eHR Participation for Healthcare Providers and Patients · Cert of Doctor Business Reg Cert...
Transcript of eHR Participation for Healthcare Providers and Patients · Cert of Doctor Business Reg Cert...
![Page 1: eHR Participation for Healthcare Providers and Patients · Cert of Doctor Business Reg Cert Business Reg Cert + Practising Cert of + Doctor 15 . HCP Supporting Document ... Eligible](https://reader036.fdocuments.in/reader036/viewer/2022062919/5ee03d4aad6a402d666b761f/html5/thumbnails/1.jpg)
eHR Participation for Healthcare Providers and Patients
Seminar on Unveiling of Hong Kong eHealth Record –
New Era in Healthcare
Electronic Health Record Registration Office
9 March 2016 1
![Page 2: eHR Participation for Healthcare Providers and Patients · Cert of Doctor Business Reg Cert Business Reg Cert + Practising Cert of + Doctor 15 . HCP Supporting Document ... Eligible](https://reader036.fdocuments.in/reader036/viewer/2022062919/5ee03d4aad6a402d666b761f/html5/thumbnails/2.jpg)
Agenda
1. Background of eHRSS
2. Key Concepts
3. Healthcare Provider (HCP) Participation in eHRSS
4. Patient Registration in eHRSS
5. Publicity for eHRSS Launch
6. Electronic Health Record (eHR)Registration Office
2
![Page 3: eHR Participation for Healthcare Providers and Patients · Cert of Doctor Business Reg Cert Business Reg Cert + Practising Cert of + Doctor 15 . HCP Supporting Document ... Eligible](https://reader036.fdocuments.in/reader036/viewer/2022062919/5ee03d4aad6a402d666b761f/html5/thumbnails/3.jpg)
Background of eHRSS
3
![Page 4: eHR Participation for Healthcare Providers and Patients · Cert of Doctor Business Reg Cert Business Reg Cert + Practising Cert of + Doctor 15 . HCP Supporting Document ... Eligible](https://reader036.fdocuments.in/reader036/viewer/2022062919/5ee03d4aad6a402d666b761f/html5/thumbnails/4.jpg)
0
500
1000
1500
2000
2500
3000
3500
4000
Nurse Doctor
212 249
471
678
872
10
1,062
1,198
1,445
1,927
2,215
2,491 2,580
2,713
2,853 2,971
3,098
3,303 3,390
3,520 3,557
4
![Page 5: eHR Participation for Healthcare Providers and Patients · Cert of Doctor Business Reg Cert Business Reg Cert + Practising Cert of + Doctor 15 . HCP Supporting Document ... Eligible](https://reader036.fdocuments.in/reader036/viewer/2022062919/5ee03d4aad6a402d666b761f/html5/thumbnails/5.jpg)
0
100000
200000
300000
400000
500000
600000
2014
No. of PPI-ePR Patients Enrolled
2008 2009 2010 2011 2012 2013 2015
10,000th Patient Jun 2007
100,000th Patient Jul 2010
200,000th Patient Feb 2012
300,000th Patient May 2013
400,000th Patient Dec 2014
2006 2007
479,000th Patient Dec 2015
5
![Page 6: eHR Participation for Healthcare Providers and Patients · Cert of Doctor Business Reg Cert Business Reg Cert + Practising Cert of + Doctor 15 . HCP Supporting Document ... Eligible](https://reader036.fdocuments.in/reader036/viewer/2022062919/5ee03d4aad6a402d666b761f/html5/thumbnails/6.jpg)
Training for Registration Centre staff
eHRSS Launch
Mid-Mar 2016
PPI-ePR Patient “Easy Registration to eHRSS”
eHRSS Ordinance Commencement
2 Dec 2015
eHRSS Bill Passage
13 Jul 2015
Oct 2015
Jan 2016
Feb 2016
Nov 2015
Mar 2016
Apr 2016
Dec 2015
May 2016
Technical Preparation of
HCPs
PPI Step Down (TBC)
Migration Promulgation
PPI-ePR HCP Registration
New HCPs Registration
11 Private Hospitals Registration
DH and HA Preparation
