion Health - History<br />Healthcare Professionals<br />Patients<br />Access – Patient EHR<br />Clinic...
Orion Health<br />Orion Health – Integration Engine<br />Healthcare Professionals<br />Patients<br />Access – Patient EHR<...
Message routing & delivery
 Rules based message filtering/transformation</li></li></ul><li>Orion Health<br />Orion Health – Clinical Portal<br />Heal...
Secure Authentication/Authorities, CCOW enabled SSO (Single Sign-On) to multiple systems with RBAC (Role Based Access) & L...
CDV (Clinical Document Viewer) - including results, sign-off and charting
DPS (Dynamic Patient Summary) – windowlets of any electronically available data
 Secure messaging 7 notifications</li></li></ul><li>Clinical Porta<br />Clinical Portal - Examples<br />Passive – Balearic...
Orion Health<br />Orion Health – Patient Portal<br />Healthcare Professionals<br />Patients<br />Access – Patient EHR<br /...
Secure messaging
Notifications
Access to  information, appointments, results, prescription requests, etc.</li></li></ul><li>Patient Portal<br />Patient P...
Orion Health<br />Orion Health – Clinical Workflow<br />Healthcare Professionals<br />Patients<br />Access – Patient EHR<b...
 Medicine Reconciliation
 Order Entry
 Disease Management:
 Forms designer
Rules Engine
Upcoming SlideShare
Loading in...5
×

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

881

Published on

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.

Published in: Technology, Business
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total Views
881
On Slideshare
0
From Embeds
0
Number of Embeds
2
Actions
Shares
0
Downloads
18
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide
  • You may need to adjust the positioning of the text boxes to make your title fit correctly.
  • Slide transitions do not work well over WebEx, so please keep that in mind!
  • How to Address Scotland’s Five Strategic eHealth Goals an Orion Health Perspective

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

      Clipping is a handy way to collect important slides you want to go back to later.

    ×