Eclipse Solutions: Putting Patients First...Putting Patients First Steven Platt Dr Julian Brown...

Eclipse Solutions: Putting Patients First

A d v a n c e d N H S S o l u t i o n s

www.eclipsesolutions.org

www.nhspatient.org

Page 06 Patient Access Portal Background

Page 08 How Does it Work?

Page 10 How to Access a Patient Record

Page 11 Secondary Objectives

Page 12 Risk Stratification

Page 14 Risk Stratification Background

Page 16 Examples of Safety Algorithms

Page 17 Prescribing Problems

Page 18 Integrated Care

0 Background

Page 21 Educating Referring Practitioners

Page 22 True Integrated Care

Page 24 Empowering Patients

Page 26 Patient Access

Page 28 Patient Self-Management Plans

Page 29 Long Term Condition Managers

Page 30 Security

Page 34 The Importance of Information Governance

Page 35 The Future

Patient Access, Risk Stratification, Integrated Care and Self-Management

Putting Patients First

Dr Julian Brown (Project Lead)[email protected] 101327

Steven Platt (Technical Lead) [email protected] 525529

Paul Taylor (Administrator)[email protected] 346749

George Barber (Graphic Design)

General Office [email protected]


Eclipse Solutions NRP Innovation CentreNorwich Research ParkColney LaneNorwichNR4 7G

Company No: 05913240

Data Protection Registration Number: Z2536678

e c l i p s eS O L U T I O N S

www.nhspatient.orgEmpowering Patients for a Better NHS

Objective:

Putting Patients First is a new portal within the NHS that enables a completely integrated care package to be delivered safely, securely and efficiently to patients anywhere in the world. Through Putting Patients First, healthcare providers can offer a more efficient service that improves the safety of patient care with reduced referrals and admissions, while saving significant revenue for the NHS.

Background

Background

Each year thousands of lives are put at risk due to clinicians having insufficient data about the patient they are seeing.www.nhspatient.org is a new portal within the NHS that allows the Patient Summary Record to be accessed allowing reduced risk, improved integrated care, personalised care plans and most importantly patient access to their own records.

This interface will radically improve the safety of:

• Out of Hours Consults • A&E Attendances • Ambulance Assessments • Pharmacy Medication Use Reviews • Out Patient Assessments • Hospital Admissions • Emergencies Abroad

What Information Does the Patient Access Portal Contain?

What Information Does the Patient Access Portal Contain?

There are four key information categories needed to enable an accurate clinical assessment:

1. Patient’s Clinical Conditions. 2. Patient’s Medications and Allergies. 3. Patient’s Blood Results and Investigations undertaken. 4. Patient’s Health Plans.

The Patient Access Portal contains all the essential information needed to ensure the safe delivery of care to a patient anywhere in the world.

How Does it Work?

How Does it Work?

The NHS has several established databases on patient care. NHSpatient.org is the final output of these combined datasets to enable a complete medical interface accessible securely from anywhere in the world.

* Weekly extracts were taken overnight from the GP systems via automated Apollo extracts.RADAR is a collection of algorithms generated utilising MHRA, NICE, BNF and national guidelines combined to identify at-risk patients.

*

www.nhspatient.org

Patient Safety Reports

Patient Summary Record

Integrated Care

Prescribing Data

Radar National Guidelines for Risk Stratification

The Result is:

Empowerment of Patients:

• Improved Education • Improved Clinical Safety • Embraces Privacy Impact Assessment o Patients are informed who has accessed their records and when. o Patients can see what is in their records and “cloak” information they do not wish to have online. • Patients can contact their healthcare team in times of need. • Patients can input information regarding their health and use telehealth through the system. • Improved access to other NHS Online Clinical Services. • Improved ability for feedback from patients on clinical services.

Patient Care Plans

How Does www.nhspatient.org Work?

How Does nhspatient.org Work?

The Patient, Carer and all key NHS Healthcare Workers can access the patient portal if they have clearance.Each time they do access it, it is recorded who accessed which record and at what time.

NHSpatient.org allows the creation of a completely functionally integrated generic team with the Patient at the centre to allow true Patient Care.

