On 12th December 2013, Dr Hannan (GP / family physician) along with Marilyn Gollom (patient) presented this talk to Health 2.0 Manchester. You can watch the talk by going to http://www.htmc.co.uk/pages/pv.asp?p=htmc0519.
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20131210 ehr is the nhs ready
1. Health 2.0 Manchester presents
Electronic Patient Record
Is the NHS ready? How about patients?
Dr Amir Hannan
General Practitioner
Tameside&Glossop CCG board member leading on
Long Term Conditions, Information Management & Technology and
Patient Engagement / Empowerment
Twitter: @amirhannan
Marilyn Gollom
Patient of Haughton Thornley Medical Centres
Member of Haughton Thornley Patient Participation Group and
NHS Values Manchester Patient Champion
www.htmc.co.uk
12th December 2013
@H20mcr / #H20mcr
2. Ten Golden Rules of Continuous Improvement
1. Problems create opportunities
2. The impossible is a paradigm – change your mind to change
your performance
3. Ask why five times to get to the real answer
4. Eliminate excuses, do it right the first time
5. Correct errors immediately
6. Involve everyone – we are smarter as a group than a single
individual
7. Reconsider rigid thoughts, situations change
8. Think simple, not perfect solutions
9. Use your mind more than your money
10. The Goal: Continuous improvement over delayed perfection
With thanks to Trevor Fossey
3. 4 Ps to Success
Patients and the Public
Paradigm Shift in Healthcare
Partnership of Trust
44. Many GP Practices have had the capability for some years now to be
able to:
• Book and cancel appointments on-line
• Update personal information (eg phone no)
• View and order repeat medications
• Send messages to the practice
• Access test results and letters
• View a summary of the medical records
• View the full medical record
…but much of this functionality is not yet widely utilised
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45. The Evidence shows that where Access to Records is enabled:
Patientslike it!
Record sharing is safe
It improves Patient-Practice relationships
Patients use it intelligently to:
Save their own time
Save the doctors time,
Make the system safer and more efficient
It does not increase litigation
It appears to improve outcomes with less use of health services
It helps patients feel more in control of their health and their care
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46. CLINICAL PERSPECTIVE
PRACTICE PERSPECTIVE
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Many GPs are sceptical
Where this is working, the clinicians tell
us that it supports patient
empowerment, ownership and
engagement.
Practice experience is that this change
has not been revolutionary, as they
feared!
Access develops patients’ responsibility
& interest in their own health.
It enables patients to bring accurate data
to consultations.
It supports modern consultations, which
are often about conditions which have
no end point e.g.
Osteoarthritis, Diabetes, Dementia, Depr
ession – and the patients attitude to the
condition is paramount.
Access helps with some basic patient
needs – such as checking what was
agreed at the consultation.
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Record access is safer: patients choose to
share their record with A+E when they get
suddenly ill, or with carers who can care
for them better with better information.
Compliance and self care improve
Patients feel more in control of their care
and more informed
On-line services save the practice – and
the patient, time – giving the practice
‘Time to Care’
The Practice is less prone to hold
erroneous data
Access provides a marketable asset
It provides an investment in the
relationship with their patients
Fits with the spirit of current NHS thinking
Less inefficiency – patients can take
referral letters to out-patients or list of
allergies to out of hours providers
Tap into patients desire for health
47. Challenges for enabling patient access to records and understanding
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What are the knowledge, skills and attitudes to support this for patients and the
public, carers, clinicians, managers, legislators, students and educationalists and others?
How do we encourage nurses and other allied health professionals to take an interest in this?
Morale is low and will this push staff away from wanting to do their job?
Do we have time to do this?
Where will the money come to support this?
What help is there to do Records Access?
Is the technology good enough to role this out more widely?
Is there a risk of increased litigation?
Where is the evidence that it improves outcomes or is this the right thing to do ?
Is there a standardised way of rolling this out ?
Enabling understanding is not easy but not that difficult either
Need to move clinical mindset away from fixers to facilitators of shared decision making and self care
Whose interest is it to improve health literacy?
Are we ready to do this yet at scale?
What about the Digital Divide?
Is there evidence that patients, clinicians or managers want this?
Whose role is it to drive this forwards – DoH / NHS England / CCGs / policy makers / clinicians /
managers / patients / carers / 3rd Sector / the Press / Twitter etc etc etc
What do you need to make this work for you and your family?
