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The Individual Health Record in Wales Cheryl Way Pharmacy & Medicines Management Lead Informing Healthcare, Wales With thanks to Farzana Mohammed Medical.

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Presentation on theme: "The Individual Health Record in Wales Cheryl Way Pharmacy & Medicines Management Lead Informing Healthcare, Wales With thanks to Farzana Mohammed Medical."— Presentation transcript:

1 The Individual Health Record in Wales Cheryl Way Pharmacy & Medicines Management Lead Informing Healthcare, Wales With thanks to Farzana Mohammed Medical Admissions Pharmacist, Royal Gwent Hospital

2 Content  What is the Individual Health record (IHR)?  Evaluation in a Medical Admissions Unit  Future roll-out plans

3 Language Lesson ENGLISHWELSH Department of Health (DOH)Welsh Assembly Government (WAG) Connecting for Health (CfH)Informing Healthcare (IHC) Summary Care Record (SCR)Individual Health Record (IHR)

4 GP Systems / Community nursing records My Health Online Individual Health Record Current hospital Systems E referrals Discharges - Welsh Clinical Communications Gateway Welsh Clinical Portal New hospital & community Services ORDERING RADIS LIMS PRESCRIBING A Shared View of Care

5 What is the IHR? The IHR is an extract of the patient’s GP record held on a central repository. The IHR is a view only product.

6 What is in the IHR?  Name, address and contact details  Current problems or diagnosis, medical history  Current medication, repeat medication  Allergies or contra-indications  Test results (haematology, biochemistry, microbiology)  Examination Findings (blood pressure, ECG)  GP encounters, referrals/admissions, operations  Vaccinations/immunisations

7 Individual Health Record (IHR) in out-of-hours (OOH) care  Started in Gwent (SE Wales) in November 2006  83 of 94 GP practices share information with OOH service  Access via the Adastra system  503,192 records available (85% of Gwent pop.)  > 1 in 7 people in Wales Next Steps  Plans for roll out across Wales approved Jan 2009  Ceredigion/Pembrokeshire (SW Wales), December  Anglesey/Gwynedd (NW Wales)

8 Individual Health Record (IHR) in Unscheduled Care  Extended coverage within Gwent  Went live in the Medical Admissions Unit at the Royal Gwent Hospital in May 2008  Access restricted to MAU staff, Including pharmacists

9 Why do we need it? IHI research has shown that poor communication of information at transition points is responsible for as many as 50% of all medication errors and up to 20% of adverse drug events in hospital (IHI 2004)

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11 Security User needs CWS login User must be on MAU computer Patient must be currently admitted on MAU ROBUST AUDIT ADMISSION VIA A&E, BED MANAGEMENT VIEW LAST 10 USERS PATIENT CONSENT

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14 Medication History (last 2 years)

15 Benefits Feedback from Users Staff Surveys Audit trail Pharmacy data collection Video interview

16 Access rates

17 Improvements  Expand access time from admission to 72hrs  Add persisting consent

18 User profile by user group

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21 Problems / Resistance  Resistance from GP practices to opt in  Secondary care clinician engagement in training Interpretation of data on IHR Navigation of system – Two folders  Quality of IHR data  No access for Pharmacy Technicians

22 Video

23 Future Plans for Roll Out  Plans to roll-out the IHR system were approved by Health Minister Edwina Hart on 7 th January 2009.  Initially, the information will be shared between local GP surgeries and local unscheduled care providers.

24 IHR National Update  IHC is working with GP system suppliers in Wales  Demonstrator tested products from EMIS, INPS and i-SOFT – all invited to provide a solution for IHR  INPS have been awarded an extension to contract  To deploy in GP OOH in SW Wales in December  IHC continues to work with all 3 GP system suppliers  IHR content model defines data requirements  Gwent project continues until national solution available

25 Further Information “When Pharmacists in MAU gained access to patients’ GP records”, Farzana Mohammed, Clinical Pharmacist, September 2009, p 370 Cheryl Way National Pharmacy and Medicines Management Lead cheryl.way@wales.nhs.uk Informing Healthcare Telephone 01656 678124


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