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Mark Mulholland Regional Director – Scotland & NI

EMIS in Scotland delivering the aims of the eHealth strategy 2011-17 in the primary and community setting. Mark Mulholland Regional Director – Scotland & NI. EMIS team in Scotland Current regional landscape Working towards the eHealth strategy 2011-2017 Health & Social care integration

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Mark Mulholland Regional Director – Scotland & NI

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  1. EMIS in Scotland delivering the aims of the eHealth strategy 2011-17 in the primary and community setting. Mark Mulholland Regional Director – Scotland & NI

  2. EMIS team in Scotland Current regional landscape Working towards the eHealth strategy 2011-2017 Health & Social care integration Future development – products + services PCS development roadmap EMIS Web GP

  3. EMIS Team in Scotland Scotland previously part of NE & Yorkshire region Scotland & Northern Ireland amalgamated as a region in April

  4. EMIS Team in Scotland Move away from ‘The Field’ Towards defined functions (field and internal structures) Sales / Account Management Training Service Commercial development

  5. Sales / Account Management Mark Mulholland (RD) – cross functional ----------------------------------- Tom McCluskey (SAM/CAM) – EMIS Web projects Fiona Leishman (SAM/CAM) Diane Henderson (CAM) • On maternity Claire McNeil (acting CAM) • NHS GG&C

  6. Training Lynn Tomlinson (CTM) – Scotland, NI, NE&Y Jenni Lockhart (STC) Colette Jackson (TC) Claire Watt (TC) Full time secondment to GG&C Andrew Burton (TE) Full time focus on EMIS Web community Claire McNeil (TE) Acting CAM

  7. Service Relationship Exec Will Christie Covering all 14 Scottish Health Boards + National Service forums Remit solely focussed on service delivery in Scotland

  8. Commercial Development New function headed by Matt Murphy Debra Renwick representing Scotland Link between field and development Facilitating turn around of field ‘opportunities’ to ‘delivery’

  9. EMIS in Scotland Regional offices Development presence 2009 – 1 member of staff (me) 2012 – 12… and growing!

  10. GP Estate EMIS PCS installed in 528 of 1006 practices Across all 14 Health Boards 52.5% market share EMIS PCS practices in all Health Boards 3 Health Boards exclusively EMIS PCS Forth Valley Borders Shetland Due to become 4 exclusive Health Boards Possibly 5

  11. eHealth strategy 2011-2017 eHealth strategy 2011-2017 Build on the achievements delivered and foundations set in 2008 strategy Quality outcomes Everyone gets the best start in life, and is able to live a longer, healthier life People are able to live well at home or in the community Healthcare is safe for every person, every time Everyone has a positive experience of healthcare Staff feel supported and engaged The best use is made of available resources

  12. eHealth strategy 2011-2017 Continuing towards…. Better Health - Better Care

  13. eHealth strategy 2011-2017 Safer patient care through availability of accurate up to date information Building on ECS / KIS / ePCS Anticipatory care approach Accurate, informed diagnosis and collaborative delivery of care Decision support tools Efficient working across settings Faster availability of newly recorded information

  14. eHealth strategy 2011-2017 Patients as responsible partners in the care they receive Informed, engaged Improved referral processes Reduction in times from referral to receipt of care Seamless transaction across multiple systems

  15. eHealth strategy 2011-2017 Integrating IT systems and data sharingMobilising primary care dataSupporting a single shared record

  16. eHealth strategy 2011-2017 The best use of existing technology… …the technology already exists

  17. Local strategies Individual board strategies to deliver aims of eHealth strategy and care integration agenda

  18. NHS Greater Glasgow & Clyde 250 EMIS PCS – 9 InPS Vision EMIS Web Children’s Services Community system project underway and resourced Single Organisation approach No immediate plan for integration with GP record No sites streaming…yet 600+ users Every child 0-18 years

  19. NHS Greater Glasgow & Clyde Instructed development work SCI Store patient demographic feed MPI integration – Nov 2012 Bi-directional SCI-Gateway referrals Jan 2013

  20. NHS Greater Glasgow & Clyde Clinical Portal Orion portal integration GP data feed via EMIS Web Continence Service Early adopter of EMIS Web as clinical system No SEF requirement

  21. NHS Ayrshire & Arran EMIS Web Community System project underway and resourced Working towards Virtual Wards go-live in November Girvan Community Hospital project Small working project Three Girvan GP sites sharing services at community hospital

