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