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Enabling the national digital agenda: myhealth@QEHB, now and the future James Ferguson Consultant Hepatologist QEHB Birmingham
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The idea Patients often request to see their letters and results QEHB has advanced electronic systems; results, letters and electronic prescribing Patients often travel great distances for care and have multiple providers Most patients access and use the internet for many services
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Support The medical director and chief executive (key) Informatics team IT department Patients Colleagues
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Pilot phase Initial pilot of 12 patients with liver disease (2011) Developed in conjunction with the patients Development group included clinician, patient, IT, informatics, communications team Pilot funded by
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Roll out Business case presented to board Approved Project group (clinician, patients, IT, informatics and communications team) Clinical group Went live August 2012 4000 users across a range of specialties
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Key Functionality Patients can view Letters (including GP and external provider letters) Blood tests (including GP results) Information relating to their condition Contact details Patients can enter Diary information A biography Letters/ blood results for viewing by clinical team BP Weight Blood sugars
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A digital challenge In line with the governments information strategy ‘Information about me and my care’ Key ambition A change in culture and mindset, so that our health and care professionals, organisations and systems recognise that the information in each of our own care records is fundamentally about us – and so that it becomes routine for us to be able to access our own records online.
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Future developments Virtual clinics/consultations – in line with digital first initiative Care plans and competencies e.g. dialysis patients Teleheath – In line with 3 million lives initiative Research version
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Evaluation and Research Key performance indicators regularly monitored by project group Patient and clinicians evaluations have been performed The system is part of 2 research grant applications It has not yet been formally evaluated in a research setting
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Can it be adopted elsewhere? Yes It requires basic building blocks Electronic labs system Electronic letters It requires commitment from trust at senior levels and investment
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Initiated by a clinician Developed in conjunction with IT and patients 4000 users after 1 year In line with government policy Future developments Can be adopted elsewhere
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