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
- 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)
- 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
- Test results
- 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.
- A Nottinghamshire wide consent model agreed with 11 key principles.
- The principles guide define implicit and explicit patient consent in context.