Publication - Advice and guidance

eHealth Strategy 2014-2017

Published: 9 Mar 2015
Part of:
Health and social care
ISBN:
9781785441394

The eHealth Strategy 2014 – 2017 sets a national direction through a common vision and set of key aims. The Strategy maintains a significant focus on healthcare and the needs of NHSScotland, but has been redeveloped to recognise the rapidly evolving environment of integrated health & social care and the need to address not only NHSScotland requirements, but also the expectations and requirements of partnership organisations, and citizens for electronic information and digital services.

67 page PDF

722.0 kB

67 page PDF

722.0 kB

Contents
eHealth Strategy 2014-2017
8 Appendix 2: Roadmap

67 page PDF

722.0 kB

8 Appendix 2: Roadmap

2017 and 2020 Milestones

eHealth Development

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.

Contact

Email: Alan Milbourne