Connected Nottinghamshire

Nottinghamshire

Efficiency

The MIG and eHealthScope Tool present information in a single place.

Preventing Admission

Healthcare professionals have access to patient’s information. This improves clinical confidence and has an indirect benefit of preventing admissions.

Care Coordination

Identification of patients at risk of admission through the eHealthScope Tool.

Efficiency

The MIG and eHealthScope Tool present information in a single place.

Saves time chasing information and updating documentation.

Preventing Admission

Healthcare professionals have access to patient’s information. This improves clinical confidence and has an indirect benefit of preventing admissions.

Improves clinical confidence in decision making.

Care Coordination

Identification of patients at risk of admission through the eHealthScope Tool.

Helps manage multidisciplinary team meetings.

Efficiency

The MIG and eHealthScope Tool present information in a single place.

Increases care organisation productivity and reduces duplicate effort.

Preventing Admission

Healthcare professionals have access to patient’s information. This improves clinical confidence and has an indirect benefit of preventing admissions.

Prevents admissions and supports the avoidance of A&E attendance.

Care Coordination

Identification of patients at risk of admission through the eHealthScope Tool.

Enables effective care coordination through early intervention.

Introduction BackgroundSolution
IMPROVED SHARING OF HEALTH INFORMATION TO IMPROVE THE PATIENT‘S EXPERIENCE OF CARE AND SUPPORT BUSINESS TRANSFORMATION.

Connected Nottinghamshire is the interoperability programme for Health and Social Care in Nottinghamshire. The programme has implemented a Medical Interoperability Gateway (MIG) solution to share information from primary care with 9 other health and community organisations.
Connected Nottinghamshire has also implemented a solution for information sharing and risk stratification known as eHealthScope

Maturity
Level 3 - Sharing three or more care settings at read only
Scale
Medium - 5-10 Organisations
  • The Connected Nottinghamshire programme has implemented the Medical Interoperability Gateway (MIG) platform to share primary care data with other organisations.
  • In phase 1 The Detailed Care Record (DCR) and Shared Record Viewer (SRV), were implemented, and in phase 2 end of life datasets were included.
  • End users either access the information through a portal viewer or embedded in their core clinical systems.
  • Connected Nottingham has also implemented the eHealthScope tool for reporting and risk stratification. This tool was developed by GPs in the region.
  • GPs and clinicians use this tool to identify at-risk patients and view information about them from other care settings. The eHealthScope tool uses data from primary, community and acute care providers.
  • Federated Registry Model The MIG platform allows patient data from Primary Care to be viewed by other organisations.
  • Data is stored in the systems of the individual organisations and viewed on a per-request basis at the point of need.
  • Information is shared real-time and all access is audited.
  • Organisations access the MIG through their own clinical system or through the MIG portal (see below)

Business Capabilities

[su_head]Records Access[/su_head]

  • The Connected Nottinghamshire programme enables clinicians to access information stored across the systems of other care organisations on the programme.
  • The record includes access to:
    • Hospital attendance
    • Diagnoses
    • Immunisations
    • Test results
    • Medications
    • Allergies

[su_head]Risk Stratification[/su_head]

  • Supported through the eHealthScope tool and a GP Repository for Clinical Care.
  • Calculates a patient’s risk score based on the Devon Algorithm and metrics that include recent admissions, OPD attendance, A&E attendance, End-of Life, Risk of Admission.

[su_head]Care Planning and Coordination[/su_head]

  • The eHealthScope tool supports cross organisational care working as it joins up data about at-risk patients into a single view.
  • GPs can see key information that will help decide how a patient at risk needs to be managed and can identify where there is a gap in their care plan.
  • The consolidated information helps manage multidisciplinary meetings.
  • Reports can be shared with other staff that are delivering direct care.
  • At-risk patient’s who have opted out of information sharing in the past can be identified.
Information Sharing Rules
  • A Nottinghamshire wide consent model agreed with 11 key principles.
  • The principles guide define implicit and explicit patient consent in context.