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.” A Single view of multiple sources of information about a patient Consistent with the National Health IT plan of providing electronic information about a patient at any poin6 of care

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 Enrolled GP Allergies/Warnings Classifications

Primary Care Data View in HCS 2 Medications Last Entry in Chart Screening

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... “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.” GP 24hr surgery

Privacy – Data sources / Privacy Roll based filter GP opt off Data Centre Pegasus The data is held at Pegasus A firewall and other systems prevent access to the data. All access is monitored. To view the data Log into concerto if ESCRV is selected data is asked for from Pegasus Pegasus records who role when and what looked at

General Practice Uptake

GP Single Sign On (SSO) access by month Up to 1st week Feb

SSO GP access cumulated by month

SSO practice access cumulated by month 85% accessed

Community Pharmacy Implementation Status

Community Pharmacy items received in HCS per month

Pharmacy items received into HCS – cumulative

eSCRV – use of Pharmacy View per day

eSCRV – use of Pharmacy view a day cumulated by month

Where to from here... Phase II ? (22+ requirements to date) Regional ? 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