1. 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

2. 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

3. 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

7. e Shared Care Record View

8. Historical view 2020 visioning some years back HMSC
Earthquake 2020 became NOW
eSCRV

9. eSCRV A new future in connected health
Jumping the gap

10. PIE the engine of eSCRV
Jumping the gap

11. 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

12. 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.”

13. 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

14. eSCRV - Live demonstration

15. GP Data View in HCS (Concerto) 1
Enrolled GP
Allergies/Warnings
Classifications

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

17. 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

18. 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

19. General Practice Uptake

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

21. SSO GP access cumulated by month

22. SSO practice access cumulated by month
85% accessed

23. Community Pharmacy Implementation Status

24. Community Pharmacy items received in HCS per month

25. Pharmacy items received into HCS – cumulative

26. eSCRV – use of Pharmacy View per day

27. eSCRV – use of Pharmacy view a day cumulated by month

28. 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 ?

29. Phase II