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First point of contact - Health Records. Support /Develop clinical systems for recording clinical data. Linking areas - Networked PCs - Firewall protection. Facilitate Communication - National email system - Internet Access - SCI Gateway - SCI Store. Provide Info
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1. e-Health in NHS Scotland
Dr Stuart Scott
Clinical Director e-Health NHS Grampian
GP
3. NHS Scotland Strategic Aims
4. NHS Scotland Strategic Aims
5. NHS Scotland Strategic Aims
7. I wouldn’t start from here…. Federated approach doesn’t work
Speed of standardisation
Not enough levers
Political pressure growing
England all sorted then!
8. Generic Clinical System Pressing ahead but should we be?
What do we require to implement?
Training
Support
IM&T Staff
Project management
Authentication
Single sign-on
SCI-Store pre-requisites
Prioritisation – Local/National
9. PACS Advantages
Access to images where and when required
Remote diagnostic support
Financial savings
Political
Should beef up the locally available kit
Improved use of CHI number
Disadvantages
Expensive
More technical than cultural
Political
10. HEPMA Case for
Safety
Governance
Clinical clamour
Case against
Safety
Governance
Available products
11. Theatre Systems Case for
Major area of workload
Governance
Risk management
Case against
Back to the waiting lists again
Bean counting mentality
12. Order Entry Safety
Data quality
Time saving
Governance
Embed in referral
Add-on for SCI Store
Separate procurement
13. Infrastructural elements Much of the eHealth programme dependent upon robust and reliable telecoms
Business continuity – no longer a luxury
Standards
14. Consent
Public engagement
Emergency Care Summary – First Engagement
total records in the store 4,433,431
total no patients who have withdrawn consent 219
15. NPfIT aka CfH Why are we messing around trying to do our own thing?
16. Scottish Telemedicine Centre Delivering for Health proposed it
Based in Aberdeen
17. PC Infrastructure Mix of ancient kit will slow apps and increase support
Microsoft Enterprise Agreement
Patches/Virus/Security
Mix of software stacks
Cost of maintaining
18. Single logon / Authentication Security model needs enhanced to cope with increasing mix of systems/users/roles
Need technology
Need resource to manage
19. Comms capacity What is the projected life of existing bandwidth?
Users expect it to limitless….
20. Business Continuity Are we covered for clinical/key systems?
Managed Service vs Local Board Level Provision
24/7 Support
21. Current Risks iSOFT
Gpass
National Procurement/Local Implementation
NHS Board Revenue Capabilities
22. Questions?