eHealth Strategy 2014-2017

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.