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eHealth Governance, Security and Privacy a UK Perspective ,[object Object],[object Object],[object Object],[object Object],HINZ Rotorua 31 st  October 2007
 
 
 
 
 
What I intend to cover ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
My areas of interest ,[object Object],[object Object]
Information Services: the organisation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
NHS Scotland: demography ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],http://www.show.scot.nhs.uk/
NHS Scotland: politics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],http://www.show.scot.nhs.uk/
NHS Scotland: IT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
NHSScotland national datasets ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Primary and secondary uses ,[object Object],[object Object],[object Object],[object Object]
Etc etc Epidemiology Surveillance Secondary Uses Screening Planning Research Targets Monitoring  performance /progress
% patients treated   surgically but documented as unfit for theatre within 24 safe operating hours Fig. 2:  Percentage of patients treated surgically but documented as unfit for theatre within 24 safe operating hours of ward admission Percentage of patients treated surgically but documented as unfit for theatre within 24 safe operating hours of ward admission   Scottish Hip Fracture Audit Report  2007
NHSScotland eHealth strategy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Key principles
NHS Scotland ‘eHealth’ strategy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Big potential procurements ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Other Areas  Under Development or Proposed ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
  Other Areas  Under Development or Proposed  (2) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Other Major Developments ,[object Object],[object Object],[object Object],[object Object],[object Object]
Emergency Care Summary (ECS) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Scottish Health Information Service (SHIS) ,[object Object]
NHSScotland Data Warehouse QOF ( GP ) DENTAL A&E ( EDIS ) Prescribing ( ACUTE ) SCI Referrals Workforce ( SWISS ) Blood Transfusion Waiting Times SPARRA ( predictive) Others ……… . Common Dimensions – Business Objects GRO ( DEATHS  ) SMR 01 (  ACUTE  ) SMR 04 ( MENTAL Health) Prescribing ( Primary care) SMR  06 ( CANCER) National  Health Targets Benchmarking/ Clinical Governance Navigator
eHealth Programme Executive Team eHealth Programme Director Strategy Design Authority Programmes Change and Benefits
eHealth Programme Executive Team Director eHealth User Skills Development Change and Benefits Communications Service Redesign Benefits  Identification & Delivery   Strategy Definition of  Project Brief Market Intelligence  & Evaluation Strategy Maintenance and Delivery Technical  Standards & Architecture Design Authority Applications  Standards & Architecture Confidentiality & Governance Security & Authentication Programmes Programme  Management National Projects Staff Skills , Project Commissioning
Information Governance ,[object Object],[object Object],[object Object],[object Object],[object Object]
Legal Framework ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],Confidentiality and Security Advisory Group for Scotland (CSAGS) April 2002
Current Privacy Safeguards  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Current Privacy safeguards (2) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Information Governance Framework ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Information Governance Framework ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
But…problems remain ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
The solutions: effecting change in the next five years ,[object Object],[object Object],[object Object],[object Object]
Engagement ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Education ,[object Object],[object Object],[object Object],[object Object]
Engineering ,[object Object],[object Object],[object Object]
Enforcement ,[object Object],[object Object],[object Object],[object Object],[object Object]
Engagement: taking the patients with us ,[object Object],[object Object]
Engagement: taking the patients with us ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Engagement: taking the patients with us ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Engagement: taking the patients with us ,[object Object],[object Object],[object Object],[object Object]
In summary ,[object Object],[object Object],[object Object],[object Object],[object Object]
Who needs electronic health records?
Thanks for listening.. We all do

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eHealth Governance, Security and Privacy a UK Perspective

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  • 15. Etc etc Epidemiology Surveillance Secondary Uses Screening Planning Research Targets Monitoring performance /progress
  • 16. % patients treated surgically but documented as unfit for theatre within 24 safe operating hours Fig. 2: Percentage of patients treated surgically but documented as unfit for theatre within 24 safe operating hours of ward admission Percentage of patients treated surgically but documented as unfit for theatre within 24 safe operating hours of ward admission Scottish Hip Fracture Audit Report 2007
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  • 25. NHSScotland Data Warehouse QOF ( GP ) DENTAL A&E ( EDIS ) Prescribing ( ACUTE ) SCI Referrals Workforce ( SWISS ) Blood Transfusion Waiting Times SPARRA ( predictive) Others ……… . Common Dimensions – Business Objects GRO ( DEATHS ) SMR 01 ( ACUTE ) SMR 04 ( MENTAL Health) Prescribing ( Primary care) SMR 06 ( CANCER) National Health Targets Benchmarking/ Clinical Governance Navigator
  • 26. eHealth Programme Executive Team eHealth Programme Director Strategy Design Authority Programmes Change and Benefits
  • 27. eHealth Programme Executive Team Director eHealth User Skills Development Change and Benefits Communications Service Redesign Benefits Identification & Delivery Strategy Definition of Project Brief Market Intelligence & Evaluation Strategy Maintenance and Delivery Technical Standards & Architecture Design Authority Applications Standards & Architecture Confidentiality & Governance Security & Authentication Programmes Programme Management National Projects Staff Skills , Project Commissioning
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  • 47. Who needs electronic health records?

Notas del editor

  1. Good morning