Hampshire Health Record

Access To Results

Healthcare professionals have access to patient’s previous test results.
This reduces the number of unnecessary duplicate tests.

Clinicians in A&E have access to patient’s information when they enter A&E. For example allergies, diagnosis and medication.

Access To Results

Healthcare professionals have access to patient’s previous test results.
This reduces the number of unnecessary duplicate tests.
Saves time chasing information.

Clinicians in A&E have access to patient’s information when they enter A&E. For example allergies, diagnosis and medication.
Saves time chasing information.

Access To Results

Healthcare professionals have access to patient’s previous test results.
This reduces the number of unnecessary duplicate tests.
Reduces costs from duplicate tests:
13% reduction in number of Pathology tests [2012].

Clinicians in A&E have access to patient’s information when they enter A&E. For example allergies, diagnosis and medication.
Frees up bed spaces.
9% reduction in decision to admit to hospital 1.7 day reduction in average length of stay in hospital.
Introduction BackgroundSolution
Deliver integrated patient care care by facilitating the sharing of information across Health and Social Care Settings in Hampshire.

The Hampshire Health Record (HHR) is a shared care record that shares information about 1.9m patients across a range of health and care settings. The record is used to support clinical decision making and transfers of care. A second database was deployed with the solution which uses pseudonymised data to support research and population health planning.

The Hampshire Health Record uses Graphnet’s CareCentric software.

Maturity
Level 4 - Sharing three or more care settings, with write capability
Scale
Large - More that 10 organisations
  • The Hampshire Health Record is a Shared Care Record and uses Graphnet’s Care Centric product.
  • End-users can access the Hampshire Health Record via a web-based portal or through their existing clinical systems. This access is read-only.
  • This record contains summary information about the patient drawn from GP records, hospital records, mental health, community care, and social care records from the council.
  • Ambulance services and GP 111 can access this information in emergencies.
  • Each day 2500 patients records are accessed.
  • Data from the Hampshire Health Record is also used for research and operational monitoring and reporting. All patient data is anonymised before it is used.
  • Central Repository Model Hampshire Health Record uses Graphnet CareCentric v.2.
  • Patient data is pulled from GP, acute, community, social care and county council systems and stored in a central data repository. Updates range from every 15 minutes to every 24 hours.
  • End users request data through a portal, or through their core clinical systems. This request pulls the data from the central repository.
  • A separate database holds anonymised patient data for research and analytics.

Business Capabilities

Records Access
  • Provides a read-only view of the patient record within the existing clinical systems,or through a web-based portal.
  • The record includes access to:
    • Patient medications
    • Hospital attendances
    • Diagnosis
    • Social Care Information
    • Allergies
    • Immunisations
    • Test results
Transfers of Care
  • Information is shared in the Hampshire Health Record when a patient is handed-on via a referral, transfer or discharge.
  • GPs, social and community care organisations are able to see the appropriate information such as discharge summaries, future appointments and test results when they access the patient record.
  • This supports safe and effective continuation of care.
Information Sharing Rules
  • A protocol governing access to patient records, overseen by the Hampshire Health Record Information Governance Group (HHRIGG).
  • Role-based and group-based accessed managed by the central team.
  • Patients give their consent at the point of care.
  • Patients can submit a request to see their record using the Hampshire Health Record website which provides transparency.
Analytics
  • Data from the Hampshire Health Record is used for research as well as for internal operational monitoring and reporting.
  • Researchers use the dataset to analyse outcomes of patients with specific conditions e.g. diabetes or COPD. Results from studies supported a programme to target interventions for cohorts of diabetes patients.
  • This is supported through a separate database that contains anonymised data from the Hampshire Health Record.