Integrated ePR in Sweden - A case study on how Uppsala County in Sweden uses a shared electronic patient record to integrate care pathways across primary and secondary care

econsult.net is a web-based patient triage and consultation system for general practices. It allows patients to select their issue, self-manage if appropriate or request an eConsult with their GP. eConsults take an average of 3 minutes for GPs to complete and 60% of issues are managed remotely. The system includes features like photo uploads, integrated scoring tools, and one-way secure messaging to patients. It aims to improve patient access, practice efficiency and value for clinical commissioners. Long term, econsult.net plans to enable remote management of long term conditions through integrated devices and apps. It is currently used in 300 UK practices serving over 2.9 million patients.

The Role of Technology in Transforming Primary Care

The document discusses the role of technology in transforming primary care in the UK. It outlines key challenges facing primary care like an aging population and increasing complex patient needs. It then discusses how digital transformation can help by enabling self-care for patients, increasing practice efficiencies, and providing data and tools to improve care quality. Specific technologies mentioned include online appointment booking, access to medical records, remote monitoring of chronic conditions, and interoperable digital health records.

Dave Taylor

The document discusses building public trust for data use in new health technologies. It summarizes the Patients Association's position that while patients support data sharing under proper controls to improve care, many have low awareness of current data practices. Specifically, the PA advocates for opt-in consent by default, clear descriptions of what data is shared and why, and strengthened security assurances. The document also notes some past issues that undermined public trust and the need for transparency regarding any AI decision-making in the future.

Digital Primary Care

NHS England is committed to five high impact digital changes in primary care by 2018: allowing patients to book appointments and order prescriptions online, access test results electronically, monitor long-term conditions remotely, control personal health records, and engage with professionals via text/email. NHS England also aims to make general practice paper-free by 2018 through initiatives like scanning historical paper records and receiving digital discharge summaries. Over 30 million patients in England will benefit from improved digital access and local transformational changes through the rollout of digital primary care programs.

Juliet Bauer

This document discusses initiatives to improve digital experiences for patients and the public. It outlines 10 domains of work including patient engagement, self-care and prevention. Key programs discussed are improving the NHS.UK platform, assessing health apps, providing free NHS WiFi, expanding digital participation, and integrating online services like NHS111. The goal is to help patients manage their own health while reducing pressure on frontline services by 2021.

This document discusses the GO-DIGITAL and GDE initiatives at a large NHS trust located across 4 sites. It provides context about the trust, including annual patient contacts and services provided. It outlines that the trust has been using Cerner since 2011. The transformation and GDE plan to leverage electronic health records, data, and technology to innovate and connect patient care across organizations is described. A timeline for Years 1-5 and Years 5-10 is presented, outlining goals and initiatives around decision making, EPR modules, the longitudinal record, clinical dashboards, population records, remote services, and self-care/monitoring. Metrics for judging the results are proposed, focused on cost reductions from less duplicate data entry and

David Allison

The document outlines Wirral University Teaching Hospital's plans to become a Global Digital Excellence Centre through implementing digital care processes. Over the next two years, they aim to go paperless, digitize medical devices and images, integrate medicines management, and develop population health analytics and registries. They also want to accelerate sharing patient data across primary care, community services and mental health through the Wirral Care Record system. The goal is to reduce clinical variation, give patients online access to their records, and export their digital solutions to other partners through a Value Creation Office.

The Digital Opportunity for Primary Care

The document discusses the challenges facing primary care in England, including an aging population, more complex patient needs, and a shortage of healthcare professionals. It notes that digital technologies can help address these challenges by empowering patients to better manage their own care, allowing practices to work more efficiently, and giving providers tools to improve quality of care. Specifically, it outlines how technologies like online appointment booking, access to medical records, remote monitoring, and clinical apps can benefit both patients and practices. Finally, it proposes several strategies for NHS England to further digital transformation, such as increasing funding, training, online services, and interoperability between health systems.

Digital Primary Care Success Stories

Digital tools are being used to improve access to care and reduce bureaucracy in the NHS. This includes providing online access to patient records, appointment booking and repeat prescriptions for over 90% of practices. Digital tools also aim to identify health conditions earlier through risk stratification searches, templates and remote monitoring. Data is showing improvements in identifying long term conditions like diabetes and chronic kidney disease through increased register sizes and prevalence rates. Information technology systems play an important role in implementing digital primary care strategies through tools that support case finding, care planning, data quality monitoring and sharing information across stakeholders.

