dr khai-meng choy · dr khai-meng choy chief manager, service transformation hong kong hospital...
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Dr Khai-meng CHOYChief Manager, Service TransformationHong Kong Hospital AuthorityConsultant (Public-Private Partnership)Food and Health Bureau
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Without eHRWithout eHR
DHDH
Private HospitalsPrivate Hospitals
XX--ray Imagesray Images
Doctors & NursesDoctors & Nurses
LaboratoriesLaboratories
Private ClinicsPrivate Clinics
Other Healthcare Other Healthcare ProfessionalsProfessionals
HAHA
With eHRWith eHR
� Realise the concept �records follow patients�
� Enable patient-centred healthcare� Enhance primary care� Facilitate hospital-primary care
interface and public-private partnership
Hospital Authority� 8 million patient records� 800 million laboratory results� 340 million prescriptions� 34 million X-ray images� 3 million transactions per day
Department of Health� Essential data (e.g. Immunization records)� Upgrading the system for eHR connection
Private Hospitals� Systems mainly for billing and financial purposes� Electronic records lack sharing capability
Private Clinics� Electronic records lack sharing capability
Private Laboratories / Allied Healthcare Providers� Partial connection available (eg. radiology image sharing)
Develop (eHR) Sharing Public-Private Partnership Projects:
�Public-Private Interface-Electronic Patient Record Sharing Pilot Project (PPI-ePR)
�Cataract Surgeries Programme
�Tin Shui Wai Primary Care Partnership Project
�Shared Care Programme
�Radiological Image Sharing Pilot Project
Launched in April 2006Launched in April 2006Launched in April 2006
PPI-ePR is a prelude to eHR SystemPPIPPI--ePR is a prelude to eHR SystemePR is a prelude to eHR System
Apr 2006
Over 142,722 citizensenrolled
Over Over 142,722 142,722 citizenscitizensenrolledenrolled
10,000thcitizen
Jun 2007
100,000thcitizen
Jul 2010
(April 2011)
Over 2,205 private healthcare professionals enrolledOverOver 2,205 2,205 private healthcare professionals enrolledprivate healthcare professionals enrolled
PPIPPI--ePRePR
HAHAHealthcare Healthcare ProfessionalProfessional
PatientsPatients
Alleviate tremendous pressure imposed onto public hospitals
Earlier treatment for HA patients
Accurate patient records for more precise diagnoses
Minimize chances of drug allergy
Facilitating the establishment of long-term doctor-patient relationships
Efficiency gain by reducing the number of consultation and avoiding paper records
Save money, time, hassles, & pain to repeat unnecessary lab tests
Earlier lab test results Quicker and better diagnoses Second opinions More choices
Peace of Mind, ControlPeace of Mind, ControlPeace of Mind, Control
Better Patient CareBetter Patient CareBetter Patient Care
Optimal Resource Utilization and Flexibility
Optimal Resource Optimal Resource Utilization and FlexibilityUtilization and Flexibility
Patient receives SMS informing of access to record
Patient receives SMS Patient receives SMS informing of access to recordinforming of access to record
Secure Platform with FIREWALL and ENCRYPTIONSecure Platform with Secure Platform with FIREWALLFIREWALL and and ENCRYPTIONENCRYPTION
FirewallFirewall
Secure TokenSecure Token
eHReHR
CMSCMSPatient PINPatient PIN
PPIPPI--ePRePR
User PasswordUser Password
Hospital AuthorityHospital Authority Private Hospitals / ClinicsPrivate Hospitals / Clinics
FirewallFirewallShared Shared RecordRecord
Subsidy package + Co-payment
Eligible patientsEligible patients
Document medical record through PPI-ePR system
PMPsPMPs
Mgt protocolMgt protocol
Gateway and servers
Gateway and Gateway and serversserversRadiology facilityRadiology facilityRadiology facility
� Launched in January 2009, it allows participating private healthcare providers with the patient's consent to send the radiological images of enrolled patients to the Hospital Authority via electronic means.
Private SectorPrivate SectorPrivate Sector Public SectorPublic SectorPublic Sector
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