Presented by Richard Medlicott Island Bay Medical Centre Medical Director, Medibank Health Solutions

1. Patient Portals
A GPs Perspective
Richard Medlicott
HINZ 2013

2. NHITB Plan Key
Performance Indicators

3. Who’s going to do it?
 GP’s
 PHO’s
 IHFC’s

4. Patient Portals -WIIFM
What’s in
it for me?

5. What’s in a name?

6. Background
Busy suburban
practice in
Wellington
11000 patients
Consulting is the
most exhausting
and the most
rewarding thing I do
6 partners, 3
associates
15 minutes
generates a lot of
work

7. The things we do…
For every hour of consulting there is 20 to 30 minutes of other
work generated
Lab and radiology review
Referral letters
Responding to patients

8. WIIFM – the GP
Asynchronous
messaging
Time positive =
income positive
No telephone
hostage taking
Single handling
of messages
Single source of
truth
Chargeable
Enhances my
relationship with
my patients
Enhances
communication,
decreases risk

9. WIIFM – the Patient
Asynchronous
messaging
No telephone
hostage taking
Single handling
of messages
Single source of
truth
Enhances my
relationship with
my doctor
Enhances
communication,
decreases risk

10. WIIFM – the Vendor
Competitive
market
Leverage a
platform
• Shared records
• Referrals to 3rd parties
• Shared care platforms

11. WIIFM – Government
An informed
public
Decreased
duplication
Patient
autonomy

12. The Platform
Medtech 32 ManageMyHealth
• Appointments
• Lab, radiology, discharge letter’s, specialist
letters
• Secure messaging
• Medications including ordering
• Recalls
• Medical warnings
• Demographic update
• Consultation notes if desired

13. The Platform
Patient
controlled
area
•Goal setting
•Calendar
•Journal
•Audit
•Updating demographics
back to the practice

14. Support needed
Practices need processes
Consent
Training
www.ibmc.co.nz/managemyhealth

15. Some figures
741 enrolled. 627
activated
6839 logins in the
last year
294 Repeat scripts
403 e-requests
Being used by 6
doctors and 5
practice nurses to
varying degrees

16. Number of logins

17. The evidence for
efficiency gains

The Impact Of Health Information Technology
And e-Health On The Future Demand For
Physician Services

doi: 10.1377/hlthaff.2013.0680 HEALTH AFFAIRS 32,
NO. 11 (2013): 1998–2004 ©2013 Project HOPE—
The People-to-People Health Foundation, Inc.

Jonathan P. Weiner, Susan Yeh, and David
Blumenthal

Reviewed 134 articles

18. Consumer-Provider digital
communication
 Substantial
evidence that
office visits can be reduced by
10–20% in integrated settings,
but increased time required to
answer e-mail;

19. Capitation payment is
critical. Other incentives
help

Fee for service would inhibit uptake

Capitation means efficiency gains
are reflected in increased income
for same work

Link to quality structure.

Expect slow uptake unless other
incentives put in place.

20. Minister Ryall announces GP portal incentive structure
GP happy
$1500 setup + $5 per enrolled patient on portal

21. Questions?