The outcome of the interface will:

• Improve the Safety of Patient Care. • Improve Education of Healthcare Professionals. • Allow Multidisciplinary Meetings Remotely. • Reduce Inappropriate Referrals. • Increase Appropriate Referrals. • Reduce Emergency Admissions.

Julian Brown

www.nhspatient.org.uk

Julian Brown

www.nhs.uk

1063487459

Step 1 Log into www.nhspatient.org For Healthcare Professionals this requires a username, password and 2 factor authentication. (The 2 factor authentication can be through mobile phone or finger print recognition.)

Step 2 Scan the Patient’s card (If you do not have a barcode scanner, simply enter the 15 digit code.)

Step 3 There is the option of a verification question. This is at the discretion of the patient when they activate their account. Within seconds Healthcare Professionals can have access to information that is needed to make life-saving decisions about their patient.

How to Access a Patient Record

How to Access A Patient Record

Each Patient has a Patient Access Card.

Go to www.nhspatient.org.uk

Scan barcode or type in number

Enter patient Password

6474392221871

Your Health,your choices

Patient Passport

Secondary Objectives

www.nhspatient.org has also been developed to embrace all of the Long Term QIPP objectives set by the Department of Health. This ensures full integration for the NHS.

Risk Stratification: Our Eclipse Live System is the most sophisticated risk assessment system ever developed, allowing thousands of safety algorithms to be applied to each patient every night to identify at-risk scenarios. These alerts can be sent to any of the Patient’s Healthcare Team and will be identified each time the Patient’s Passport is scanned. This ensures complete protection for both the Patient and for the Healthcare Professionals involved in their care.

More than a million patients in England are already being protected by this system and the whole of your district could be activated in less than 1 month.

Integrated Care: Our unique system allows complete integration of care whilst protecting the security and confidentiality of the Patient. GP practice, Community Services, Pharmacy, Hospital and Patient / Carer can interface with ease through our system with the creation of a completely functionally integrated generic team.

Self-Management Plans and Personalised Records: Our automated self-management plans were first launched in 2007 and were immediately able to reduce admissions in diabetes by more than 50%1. We have since moved on to multiple chronic disease management plans, enabling patients and carers to be both empowered by education and choices. Patients are able to have access to their medical records through electronic access or paper summary printouts.

Secondary Objectives

1.Diabetes & Primary Care, 2010, Vol 12, No 5, pages 268–276

There are 8 Chronic Disease Management guides to revolutionise Patient Care

1

Prostate Manager

Abbreviated prototype edition

with example data only

Reducing costs and improving outcomes.

Performance Tracking: Just how well are you doing?

Prescribing Trends: Analysis of Hypertension prescribing within your region.

How to use your essential online Hypertension tool.

RESPIRATORY MANAGER1

COPDManager.org.uk

AsthmaManager.org.uk



Prescribing Trends: Analysis of respiratory prescribing within your region.

How to use your essential online Respiratory Manager tool.

1

DIABETES MANAGER



Prescribing Trends: Analysis of Diabetes prescribing within your region.

How to use your essential online Diabetes tool.

Risk StratificationIn Medicines Managementand Long Term Conditions

Objective:

“RISK STRATIFICATION - Using validated risk Stratification to support commissioners to understand the needs of their population and manage those at risk. A risk prediction tool will identify a list of patients (or virtual ward) that are at high and medium to high risk of accessing healthcare services. This will assist in preventing disease progression and will allow for interventions to be targeted and prioritised.”(Department of Health 3rd edition Long Term Conditions Compendium of Information)

Risk Stratification

Eclipse Live allows Risk Stratification in three main ways:

1. Identifying which patients are at highest risk from admission. 2. Identifying which patients are overdue for screening. 3. Identifying which patients are being put at risk from their medications.

By analysing millions of calculations on each patient every night we continually identify at-risk patients in a way never before achieved.

This data can then be presented at:

• CCG commissioning level • GP Surgery Level • Community Healthcare Professional • Hospital Consultant • Pharmacy Level • Patient / Carer level

Eclipse Live reliably identifies lists of patients at risk of complications / admissions generating lists of patients and virtual wards, which the Specialist or Community Team can electronically visit. It has already allowed interventions to be targeted and prioritised and has just been nominated for the final of two National Patient Safety Awards.

