CMS III & eHR
      Update




Mr. Charles Mok . 2 Feb 2010
Need for future healthcare

Multidisciplinary Care
Integrated Care
Preventive / Primary Care
Public-Private / Public-Publi...
Challenges
• High patient volume
• Aged population
• Transition between different
    healthcare settings
•   Paper record...
We see chances
•   Public awareness of the importance of integrated care
•   Management and clinician support
•   More int...
CMSIII
Clinical
Management
System


12,000 Workstations
29,000 Clinical Users
162 HA Locations

Single Sign on
24 x 7 x 365 servi...
Major Functions
Patient Administration
Clinical Documentation
Diagnosis / Procedure coding
OT Recording
Consultation Note
...
CPR / ePR is essential in healthcare
•   Each Day...                   •   To Date...

    •   12,000 users               ...
Electronic Patient Record in HA

•   Web-based lifelong longitudinal record of all healthcare
    transactions for all Hon...
Integrated Record




                                  Copyrighted 2007

HKU Cyber Institute         Hong Kong Society of...
Multimedia
Vision of CMS III




    CMS Phase III will be a system that supports the delivery
    of care in the HA with tools to im...
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
  • Streaml...
We take pride in
                                 our current health
                                    care system.
    ...
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 ...
EHR objectives and benefits
With eHR
                                     Other healthcare
                    Doctors & Nurses  professionals



    ...
Why eHR?
 Patient-        Family doctor       Public-private
 oriented      concept; integrated   interface and
healthcare...
Institutional Setup
    Government-led model
 Steering           Provide guidance and
                    inputs to the wo...
Guiding principles of eHR
       development
1. Government-led model

2. Compelling But Not Compulsory Record Sharing

3. ...
Patient benefits
 Whole record always
 available online
 Timely and accurate
 information for care

Clinician benefits
 Effic...
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  ...
Team Approach




Support with IT systems and
        information
Multi-Team Collaboration




Private Sectors                         DH
          NGOs                    CHP
            ...
CMS III and eHR
CMS III and eHR
CMS III and eHR
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CMS III and eHR

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CMS III and eHR Update
- Development and opportunities in Health IT for Hong Kong

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CMS III and eHR

  1. 1. CMS III & eHR Update Mr. Charles Mok . 2 Feb 2010
  2. 2. 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
  3. 3. Challenges • High patient volume • Aged population • Transition between different healthcare settings • Paper records • Record sharing • Integration care processes • Comprehensive care plan program • Outcome measures
  4. 4. 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
  5. 5. CMSIII
  6. 6. Clinical Management System 12,000 Workstations 29,000 Clinical Users 162 HA Locations Single Sign on 24 x 7 x 365 service
  7. 7. 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)
  8. 8. 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
  9. 9. 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)
  10. 10. Integrated Record Copyrighted 2007 HKU Cyber Institute Hong Kong Society of Medical Informatics Hong Kong Hospital Authority
  11. 11. Multimedia
  12. 12. 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
  13. 13. 4 Strategic Objectives Improve the outcome Facilitate the process Develop the content Extend to the community
  14. 14. 4 Perspectives Patient perspective Clinician perspective Operational perspective Management perspective
  15. 15. Future CMSIII Functions • Chronic disease management • Clinical decision support • Workflow and efficiency • Streamlined communication • Outcome measurement and monitoring
  16. 16. 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
  17. 17. Development of a Electronic Health Record Sharing System
  18. 18. 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
  19. 19. EHR objectives and benefits
  20. 20. With eHR Other healthcare Doctors & Nurses professionals HA Patients Private Hospitals DH X-ray Private Clinics Laboratory
  21. 21. 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
  22. 22. 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
  23. 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
  24. 24. 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
  25. 25. 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
  26. 26. Team Approach Support with IT systems and information
  27. 27. Multi-Team Collaboration Private Sectors DH NGOs CHP Citizens HA

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