Presentation on theme: "e-Health in NHS Scotland"— Presentation transcript:
1e-Health in NHS Scotland Dr Stuart ScottClinical Director e-Health NHS GrampianGP
2And What Does eHealth Do For Clinicians??? Facilitate Communication National system Internet Access SCI Gateway SCI StoreFirst point of contact Health RecordsAllows Labs/Radiology etc to functionPrimary CareAcute CareSelf CareGet results to the treating clinicianSupport /Develop clinical systems for recording clinical dataReduces Clinical Risk CHILinking areas Networked PCs Firewall protectionProvide Information Service planning WL Management
3NHS Scotland Strategic Aims Core ApplicationLabsOthersA&EPACsRxPASOthersSingle Record
6GP Practice Hospital CHI Elgin Radiology SCI Store eLinks GP Portal PCICHIPASAbdn RadiologyElgin RadiologyOther Systems:A&EPROTOSClinical VisionCHEO CarePharmacyLabsINDIGO 4 LabsLung CancerSCI DischargeEMASTOM CATECSERFSSCI StoreAll non-sensitive Labs resultsRadiology ReportsPAS/CHI DemographicsPAS ADT/OPClinical LettersA&E SummarieseLinksLegacy SystemsGP PortalSCI StorePCIPASCGIECCI Letter BrowserOther reference web linksGCSGP PracticeHospitalECCI LettersECCI Letters V2SCI GatewayStandard Referral Letters (1-2)Cancer Ref. Letters (1-2)Lung Cancer IDL (2-1)A&E Summaries (2-1)CGIX400 Referrals
7I wouldn’t start from here…. Federated approach doesn’t workSpeed of standardisationNot enough leversPolitical pressure growingEngland all sorted then!
8Generic Clinical System Pressing ahead but should we be?What do we require to implement?TrainingSupportIM&T StaffProject managementAuthenticationSingle sign-onSCI-Store pre-requisitesPrioritisation – Local/National
9PACS Access to images where and when required AdvantagesAccess to images where and when requiredRemote diagnostic supportFinancial savingsPoliticalShould beef up the locally available kitImproved use of CHI numberDisadvantagesExpensiveMore technical than cultural
10HEPMA Safety Governance Clinical clamour Available products Case for Case againstAvailable products
11Theatre Systems Case for Major area of workload Governance Risk managementCase againstBack to the waiting lists againBean counting mentality
12Order Entry Safety Data quality Time saving Governance Embed in referralAdd-on for SCI StoreSeparate procurement
13Infrastructural elements Much of the eHealth programme dependent upon robust and reliable telecomsBusiness continuity – no longer a luxuryStandards
14Consent Public engagement Emergency Care Summary – First Engagement total records in the store 4,433,431total no patients who have withdrawn consent 219
15NPfIT aka CfHWhy are we messing around trying to do our own thing?
16Scottish Telemedicine Centre Delivering for Health proposed itBased in Aberdeen
17PC InfrastructureMix of ancient kit will slow apps and increase supportMicrosoft Enterprise AgreementPatches/Virus/SecurityMix of software stacksCost of maintaining
18Single logon / Authentication Security model needs enhanced to cope with increasing mix of systems/users/rolesNeed technologyNeed resource to manage
19Comms capacity What is the projected life of existing bandwidth? Users expect it to limitless….
20Business Continuity Are we covered for clinical/key systems? Managed Service vs Local Board Level Provision24/7 Support