1 Stockport Health Record
sharing health records to improve patient care
Stockport Health RecordAwareness Event
16th September 2009
Stockport Town Hall
Paul Gaskin
SHR Programme Manager
2 Stockport Health Record
sharing health records to improve patient care
Does anybody remember?
The eight doctors who failed todiagnose my dying wife
Penny Campbell, 41-year-old journalist,died in March 2005
Thirty-five die after out-of-hoursGP care fails
June 2007
3 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.”
4 Stockport Health Record
sharing health records to improve patient care
Patient Clinical Database
Master Patient Index
High Level Summary - Target
Integrated Care Record
Patient Care Reports
Anonymous Reportse.g.
CVD Risk Factor Screening & Smoking Cessation LES
Pseudo-Anonymous Reportse.g.
Improving quality of diseaseregisters
Identifiable Reportse.g.
Diabetic Retinopathy ScreeningProgramme
Local Health Communitypatient information feeds
5 Stockport Health Record
sharing health records to improve patient care
Release 1 – Share GP records with OoH Service
Patient Clinical Database
Master Patient IndexNHS Exeter System
Integrated Care Record
Patient Care Reports
Anonymised ReportsCVD Risk Factor Screening &
Smoking Cessation LES
Identifiable ReportsDiabetic Retinopathy Screening
Programme
Out of Hours Service(Mastercall)
Public Health Dept(NHS Stockport)
Local Health Communitypatient information feeds
53 x Stockport General Practices
• 4 x GP Systems
• Read Coded Data
(e.g. Medications / Allergies / Medical History )
• Filter out exclusions
• circa 295,00 Patients
6 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
7 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 Campaign2005 - 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
8 Stockport Health Record
sharing health records to improve patient care
Consent
SHRPatient Clinician
Consent
9 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
10 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?
11 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
…….
12 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
0776-967-8956
Web Site
www.nhsstockport/shr
Top Related