Digital ehealth. Empowering Transformation
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- Georgia Marsh
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1 Digital ehealth Empowering Transformation
2 ehealth Digital: Supporting Patients and Services What have we done locally? The case of Mr Crosbie Looking forward Scotland s strategy and our plans Where will the future take us?
3 Where we are in 2017 in NHSGGC? In health: Paperless general practice Single patient management system for all hospitals Single portal system with view into 4 neighbouring Health Boards Electronic referral and e-correspondence Paperless outpatient care Single laboratory system with electronic ordering Single radiology system with digital images (PACS)
4 Where we are in 2017 in NHSGGC.. In social care: Two social care IT systems in six different authorities Some data now shared between health and social care
5 What underpins this.. A single patient identifier: the CHI number This ties together all the records in multiple systems The CHI number in Glasgow & Clyde has now been added to the social care systems CLAUS, Santa
6 What underpins this? Data stores for lab results, documents Lots of computer kit.. Lots of workforce training and new skills
7 Patient Records from this
8 To this
9 and this.
10 to this
11 and this..
12 to this
13 Quiz What s a CoW? What s SCI Gateway? What s an RMC?
14 Electronic Patient Records what are they? Clinical Portal An electronic system which allows clinicians and health professionals to view a patient s clinical record (no more paper!) Underpinned and fed by a range of technologies Integrated with >30 other systems Over 12,000 front line level clinical users, 10yrs clinical data West of Scotland Portal to Portal allowing sharing of patient records with clinicians caring for the patient across the region Covers over 2 million residents
15 Patient Management System
16 Primary Care and Community
17 Patient on-line GP services Patient On Line Services in GP Practices - Checking, booking and cancelling appointments. - Checking medication and ordering repeat medication - Convenient 24/7/365 - Fast online access - Available on the move Smartphone & App
18 Used by all of our staff to support patient care
19 What's next key projects underway e-medicine Reconciliation and Immediate Discharge Letter pilot October & November, roll out from Jan 2018 Hospital Electronic Prescribing & Medicines Administration (HEPMA) procurement underway Rollout of Medical/Surgical Weekend Handover Internal Acute e-referral pilot November
20 What's next key projects underway e-results Acknowledgement Pilot of Advice Referrals Electronic Clinical Dialogue between clinicians Improved workflow using workbenches and electronic forms Maternity System implementation - from October
21 Transforming care journeys Mr Crosbie is 74 years old. He has deteriorating lung disease and a bad hip. He is a bit deaf so can t always hear the door bell. He phones the practice to say his inhalers aren t working and he can t shop any more as he is too puffed
22 Transforming care journeys What happens now in 2017? What should happen in 2025?
23
24 As a citizen of Scotland. I maintain and improve my health and wellbeing through access to digital information, tools and services I expect service staff and carers to improve my health and wellbeing by using and sharing my digital health and social care information securely I also expect that my digital information will be used appropriately to plan and improve services and to help improve the health and wellbeing of others
25 The Future Patient Portal Scotland s National Health & Social Care Patient Portal - A Digital Front Door to Scotland s health and social care services
26 The Future Virtual clinics
27 The Future wearables, the cloud and AI
28 Making sense of it all Clinical Decision Support
29 Further into the future
30 Some of our challenges Data sharing versus privacy Making changes to a complex inflight system Measuring outcomes not process Costs not recouped immediately Risk of the old not weighed against risk of the new
31 The future is ours to shape. What do you expect by 2025?
32 Thank You
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