Easy access to Electronic Health Record Sharing System (ehrss) via Clinical Management System (CMS) Extension On-ramp system

Transcription

1 Easy access to Electronic Health Record Sharing System (ehrss) via Clinical Management System (CMS) Extension On-ramp system by Hong Kong healthcare providers in private sectors Wong ACK, Shum LHY, Chan FKK, Cheung CSK, Tong ELH, Cheung NT Health Informatics, Information Technology and Health Informatics Division, Hospital Authority Head Office

2 Background Public 41 Public Hospitals 73 General Out-patient Clinics & 47 Public Specialist Outpatient clinics 2.5% GDP Private 11 Private Hospitals ~ > 3000 of Private Clinics 2.7% GDP

3 Primary Healthcare in HK Public vs Private Outpatient Visits Public A&E 2% Public Outpatient Clinics 27% Others 1% Private Clinics 70% 70% of Hong Kong Population visits Private clinics of Western/ Chinese Medicine.

4 Private Clinics in Hong Kong Approximately 80-90% of private doctors practice in solo # Most Solo Clinics in Hong Kong are still using paper for clinical documentation Only ~ 20% Private clinics adopted emr** (IT Survey conducted by HKMA 2006) Solo Practices are less likely to adopt emr compared to Group Practices * Figures is an estimate from HKMA Hong Kong Doctor Directory # Figures obtained from multiple surveys vary between 87-95% ** Factors Associated with Adoption of ehr Systems among Primary Care Physicians, Cheung CK et al 2013

5 Healthcare Reform ehealth Record Sharing System aims to: Enhance Continuity of Care Improve Quality of healthcare delivery Promote Public/ Private sector collaboration ehrss commenced operation on 13 th March 2016.

6 Private Clinics Other healthcare professionals Hospital Authority Private Hospitals Department of Health X-ray Doctors & Nurses Laboratory

7 ehrss encourages private clinics to adopt emr System and to upgrade emr systems to enable ehrss interconnectivity

8 What do private doctors think about using emr? Perceived efficiency 90% Reduce medical errors 54.90% Eliminate paper record storage Eliminate illegibility of partners Ability to share record Others 38.10% 29.30% 22.30% 16.10% 0% 20% 40% 60% 80% 100% *Factors Associated With Adoption of the Electronic Health Record System Among Primary Care Physicians Clement SK Cheung, MBChB, MRCS(Ed), FHKCEM, FHKAM, 1 Ellen LH Tong, 1 Ngai Tseung Cheung, MBBS, MSc(Comp Sci), 1 Wai Man Chan, MScEB, 2 Harry HX Wang, PhD, 2,3 Mandy WM Kwan, MND, APD, 2 Carmen KM Fan, MPH, 2 Kirin QL Liu, MPhil, 2 and Martin CS Wong, MBChB, MD, MPH, FRACGP 2

9 Reasons for not using computerized systems in clinics Not patient-friendly 54.20% Time-consuming 50.50% Lack of technical support 46.70% Data migration from paper to system 44.90% Down-time 41.10% Concerns on hackers 25.20% Others 24.30% Cost Concerns 22.40% Insufficient space 17.80% Not supported by partners/ organisations 9.30% System not support Chinese Language 4.70% *Factors Associated With Adoption of the Electronic Health Record System Among Primary Care Physicians Clement SK Cheung, MBChB, MRCS(Ed), FHKCEM, FHKAM, 1 Ellen LH Tong, 1 Ngai Tseung Cheung, MBBS, MSc(Comp Sci), 1 Wai Man Chan, MScEB, 2 Harry HX Wang, PhD, 2,3 Mandy WM Kwan, MND, APD, 2 Carmen KM Fan, MPH, 2 Kirin QL Liu, MPhil, 2 and Martin CS Wong, MBChB, MD, MPH, FRACGP 2

10 Method CMS Extension Project funded by ehro CMS Adaptation Private Hospital CMS On-Ramp Private Clinics

11 CMS On-ramp 1. Support the daily operation & workflow of a private clinic 2. Improve efficiency and reduce medical errors by smart features and simple UI 3. Provide easy access and interconnectivity with ehrss Data compliant to Hong Kong Clinical Terminology Table In-built interconnectivity with ehrss ehealth Record Viewer 4. Free of charge

12 Smart Features Smart Search for Diagnosis, Procedure and Medications Favourite list & drug sets Repeat from History Letter templates

13 Smart search for Diagnosis Repeat from History Drug set

14 System functions of CMS On ramp Nurse Doctor Pharmacist Registration Appointment Booking Structured Allergy and Alert Inventory Management Patient Queue Assessment Consultation, Diagnosis and Prescription ehrss Dispensary Basic Billing Medical Certification Reports

15 Via ehr viewer browser Log in (User name, Password, Token code) Access to ehr Viewer Local emr Registration Via CMS On-ramp Registration Build Sharing Consent Build Sharing Consent Consultation, Diagnosis and Prescription Consultation, Diagnosis and Prescription Log in (User name, Password, Token code) Log in (Token code) All-in-one Select patient

16 Log in ehr viewer via CMS On-ramp

17 Consultation History Patient panel Shortcut to access to ehrss Current Consultation

18 Input token code

19 Landing with the current consulting patient

20 Via ehr viewer browser Upload Record Private Clinics View record Upload Record Via CMS On-ramp Immunization record Prescribing & Dispensing Diagnosis & Procedure Allergies & Adverse drug reaction Sharable data scope Personal Identification data Encounter Referral

21 ehrss Interconnectivity

22 Efficient Smart Functions Streamline access to ehrss Safe Secure & Safe access to ehrss Simple Easy to learn & adopt Automate interconnectivity All-in-one In Summary Supports daily operation/ clinical workflow in one system

23