National Electronic Health Record

Singapore

Duplicate Tests

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

Document Sharing

Patient information can be shared in digital form across public hospitals and polyclinics.

Admission

Clinicians have implicit access to patient information when patient is admitted to A&E if the patient is unable to respond.

Care Coordination

More comprehensive, up-to-date patient information can lead to better coordination of patient care between care providers.

Duplicate Tests

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

Saves time chasing information.

Document Sharing

Patient information can be shared in digital form across public hospitals and polyclinics.

Saves time waiting for important patient information.

Admission

Clinicians have implicit access to patient information when patient is admitted to A&E if the patient is unable to respond.

Saves time diagnosing patient during emergencies.

Care Coordination

More comprehensive, up-to-date patient information can lead to better coordination of patient care between care providers.

Saves time waiting for patients who do not turn up.

Duplicate Tests

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

Reduces costs from duplicate tests.

Document Sharing

Patient information can be shared in digital form across public hospitals and polyclinics.

Increases care organisation productivity; reduction in postage costs and courier fees.

Admission

Clinicians have implicit access to patient information when patient is admitted to A&E if the patient is unable to respond.

Frees up bed spaces, increases care organisation productivity.

Care Coordination

More comprehensive, up-to-date patient information can lead to better coordination of patient care between care providers.

Reduction in duplicated administrative work.

Introduction BackgroundSolution
TO IMPROVE THE OVERALL HEALTH OF THE POPULATION THROUGH BETTER TARGETED INTERVENTIONS AND CONFIDENCE THAT CLINICIANS HAVE IMMEDIATE CRITICAL INFORMATION AVAILABLE TO DELIVER HIGH QUALITY CARE.

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.

Maturity
Level 3 - Sharing three or more care settings at read only
Scale
Large - More that 10 organisations

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.

Business Capabilities

Records Access
  • 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
    • Diagnoses
    • Immunisations
    • Allergies
    • Test results
    • Demographics
    • Recent health related events
    • Medication
Self Care
  • Patients can access their personal clinical records. This is currently read-only.
Care Planning and Coordination
  • Health and Care professionals can subscribe to receive notifications when patients on their worklist are admitted, discharge, or went into A&E.