Singapore’s Ministry of Health Holdings (MOHH) initiated the National Electronic Health Record (NEHR) program to improve healthcare quality and patient safety, lower healthcare costs and develop more effective health policies.
The NEHR currently enables patient health records to be shared across the nation’s public healthcare ecosystem.
The NEHR was implemented over the course of 2 years, starting in 2010. The key steps for implementation were creating a detailed blueprint of the business, information, application and technology architectures, as well as testing new features with pilot projects before a system-wide roll out. Following the NEHR Go-Live, additional data sources have been added and security enhancements have been made. Targeted stakeholder engagement campaigns, gamification and usage scorecards were used to embed the change.
- Central Repository Model The National Electronic Health Record provides access to a shared patient record for a of different users across health and care settings.
- All hospitals, speciality outpatient centres, polyclinics, community hospital are connected as well as many GPs, nursing homes and hospices.
- End End-users can access the patient’s record through a portal or “one users can access the patient’s record through a portal or “one -click button” embedded within the information system.
- The information displayed depends on the user’s access permissions.
- There were 820,000 patient records accessed in the month of February 2017.
- Patients can access a mobile application known as the Health Hub App to view their personal clinical records.
- The National Electronic Health Record provides a read-only view of the patient’s only view of the patient’s summary record. The NEHR record includes access to: summary record. The NEHR record includes access to: summary record. The NEHR record includes access to: summary record. The NEHR record includes access to:
- Hospital attendance
- Test results
- Recent health related events
- Patients can access their personal clinical records. This is currently read-only.
- Health and Care professionals can subscribe to receive notifications when patients on their worklist are admitted, discharge, or went into A&E.