Transcript CRISP The life of PIE

Canterbury Integrated Acute care
conference
“blurring the boundaries”
The life of PIE
19th April, 2013
• Patient Information Explorer -e Shared
Care Record View (eSCRV)
• ERMS Electronic Request Management
System
Who are we ?
•
-
Dr Martin Wilson
Pegasus Health: Clinical Leader I.T.
CDHB: Clinical Director Informatics.
GP
CDHB: Sexual Health physician
•
-
Symon McHerron
Pegasus Health: Business Information Services Manager
Privacy Officer
Following on from Don’s talk yesterday I have a word
for you
Datapenia
(Craig Feied pronounced FEE-ed emergency med
specialist) from the book Superfreakonomics.
Amalga
e Shared Care Record View
Historical view
•
•
•
•
2020 visioning some years back
HMSC
Earthquake 2020 became NOW
eSCRV
eSCRV A new future in connected health
• Jumping the gap
PIE the engine of eSCRV
• Jumping the gap
eSCRV Purpose
• Purpose of Use from eSCRV Privacy Framework:
“The purpose of the eSCRV is the provision of
relevant patient information to health professionals
at the point of care so that informed decisions can
be made to support the delivery of safe, high quality
healthcare in an efficient way, with the patient being
the primary beneficiary. The respectful use of
people’s health information will be the underpinning
principle.”
Aligns with Nation Health IT Plan
“To achieve high quality health care and improve
patient safety, by 2014 New Zealanders will have a
core set of personal health information available
electronically to them and their treatment providers
regardless of the setting as they access health
services.”
Live Demo - Respect and privacy
 Part of this presentation is live by remote access to Wainoni
Medical Centre and involves use of a real patient who has
generously given his permission for the use of his records. He
understand there will be a few non clinical people present.
• Those of you in the room who are clinical will have a total
understanding of the nature of this privacy
• Non clinical attendees are reminded of the fact that
information on the screen must never be discussed ever
outside this room under any circumstances even in an
anonymous way.
• Definitely no photographs or video
eSCRV - Live demonstration
GP Data View in HCS (Concerto) 1
Primary Care Data View in HCS 2
24 Hours Surgery –eSCRV Feedback
...Patient turned up to 24 Hrs
with fluid in the lungs and
whereas they would normally
send patient straight to
hospital, they could see in
eSCRV that he'd recently been
admitted to hospital with the
same condition, and with the
help of the clinic notes were
able to treat the patient...
GP
24hr
surgery
“eSCRV is the next
best thing to sliced
bread. Fantastic and
easy to use. Makes
our lives at 24H
surgery so much
better and easier.
Saves a lot of time.”
Privacy – Data sources / Privacy
GP opt
off
Data
Centre
Roll based
filter
General Practice Uptake
1200
02-Apr
18-Mar
959
1000
961
04-Mar
18-Feb
03-Feb
732
800
22-Jan
21-Dec
10-Dec
600
26-Nov
10-Nov
26-Oct
400
12-Oct
01-Oct
200
17-Sep
69
113
31-Aug
6
2
9
0
Number
Training
Sessions
Trained
Installed /126
Declined
Installation
Installation on Non-MedTech Accounts Issued Access Forms
Hold
returned
17-Aug
Total
GP Single Sign On (SSO) access by month
Up to 1st
week Feb
SSO GP access cumulated by month
40000
35992
34002
35000
29201
30000
25000
23856
19047
20000
14644
15000
10589
10000
5000
248
522
751
10
11
12
1062 1782
2635 3191
5474
4074 4781
6617
8003
0
2011
1
2
3
4
5
6
7
2012
8
9
10
11
12
1
2
3
2013
4
SSO practice access cumulated by
month
85%
accesse
d
SSO Practice access cumulative by month
120
105
106
107
107
1
2
3
4
100
95
100
79
80
60
40
40
22
11
11
11
12
12
13
14
14
15
10
10
11
12
1
2
3
4
5
6
7
20
0
2011
2012
8
9
10
11
12
2013
Community Pharmacy Implementation Status
Pharmacy Installations
120
100
31-Jul
108
31-Aug
107
97
28-Sep
80
29-Oct
60
25-Nov
40
16-Dec
27-Jan
20
10
0
24-Feb
31-Mar
Total Cant'y
Pharmacies
Installed
Successfully Not Sending
Pharmacies Sending Data
Data
07-Apr
Community Pharmacy items received in HCS
per month
Pharmacy items received into HCS - by month, at Apr 9th
800000
700000
600000
500000
400000
300000
200000
100000
0
10
11
2011
12
1
2
3
4
5
6
7
2012
8
9
10
11
12
1
2
3
2013
4
Pharmacy items received into HCS –
cumulative
cumulative at Apr 9th
7,000,000
6,181,255
6,000,000
5,000,000
4,000,000
3,000,000
2,000,000
1,000,000
10
11
2011
12
1
2
3
4
5
6
7
2012
8
9
10
11
12
1
2
3
2013
4
eSCRV – use of Pharmacy View per day
400
350
300
250
200
150
100
50
0
26 30 3 7 11 15 19 23 27 1 5 9 13 17 21 25 29 2 6 10 14 18 22 26 30 4 8 12 16 20 24 28 1 5 9 13 17 21 25 29 2 6 10 14 18 22 26
Aug
Sept
Oct
Nov
Dec
Jan
Feb
eSCRV – use of Pharmacy view a day
cumulated by month
eSCRV - cumulative use of Pharmacy View
35000
30000
25000
20000
15000
10000
5000
0
26 30 3 7 11 15 19 23 27 1 5 9 13 17 21 25 29 2 6 10 14 18 22 26 30 4 8 12 16 20 24 28 1 5 9 13 17 21 25 29 2 6 10 14 18 22 26
Aug
Sept
Oct
Nov
Dec
Jan
Feb
Where to from here...
– Phase II ? (22+ requirements to date)
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•
•
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PMS Agnostic (Standardisation)
Access standardisation (i.e. PIE)
Additional Access i.e. St John Ambulance.
Rationalising Views i.e. NZULM for Meds
– Regional ?
Phase II