Recruitment of new patients
Recruitment Publicity 6
![Page 7: eHR Participation for Healthcare Providers and Patients · Cert of Doctor Business Reg Cert Business Reg Cert + Practising Cert of + Doctor 15 . HCP Supporting Document ... Eligible](https://reader036.fdocuments.in/reader036/viewer/2022062919/5ee03d4aad6a402d666b761f/html5/thumbnails/7.jpg)
Key Concepts
7
![Page 8: eHR Participation for Healthcare Providers and Patients · Cert of Doctor Business Reg Cert Business Reg Cert + Practising Cert of + Doctor 15 . HCP Supporting Document ... Eligible](https://reader036.fdocuments.in/reader036/viewer/2022062919/5ee03d4aad6a402d666b761f/html5/thumbnails/8.jpg)
Principles of Participation
Record Sharing • Two-way sharing (public & private)
Joining consent (參與同意)
• Voluntary to join (Opt-in)
Sharing consent (互通同意)
• Agree to share (upload and access) with individual HCP
• Duration (Indefinite or One-year)
Withdraw Any time
Use of eHR • Need-to-know (有需要知道)
• Patient-under-care (病人正接受其護理)
• Continuity of patient care
8
![Page 9: eHR Participation for Healthcare Providers and Patients · Cert of Doctor Business Reg Cert Business Reg Cert + Practising Cert of + Doctor 15 . HCP Supporting Document ... Eligible](https://reader036.fdocuments.in/reader036/viewer/2022062919/5ee03d4aad6a402d666b761f/html5/thumbnails/9.jpg)
Role-based access • 13 Healthcare Professions • Admin staff (no clinical data access)
Controlled access by healthcare professional
• System check on professional registration status
Data download • Personal Particulars • Allergy / Adverse Drug Reaction
Communication means • SMS, email, postal
Sharable content • “Sharable scope” of data
9
Privacy, Security, Legislation
![Page 10: eHR Participation for Healthcare Providers and Patients · Cert of Doctor Business Reg Cert Business Reg Cert + Practising Cert of + Doctor 15 . HCP Supporting Document ... Eligible](https://reader036.fdocuments.in/reader036/viewer/2022062919/5ee03d4aad6a402d666b761f/html5/thumbnails/10.jpg)
Joining and Sharing Consent
eHR operation
Register to eHR
Give consent to HCP A
Healthcare Recipient
(HCR) – [patient]
HCP A
HCP B
(by attending HCP A & receiving healthcare service)
Joining consent to participate
Sharing consent to individual HCP for sharing
Duration of sharing consent
• Indefinite until revocation
• One year 10
![Page 11: eHR Participation for Healthcare Providers and Patients · Cert of Doctor Business Reg Cert Business Reg Cert + Practising Cert of + Doctor 15 . HCP Supporting Document ... Eligible](https://reader036.fdocuments.in/reader036/viewer/2022062919/5ee03d4aad6a402d666b761f/html5/thumbnails/11.jpg)
Consent to join and share
Access to Record SMS notification to
patient for access to record
11
你的電子健康紀錄在31/03/2016 14:34已被甲乙丙醫務中心的陳大文醫生取覽(編號:123456789012)。查詢:34676300
Your eHealth Record is accessed by Dr. CHAN,TAI MAN from ABC Health Centre at 31/03/2016 16:34 (No:123456789012).Enquiry: 34676300
![Page 12: eHR Participation for Healthcare Providers and Patients · Cert of Doctor Business Reg Cert Business Reg Cert + Practising Cert of + Doctor 15 . HCP Supporting Document ... Eligible](https://reader036.fdocuments.in/reader036/viewer/2022062919/5ee03d4aad6a402d666b761f/html5/thumbnails/12.jpg)
HCP Participation in eHRSS
12
