Hampshire Health Record Toby Cave HHR Programme manager.

Hampshire Health Record

Toby Cave HHR Programme manager

HHR overview

Acute provider

HHRHHR

Path & Radiology

Pathology ordering

EDS&

Clinic letters HHRAHHRA CCGCCG

Communityhealth

Referral lettersGP

PracticeSocial Care

Referral letters

Path & Radiology

EDS&

Clinic letters

Summary

Coded information

GP feeds - signed up by year77% signed up Jan 2012

Clinical staff use

Information accessed – staff roles

Patient access – why & what

No decision about me, without me

Changes / updates

Booking appointments

Repeat prescriptions

Updating demographics

Consent / sign up

Information sharing

Clinical trials

SMS / email reminders

Access to records

Complete / interpreted

Mental health / sensitive

Two way comms

Patient assessments

Contacting clinicians

SUS / Billing

Patient access - How

• Via GP systems• 75% of NHS patient contact with GP• But not complete acute or community record

• Direct access to the HHR• Covers most providers• No booking of appointments or updating

demographics

• Via 3rd party eg Microsoft Health vault• Unproven – Googlehealth• Requires wide provider buy-in

Patient access - Challenges

User accounts• Citizen identification and account administration• Separate usernames and passwords • 2 factor authentication• Sharing access: Parent / guardian / carer access

Record management• Full vs summary record• Interpretation of records• Clinician checking of records – nothing to harm the patient

or ID third party