dr. amir hannan digital health assembly 2015
TRANSCRIPT
A Partnership of Trust: Improving Public Health through Access to Medical Records and Informed Healthcare
incorporating Shared Decision Making
Dr Amir Hannan GP Haughton Thornley Medical Centres, www.htmc.co.uk
Long Term Conditions, IM & T, Patient Engagement/Empowerment lead, Tameside & Glossop CCG
@amirhannan [email protected]
Public health priorities
Our mission is to protect and improve the nation’s health and to address inequalities, working with national and local government, the NHS, industry, academia, the public and the voluntary and community sector.
Public Health England priorities
• Helping people to live longer and more healthy lives by reducing preventable deaths and the burden of ill health associated with smoking, high blood pressure, obesity, poor diet, poor mental health, insufficient exercise, and alcohol
• Reducing the burden of disease and disability in life by focusing on preventing and recovering from the conditions with the greatest impact, including dementia, anxiety, depression and drug dependency
• Protecting the country from infectious diseases and environmental hazards, including the growing problem of infections that resist treatment with antibiotics
• Supporting families to give children and young people the best start in life, through working with health visiting and school nursing, family nurse partnerships and the Troubled Families programme
• Improving health in the workplace by encouraging employers to support their staff, and those moving into and out of the workforce, to lead healthier lives
https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/192676/Our_priorities_final.pdf
Public Good vs Privacy, Confidentiality
• Improved Outcomes for – individual, – family, – community, – Society
• Certain “at risk” groups • Healthcare organisations • Voluntary sector • Educational establishments • Research bodies • Private companies
Partnership of Trust
e Medical Patient and the Public cOmmunication World wide web Electronic health Record e d
Are you eMPOWERed yet?
Click here to see your medications
You can learn more about the
conditions you suffer with by clicking here
Please remember to look at the
practice website www.htmc.co.uk for information specific to the
practice and other trusted
information too
See result, what the normal range is
(not always accurate) and a
graphical display to show if in the
normal range or not as well as
whether normal / abnormal
Please note further information about test results is available on the practice website www.htmc.co.uk
In particular, you may find Lab Tests Online useful and of course the advice your doctor or nurse may have given you too. If you are not sure then please book an appointment with your doctor or nurse who may provide you with more information
Click here to see letters
Click here to see an example
letter
You can see letters that have been sent by the surgery as well as letters that come from clinics you may attended in the community or from the hospital, results of tests such as scans, biopsy results.
Click on details to see the contents of the
consultation
You can see comments added by admin staff
You can see if a doctor has acted on information but not contacted you directly – usually a reminder for the doctor when they do contact you or allows you to know why something has happened
Encompass documents are Instant Medical
History questionnaires which allow you to
complete a questionnaire about certain symptoms
such as cough, abdominal pain or rash before you
see the clinician. We hope to expand its use across the practice to enhance the care you receive and
save you time too!
Click on immunisations
App available for iPhone and Android smartphones
Search for “Patient Access”
Order prescriptions and send secure messages and see
Replies via your smartphone app
Book an appointment at your convenience
View Your Medical Record
You can also check your address, change your password, update security questions and update your mobile and email address
Medical Record Viewer on your smartphone (iPhone / Android)
Please remember to also see www.htmc.co.uk to see relevant personalised practice-based information
Test Patient Record User ID: 96320007399 Password: HAUGTON1
App available for iPhone & Android
Search for
“Patient Access”
SystmOne App for
iPhone / Android
http://media.ofcom.org.uk/facts/
Type of patient How many have signed up %
Asthma 699/1765 39%
COPD 109/351 31%
Diabetes 317/802 39%
Cancer 108/281 38%
Depression / Anxiety 840/1428 58%
Rheumatoid Arthritis 36/74 48%
Heart disease 162/463 34%
Low back pain 1080/2546 42%
URTI 2204/6296 35%
Admitted during December 2014 11/25 44%
Learning disability 7/47 14%
Bengali patients 451/1492 30%
Medications ordered online 864/11722 7%
Total patients 3884/11722 33%
For latest data: see http://www.htmc.co.uk/pages/pv.asp?p=htmc0328
www.htmc.co.uk
www.htmc.co.uk
Informed healthcare (more than just Shared Decision Making)
Online practice-
based services
Patient access to records
Patient recorded
data
Pathways eg Map of Medicine
Care Plans
Decision Aids
Patient Experience
Patient Reported Outcome Measures
www.htmc.co.uk
Social Services
What can patients / families do today
Understanding
Complexity /
time
Standard Care
Enhanced care
Best care
Explicit consent process http://www.htmc.co.uk/GetAccessNow
• Started 10 years ago • Demonstrates patient / carer’s view on
– Security – What records access means – Feedback – Upsetting / harmful data – Errors in record – 3rd party data – Understanding
• Maximise opportunity and minimise risk • Active shared decision making • Ongoing process – can be revoked
Current situation Future plans
Currently offer
booking appointments
online
Currently offer
ordering repeat
prescriptions online
Currently offer
patient access
to the full
records
Would you like to
offer booking
appointments
online
Would you like to
offer ordering
repeat
prescriptions
online
Would you like to
offer patient access
to the full records Yes Yes n/a Yes Yes Yes
Yes Yes Yes Yes Yes Yes
Yes Yes No Yes Yes Yes
Yes No n/a Yes Yes Yes
Yes Yes No Yes Yes n/a
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Yes Yes Yes Yes Yes Yes
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Yes Yes Yes Yes Yes Yes
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Yes Yes Yes Yes Yes Yes
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Yes Yes Yes Yes Yes Yes
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Yes Yes Yes Yes Yes Yes
No Yes Yes Yes Yes Yes
Yes Yes Yes Yes Yes Yes
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No No Yes Yes Yes Yes
Yes Yes No Yes Yes Yes
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Yes Yes No Yes Yes Yes
Yes Yes Yes Yes Yes Yes
No No No Yes Yes Yes
Yes No No Yes Yes Yes
No No No Yes Yes Yes
No No No Yes Yes Yes
No No n/a Yes Yes n/a
Yes yes No Yes Yes Yes
No Yes No Yes Yes Yes
No Yes No Yes Yes Yes
No No No Yes Yes No
Yes Yes No Yes Yes Yes
No No No Yes Yes No
No No No Yes Yes Yes
Public Health England priorities
• Helping people to live longer and more healthy lives by reducing preventable deaths and the burden of ill health associated with smoking, high blood pressure, obesity, poor diet, poor mental health, insufficient exercise, and alcohol
• Reducing the burden of disease and disability in life by focusing on preventing and recovering from the conditions with the greatest impact, including dementia, anxiety, depression and drug dependency
• Protecting the country from infectious diseases and environmental hazards, including the growing problem of infections that resist treatment with antibiotics
• Supporting families to give children and young people the best start in life, through working with health visiting and school nursing, family nurse partnerships and the Troubled Families programme
• Improving health in the workplace by encouraging employers to support their staff, and those moving into and out of the workforce, to lead healthier lives
https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/192676/Our_priorities_final.pdf
The next BLOCKBUSTER drug:
the EMPOWERED patient, clinician & manager
Found unconscious with a mobile phone
Do you want the data?
• Share the knowledge
• Ask the patient
• Make it easy for patients and staff
• Partnership of Trust
• Let’s join together and make this happen now
Any questions ?