Helen Milner

The document discusses a program that helps vulnerable people improve their digital health literacy. It trained over 200,000 people to use digital health resources, reached nearly 400,000 with health messages, and trained over 8,000 digital health champions. The program targeted socially excluded groups and showed positive impacts, including 41% accessing health information online for the first time, potential NHS savings of £6.40 for every £1 invested, and case studies of people improving their lives and health through gained digital skills.

Making a real difference to child health - Digital strategic workshop

This document outlines an agenda and presentation for a meeting on developing a digital strategy for child health information systems in England. The meeting will include introductions, a discussion of the strategic context and why a digital strategy is needed now. Presentations will cover the challenges with the current fragmented systems, a vision for a shared core clinical record and digital health hub, and options and a timeline for implementation. The goal is to simplify and standardize child health information so it can be accessed and updated in a consolidated way by parents, professionals and the public health system.

James Hawkins

DigiHealth UK aims to harness technology and information to improve healthcare. Their vision is to use information and technology to make health and care better. They will do this by supporting national digital strategies like the NHS Five Year Forward View and Personalised Health and Care 2020, which aim to improve health outcomes through better use of data and technology. Their building an integrated, paper-free health and care system program has 10 domains and 33 programs to engage patients, improve triage and support for clinicians, transform general practice, digitize community pharmacy, and improve elective care referral management.

Patient Online Programme: Detailed Coded Record Access

The document discusses the Patient Online Programme, which allows patients access to their medical records and services online. It provides benefits to patients, clinicians, and the NHS. Patients can more effectively manage their health and have convenient access. Clinicians can spend more time on clinical work rather than administrative tasks. The NHS benefits from improved health outcomes, higher patient satisfaction, and lower costs. The programme requires practices to offer coded record access online unless it could harm patients or involve a non-consenting third party. Guidance and support are available to help with implementation.

Digital Priorities for General Practice

Digital – A Key Enabler?

This document provides an overview of a presentation on how digital technology can enable transformation in primary care. It discusses the national policy drivers supporting digital innovation, resources available to practices, and initial progress and plans to improve patient access through the seven digital capabilities piloted in the Prime Minister's GP Access Fund. The presentation aims to gather feedback on local priorities and needs to help refine the GP IT Operating Model, maturity assurance framework, and plans for further digital transformation.

Meaningful Use Final Rule Updates 2015

Tara Donnelly

The document discusses the growing use of digital health tools and smartphones. It notes that 50% of UK adults own smartphones, which they use to look up health information online in increasing amounts. It then describes the work of the Health Innovation Network to build the global digital health capital by connecting digital health companies to NHS experts, investors, and potential pilot opportunities through workshops, webinars, and other support over 50 hours. Their efforts have helped speed discussions and led to reductions in outpatient visits and missed appointments. The network encourages applications for their second cohort and provides contact information.

Humanising Technology

Catherine McShane

A digital health platform was developed through a collaboration between an NHS foundation trust and a digital health company to develop new digital care pathways. The platform enables self-management for patients, improves triage and access, and increases health system efficiency. It was developed using a problem-based approach with clinical champions and patient engagement. The digital pathways are now fully integrated and invisible to clinicians. The platform provides several options for patients to connect including a patient portal, mobile app, automated phone calls, SMS, and integration with third party apps and websites. It aims to give patients choice while meeting standards for security, governance, and interoperability.

Patient First Conference AKI Outcomes Dan Lasserson

Renal Association

EHRs in Ireland - where are we now?