This system is already saving lives and protecting hundreds of thousands of patients within England.

Risk Stratification

Press Release02 May 2012

A major study of GP prescribing has found that while the vast majority of prescriptions written by family doctors are appropriate and effectively monitored, around 1 in 20 contains an error.

“Few prescriptions were associated with significant risks to patients but it’s important that we do everything we can to avoid all errors.”Professor Tony Avery, Professor of Primary Health Care, University of Nottingham

Background

Background

What is the solution?

We wanted to develop a system that could identify patients at risk from these emergencies and radically improve patient safety.

The first step would be to identify which different scenarios result in patient admissions.

Fortunately there appear to be a relatively small number of differing emergencies and the majority of these fall into three main areas.1,2

Prescribing errors (35%)Monitoring (26%)Adherence to medication (30%)Other (9%)

Our aim was to create a system that would identify at-risk patients for the majority of all these common medication-induced emergencies – and Eclipse Live appears to be proficient at undertaking this task.

Each year thousands of patients die from medication-related incidents. There are also tens of thousands of preventable medication-induced emergency admissions causing tremendous unnecessary suffering and putting an enormous strain on the NHS.

Research has shown that between 6-7% of all emergency admissions are related to medications and that 60% of these incidents are preventable.1

Each medication-induced emergency admission is estimated to cost £5000.2

How big is the problem?

In 2010, there were 4.9million emergency admissions, costing the NHS £8.8billion.3

If 7% of these were related to medications, this would represent 343,000 admissions, of which more than 200,000 could have been prevented.

With each admission costing £5,000, this represents a potential saving of £1billion if a reliable system could be implemented to identify these at-risk patients before they decompensated.

1 *2 Winterstein A, Sauer B, Hepler C, et al. Preventable drug-related hospital admissions. Ann Pharmacother2002;36:1238–48.2 (Value Health. 2011 Jan;14(1):34-40.) HARM: Preventable hospital admissions related to medication.3 www.nhscomparators.nhs.uk NHS information Centre based on national statistics for 2010 calendar year

1 Br J Clin Pharmacol. 2007 February; 63(2): 136–1472 Winterstein A, Sauer B, Hepler C, et al. Preventable drug-related hospital admissions. Ann Pharmacother2002;36:1238–48.

Examples of Safety Algorithms

Examples of Safety Algorithms

Each year, thousands of patients have medication-related emergency admissions, more than half of which are preventable. In the meta-analysis of 15 studies on preventable drug-related admissions, it was found that 4.3% of all emergency admissions fell into this category.

These preventable emergencies listed can be screened for, using Eclipse Live’s screening tool called RADAR. It runs thousands of algorithms each night, based on MHRA, NICE, BNF and national guidelines, identifying at-risk patients and feeding alerts back to their GPs.

Screen shot showing RADAR report on patients at risk from bleeding

These alerts can be fed back to the GPs, Specialists and Community staff, Pharmacists or the Patients / Carers themselves depending on the alert set-up specification.

Prescribing Problems

Prescribing Problems

Research shows that the drugs most commonly implicated were:

NSAIDs

Gastrointestinal toxicity

Renal toxicity

Warfarin

Poor control

Interactions

Antiplatelets

Gastrointestinal toxicity

Thrombotic event

Antiepileptics

Subtherapeutic prescription

Inappropriate cessation

Hypoglycaemics

Excessive or inadequate use

Diuretics

Electrolyte imbalance

Renal toxicity

Cardiac Glycosides

Digoxin toxicity

Beta-blockers

Inappropriate use in asthma

Integrated CareIn Medicines Managementand Long Term Conditions

Objective:

“NEIGHBOURHOOD CARE TEAMS – Creating a functionally integrated generic care team at a locality level including community services, AHPs, social services, specialist nurses and linked to GP practices. These integrated health and social care teams are based around a locality (or neighbourhood) and provide joined-up and personalised services. These generic teams pull in specialist services when necessary, but treat a patient holistically, regardless of their condition(s). Each patient has a key worker within this team who co-ordinates their care and acts as the point of contact.”(Department of Health 3rd edition Long Term Conditions Compendium of Information)

Background

The NHS has been slow to embrace improving telecommunications and data sharing. There are several significant consequences to this:

1. Patients are being treated by clinicians with insufficient patient data resulting in incorrect decisions, inappropriate treatments, increased morbidity, mortality and potential litigation.

