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Scotland PHR / portal example
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Progress on the Electronic Patient Record In Scotland – June 2009
Heather StrachaneHealth Clinical Lead (NMAHPs) Scottish GovernmentHeather.Strachan@scotland.gsi.gov.uk
Population 5,057,400
Approximately 150,000 NHS staff2.57% NHS Budget spent on eHealth
Better Health Better Care Action Plan
Health Improvement
Tackling Health Inequalities
Improving Quality of Healthcare
Mutuality
Our Vision for eHealth
“exploiting the power of electronic information to help ensure that patients get the right care, involving the right clinicians, at the right time, to deliver the right outcome”
Better eHealth Better Care NHS Scotland eHealth Strategy 2008
www.ehealth.show.scot.nhs.uk
eHealth Architecture Vision
Portal Framework
Identity & Access Management (inc. Single Sign On)
Integration Platform
Record LocatorService
SCI Gateway Process Management
GP IT Labs PACS PharmacyPMS Other
ECS SCI Store CHI
Patient Dashboard
Clinical Dashboard
Management Dashboard
Info
rmat
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Acce
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n &
Inte
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rabi
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Info
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Apps
Portal Framework
Identity & Access Management (inc. Single Sign On)
Integration Platform
Record LocatorService
SCI Gateway Process Management
GP IT Labs PACS PharmacyPMS Other
ECS SCI Store CHI
Patient Dashboard
Clinical Dashboard
Management Dashboard
Info
rmat
ion
Acce
ssIn
tegr
atio
n &
Inte
rope
rabi
lity
Info
rmat
ion
Apps
What will we get?• Portal summary view of patient information from multiple systems.• Seamless access to source systems for viewing and data entry.• Bring together data from range of sources.How does it work?• Web based portal accessible from any site.• Single sign on provides login to source systems.• Source systems feed information stores using unique patient ID Number.• Record locator knows the stores that hold information• The integration platform streamlines the retrieval of information from multiple sources.
Inter relationship between Clinical and Patient Portal
• Customisation and personal profile• Self management tools• Measurements and results• Decision support• Health, Disease and Treatment options• Local support and services• Appointments and prescriptions• Access to health records• Forums and peer support • Telehealth and telemonitoring
Features of patient portal Demonstrator
Supporting Evidence Based Practice at Point of Care
Townhead Surgery
babylink
milihealth
my diabetes * my way
Renal patient view
NHS 24
Cancer info plus
Borders Health in Hand
healthinfoplus
health information online
eLibrary
Conclusion
•Need to co-ordinate potential patient portal silos•Personalised patient portal•Interrelationship between clinical and patient portal•Support shared decision• making as part of care process•Mutuality•Impact on role of nurses
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