Expected capability by 2017
Expected capability by 2020
Comprehensive Electronic Patient Record for Clinicians.
- Clinical portal available (or equivalent) in primary and secondary care.
- Access to summary data: 14 clinical items, ECS / KIS / PCS; PMS, Test Results, Clinical Letters.
- Access to summary of the GP record.
- Clinical portal (or equivalent) available to all accredited clinicians.
- Ability to access records for all patients where there is a legitimate relationship.
- Patient summary information available (possibly utilising a record locator service) from all care sectors: GP summary, Community summary, Secondary care summary(s).
- Drill down to detail information available.
- Timeline view of patient events available.
- Substantial clinical guidelines and decision support built into clinical systems with support for integrated care pathways.
Health and Social Care Integration.
- Sharing of summary information between health and social care.
- Electronic messaging and referral support within health and social care team.
- Social care summary an integral part of the Electronic Patient Record view.
- Sophisticated workflow and alerts to support integrated care pathways and referral and hand-offs between multi-disciplinary health and social care teams.
HEPMA and Medicines Reconciliation.
- Defined strategic plan and, if required, completed procurement for HEPMA and medicines reconciliation solutions.
- HEPMA implementation underway or complete in some NHS Boards.
- Medicines reconciliation approach piloted in at least one NHS Board.
- HEPMA solution implemented across a number of NHS Boards, with common data and messaging standards and national maintenance of drug, device and administration coding structures.
- Medicines reconciliation implemented across a number of NHS Boards, with common notification and acceptance procedure, and all rekeying of prescription data eliminated.
- View available of comprehensive patient current medications record and history.
- ePharmacy systems integrated into the overall electronic medicines management structure.
- Sophisticated clinical decision support and analysis capabilities from patient interaction through to national intelligence.
Primary and Community Care Systems Development.
- Single sign-on implemented across Primary Care.
- GP and community staff have access to the clinical portal for their patients.
- Online repeat prescriptions, appointment booking and test results implemented in most practices across Scotland.
- SMS widely used for appointment reminders and notification of other 'events'.
- Some practices providing patients with a summary view of their GP record.
- KIS data available to all health and social care staff for the majority of appropriate patients.
- GP record summary view available in clinical portal.
- New GP systems contractual arrangements in place addressing future functionality and integration requirements.
- All GP systems moved, or in process of moving, to hosted server environment.
- Community systems in process of being rolled-out across most of Scotland.
- Widespread access in the community via mobile devices.
- Completion of implementation of functionality and integration secured through the GP systems contractual arrangements.
- Community systems support the entire health and social care team with sophisticated workflow to support co-ordination of care.
- GP and Community record summary available through clinical portal.
- All community staff equipped with mobile access.
- Substantial clinical guidelines and decision support built into GP and community systems with support for integrated care pathways.
Personal Health Record.
- National approach, business plan and development approach defined.
- National portal with limited services in place.
- Various partial and limited proof of concept projects implemented and evaluated to determine citizen usage and preferences.
- Portal is single route to patient online services.
- Route of access to GP systems for prescriptions and appointments.
- Full suite of health information provided through portal.
- View of Personal Health Record drawn from multiple sources, similar to EPR viewed through clinical portal.
- Capability for patient contributions to be recorded.
- Secure messaging for health correspondence.
- Secure messaging with carers.
- Capability to download data for personal use in applications and devices.