2. Members of the Healthcare Team working against rather than in synergy with one another.

3. Duplication of assessments, procedures and tests with unnecessary expense and the waste of both the Patient’s and the Healthcare Professional’s time.

4. Delays in responding to potential medical emergencies.

5. Patients being admitted inappropriately into hospital by ambulances and out of hours GPs due to lack of information causing increased burden on secondary care and potentially dangerous for the patient.

6. The system makes it difficult for specialists to give advice remotely. Referrals are then generated with further delays and inconvenience for the patients / Carers.

www.nhspatient.org has addressed the above by creating a skeleton Patient Summary Record for each patient, containing the essential information needed for healthcare professionals to make informed decisions whilst maintaining the confidentiality of the individual. This record is both available to the patient and can be accessed by the Healthcare Professional through a secure portal.

Our unique system allows complete integration of care whilst protecting the security and confidentiality of the Patient. GP practice, Community services, Pharmacy, Hospital and Patient / Carer can interface with ease through our system with the creation of a completely functionally integrated generic team.

Background

Educating Referring Practitioners

Educating Referring Practitioners


COPDManager.org.uk






• Local Guidelines

• Local Contacts

• Local Formulary

• Local Prescribing Analysis

• Local QIPP Project Analysis

• Local Performance Tracking

• National Guidelines

Contents:

In addition to the individual referring practitioner being educated on a one-on-one basis, multiple practitioners can log on (up to 16) enabling group education and discussions.

There is also the ability for your hospital to provide a block contract for CCGs

a) within your district

b) outside your district

c) to countries outside the UK

This has the potential to generate substantial revenue for your PCT trust.

For each long-term condition, there is a regional magazine to further enhance local integrated care.

True Integrated Care


www.nhspatient.org dramatically improves the efficiency of patient care by allowing communication between Healthcare Professionals and between Patients and their Team.

GPs can refer directly from www.nhspatient.org and select one of four responses:

1. Email response: The patient summary record is sent across to the specialist with the question to be answered and a response returns within 24 hours.

2. Booked Webinar: The GP books an available slot with the Specialist and is reminded by SMS 15 mins before the session to ensure that he attends.

3. Immediate phone call: The specialist receives the patient summary record and the question electonically but in addition a SMS is sent to them to ring back the GP instantly.

4. Educational Session: The GP refers a case to be discussed in a booked multidisciplinary or educational session to be able to discuss the case amongst multiple specialists.

The result of the above is safer care for the patient, better education for the healthcare professionals and reduced need for hospital appointments.


Patients can interface with their Healthcare Team directly through www.nhspatient.org:

1. Telehealth devices: Information is automatically sent via the portal.

2. Email response: This is where non-urgent requests and questions can be addressed.

3. Direct messaging: Minimising disruption to the Healthcare Team and allowing patients to record responses.

4. Request for phone call: If the Patient is feeling unwell they can simply click on the request phone call tab and a member of their Healthcare Team can ring them.

5. Highlighting their preferred Patient Care Plan: This can be vital in end-of-care life where the patient’s wishes can be put first and easily identified through their portal. Patients can also state essential contacts, answer bespoke questionnaires, rate their experiences within the NHS and feed back their responses to medications/interventions.

6. Social Media: Social media sites are becoming an essential part of communication. The NHS needs to ensure that interactions with these portals are embraced in a way that will improve healthcare.

