Hampshire Health Record Toby Cave HHR Programme manager
HHR overview Acute provider Community health Path & Radiology EDS & Clinic letters Pathology ordering GP Practice EDS & Clinic letters Summary HHRA CCG Coded information Referral letters Social Care
GP feeds - signed up by year 77% signed up Jan 2012 250 200 150 100 50 0 2 OO 4 2 OO 5 2 OO 6 2 OO 7 2 OO 8 2 OO 9 2 O 1 O 2 O 11
Clinical staff use 300 250 GP 200 Hospital Doctor Nurse 150 100 50 0 2005 2006 2007 2008 2009 2010 2011
Information accessed – staff roles
Patient access – why & what No decision about me, without me Access to records Consent / sign up Complete / interpreted Information sharing Mental health / sensitive Clinical trials SUS / Billing SMS / email reminders Changes / updates Two way comms Updating demographics Patient assessments Booking appointments Contacting clinicians Repeat prescriptions
Patient access - How • Via GP systems • 75% of NHS patient contact with GP • But not complete acute or community record • Direct access to the HHR • Covers most providers • No booking of appointments or updating demographics • Via 3 rd party eg Microsoft Health vault • Unproven – Googlehealth • Requires wide provider buy-in
Patient access - Challenges User accounts • Citizen identification and account administration • Separate usernames and passwords • 2 factor authentication • Sharing access: Parent / guardian / carer access Record management • Full vs summary record • Interpretation of records • Clinician checking of records – nothing to harm the patient or ID third party
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