Benefits of the Hampshire Health Record Hugh Sanderson Clinical Lead HHR

Why doctors get involved in electronic records (…. the US model) In order of importance …… 1. Increases income 2. Saves time 3. Improves patient care

How does HHR improve direct patient care? In July/August 2009 Support to OOH and A&E  64 GPs/A&E doctors accessed 4650 documents on 803 patients Support to hospital pharmacists  38 pharmacists accessed 3540 documents on 1165 patients

Just to say that the data access facility has been a fantastic benefit since Xmas. Hospitals try and close wards and dump patients into the community with totally inadequate information or discharge patients far too early and hospital letters simply don’t arrive for weeks. Access to hospital results in the total absence of any useful information is at least one useful survival tool. Also I’ve just seen someone on chemotherapy with a chest infection – no data on his blood tests from hospital since June but looking up his data on line helped me make a decision that he is safe to keep at home and not admit. Happy New Year Bern Bedford GP Hythe

I was called to treat a young woman who had collapsed in a gym at 11am on a Sunday. She had been successfully resuscitated by the time she reached hospital. I was able to view her record, see that she had previous cardiac problems and the medication she was on which supported our initial treatment and made it much easier. Her partner had no idea of the medication she was on and was also not really able to give us any medical details at that time. As a result the woman was treated in hospital and made a full recovery. Having access to the CDR really made a difference and was incredibly helpful Justin Nicholas A&E Consultant

Patient from University academic staff came for her X- Ray result after the hospital told her to attend in “2 weeks” as they do – it takes 3-4 weeks for GP to get paper copy – – this lady was 3rd wasted appointment this week like this. But with your system – all that’s now history. Fantastic! Nigel Dickson GP Southampton

Benefits to patients Majority feel that it is useful Strongly supported by the LMC Use is increasing BUT… Some GPs are worried about potential threats to their income

Indirect benefits to patients Pseudonymised analytical database (linked to IP/OP and A&E CMDS) to support:  Commissioning  Clinical Audit  Production of statistical returns  Health Services / Epidemiological Research

Commissioning Diabetes pathway dashboard  Initiation of care  Ongoing monitoring  Complications  Juvenile to Adult care  Secondary care use and costs

Clinical Audit Outcomes of patients using OOH / A&E Post operative wound infection rates

Potential for Routine returns Breast feeding at 6 weeks Contraceptive service provision by GPs Immunisation Retinopathy screening

Health Services Research/ Epidemiology/ Clinical Trials Natural history of chronic diseases Outcomes of case detection/ early intervention Effects of service development Clinical Trial long term follow up