Empowering Patients Through self-management plans, shared care and record access

Objective:

“SELF CARE / SHARED DECISION MAKING – Empowering patients to maximise self-management and choice, through shared decision making and motivational interviewing. This includes ensuring that: (1) patients engage in shared decision making to co-produce a care plan, (2) both patients and their carers have access to the appropriate information about how to manage their condition, (3) patients are active participants in all decisions about their care (‘no decision about me without me’) and (4) that patients have access to their medical records. This requires a cultural shift for patients and clinicians, whereby the importance and value of self-care and patient education are truly understood and where shared decision making and supported self-care are seen as integral elements of LTC management.”(Department of Health 3rd edition Long Term Conditions Compendium of Information)

Patient Access

The Patient Passport allows safe, integrated care for the Patient and empowers them to prevent complications and admissions.

The Patient’s online interface is updated on a weekly basis. All their essential information can be accessed here. The patients need to use a username, password and 2 factor authentication for security.

The online NHS Patient portal allows patients to be educated, to be set targets, to have self-management plans, to receive alerts and to integrate with their healthcare team.

The Patient Summary card docks with any computer, auto updates and allows complete security.

It fully integrates with NHS choices and with the Generic Care Team interface.

It is vital that patients should be able to access their medical records. In addition, access should be through a number of portals to embrace the vast range of access preferences amongst patients. Those used to smart phones, internet access and email should be able to use the recent advances in technology to interface with their Healthcare Professionals. Those who are less technologically minded should not be disadvantaged and be able to receive paper-based folders or delegate aspects of their patient care to the specified carer. Those for whom English is not a first language or who are visually impaired or who have learning difficulties must also be embraced through this system.

www.nhspatient.org has addressed all of the above and allows multiple methods of accessing their medical records, enabling patients to access their regularly updated medical summary, be educated, access latest bloods, self-care plans, receive alerts, enter readings or concerns and feed back vital information through direct integration with their Healthcare Team.

This central summary record can be accessed through multiple routes:

1. Online Access:

2. Smartphones / Tablets:

Patients can access and interface with their central Patient Record through smartphones or tablets. The system will work on iPhone, android and Windows-based devices. This is a vital part of the development of the Patient interface.

3. USB Credit Card:

For those patients with poor internet access we have developed a low-cost patient credit card that contains an encrypted USB interface to allow them to carry their medical record wherever they go. If the computer it is inserted into is connected to the internet it will automatically update the patient information.

Patient Access

4. Patient Passport

Patient Access

6. Finger Printing:

One of our CCGs using the system was keen to allow instant access to the Patient Summary Record through the use of finger printing, reducing the risk of forgotten passwords or lost cards. This has been implemented and is about to be used to enable a trial of improving prescribing safety through pharmacists identifying RADAR risks from finger print software.

5. Patient Folder:

Many Patients still prefer to have their information in a folder. This is simple, low cost and if the healthcare professional can still access the patient record electronically there is no danger of the information going out of date. The patient will simply have a new record printed.

Julian Brown

www.nhspatient.org.uk

Julian Brown

www.nhs.uk

1063487459

Patient Passport

1. 2. 3.

5.4. 6.

Patient Self-Management Plans

Patient Self-Management Plans

Dr Julian Brown has been working on automated self-management plans for his patients since 2007 when he launched www.diabetesmanager.org.uk with the aim of ensuring that both patients and carers would have the information needed to manage their own condition.

The system was an immediate and sustainable success, reducing the need for admissions, hypoglycaemic episodes and insulin initiation and reducing overall costs by more than 50% as demonstrated in the audit published in Diabetes Care Journal.1

This is now being developed for 7 further long term conditions in association with Patients, Carers, Community Specialists and GPs. The self-management plans can be generated into multiple languages and allow patients to continually download an updated plan at any time.

Self-Management Plans:

• Improve Compliance

• Reduce Complications

• Improve Education of Patients, Carers and Healthcare Professionals

• Allow Patients to Share in Decisions Regarding their Care

• Improve Communication between Primary and Secondary Care

• Reduce Admissions

• Improve QOF outcomes.

NHSPatient.org

1. Diabetes & Primary Care, 2010, Vol 12, No 5, pages 268–276

(02/11/2011)My Diabetes Report

Blood Pressure may be slightly outside the target zone. (target may be as low as 130/80).

