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Progress on the
Electronic Patient Record
In Scotland – June 2009

Heather Strachan
eHealth Clinical Lead (NMAHPs)
Scottis...
Population 5,057,400

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

              Health Improvement

              Tackling Health...
Our Vision for eHealth

 “exploiting the power of
 electronic information to help
 ensure that patients get the
 right car...
eHealth
                                                                                              Architecture Vision
...
Inter relationship between
Clinical and Patient Portal
Features of patient portal
                Demonstrator
•   Customisation and personal profile
•   Self management tools
•...
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
cl...
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PHR Example

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Scotland PHR / portal example

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PHR Example

  1. 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. 2. Population 5,057,400 Approximately 150,000 NHS staff 2.57% NHS Budget spent on eHealth
  3. 3. Better Health Better Care Action Plan Health Improvement Tackling Health Inequalities Improving Quality of Healthcare Mutuality
  4. 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. 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.
  6. 6. Inter relationship between Clinical and Patient Portal
  7. 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
  8. 8. www.clinicaldecisions.scot.nhs.uk
  9. 9. Supporting Evidence Based Practice at Point of Care
  10. 10. Townhead Surgery
  11. 11. babylink
  12. 12. milihealth
  13. 13. my diabetes * my way
  14. 14. Renal patient view
  15. 15. NHS 24
  16. 16. Cancer info plus
  17. 17. Borders Health in Hand
  18. 18. healthinfoplus
  19. 19. health information online
  20. 20. eLibrary
  21. 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

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