patients and the web better nhs services with linked data
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Patients and the Web Better NHS services with linked data. Frank Sullivan NHSTayside Prof. of R&D in Primary Care Health Informatics Centre Dundee. Dundee. Edinburgh. Outline of talk. How are health data linked in Scotland? What services does that enable? Do patients benefit - PowerPoint PPT PresentationTRANSCRIPT
Patients and the WebBetter NHS services with linked data
Frank SullivanNHSTayside Prof. of R&D in Primary Care Health Informatics Centre Dundee
Dundee
Edinburgh
Outline of talk
• How are health data linked in Scotland?
• What services does that enable?
• Do patients benefit
• Making access easier
• Multi-agent systems
64% of adults access the Internet
Adults who have used the Internet in the 3 months prior to interview in October 2005 (GB )National Statistics Omnibus Survey 2005
How often, if at all, do you personally use the internet?
Health Use Internet
• Have used for this purpose– Health-related information 34%
• Is there anything which you havepersonally never used the internet to do but which you would like to?– Get medical information/advice 7%
MORI 2005
Data, Data everywhere
OpticiansOpticiansHospitalHospital
SMRSMR
GPGP
PAMSPAMS
Lab Lab DataData
PharmacyPharmacyEye vanEye van
InvestigationsInvestigations
ScreeningScreening
Community Health Number
DOBDOB SexSex CheckCheck
07 10 6407 10 64 02 02 55 00
Serial No
Linking Data for Seamless Care
CHNoCHNoHospitalHospital
Eye VanEye Van
PharmacyPharmacy
Lab Lab DataData
OpticiansOpticians
InvestigationsInvestigations ScreeningScreening
PAMSPAMS
Remote Interrogation Remote Interrogation GENIE GENIE Generic
Import and Export
GP Clinical SystemsGP Clinical SystemsData In Data In Standard Standard FormatFormat
Erroneous DataErroneous Data
‘‘Clean’ DataClean’ Data Previous ExportPrevious Export
====
Regional repositoryRegional repository Data For ExportData For Export
Currently operational in Tayside, Glasgow and Lothian
76 General Practices76 General Practices1000 Networked PCs1000 Networked PCs
NHS TaysideNHS TaysideI & CT DepartmentI & CT Department
Acute Trust SitesAcute Trust SitesHealth Board SitesHealth Board Sites
Primary Care Primary Care Trust SitesTrust Sites
3 Hospitals3 Hospitals3000 Clients3000 Clients
5 Sites5 Sites300 Clients300 Clients
20 Hospitals20 Hospitals700 Clients700 Clients
NHSNetNHSNet
The InternetThe Internet
FirewallFirewall
Local AuthorityLocal Authority
Perth & KinrossPerth & KinrossAngusAngusDundeeDundeeNorth-East FifeNorth-East FifeOther TrustsOther Trusts
& Boards& Boards
SchlumbergerSemaSchlumbergerSemaMainframe ServicesMainframe Services
FirewallFirewall
NHSTayside ICT DepartmentNHSTayside ICT Department
Communications InfrastructureCommunications Infrastructure
Web Services
• a standard means of interoperating between different software applications, running on a variety of platforms and/or frameworks.
Patient Summary for clinicians
Summary for patients
• NHSTayside IT for managed clinical networks– DARTS– HEARTS
Available results reduce visits
How easy or difficult is it for you to get access to the internet?
Health Use Internet
• Have used for this purpose– Health-related information 34%
• Is there anything which you havepersonally never used the internet to do but which you would like to?– Get medical information/advice 7%
MORI 2005
Seniors Seeking Health Information Need Help Crossing "Digital Divide"
Use of Internet
0
10
20
30
40
50
60
70
80
50-64 65-74 75+
age group
%
Voelker R JAMA. 2005;293:1310-1312.
Multi-agent Systems in Development
• Patients’ electronic rights represented and protected by their agents
• Agents interacting on behalf of patients with electronic systems including web services, databases, and agents representing other individuals, organisations and functions.
patientagent
collator
Web service:Trials list
audit +regs
trialsData?
Data?
History
Anonymised
Access?LogsSuitable?
Trials
GPsurgery
hospital
other stakeholders…
Ferguson T, Inverting the power Pyramid, Consumer Health informatics, Healthcare Forum, 1995
Record linked data and the web enables the Information Revolution in health care