Report

Trandolapril 1 mg caps

Bendroflumethiazide (Bendrofluazide) 2.5 mg

Atenolol 50 mg

Tablets Used

04/04/2012Next Due

124/70 (28/06/2011)Previous BP

140/80Target BP

140/70 (04/10/2011) 1. Blood Pressure

HBA1C 7.0-8.0Reasonable Blood Sugar Control over the Past 2 months but could still be better.

Report

Metformin 500 mg

Tablets Used

28/12/2011Next Due

7.8% (22/03/2011)Previous

7.0%Target HbA1c

7.1% (28/06/2011) 2. Blood Sugar Level

Cholesterol Level is good.

Report

Simvastatin 20 mg

Tablets Used

28/12/2011Next Due

4.4mmol/L (22/02/2011)Previous

4.0mmol/LTarget Cholesterol

4.3mmol/L (28/06/2011) 3. Cholesterol

Weight slightly above target zone.

Report04/04/2012Next Due

Decrease of 0.2Kg in 91 days

Change in Weight

27.6Current BMI

76.3Kg (05/07/2011)Previous

65.3KgTarget Weight

76.1Kg (04/10/2011) 4. Weight

1/2

30/09/201120/04/2011

04/10/201101/03/2011

30/09/201120/04/2011Aspirin Dispersible 75 mg tab

30/09/201120/04/2011Simvastatin 20 mg tab

30/09/201120/04/2011Gopten (Trandolapril) 1 mg caps

30/09/201120/04/2011Bendroflumethiazide (Bendrofluazide) 2.5 mg tab

30/09/201120/04/2011Atenolol 50 mg tab

30/09/201120/04/2011Metformin 500 mg tab

Last IssuedStart DateDrugType

Page 1 of 202/11/201110242

Summary

5 / 509/05/2012N/A09/05/2011Retinal Screening12

0 / 519/10/2011N/A19/10/2010Diabetic Annual Review11

10 / 102.025/02/20120.525/02/2011Microalbuminuria10

10 / 100.004/10/20120.004/10/2011Smoking9

2 / 102.004/04/2012-0.204/10/2011Weight Flux8

8 / 1065.304/04/201227.604/10/2011BMI7

8 / 1065.304/04/201276.104/10/2011Weight6

10 / 104.028/12/20112.928/06/2011Cholesterol Ratio5

9 / 104.028/12/20114.328/06/2011Total Cholesterol4

10 / 108004/04/201270.004/10/2011BP Diastolic3

9 / 1014004/04/2012140.004/10/2011BP Systolic2

18 / 207.028/12/20117.128/06/2011HbA1c1

ScoreTargetDueTrendResultDateTestNo

Current Goals:

needs blood pressure and bloods withkaren in 2 weeks please

14/08/2009Please ensure you make anappointment with your DiabeticNurse

29/07/2009

aim to get to 77kg by endo fo the year31/12/2009To lose 4kg reaching target weight of76.8kg by 31/12/2009

29/07/2009

Needs blood pressure and blood forue in 2 weeks please

29/07/2009start trandolapril29/07/2009

Notes

Agreedby

PatientAgreedby HCPTarget DateGoalDate Set

My Current Medications

Your essential guide to managing your condition

SELF-MANAGEMENT PLANYour essential guide to managing your condition

SELF-MANAGEMENT PLAN Your essential guide to managing your condition



SELF-MANAGEMENT PLAN

PROSTATE MANAGER1

ProstateManager.org.uk



Prescribing Trends: Analysis of prostate prescribing within your region.

How to use your essential online Prostate Manager tool.

1

Prostate Manager







1

Prostate Manager



Prescribing Trends: Analysis of pain prescribing within your region.

How to use your essential online Pain Manager tool.


COPDManager.org.uk






1

DIABETES MANAGER



Prescribing Trends: Analysis of Diabetes prescribing within your region.

How to use your essential online Diabetes tool.

1

Prostate Manager







PROSTATE MANAGER1

ProstateManager.org.uk



Prescribing Trends: Analysis of prostate prescribing within your region.

How to use your essential online Prostate Manager tool.

Long Term Condition Managers

Powering each automated self-management plans is a Long Term Condition Manager.

These allow each region to have bespoke reports for each condition and enable the reports to be available in multiple languages.

