CMS III and eHR

CMS III & eHR Update Mr. Charles Mok . 2 Feb 2010

Need for future healthcare Multidisciplinary Care Integrated Care Preventive / Primary Care Public-Private / Public-Public Collaboration Patient Empowerment / Engagement Protocol Driven Clinical Decision Support Evidence-based Practice

Challenges • High patient volume • Aged population • Transition between different healthcare settings • Paper records • Record sharing • Integration care processes • Comprehensive care plan program • Outcome measures

We see chances • Public awareness of the importance of integrated care • Management and clinician support • More integration, intelligence and capabilities in CMSIII • Clinical workﬂow and efﬁciency support

CMSIII

Clinical Management System 12,000 Workstations 29,000 Clinical Users 162 HA Locations Single Sign on 24 x 7 x 365 service

Major Functions Patient Administration Clinical Documentation Diagnosis / Procedure coding OT Recording Consultation Note Discharge Summary Prescription Clinical Investigation Ordering Clinical Investigation Result Reporting (Lab / Rad) Scheduling Analysis & Reporting (CDARS) Electronic Patient Record (ePR)

CPR / ePR is essential in healthcare • Each Day... • To Date... • 12,000 users • 9 M patient records • 90,000 patients • 3.9 Tb ePR data volume • 4.5 M CMS transaction • 12 Tb ePR Images • 600,000 ePR transaction • 23 M Image • 41 M radiological report • 942 M ePR Lab records • 420 M Dispensed drug

Electronic Patient Record in HA • Web-based lifelong longitudinal record of all healthcare transactions for all Hong Kong citizens • Many data formats (textual, numerical and digital image) • Network connectivity (giga LAN) • Security (audit log and user authentication) • Efﬁciency (tightly integrated workﬂow)

Integrated Record Copyrighted 2007 HKU Cyber Institute Hong Kong Society of Medical Informatics Hong Kong Hospital Authority

Multimedia

Vision of CMS III CMS Phase III will be a system that supports the delivery of care in the HA with tools to improve quality and reduce errors, improve efﬁciency, and improve overall service management, and that will be an integral part of a community wide platform for sharing of electronic health data

4 Strategic Objectives Improve the outcome Facilitate the process Develop the content Extend to the community

4 Perspectives Patient perspective Clinician perspective Operational perspective Management perspective

Future CMSIII Functions • Chronic disease management • Clinical decision support • Workﬂow and efﬁciency • Streamlined communication • Outcome measurement and monitoring

We take pride in our current health care system. We will develop a territory- wide, patient-oriented Electronic Health Record, through public-private- partnership. Mr Donald Tsang, CE, HKSAR Policy Address 2007

Development of a Electronic Health Record Sharing System

Vision A Patient’s Electronic Health Record is available to all caregivers that need it; at all times, in all places in a secure way that respects patient privacy

EHR objectives and beneﬁts

With eHR Other healthcare Doctors & Nurses professionals HA Patients Private Hospitals DH X-ray Private Clinics Laboratory

Why eHR? Patient- Family doctor Public-private oriented concept; integrated interface and healthcare primary and partnership hospital care records DH HA Private Hospitals eHR Essential Infrastructure for Healthcare Reform

Institutional Setup Government-led model Steering Provide guidance and inputs to the work of the Committee eHR Office Gov’t office responsible for - 1. Legal framework 2. eHR standardization eHR Office 3. Design, develop, operate and maintain eHR sharing infrastructure 4. Administer partnership models with private sector Leverage HA’s expertise in HI/ IT 23

Guiding principles of eHR development 1. Government-led model 2. Compelling But Not Compulsory Record Sharing 3. Privacy and Security of Paramount Importance 4. Open Technical Standards 5. Building Block Approach

Patient benefits Whole record always available online Timely and accurate information for care Clinician benefits Efficient clinical practice Avoid errors associated with paper records Society benefits Disease surveillance Monitor outcomes, performance and resource utilization HA Private Hospitals

eHR Time Line 09/10 10/11 11/12 12/13 13/14 14/15 15/16 16/17 17/18 18/19 Sharing Coverage 0.1M 0.2M 0.3M 0.5M 1M 2.5M 4.5M 5.5M 6M HA CMS adaptation (Basic) CMS adaptation (Advanced) DH ePR and computerizations PH systems upgrade Interface pilots eHR infrastructure Phase 1 eHR (Dr portal) Phase 2 eHR (Patient portal) CMS on ramp eHR Certification Scheme PPI-ePR and pilots Standardization - ongoing

Team Approach Support with IT systems and information

Multi-Team Collaboration Private Sectors DH NGOs CHP Citizens HA

CMS III and eHR

by Charles Mok on Feb 02, 2010

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CMS III and eHR — Presentation Transcript