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Enabling the national digital agenda: myhealth@QEHB , now and the future

Enabling the national digital agenda: myhealth@QEHB , now and the future . James Ferguson Consultant Hepatologist QEHB Birmingham. The idea. Patients often request to see their letters and results QEHB has advanced electronic systems; results , letters and electronic prescribing

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Enabling the national digital agenda: myhealth@QEHB , now and the future

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  1. Enabling the national digital agenda: myhealth@QEHB, now and the future James Ferguson Consultant Hepatologist QEHB Birmingham

  2. The idea • Patients often request to see their letters and results • QEHB has advanced electronic systems; results , letters and electronic prescribing • Patients often travel great distances for care and have multiple providers • Most patients access and use the internet for many services

  3. Support • The medical director and chief executive (key) • Informatics team • IT department • Patients • Colleagues

  4. Pilot phase • Initial pilot of 12 patients with liver disease (2011) • Developed in conjunction with the patients • Development group included clinician, patient, IT, informatics, communications team • Pilot funded by

  5. Roll out • Business case presented to board • Approved • Project group (clinician, patients, IT, informatics and communications team) • Clinical group • Went live August 2012 • 4000 users across a range of specialties

  6. Key Functionality Patients can view Patients can enter Diary information A biography Letters/ blood results for viewing by clinical team BP Weight Blood sugars • Letters (including GP and external provider letters) • Blood tests (including GP results) • Information relating to their condition • Contact details

  7. A digital challenge • In line with the governments information strategy • ‘Information about me and my care’ • Key ambition • A change in culture and mindset, so that our health and care professionals, organisations and systems recognise that the information in each of our own care records is fundamentally about us – and so that it becomes routine for us to be able to access our own records online.

  8. Future developments • Virtual clinics/consultations • in line with digital first initiative • Care plans and competencies e.g. dialysis patients • Teleheath • In line with 3 million lives initiative • Research version

  9. Evaluation and Research • Key performance indicators regularly monitored by project group • Patient and clinicians evaluations have been performed • The system is part of 2 research grant applications • It has not yet been formally evaluated in a research setting

  10. Can it be adopted elsewhere? • Yes • It requires basic building blocks • Electronic labs system • Electronic letters • It requires commitment from trust at senior levels and investment

  11. Initiated by a clinician • Developed in conjunction with IT and patients • 4000 users after 1 year • In line with government policy • Future developments • Can be adopted elsewhere

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