A National Electronic Health Record (EHR), is a comprehensive solution that supports the creation and sharing of key patient information. It is a core capability required for the future delivery of healthcare. This presentation is an update on current state of play with EHRs in the Irish public health system. Presented by Vincent Jordan, Delivery Director of ICT Services to Acute Hospitals, Office of Chief Information Officer, HSE at the IPPOSI Annual Conference 2019

Insights Webinar - Patient Payments

dipak kalra

This document discusses the use of electronic health records (EHRs) for clinical research purposes. It provides examples of how EHR data has been used by Kaiser Permanente to improve health outcomes and reduce mortality rates. It also outlines challenges in using EHR data, such as variations in disease treatment and outcomes across countries. The document proposes forming a learning health system using EHR data to continuously improve patient care and support clinical research. It describes projects that aim to address data quality, privacy, and enable the trusted sharing of EHR data for research.

eHospital - changing everything we do at Cambridge University Hospitals

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Meaningful Use Final Rule Updates 2015

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E-health in Denmark

Healthcare DENMARK

Denmark has a long history of focusing on e-health and healthcare IT networks. The national e-health portal Sundhed.dk, launched in 2003, provides citizens access to their personal health records and the ability to communicate with healthcare providers online. Healthcare professionals also access patient health information through Sundhed.dk. The national electronic health record system allows sharing of health records, test results, and other information between general practitioners and hospitals. Telehealth services have expanded to include remote monitoring of patients with conditions like COPD and diabetes. The goal is to empower patients and support integrated care through personalized telehealth solutions.

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The document discusses various digital health initiatives across the West Midlands region of the UK. It describes projects using mobile technology in patient care, electronic patient records systems, Choose and Book for referrals and appointments, Picture Archive and Communication Systems for sharing medical images, and Map of Medicine for standardizing clinical pathways. The overall goals are to improve patient care, safety and outcomes through more integrated digital health records and services.

The West Midlands IT Treasure Map

harleyj

The document discusses various digital health initiatives across the West Midlands region of the UK. It describes projects using mobile technology in nursing homes, electronic patient records and decision support software in ambulances, viewing ambulance records in A&E, a picture archiving system for sharing medical images, electronic discharge summaries, and using an online tool called Choose and Book for booking physician referrals and physiotherapy appointments. The overall goal is to share information across healthcare settings to provide better integrated and safer patient care.

Dr Binita Kane - ECO 21

Innovation Agency

Electronic Medical Records From Paperless to Big Data Initiatives

Komes Chandavimol

This document discusses the evolution of electronic medical records (EMRs) from paper-based systems to integrated systems that incorporate big data analytics. It provides examples of EMR implementations at hospitals like Nemours Children's Hospital and lessons learned. The transition to EMRs was driven by government incentives but also aimed to improve care quality and coordination. Later stages involved linking EMRs to other data sources and using analytics to gain insights like reducing hospital readmissions. Overall the document outlines the progression of EMRs and increasing use of data to support higher value care delivery.

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Matt James: Choice and independent hospitals

Nuffield Trust

The document summarizes Private Healthcare Information Network (PHIN), a new not-for-profit organization that collects data from independent hospitals in the UK to publish comparative information for patients, policyholders, and GPs. PHIN launched in April 2013 with a website providing searchable data on 183 independent hospitals. While initial data is limited, PHIN aims to expand the data over time to cover additional hospitals and providers. The document also discusses trends in the independent healthcare sector in the UK and findings that quality in the independent sector holds up well compared to NHS hospitals for procedures like hip replacements.

Electronic Medical Records - Paperless to Big Data Initiative

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Vannin HC Introduction January 2014

Rodrigo Ortega

Vannin Healthcare is an Isle of Man based healthcare company with 36 years of clinical and business experience. It provides integrated healthcare solutions including telemedicine, teleradiology, mobile health, and hospital IT solutions. Its solutions aim to improve patient care while reducing costs through innovations such as remote patient monitoring, mobile ECG devices, and wireless vital signs monitors. Vannin Healthcare partners with hospitals, diagnostic companies, and other organizations around the world to deploy its solutions.

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This document discusses using data from the Patient Pathway Manager (PPM) database to analyze breast cancer outcomes and patterns of recurrence over time. It analyzed data on 1,000 breast cancer patients diagnosed between 1999-2002, following them through 2012 to record survival rates, progression-free survival, and time to recurrence. The data showed declining survival rates with each subsequent recurrence. The document proposes expanding PPM to integrate additional data sources to better analyze comorbidities and their impact on cancer outcomes. This would allow more comprehensive study of topics like how diabetes affects outcomes for different cancer types.

