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NHS Scotland eHealth Strategy
NHS for Scotland’s 5.2m citizens ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
sub title: How do you do strategy in a federated health system? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Scotland’s approach to eHealth ,[object Object],[object Object],[object Object],[object Object],[object Object]
1.  Doing things of use to all – how far did this get us up to c. 2008? ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
[object Object],[object Object],1.  Doing things of use to all – how far did this get us up to c. 2008?
[object Object],[object Object],1.  Doing things of use to all – how far did this get us up to c. 2008?
What’s ECS? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],Why did we do this difficult thing?
System Overview GP consultation ECS System Request & display NHS 24 A&E Ambulance TBD… Check  audit log Health Board GP Practice admin
Progress to Date ,[object Object],[object Object],[object Object],[object Object],[object Object]
Implementation Approach ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],Confidentiality protections
Costs and financing ,[object Object],[object Object],[object Object]
Emergency Care Summary – benefits
Patient Views ,[object Object],[object Object],[object Object]
Clinicians Quotes ,[object Object],[object Object],[object Object],[object Object],[object Object]
Lessons Learned… ,[object Object],[object Object],[object Object],[object Object],[object Object]
New Developments - ePCS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
New Developments ,[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],KIS – section 1 – Basic details
KIS – section 2 – Current Situation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
KIS – section 3 – Carer/ Support details ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
KIS – section 4 – care suggestions ,[object Object],[object Object],[object Object],[object Object]
2. Convince that convergence and collaboration is in the interests of all relationships  relationships  relationships (+ putting financial and delivery responsibility where it should be)
Where common cause exists, national contribution to collaboration (Hospital Patient Management System and GP system procurements)  3.  Incentivise that collaborative activity
Agree aims that have business relevance Offer funds to support achievement Health Boards to set outcomes and show  4 year plans for each aim (acknowledges that Boards at different places and have different local priorities)   3.  Incentivise that collaborative activity
5 strategic eHealth aims ,[object Object],[object Object],To use information and technology in a coordinated way to:
1970 – 2000 2000 - 2011 2012 + patient £ and effort £ & £ & admin admin clinical clinical patient
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Patient eHealth - lots of possibilities Solutions looking for problems?
yes but with what outcome? ,[object Object],[object Object],[object Object]
e-correspondence service? ,[object Object],[object Object],[object Object]
Citizen eHealth Strategy
5 strategic eHealth aims ,[object Object],[object Object],[object Object],[object Object],identifying at-risk patients, anticipatory care, supporting virtual wards/ joined-up patient pathways…
5 strategic eHealth aims ,[object Object],[object Object],[object Object],[object Object],[object Object]
what information?  survey said… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],clinical portal
Greater Glasgow & Clyde In a given week some 5500 active users,  accessing 250,000 documents (test results,  correspondence, operation notes, pre-op assessments, clinic lists, scanned paper records, theatre lists, etc)  + range of e-forms to replace standard assessments, notes etc
the right IT – necessary… … but on its own not sufficient without that there’s trust in the safeguards
the right safeguards through training & awareness, authentication of users, role-based access, single sign-on, audit log analysis etc very necessary, but still not sufficient
agreement to share in the first place
5 strategic eHealth aims ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
medicines reconciliation…
NHS Lanarkshire trial ,[object Object],[object Object],[object Object],[object Object]
4.  Put in place appropriate governance
(with acknowledgements to Accenture)

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NHS Scotland Ehealth Strategy - Alan Hyslop

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  • 12. System Overview GP consultation ECS System Request & display NHS 24 A&E Ambulance TBD… Check audit log Health Board GP Practice admin
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  • 17. Emergency Care Summary – benefits
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  • 28. 2. Convince that convergence and collaboration is in the interests of all relationships relationships relationships (+ putting financial and delivery responsibility where it should be)
  • 29. Where common cause exists, national contribution to collaboration (Hospital Patient Management System and GP system procurements) 3. Incentivise that collaborative activity
  • 30. Agree aims that have business relevance Offer funds to support achievement Health Boards to set outcomes and show 4 year plans for each aim (acknowledges that Boards at different places and have different local priorities) 3. Incentivise that collaborative activity
  • 31.
  • 32. 1970 – 2000 2000 - 2011 2012 + patient £ and effort £ & £ & admin admin clinical clinical patient
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  • 41. Greater Glasgow & Clyde In a given week some 5500 active users, accessing 250,000 documents (test results, correspondence, operation notes, pre-op assessments, clinic lists, scanned paper records, theatre lists, etc) + range of e-forms to replace standard assessments, notes etc
  • 42. the right IT – necessary… … but on its own not sufficient without that there’s trust in the safeguards
  • 43. the right safeguards through training & awareness, authentication of users, role-based access, single sign-on, audit log analysis etc very necessary, but still not sufficient
  • 44. agreement to share in the first place
  • 45.
  • 47.
  • 48. 4. Put in place appropriate governance

Notas del editor

  1. Identified by the eHealth Strategy Board as the priorities and developed in collaboration with stakeholders 5 broad themes where Boards will be expected to focus their eHealth activity going forward Closely linked to activity across the Scottish Government
  2. Identified by the eHealth Strategy Board as the priorities and developed in collaboration with stakeholders 5 broad themes where Boards will be expected to focus their eHealth activity going forward Closely linked to activity across the Scottish Government
  3. Identified by the eHealth Strategy Board as the priorities and developed in collaboration with stakeholders 5 broad themes where Boards will be expected to focus their eHealth activity going forward Closely linked to activity across the Scottish Government
  4. Identified by the eHealth Strategy Board as the priorities and developed in collaboration with stakeholders 5 broad themes where Boards will be expected to focus their eHealth activity going forward Closely linked to activity across the Scottish Government
  5. ECS has worked well, with clear benefits to patient safety. Irony that people have noticed is that safer to go into hosp as an emergency as opposed to OP or arranged admission etc Lanarkshire study…letters were on average 110 days old when the patient was admitted for treatment. In the 24 referral letters examined there were a total of 119 discrepancies in the medications listed by the time of the patient’s hospital admission when compared with the information on ECS. The clinicians who did this study also looked at potential for harm in not having the up to date prescription at the outpatient appointment or admission. They concluded that there may have been some degree of avoidable harm for 23 out of the 305 patients studied, which is a significant finding given the numbers of outpatient appointments and admissions across NHS Scotland.