Mark Mulholland, EMIS - ehealth

healthcare without boundaries

Integrating IT systems and data sharing
Mobilising primary care data
Supporting a single shared record

Patient UK
EMIS Ltd
Primary care software
provider
39 million electronic
patient records within
EMIS systems
53.8% UK GP sites
52% Scottish GP sites
20% UK pharmacy sites

GPASS replacement
� GPASS to EMIS PCS / InPS Vision
replacement started early 2009
� SEF compliant GP clinical system
� Completed Feb 2012
� 542 GP practices installed EMIS PCS
� 52% market share
� EMIS PCS installed in all 14 health boards
� Three 100% EMIS health boards

Delivering aims of 2008
eHealth strategy
� SEF 0 – CHI support
� SEF 0 – Partners
� SEF 1 – Nurse Prescribing
� SEF 1 – ECS
� SEF 1 – SCI-DC
� SEF 1 – SCI Gateway
� SEF 1 – SCI Store
� SEF 2 – ePharmacy AMS
� SEF 3 – SMTP to SOAP (QOF+Partners)
� SEF 3 – Organ Donor
� SEF 4 – SCI-DC Back Population
� SEF 4 – SCI-DC Consent
� SEF 4 – SCCRS
� SEF 4 - ePCS
� SEF 4 – ePharmacy CMS
� SEF 4 - KIS

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

Continuing towards….
Better Health - Better Care

� 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

� 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

Integrating IT systems and data sharing
Mobilising primary care data
Supporting a single shared record

The best use of existing technology…
…the technology already exists

Mobilising primary care data
� EMIS PCS data streaming real time data
to EMIS Web
� InPS Vision data periodically streaming
data to Vision 360
� Based upon defined agreements to share

EMIS Web – What is it?
� Next generation GP Clinical system
� Centrally hosted solution
� Conforming to NHS CFH standards
� Supports recording of patient information
across settings (single care-record)
through mobilising data from primary care
setting
� Based upon defined agreements to share

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

Interoperability Model

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

Delivering the aims of the eHealth strategy
� Availability of accurate up to date patient
information
� Primary care data available in secondary care
systems

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

� Pan board / National reporting and
analysis on live data
� Already in place…
• NHS Ayrshire & Arran
• NHS Dumfries & Galloway
• NHS Forth Valley
• NHS Fife

We know it works…

What/where/who are the barriers to
‘Integrating IT systems and data sharing’
in Scotland?
How do we overcome these barriers to
deliver the eHealth strategy’s aims?