![Page 13: eHR Participation for Healthcare Providers and Patients · Cert of Doctor Business Reg Cert Business Reg Cert + Practising Cert of + Doctor 15 . HCP Supporting Document ... Eligible](https://reader036.fdocuments.in/reader036/viewer/2022062919/5ee03d4aad6a402d666b761f/html5/thumbnails/13.jpg)
HCP Registration to eHRSS
13
![Page 14: eHR Participation for Healthcare Providers and Patients · Cert of Doctor Business Reg Cert Business Reg Cert + Practising Cert of + Doctor 15 . HCP Supporting Document ... Eligible](https://reader036.fdocuments.in/reader036/viewer/2022062919/5ee03d4aad6a402d666b761f/html5/thumbnails/14.jpg)
HCP Registration Document
One Single Location Providing Healthcare Service
More than One Location Providing Healthcare Service
ELSA Licence
Healthcare Service
Location Form
[for each location]
HCP Reg Form
HCP Reg Form +
+ ELSA Licence +
14
![Page 15: eHR Participation for Healthcare Providers and Patients · Cert of Doctor Business Reg Cert Business Reg Cert + Practising Cert of + Doctor 15 . HCP Supporting Document ... Eligible](https://reader036.fdocuments.in/reader036/viewer/2022062919/5ee03d4aad6a402d666b761f/html5/thumbnails/15.jpg)
HCP Supporting Document
Solo Practice Owned by Individual
Solo Practice Owned by a Company
Practising Cert of Doctor
Business Reg Cert
Business Reg Cert +
Practising Cert of Doctor +
15
![Page 16: eHR Participation for Healthcare Providers and Patients · Cert of Doctor Business Reg Cert Business Reg Cert + Practising Cert of + Doctor 15 . HCP Supporting Document ... Eligible](https://reader036.fdocuments.in/reader036/viewer/2022062919/5ee03d4aad6a402d666b761f/html5/thumbnails/16.jpg)
HCP Supporting Document
Other Settings
16
![Page 17: eHR Participation for Healthcare Providers and Patients · Cert of Doctor Business Reg Cert Business Reg Cert + Practising Cert of + Doctor 15 . HCP Supporting Document ... Eligible](https://reader036.fdocuments.in/reader036/viewer/2022062919/5ee03d4aad6a402d666b761f/html5/thumbnails/17.jpg)
17 eHRSSO (Cap 625) Code of Practice
![Page 18: eHR Participation for Healthcare Providers and Patients · Cert of Doctor Business Reg Cert Business Reg Cert + Practising Cert of + Doctor 15 . HCP Supporting Document ... Eligible](https://reader036.fdocuments.in/reader036/viewer/2022062919/5ee03d4aad6a402d666b761f/html5/thumbnails/18.jpg)
Participation Pamphlet and FAQ
18
![Page 19: eHR Participation for Healthcare Providers and Patients · Cert of Doctor Business Reg Cert Business Reg Cert + Practising Cert of + Doctor 15 . HCP Supporting Document ... Eligible](https://reader036.fdocuments.in/reader036/viewer/2022062919/5ee03d4aad6a402d666b761f/html5/thumbnails/19.jpg)
Easy Steps for Participation
1. Registered as a healthcare provider
e.g. “Dr A’s Clinic”
2. Create authorised user account(s) in eHRSS
e.g. Dr A, Dr B and Nurse C
3. Technical set up
Computer, internet, “certification software” - ELSA
4. Respond to invitation (Dec 2015 -)
1. PPP participating doctors
2. PPI-ePR participating doctors
5. New healthcare provider registration (Mar 2016 -)
19
![Page 20: eHR Participation for Healthcare Providers and Patients · Cert of Doctor Business Reg Cert Business Reg Cert + Practising Cert of + Doctor 15 . HCP Supporting Document ... Eligible](https://reader036.fdocuments.in/reader036/viewer/2022062919/5ee03d4aad6a402d666b761f/html5/thumbnails/20.jpg)