  22. Other potential Web opportunities NHS Western Isles Vodafone digital pen integration NHS Forth Valley Dumfries & Galloway Borders Shetland Grampian

  23. Clinical Portal Clinical Portal Integration Individual board strategies Orion CareFx (Northgate)

  24. GP Inpatient Services Order Comms Health Visitors Pharmacy District Nurses EMISWeb Other Services Integration tool RIO Child Health Minor Surgery Cerner Millenium Learning Disabilities Speech and Language Therapy Ascribe CareLogic Physiotherapy

  25. Interoperability Healthcare Gateway 50:50 joint venture between EMIS and InPS Medical Interoperability Gateway (MIG) Exchange real-time data between any third party system and EMIS or INPS clinical systems 100% of patient records in Scotland are now held on EMIS PCS or InPS Vision

  26. Not limited by one to one interoperability standards between distinct systems Ensemble? Live primary care data available in Clinical Portal, OOH, Community, Acute, etc… Patient care information captured in community, acute etc available in General Practice in real time Single care record

  27. Patient centric eHealth Interest in Patient Access as patient portal Best use of available resources eHealth Policy & Strategy Possible development Links to PIL in MR viewer Bi-directional messaging Capturing patient specific clinical data online Integration with secondary care appointment systems Online repeat ordering TBC!

  28. Health & Social Care Integration Integration of Adult Health & Social Care Bill currently in consultation EMIS exhibiting at Scottish Executive conference in Edinburgh on 19th September

  29. Health & Social Care Integration Aims lay the foundations for an integrated model of care in Scotland CHPs disbanded Replaced with Health and Social Care Partnerships (HSCPs) Local council authorities and NHS boards jointly responsible Efficiency savings remain dominating factor in policy discourse Initial focus on integration of budgets for older people services Emphasis on improving care in patients home as opposed to care home or hospital New focus on funding of community systems / decrease in institutional budgets

  30. Future developments • GP IT Contract & Services Management Group • Level of engagement • Working relationship with Kevin Boylan (NISG Service Manager) • CAB / RFC / Service Management • Regular contact + monthly NISG meeting • Quarterly GPITC&SM meeting • New Quarterly Service Review • All boards represented

  31. New patch release process Following recent discussions with NISG and subsequent ratification from GP IT CAB we will shortly be moving to a new process for releasing PCS updates to our estate of practices Move from 4 week patching cycle Move to 8 week patching cycle

  32. New patch release process A sequence of phases of release, with an initial clinical witness phase, followed by an extended (3 weeks) pilot phase with testing on PCS application as well as interactions with national and 3rd party systems. A period of stability where no releases are made to the estate. A quick release process for issues of clinical risk or to meet national timescales (e.g. QOF rules, read codes, drug releases)

  33. Future development Release 10 (November 2011) Prescribing performance release 2 Independent Nurse Prescribing CMS post pilot development work Release A (Jan 2013) Instalment dispensing text for non GPs AMS messaging for Stored scripts Release B (late Feb 2013) GP2GP phase 1 Release C (early Apr 2013) AMS messaging for dispensing scripts Prescribing alerts stop

  34. GP2GP Transfer of structured GP record between practices Bi-directional cross border transfer Establishment of lifelong UK GP record with minimal degradation MIG ? Working in partnership with PSD Minimal disruption to Docman / eLinks transfer process

  35. EMIS Web GP EMIS Web requires SEF development for use in GP estate Development resource committed No current timescale Original SEF group disbanded Not all tranches of development relevant to hosted technology Practice / HB appetite varied Mature user base ready HBs not ready to support roll-out (e.g. GG&C)

  36. EMIS Web GP GPITC&SM Group remain fully committed to EMIS PCS Under framework contract Specific areas of discontent in EMIS PCS would be addressed S&R, Prescribing, App Book, QOF Recall, PSD transactions, decision support tools

  37. What are we doing next? Remainder of 2012 Move A&A and GG&C Web community projects towards implementation Move all other Web opportunities to planning / pre-implementation Drive local marketing message Increase awareness of EMIS products and services in secondary domain Continue to seek opportunities in community / extended / acute settings Interoperability opportunities (TRAK, Midas, Adastra, etc) Continue to support NHS Scotland efficiency agenda

  38. 2013 and beyond Established flag ship community project for Scotland (a la Cumbria, Liverpool) SEF accredited EMIS Web GP Enthusiastic EMIS Web user base EMIS products and services established in secondary / community care domain Primary care interoperability

  39. www.facebook.com\newsfromemis www.twitter.com\newsfromemis #nug12

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