Transcript Electronic Health Record – Data Sharing Framework

Stockport Health Record
Awareness Event
16th September 2009
Stockport Town Hall
Paul Gaskin
SHR Programme Manager
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Stockport Health Record
sharing health records to improve patient care
Does anybody remember?
Thirty-five die after out-of-hours
GP care fails
June 2007
The eight doctors who failed to
diagnose my dying wife
Penny Campbell, 41-year-old journalist,
died in March 2005
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Stockport Health Record
sharing health records to improve patient care
What have we set out to do?
“To improve the healthcare and safety of patients registered
with a Stockport General Practitioner. The Health Care
Providers are working collaboratively to provide a secure,
integrated electronic care record which will be held locally and
available only to clinical partners at the point of care.”
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Stockport Health Record
sharing health records to improve patient care
High Level Summary - Target
Integrated Care Record
Local Health Community
patient information feeds
Patient Clinical Database
Patient Care Reports
Anonymous Reports
e.g.
CVD Risk Factor Screening &
Smoking Cessation LES
Pseudo-Anonymous Reports
e.g.
Improving quality of disease
registers
Identifiable Reports
Master Patient Index
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e.g.
Diabetic Retinopathy Screening
Programme
Stockport Health Record
sharing health records to improve patient care
Release 1 – Share GP records with OoH Service
Integrated Care Record
Local Health Community
patient information feeds
Patient Clinical Database
Out of Hours Service
(Mastercall)
53 x Stockport General Practices
• 4 x GP Systems
• Read Coded Data
Patient Care Reports
(e.g. Medications / Allergies / Medical History )
• Filter out exclusions
• circa 295,00 Patients
Anonymised Reports
CVD Risk Factor Screening &
Smoking Cessation LES
Public Health Dept
(NHS Stockport)
Master Patient Index
NHS Exeter System
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Identifiable Reports
Diabetic Retinopathy Screening
Programme
Stockport Health Record
sharing health records to improve patient care
Benefits
 Patient
 Improved co-ordinated patient care across Health Care Providers
 Increase confidence in care provided
 Reduce time in duplicating patient information
 Practice
 Reduce time and effort in collating and sending patient information
 Assist in data quality improvements
 Access to complete patient journey information (future)
 Out of Hours
 Provide efficient delivery of safer high quality care
 Increased productivity and responsivess to patients
 Reduced referrals to ED
 Reduced duplication of clinical tests
 Reduced wastage in prescribing
 PCT
 Improved information for planning, monitoring and commissioning
 Provide a Business Continuity solution e.g. Flu Pandemic
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Stockport Health Record
sharing health records to improve patient care
Concerns (1 of 2) ?
 Patient consent
 Patient can Opt Out at any time
 Public Information Campaign
 2005 - leaflet drop 300k houses, leaflets / posters in practices
 2009 - leaflet / posters in practices / PALS / local media articles / website
 No patient consent required to stream data
 Explicit consent to view record
 Adopted consent model approved by GMC, BMA, CFH
 Governance and data security
 Project Board
 Discussion and approval with various groups
 LMC / Information Governance Group / IM&T Strategy Group / NWSHA / Other Trusts…
 Information Sharing Agreement
 NHS N3 secure infrastructure
 Role Based Access
 Audit Log
 Freedom of Information Act
 Security Testing NCC Group
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Stockport Health Record
sharing health records to improve patient care
Consent
Patient
SHR
Clinician
Consent
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Stockport Health Record
sharing health records to improve patient care
Concerns (2 of 2) ?
 PCT “Big Brother”
 Information Sharing Agreement
 Project Board oversight
 National Summary Care Record buy another means
 NHS Stockport developed solution
 Stockport Health Care Providers
 Stockport people
 “Baby Steps” not big bang
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Stockport Health Record
sharing health records to improve patient care
Sharing your electronic GP records
 It is free!
 No hardware costs
 No software costs
 No maintenance costs
 No additional staff costs
 No installation costs
 All that we ask is ….
 Sign Information Sharing Agreement
 Provide a Test Patient
 Nominate a contact point
 Inform patients, if they ask?
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Stockport Health Record
sharing health records to improve patient care
Future Releases - TBA
 Share information with Hospital A&E, MAU
 Stream data from Hospital e.g.
 Discharge Summary
 Hospital pathology results
 Summary hospital patient history
 A&E card details
 Maternity summary record….
 Stream data from Social Care (CAF Project)
 Share information with Practices
 Enhanced information reporting
 Community modules
 Mobile Access
 …….
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Stockport Health Record
sharing health records to improve patient care
Thank you for listening
Welcome your thoughts and feedback at the end
My Contact Details
[email protected]
0776-967-8956
Web Site
www.nhsstockport/shr
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Stockport Health Record
sharing health records to improve patient care