20 Invitation letter to PPI-ePR participating doctors
![Page 21: eHR Participation for Healthcare Providers and Patients · Cert of Doctor Business Reg Cert Business Reg Cert + Practising Cert of + Doctor 15 . HCP Supporting Document ... Eligible](https://reader036.fdocuments.in/reader036/viewer/2022062919/5ee03d4aad6a402d666b761f/html5/thumbnails/21.jpg)
Successful Registration
1. Notification Letter
2. eHRSS Label / Publicity Posters / Booklet
3. Security Token
• same as PPI-ePR, no need to have new tokens for existing PPI-ePR users
4. HKID Reader (Free)
5. ELSA Software
ELSA can be installed by-
1. HCP themselves 2. IT Vendor of HCP 3. Onsite Support by eHR Office • Installation Guide • Support Hotline
21
![Page 22: eHR Participation for Healthcare Providers and Patients · Cert of Doctor Business Reg Cert Business Reg Cert + Practising Cert of + Doctor 15 . HCP Supporting Document ... Eligible](https://reader036.fdocuments.in/reader036/viewer/2022062919/5ee03d4aad6a402d666b761f/html5/thumbnails/22.jpg)
2. Written consent * complete and sign the form
1. Smart IC
insert to a card reading device for giving consent
3. One-time Password (OTP)
generated by eHRSS and sent to patient’s mobile phone
Card Reader provided by eHRC
22
![Page 23: eHR Participation for Healthcare Providers and Patients · Cert of Doctor Business Reg Cert Business Reg Cert + Practising Cert of + Doctor 15 . HCP Supporting Document ... Eligible](https://reader036.fdocuments.in/reader036/viewer/2022062919/5ee03d4aad6a402d666b761f/html5/thumbnails/23.jpg)
Patient Registration in eHRSS
23
![Page 24: eHR Participation for Healthcare Providers and Patients · Cert of Doctor Business Reg Cert Business Reg Cert + Practising Cert of + Doctor 15 . HCP Supporting Document ... Eligible](https://reader036.fdocuments.in/reader036/viewer/2022062919/5ee03d4aad6a402d666b761f/html5/thumbnails/24.jpg)
“Easy Registration to eHRSS” for
PPI-ePR Participants
24
![Page 25: eHR Participation for Healthcare Providers and Patients · Cert of Doctor Business Reg Cert Business Reg Cert + Practising Cert of + Doctor 15 . HCP Supporting Document ... Eligible](https://reader036.fdocuments.in/reader036/viewer/2022062919/5ee03d4aad6a402d666b761f/html5/thumbnails/25.jpg)
25
![Page 26: eHR Participation for Healthcare Providers and Patients · Cert of Doctor Business Reg Cert Business Reg Cert + Practising Cert of + Doctor 15 . HCP Supporting Document ... Eligible](https://reader036.fdocuments.in/reader036/viewer/2022062919/5ee03d4aad6a402d666b761f/html5/thumbnails/26.jpg)
26
![Page 27: eHR Participation for Healthcare Providers and Patients · Cert of Doctor Business Reg Cert Business Reg Cert + Practising Cert of + Doctor 15 . HCP Supporting Document ... Eligible](https://reader036.fdocuments.in/reader036/viewer/2022062919/5ee03d4aad6a402d666b761f/html5/thumbnails/27.jpg)
“New” Patient Registration to eHRSS
27
![Page 28: eHR Participation for Healthcare Providers and Patients · Cert of Doctor Business Reg Cert Business Reg Cert + Practising Cert of + Doctor 15 . HCP Supporting Document ... Eligible](https://reader036.fdocuments.in/reader036/viewer/2022062919/5ee03d4aad6a402d666b761f/html5/thumbnails/28.jpg)
28