Rare disease day - feb 29th 2016 - Eilish Hardiman

The document discusses the current model of genetic service delivery in Ireland and the need for a National Genomic Medicine Network. It describes the existing genetics department and testing laboratories located at Our Lady's Children's Hospital in Crumlin. It identifies key factors that require changes to the model like new technologies, networked services, user advocacy, electronic healthcare records, and mainstreaming genetics into general medicine. The document proposes a National Genomic Medicine Network structured across the health service and academia to provide a national model for genetic testing. It recommends multidisciplinary teams and an office for rare diseases to direct access to services within and outside Ireland, supported by ICT to enable networked care and research.

General Practice Nursing:‘Make a real difference as a Digital Nurse Champion’

RachelHatfield7

General Practice Nursing: Make a real difference as a Digital Nurse Champion The document discusses the role of digital nurse champions in enabling practice nurses and other clinicians to adopt technology enabled care services for the delivery of care to patients with long-term conditions and adverse lifestyle habits. It highlights unlocking the potential of technology enabled care services and new models of care. The document is chaired by Dr Ruth Chambers, who is the clinical lead for technology enabled care services and digital workstreams in Staffordshire.

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John Savil - Clinical Research in Scotland - 2010

This document discusses clinical research in Scotland. It notes that Scotland has a population of 5.3 million served by a single national health service, with strengths in areas like neuroscience, cancer, and metabolic diseases. Scotland performs well in clinical research relative to its size, with one-eighth of UK researchers and funding. It has advantages like electronic health records linking for the entire population and collaboration between research centers. Major research initiatives and infrastructure are described, with a focus on improving population health and developing partnerships with industry.

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Musadiq Subar, IT Programme Manager and Clinical Technical Architect

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Merav Dover – Chief Officer, Lambeth & Southwark Integrated Care

The SLIC partnership aimed to improve care in Southwark and Lambeth by identifying needs early, coordinating care across providers, and delivering care in appropriate settings. It received £39.7 million over four years for interventions. Professionals reported that SLIC encouraged a holistic approach and improved collaboration. Citizens played an important role in codesigning projects. The Local Care Record and home care services improved patients' experiences.

Dr Geraint Lewis FRCP FFPH - Chief Data Officer, NHS England

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Dominic Kirkman gives a presentation on transitioning to a paperless NHS. He discusses the benefits of electronic records such as increased information sharing and data analytics. However, he also notes challenges like what devices will be used and changes to business processes. Kirkman argues that capturing information digitally at the source can help realize many benefits without large-scale changes, and that paper still has value as a display and capture tool during the transition. He presents a "Paperlite" workflow that uses smart paper forms, scanning, and indexing to integrate paper with digital systems.

Jason Gordon - Corporate Business Development Manager, Texthelp

The document discusses the increasing use of technology to help people manage their health and care, ensuring access to health information for all regardless of personal characteristics through standards like the Accessible Information Standard. It also mentions Texthelp, a company with over 7,000 websites worldwide that provides literacy and language support software to ensure everyone can access and understand vital health information.

Emily Hough - Deputy Director, Strategy Group, NHS England

The NHS is delivering good outcomes despite challenges, but still faces some problems ahead. Plans are being developed through 44 Sustainability and Transformation Plans to stabilize finances, improve services, and transform healthcare over multiple years. These plans aim to provide local strategies and focus on long-term change through collaboration between the NHS and other organizations. Supporting initiatives include demonstration sites for improving staff health, payment programs, and testing combinations of innovations through partnerships to evaluate and spread effective approaches. Progress will continue to be reviewed with support provided to strengthen plans.

Tim Ellis - Programme Manager, Digital Technology, NHS England

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David Waller Interoperability Engagement Lead, NHS England

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Dominic Kirkman International Manager of Pre-Sales Engineering - Healthcare

The document discusses moving towards a paperless NHS in the UK. It outlines the benefits of electronic records such as increased efficiency, information sharing, and data analytics. However, it also notes challenges like what devices will be used and changes to business processes. The document argues that in the transition, capturing clinical information digitally at the source using smart paper forms can realize many benefits without large-scale changes. In the long run, eliminating paper requires digital capture and display, but smart use of paper now can still digitize clinical content.

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The document discusses digital transformation in the NHS, including: 1) It outlines a vision for digitally-enabled care including paperless records, improved information sharing, and greater patient engagement. 2) It summarizes results from digital maturity assessments that found secondary care providers lag in capabilities. 3) It explains that local digital roadmaps should describe how technology will underpin service models and plots a route to paperless care.

"Taking forward Information Sharing"