GP and community nursing data added to NZ shared viewer

The Shared Care View (eSCRV) electronic health record being used by clinicians in New Zealand's Canterbury region has completed stage one of its rollout, with general practice and community nursing data now accessible.

The eSCRV, which has been built on Orion Health's Concerto clinical portal technology, was first conceptualised following the 2011 earthquake.

It has since been built by partners including the Canterbury District Health Board (CDHB), primary health organisation Pegasus Health, the Canterbury Community Pharmacy Group, Nurse Maude and Orion to allow any clinician – including GPs, pharmacists, hospital clinicians and community nurses – with a role in a patient's care to access patient information at the point of care.

The eSCRV has been operational for about a year but with only a minimal data set so far. Recently, patient history data from general practice and community nursing was added to the system.

CDHB chief executive David Meates said that with general practice data now available to other clinicians, it now had a full patient information picture.

"It now means that when a person attends a hospital, an after hours general practice service, a pharmacy, a doctor or is seen by a district nurse, their clinician will be equipped with a fuller set of information that will undoubtedly improve the safety and quality of care we can provide,” Mr Meates said.

Orion's delivery manager, John Gale, said the challenge of the project was to be able to provide access to a high level of information while protecting patient privacy and ensuring the data was in a secure environment.

General practice, pharmacy and community healthcare data can now be viewed by both primary and secondary care clinicians, he said.

Plans are underway to regionalise the Shared Care View across the five South Island DHBs and PHOs and to expand it to include health providers such as St John’s Ambulance and midwives.

The South Island also plans to introduce a new electronic record tool specifically designed for mental health clinical care that is being piloted at the West Coast DHB.

Also designed by Orion Health, the new software brings together all the client’s relevant information, including assessments, treatment plans and details of other people involved in their care.

According to West Coast DHB, this integrated view, together with features such as prompts to arrange follow-up appointments, will enable mental health staff to spend more time with clients and provide them with more comprehensive care.

West Coast DHB program director Michael Frampton said the tool had allowed staff to reduce the old system's 200 forms to 22 core documents.”

Significant attention has been paid to ensuring the system complies fully with all security and privacy processes, Mr Frampton said.

“The system has a ‘break glass’ feature that means those not directly involved in the treatment of a client have to enter a reason before they can access the file. This is stringently audited, meaning the new system offers greater privacy protection and security than what was in place previously.”

The development of the mental health software has been supported by the South Island Alliance, a collaboration of the five South Island DHBs working together to improve services.

Following the introduction of the system in West Coast DHB it will be rolled out to the other South Island DHBs as part of the Alliance’s information services plan.

Posted in Allied Health

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