![Page 29: eHR Participation for Healthcare Providers and Patients · Cert of Doctor Business Reg Cert Business Reg Cert + Practising Cert of + Doctor 15 . HCP Supporting Document ... Eligible](https://reader036.fdocuments.in/reader036/viewer/2022062919/5ee03d4aad6a402d666b761f/html5/thumbnails/29.jpg)
New Patient Registration
29
eHR Registration Centres
• Around 20 Hospital Authority (HA) hospitals
• Around 20 Department of Health (DH) clinics
• Private hospitals and some others healthcare providers (HCP)
• Please refer to eHRSS website for the address
![Page 30: eHR Participation for Healthcare Providers and Patients · Cert of Doctor Business Reg Cert Business Reg Cert + Practising Cert of + Doctor 15 . HCP Supporting Document ... Eligible](https://reader036.fdocuments.in/reader036/viewer/2022062919/5ee03d4aad6a402d666b761f/html5/thumbnails/30.jpg)
Guide for Patient Registration
30
Registration Workflow (In-person)
![Page 31: eHR Participation for Healthcare Providers and Patients · Cert of Doctor Business Reg Cert Business Reg Cert + Practising Cert of + Doctor 15 . HCP Supporting Document ... Eligible](https://reader036.fdocuments.in/reader036/viewer/2022062919/5ee03d4aad6a402d666b761f/html5/thumbnails/31.jpg)
Registration Workflow (Not-in-person)
31
![Page 32: eHR Participation for Healthcare Providers and Patients · Cert of Doctor Business Reg Cert Business Reg Cert + Practising Cert of + Doctor 15 . HCP Supporting Document ... Eligible](https://reader036.fdocuments.in/reader036/viewer/2022062919/5ee03d4aad6a402d666b761f/html5/thumbnails/32.jpg)
Participant Information Notice
• Background of eHRSS
• Joining & Sharing Consent
• What to know about eHRSS
– Protection
– Sharable Data ….
• Registration/ de-registration
• Use of HKIC to give consent
• Other matters
– How to appeal
– Limitation of eHRC Responsibility
– Further enquiries…
32
![Page 33: eHR Participation for Healthcare Providers and Patients · Cert of Doctor Business Reg Cert Business Reg Cert + Practising Cert of + Doctor 15 . HCP Supporting Document ... Eligible](https://reader036.fdocuments.in/reader036/viewer/2022062919/5ee03d4aad6a402d666b761f/html5/thumbnails/33.jpg)
Substitute Decision Maker (SDM)「代決人」
Who need a SDM?
1. Minor under 16
2. Mentally incapacitated as defined by Mental Health Ordinance
3. Incapable of managing his/her own affairs
4. Incapable of giving consent for eHRSS registration at relevant time
33
![Page 34: eHR Participation for Healthcare Providers and Patients · Cert of Doctor Business Reg Cert Business Reg Cert + Practising Cert of + Doctor 15 . HCP Supporting Document ... Eligible](https://reader036.fdocuments.in/reader036/viewer/2022062919/5ee03d4aad6a402d666b761f/html5/thumbnails/34.jpg)
Eligible SDM
34
![Page 35: eHR Participation for Healthcare Providers and Patients · Cert of Doctor Business Reg Cert Business Reg Cert + Practising Cert of + Doctor 15 . HCP Supporting Document ... Eligible](https://reader036.fdocuments.in/reader036/viewer/2022062919/5ee03d4aad6a402d666b761f/html5/thumbnails/35.jpg)
Patient Registration and Access Notification
35
![Page 36: eHR Participation for Healthcare Providers and Patients · Cert of Doctor Business Reg Cert Business Reg Cert + Practising Cert of + Doctor 15 . HCP Supporting Document ... Eligible](https://reader036.fdocuments.in/reader036/viewer/2022062919/5ee03d4aad6a402d666b761f/html5/thumbnails/36.jpg)
Publicity for eHRSS Launch
36
