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E-Health in NHS Scotland

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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E-Health in NHS Scotland

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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engagement Emergency Care Summary – First Engagement total records in the store 4,433,431 total no patients who have withdrawn consent 219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?

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