eHealth Information for Patients Strategy

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eHealth Information for Patients Strategy

• SHOW
• April 2004

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What is the status of patient information within
NHSScotland

• Unequal access to information across Boards
• Gaps in available information
• Variable quality and currency of information
• Production of information is not co-ordinated
  nationally/across Boards leading to much
  duplication of effort and inconsistency
• Patients are confused about where to go to for
  quality information

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Scottish Executive Health DepartmentPolicy
Commitments

• Widen the range of patient information available
  and improve access to it
• Develop a national source of patient information
  and advice
• Ensure relevant high quality information is
  available where and when needed in a suitable
  format
• Establish a network of information access points
  to help people find the information they need
• Extend NHS 24 to create NHS 24 Online, a single
  gateway to information on health and health
  services on the internet and digital tv services

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Information for Patients Strategy

• The Vision
• One Tel No, One Website (NHS 24)
• To develop a corporate approach to information
  for patients by
• Establishing an infrastructure for patient
  information
• Coordination of knowledge and information
  functions
• Development of quality assured information

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eHealth Structure
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Key elements

• Single Gateway adding value, not just another
  website
• NHS 24 Online patient focus
• Knowledge management - Single repository/database
  for locations of care (PSD/ISD/NHS24/ OOH/ web
  pages)
• Generic information templates embracing
  technology
• Other channels of information digital TV coming
  soon

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How do people access information

• Via the internet
• In 2003, 42 of Scottish households had access to
  the internet from home
• In 1998 this was 9
• 96 of 16-24 year olds have access to the
  internet
• Younger users often conduct searches on behalf of
  older relatives
• In Canada two thirds of all Canadians have
  visited a health website. Of those visiting a
  health website, 66 visit monthly
• NHS Direct Online has over 70 million hits / over
  2 million visits per annum

• Sources
• National Statistics Omnibus Survey December
  2003
• Datamomitor research across France, Germany,
  Italy Spain, the UK and US
• NHS Direct Online

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A Single Gateway to Patient Information
Many channels and users
Personalisation
Patient-Focused
Content
Diseases Conditions
Health Alerts
NHS websites
Locations/ services Information
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eHealth Gateway How it might be used?
Public
Community Partners
Alternative Health Providers
Community Pharmacist
Community
Carer
Healthy Citizen
Patient
Advocate
Interaction with information and tools on the
gateway MyHealth area for personal services Calls
eMails to NHS24 supported by
gateway Consultations supported by Gateway
Information
Community Nurse
Hospital Clinician
GP Practice Nurse / Dentists / Opticians
Gateway
NHSS
Hospital Staff
Author Gateway Content Use gateway to support
consultations Author and Publish Leaflets Own web
sites
Primary
Special Health Boards
Health Boards
Hospital Mgmt
Gateway Organisation
Facilitate content authoring and provision Manage
access and usability Ensure information aligns to
public need Manage Quality and Accuracy of
Information Author Content Manage Content Authors
Secondary
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Relevant healthcare information will be available
no matter what approach is taken to searching
for it
Where is my nearest NHS dentist
Im not sure how to look after my teeth
Ive got lousy toothache
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Gateway and NHSScotland

• Local ownership of content
• Central co-ordination point and team to support
  quality provision of information to patients
• Robust national, gateway and local governance
  through PAF and NHS Quality Improvement Scotland
• Content management system for NHSScotland
• Electronic submission of datasets
• Publication of local content on the Gateway
• Metadata eLibrary/NES
• Pilot across a number of NHSBoards to develop
  surgical intervention content

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The patient gateway will rely on input from
across NHSS in order to succeed

Standards and Frameworks
Content Providers
Technology
Patient Gateway
mcn
Data collection
Training and Testing
Patient Focus Groups
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Opportunities

• Defined business processes underpinned by
  technology where appropriate
• Performance improvement
• Qualitative and quantitative benefits
• Differentiated access for audiences
• - Patients (NHS 24 Online/ single gateway)
• - NHSScotland (SHOW)
• - Healthcare Professionals (eLibrary)

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Single gateway - benefits

• Simplified access for people through
  multi-channels
• Consistent information
• Trusted source of quality assured information
• Common approach to the collection and maintenance
  of information underpinned by technology
• Strengthened partnership and collaborative
  working
• Reduced duplication of effort and data collection
  
• Reduced risk of litigation
• More effective investment

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Project 1 Audience NHS24 CC / NHSS
DRAFT IMPLEMENTATION OVERVIEW
Project 2 Audience NHS24 CC / NHSS

• Deliver Gateway Framework 1
• Health Services Datasets Phase 1 GPs, Voluntary
  Orgs and other Quick Wins
• Health Services Search Tools e.g. Distance
  Locator
• Enable use for NHS 24 Contact Centres
• NHS 24 Bulletin Boards
• Health Alerts
• Digital TV Pilot

Project 3 Audience PUBLIC LAUNCH
Project 4 Audience General Public

• Diseases Conditions Encyclopaedia
• Self-Help Guide
• Healthy Living / Health Promotion
• Home Drug Cabinet
• Patient Rights / Complaints
• Tools (e.g. BMI)
• Quizzes and Games
• Screening Information
• Immunisation Information

• Health Services Datasets Phase 2
• NHS Board Websites
• NHS 24 Corporate Information
• My Personal Health Space Phase 1
• Carers Information
• Online Health Information Enquiries
• Public Health News
• How to get Involved With the NHS
• Clinical Priorities
• Cancer, Stroke, Mental Health, Diabetes, CHD

• PHASE A
• Other Common Clinical Conditions
• Complementary Medicine
• Add Further Depth to Clinical Topics
• Information for Young People
• Drugs and Medicines
• PHASE B
• Pilot Surgical Intervention Information Leaflets
  With a Number of NHSS Boards
• PHASE C
• Roll-Out Content Management System to NHSS Boards

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What now?

• eHealth and SEHD consideration of proposals
• Architecture and Design
• ISD/ISSG/NHS 24 Locations of care project
• Delivery options
• Widen involvement