![Page 37: eHR Participation for Healthcare Providers and Patients · Cert of Doctor Business Reg Cert Business Reg Cert + Practising Cert of + Doctor 15 . HCP Supporting Document ... Eligible](https://reader036.fdocuments.in/reader036/viewer/2022062919/5ee03d4aad6a402d666b761f/html5/thumbnails/37.jpg)
eHRSS Poster
37
![Page 38: eHR Participation for Healthcare Providers and Patients · Cert of Doctor Business Reg Cert Business Reg Cert + Practising Cert of + Doctor 15 . HCP Supporting Document ... Eligible](https://reader036.fdocuments.in/reader036/viewer/2022062919/5ee03d4aad6a402d666b761f/html5/thumbnails/38.jpg)
eHRSS Booklet
38
![Page 39: eHR Participation for Healthcare Providers and Patients · Cert of Doctor Business Reg Cert Business Reg Cert + Practising Cert of + Doctor 15 . HCP Supporting Document ... Eligible](https://reader036.fdocuments.in/reader036/viewer/2022062919/5ee03d4aad6a402d666b761f/html5/thumbnails/39.jpg)
Publicity for eHRSS Launch
TV APIs
39
![Page 40: eHR Participation for Healthcare Providers and Patients · Cert of Doctor Business Reg Cert Business Reg Cert + Practising Cert of + Doctor 15 . HCP Supporting Document ... Eligible](https://reader036.fdocuments.in/reader036/viewer/2022062919/5ee03d4aad6a402d666b761f/html5/thumbnails/40.jpg)
Publicity for eHRSS Launch
Promotional video
40
![Page 42: eHR Participation for Healthcare Providers and Patients · Cert of Doctor Business Reg Cert Business Reg Cert + Practising Cert of + Doctor 15 . HCP Supporting Document ... Eligible](https://reader036.fdocuments.in/reader036/viewer/2022062919/5ee03d4aad6a402d666b761f/html5/thumbnails/42.jpg)
eHR Registration Office
42
![Page 43: eHR Participation for Healthcare Providers and Patients · Cert of Doctor Business Reg Cert Business Reg Cert + Practising Cert of + Doctor 15 . HCP Supporting Document ... Eligible](https://reader036.fdocuments.in/reader036/viewer/2022062919/5ee03d4aad6a402d666b761f/html5/thumbnails/43.jpg)
eHR Registration Office
43
![Page 44: eHR Participation for Healthcare Providers and Patients · Cert of Doctor Business Reg Cert Business Reg Cert + Practising Cert of + Doctor 15 . HCP Supporting Document ... Eligible](https://reader036.fdocuments.in/reader036/viewer/2022062919/5ee03d4aad6a402d666b761f/html5/thumbnails/44.jpg)
eHR Registration Office Helpdesk / Enquiry Service (with 24-hour IVRS Service)
44
![Page 45: eHR Participation for Healthcare Providers and Patients · Cert of Doctor Business Reg Cert Business Reg Cert + Practising Cert of + Doctor 15 . HCP Supporting Document ... Eligible](https://reader036.fdocuments.in/reader036/viewer/2022062919/5ee03d4aad6a402d666b761f/html5/thumbnails/45.jpg)
eHR Registration Office Contact Us:
Enquiry Hotline (Patients and Participants): 3467 6300 Enquiry Hotline (HCPs): 3467 6230
Email : [email protected] Fax : 3467 6099 Website : http://www.ehealth.gov.hk Address: Electronic Health Record Registration Office Unit 1193, 11/F, Kowloonbay International Trade & Exhibition Centre 1 Trademart Drive, Kowloon Bay
45
![Page 46: eHR Participation for Healthcare Providers and Patients · Cert of Doctor Business Reg Cert Business Reg Cert + Practising Cert of + Doctor 15 . HCP Supporting Document ... Eligible](https://reader036.fdocuments.in/reader036/viewer/2022062919/5ee03d4aad6a402d666b761f/html5/thumbnails/46.jpg)
Thank You
46