1. Great North Care Record: Health Information Exchange (HIE) July 2019
Name
Job title
Great North Care Record: Health Information Exchange (HIE) July 2019
Implementation briefing #2

2. Phase one of Great North Care Record
120K + views of the Medical Interoperability Gateway (MIG) every month – a view of the GP record in certain care settings
Putting in the right information sharing culture to enable Phase two
Regional buy-in

3. Click to see video Phase two of Great North Care Record
If you would like a downloadable version of the animation,

4. Who is currently part of the Great North Care Record?
Population of 3.6m
Mental health trusts
Ambulance
service
Hospital trusts
GP practices
Out of hours
providers
Local authority
social care providers
Currently the plan is to add health and social care organisations (30+ in total) to the HIE. Our focus is on connecting the 30+ NHS and local authority organisations in the first instance. We know that other organisations such as care homes, pharmacies, optometrists, third sector providers of NHS services will want to join etc but this this will be looked at in more detail at a later date as the programme progresses.

5. What is under development in the Great North Care Record
Patient Record
Results
Primary care provider
Secondary care provider
Appointments
Correspondence
Patient Engage
-ment Platform
HIE
Community services
provider
Social care provider
Rehabilitation
Pre Assessment
Mental health provider
Patient
There are 3 modules to the Great North Care Record – HIE, patient engagement platform (PEP) and population health management (PHM).
2 of these modules are in-flight and are demonstrated here - HIE and PEP, Both programmes are being managed and implemented by NUTH on behalf of the region. The population health management module is in early stages of development and will follow later.
Ambition to link PEP to NHS App building on open APIs
Health Care Professional

6. Overview of Health Information Exchange
Used only for direct care purposes and accessed from an existing clinical IT system where possible
A view of the data that exists in other clinical systems
Consolidated view of the patient record for better outcomes and experience (patient and provider)
Shares an individual’s data from different organisations, improving care by reducing gaps in knowledge and history
Cerner has developed contextual links with some system suppliers, the plan is to integrate within clinical systems across the region and develop contextual links to make the integration possible. Where a contextual link isn’t available, a web portal will be available
View of a patient’s record from across the North East and North Cumbria will be available as we connect more organisations to the HIE

7. Overview of Health Information Exchange
Flexible data model supports both federated queries (less IG overhead) and central data store
Clinical events notified based on subscription
Standards based using Integrating the Healthcare Enterprise protocols, not standards limited for an all-inclusive approach
The data stays in its host clinical system, the HIE simply allows a view of that data into another system – much like how the MIG works today. Central data store holds information such as audit information
Practitioners can subscribe to updates about their patients so if for instance they are admitted into hospital, an alert can be sent to their social worker or district nurse.
The HIE uses internationally recognised standards

8. Connecting and viewing the HIE
Viewing: health and care practitioners can see data recorded in other clinical systems either through the existing clinical system or through a web portal
Connecting: organisations allow their data to be viewed via the HIE
Initial scope all organisations will have viewers installed
We are working with organisations from each sector as a pilot for sharing, all GNCR organisations will be able to view their data once connections are live.

9. Collaborative implementation process
Practitioners (PAG) – is the data safe and useful?
Governance (SIGN) – can we lawfully and ethically share the data?
Technical – is the data readily available in a sharable form?
We will share what we can and will add more data as it becomes available. There are three sets of requirements we need to fulfil:
Practitioners – is the data useful? (PAG – professional advisory group made up of CCIOs, senior social workers)
Governance – can we lawfully and ethically share the data? (SIGN – Strategic Information Governance Network made up of Information Governance specialists from health and social care)
Technical – is the data readily available in a sharable form? (local implementation teams in each organisation)
Our aim at this stage of the programme is to share as much as is technically, lawfully and useful, and replicate what is available in the MIG.
Additional data sets will go through the same process – only if all three groups are satisfied, can the data be shared

10. Early connecting organisations
Sunderland City Council
Local authority
(Liquid Logic)
Northumberland Tyne and Wear NHS Trust
Mental health trust
(RiO)
GP data
From across the region
(SystmOne and EMIS)
Newcastle upon Tyne Hospitals NHS Foundation Trust
Acute trust
(Cerner Millennium)
South Tyneside and Sunderland Hospitals NHS Foundation Trust
Acute trust
(MediTech)
The early connecting organisations have been agreed by the project board and technical work is underway testing connections. In the case of Sunderland a contextual link is being developed as Cerner do not already connected to MediTech

11. HIE brings together a view of data from across the region
First connecting organisations submit data to the HIE
Mental health trusts
Ambulance
service
Regional HIE
Out of hours
providers
Organisations with a viewer can see the data submitted
Hospital trusts
Practitioner logs onto own IT system
A view of data from multiple sources from across the region is available
Local authority
social care providers
GP practices

12. Click to see video HIE demonstration
If you would like a downloadable version of the video,

13. Timescales
Work has begun on connecting the first organisations and the data sharing agreements
Target for the first 5 organisations sharing data by late 2019
Viewers will begin being rolled out soon and completed by the end of 2019

14. Find out the latest on the HIE
Find your local GNCR implementation lead
Join the regular GNCR implementation lead conference calls
Join Discourse our online network to discuss and share ideas about the programme
for more details

15. Keep in touch
Insert presenters/organisation GNCR point of contact details
greatnorthcarerecord.org.uk
@greatnorthcare
forum.greatnorthcarerecord.org.uk