They Serve Multiple Functions:

• Individual patient self-management plans

• Identification of high-risk patients

• Reduced admissions and inappropriate referrals within your PCT

• Monitoring of QIPP projects for your practices

• Accessing how well your PCT and individual practices are performing

• GP Practice log in to access all their own data with automated monthly reports

• Complete formulary management

• Significant savings from your prescribing budget

• Automatic tracking of prescribing projects

On logging into Diabetes Manager your home page will allow easy navigation to all aspects of clinical management.

Long Term Condition Managers

SecurityInformation Governance

Objective:

The Eclipse Live system achieves the improved safety and cost-effectiveness of patient care within the NHS through the use of secure database information. Consequently, the governance of that information is of absolute importance to us and much of our development time has been focused on attaining a level of information governance that is absolute.

Technical Specification

• Eclipse Live is accessed as a secure encrypted website.

• Capable of fully integrating with all GP systems.

• No modifications are required to existing systems.

• The Project is capable of significant expansion within the Trust and within the region.

• No personally identifiable patient data is extracted.

• Any data relating to patients that have opted out of the IT is excluded.

• All data is strongly encrypted (a combination of symmetric and asymmetric encryption algorithms, Triple DES and RSA 1024) before transmission and utilises public and private key pairs unique to each project.

http://www.thebunker.net/

EMIS LV

EMIS PCS

iSoft Premiere

iSoft Synergy

iSoft System 6000

INPS Vision 3

Microtest

*APOLLO EXTRACTS

Patie

nts

that

opt

ed o

ut fr

om N

HS s

pine

, exc

lude

d

Pers

onal

ly id

entifi

able

dat

a no

t ext

ract

ed

ISO 27001SECURE ZONE

THE BUNKER

SERVER

WW

W.E

CLIP

SESO

LUTI

ON

S.O

RGHTTPS encryption

HTTPS encryption N3END USER ACCESS

NON N3*END USER ACCESS

AD

DIT

ION

AL

TWO

FAC

TOR

AUTH

ENTI

CATI

ON

IMPL

EMEN

TED

WH

ERE

APP

ROPR

IATE

ACR

OSS

SEC

URI

TY P

AGE

AS

DIS

CUSS

ED

e c l i p s e

Current applications

Eclipse

Eclipse Live

Radar

Inspire

Diabetes Manager

Respiratory Manager

iNHS

The Importance of Information Governance

Eclipse Solutions has spent the past six years developing a number of applications to improve the safety and cost-effectiveness of patient care within the NHS.

This can only be achieved through the use of secure database information. Consequently much of our development time has been focused on attaining a level of information governance that is absolute.

• All data transfers are undertaken using full encryption.

• Data is only stored on ISO 27001 computers.

• Our servers are stored in a nuclear bunker in Kent.

• We do not store any personally identifiable information on patients.

• All back-ups are carried out on site with secondary back-up tape devices stored in secure vaults.

• No data is passed on to third-party companies outside the NHS.

• We use two-factor authentication to allow complete security of log-ins.

• Access can be restricted to the N3 network, where appropriate.

• We currently work with more than 60 PCTs within the NHS.

The Importance of Information Governance

The Future

The Future

Working in partnership with the NHS to help transform Patient Care and make the UK’s Healthcare System the envy of the world.

Thanks to this project, lives are already being saved, with more than a million patients already being protected by secondary automated screening and risk alerts. The CCGs implementing this system have realised that by Putting Patients First they can provide a more efficient service, reduce admissions and patient complications and save significant revenue for the NHS.

Within weeks this application will allow the whole of your district to have true Integrated Care, Risk Stratification, Personalised Care Plans and the ability to activate Patient Access.

Eclipse Solutions and Apollo Medical Systems are looking forward to working in partnership with the NHS to help transform Patient Care and make the UK’s Healthcare System the envy of the world.

A d v a n c e d N H S S o l u t i o n s


Eclipse Solutions: Putting Patients First...Putting Patients First Steven Platt Dr Julian Brown...

Documents

Transcript of Eclipse Solutions: Putting Patients First...Putting Patients First Steven Platt Dr Julian Brown...