Scotland PHR / portal example

1. Progress on the
Electronic Patient Record
In Scotland – June 2009
Heather Strachan
eHealth Clinical Lead (NMAHPs)
Scottish Government
Heather.Strachan@scotland.gsi.gov.uk

2. Population 5,057,400
Approximately 150,000 NHS staff
2.57% NHS Budget spent on
eHealth

3. Better Health Better Care
Action Plan
Health Improvement
Tackling Health
Inequalities
Improving Quality of
Healthcare
Mutuality

4. 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

5. eHealth
Architecture Vision
What will we get?
• Portal summary view of patient information
from multiple systems.
Patient Clinical Management
• Seamless access to source systems for
Portal Framework
Information
Dashboard Dashboard Dashboard
viewing and data entry.
Access
Identity & Access Management (inc. Single Sign On) • Bring together data from range of sources.
How does it work?
SCI Gateway Process Management
• Web based portal accessible from any site.
Record
Interoperability
Integration &
Locator • Single sign on provides login to source
Integration Platform Service
systems.
• Source systems feed information stores
using unique patient ID Number.
Information
ECS SCI Store CHI • Record locator knows the stores that
hold information
• The integration platform streamlines the
GP IT PMS Labs PACS Pharmacy Other retrieval of information from multiple
Apps
sources.

6. Inter relationship between
Clinical and Patient Portal

7. Features of patient portal
Demonstrator
• 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

8. www.clinicaldecisions.scot.nhs.uk

9. Supporting Evidence Based
Practice at Point of Care

10. Townhead Surgery

11. babylink

12. milihealth

13. my diabetes * my way

14. Renal patient view

15. NHS 24

16. Cancer info plus

17. Borders Health in Hand

18. healthinfoplus

19. health information online

20. eLibrary

21. 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