Moving Forwards with HealthSpace Gillian Braunold Clinical Director Summary Care Record & HealthSpace
Dec 23, 2015
HealthSpace Development
Patient portal through which they have a secure on line domain for their transactions with health service
Aligned with Choices
Place to store records – access on line electronic records-and also from which they can send information to their clinician
What is HealthSpace
Secure on line domain for patients for their transactions with the Health Service
Offered through the Choices Portal
Through high level registration authentication and authentication services can be offered to patients across a range of work streams
View and store clinical information about themselves
SCR
Renal patient view piloting in Salford
Diabetes record piloting in Salford
Can choose to have letters about themselves copied to their HealthSpace account rather than through the mail
HealthSpace sets the portal and security standard through which other patient records can be enabled for patient viewing
The full GP record where the GP wishes to make it available to patients
Patients can store URL pointers to abnormal scan/x ray results
The coded information in both Summary Care Record and GP records enable context sensitive knowledge support through on line access to approved databases and factsheets
Enables a secure communication channel between patients and clinicians
This can enable updates to records both demographic and clinical and many of the features that follow
The email addresses of both the clinician and the user remain hidden and communication is managed through webforms in HealthSpace
The invitation to a patient to be communicator linked is under the control of the clinician
Communicator Challenges
• Not all clinicians and all patients will want to use communicator
• Not to be used for urgent clinical communications
• Will this create a two tier service?
Can enable better continuity of care as patients are able to exploit this medium for support if they are unable to see the clinician.– Time zone management if patient abroad– Enables patients who otherwise may feel it is
too risky to travel if they cannot keep in touch with their clinical team
Ordering repeat prescriptions– From GP– From pharmacist
Patient and service experience enhanced as clear communication enabled and securely recorded
Patient sending information to their clinician and records
Regular monitoring of physiological measures sent directly to clinical records
Ability to send digital photo of their progress say in ulcer management
Ability to receive back advice on medication levels following the sending of information
Receive information securely
If chosen as medium for communication HealthSpace can be used for
Screening reminders
Opportunity for patients to ask for information of relevance to their conditions to be sent to them– Sending opportunities to help with research– Conferences and self help groups
Enables patients to contribute to management
Ability to fill in pre consultation questionnaires
Send choices regarding advanced directives
Preferences when in hospital setting eg gender of clinician, dietary requirements, pastoral involvement
Organ donor consent status
Make appointments directly with the service
Choose and book which enables authorised secondary care appointment booking directly by the patient
Direct access to appointments in primary care through the HealthSpace portal into GP and other systems
Assures secure access
View alerts generated within SCR
Check consent status
Approve carers to have access
Limit carers view of HealthSpace against filters
View who has last logged onto HealthSpace and when
Potential business reengineering as a consequence
• Cognitive behavioural therapy on line with results directly back to clinician
• INR monitoring and results directly back to patient• Managing larger case load as work smarter with e
consultations in the mix• Case conferences chaired by patient with key
actions posted by patient into their section of SCR • Extended hours offered by e-consultation• Impact of communicator on the service provision to
Residential care homes and how GPs and other clinicians can communicate directly with the carers there on behalf of patients
When will this new functionality start?
Salford diabetes record
Communicator
Patients sending messages to SCR
How does patient access to records change our perception of
medical records?Fundamentally records move to being a
resource
Fears of clinicians – Accuracy and workload if challenged– The need to illuminate and explain the
records and consequent workload– Protecting patients from the uncertainties
we shoulder on their behalf
How does patient access to records change our perception of
medical records?Change in the relationship
Patient access to information leads to control
Partnership between patients and clinicians in management of care
Resultant change in dynamic of service delivery
Protection or paternalism?
Legal Issues
Data Protection act– Check for 3rd party information– Check that patient doesn’t come to harm by
seeing records
How practical is that when records are continuously available to patients