How can interoperability transform healthcare in Scotland?

a graphic describing interoperability

How can interoperability transform healthcare in Scotland?

Interoperability is crucial for efficient and effective sharing of healthcare information between different healthcare providers to deliver quality patient-centred care. One of the key priorities in Scotland’s Digital Health and Care Strategy focuses on delivering data-driven services in a secure, transparent and ethical way. It realises by improving data quality and better interoperability that we can then look to share information across health and social care consistently, to make joined-up patient care possible.   

The current health and social care landscape across Scotland is underpinned by a vast range of digital health technologies. Invariably these technologies do not talk to one another. This could mean that patient data is often siloed and not available to health and social care professionals in real-time at the point of care. The availability of data can help support today’s ways of working and to overcome major challenges faced by the NHS to enable connected healthcare.  

For more than 10 years, Healthcare Gateway has facilitated two-way feeds of real-time patient data regardless of system or setting, using a secure middleware technology – the Medical Interoperability Gateway (MIG). The MIG is a powerful tool that is used today by health boards to bridge data gaps, so clinicians have access to up-to-date patient data from multiple health and social care settings, when and where it is needed and presented in the existing systems. 

The MIG’s Detailed Care Record provides access to up-to-date primary care data including; patient summary, problems, diagnoses, medication, risks and warnings, procedures, investigations, examinations, events and patient demographics. The ten tabs of information provides clinicians vital information to make informed decisions about their patients. For example, if a patient is admitted to hospital, viewing MIG data provides healthcare professionals rich information to implement the right care pathway or treatment quickly. Accessing shared data can help prevent errors and ensure patients receive the best possible care and reduce the need for duplicate tests or procedures. These elements all contribute to helping to reduce costs and improve the overall efficiency of the healthcare system. 

NHS Dumfries and Galloway became the first in Scotland to roll out the MIG by connecting 31 GP practices across the region, providing clinicians in secondary care real-time access to patient data. Clinical teams now have a full picture of a patient’s medical record where previously they would spend time on the phone or emailing GP surgeries.  MIG connectivity means that clinical decisions are based on current information which is boosting efficiency. 

“The patients often find it difficult to remember this information. I would. Previously we had to phone the GP surgery and the receptionists were extremely helpful, but it was time consuming for them and us. Having access to this information is vital when we are thinking about escalating treatment. This has really helped us to deliver patient centred and safe care.”

MIG connectivity has now expanded further in NHS Dumfries and Galloway, providing community staff access to primary care data within the Cambric Morse application which supports community staff who work remotely.  

Now more than ever, it is essential that digital systems embrace interoperability as a key component to revolutionise the healthcare system across Scotland. As more digital health organisations work together to innovate existing technology, there will be greater interoperability and further benefits will emerge for both clinical staff and patient. Investing in technologies which enable digital transformation are essential to not only improve services but more importantly patient outcomes.  

 

By Liam King, Director of Interoperability, Healthcare Gateway  

IKR

Why is interoperability important in healthcare?

Character of old man standing

Why is interoperability important in healthcare?

Interoperability in healthcare is crucial because it enables medical professionals to make more accurate and swift decisions about patients’ care. 

It does this by connecting real-time patient data from multiple organisations, which provides healthcare professionals with a patient’s detailed medical profile immediately.

The NHS has placed technology at the heart of its long-term improvement. It identifies healthcare interoperability as a priority in its digital transformation strategy. Healthcare Gateway plays a huge role in developing it across the NHS. 

But what is interoperability in practice, and what are its benefits?

Healthcare without interoperability

To understand the function and importance of interoperability, it’s useful to first consider what healthcare looks like without it.

Let’s imagine that Eddie, an elderly care home resident, has been admitted to hospital with an unknown illness. 

The professionals treating Eddie need to gather as much information about his medical background as possible – existing conditions, allergies, medications, care plans and so on. 

They need to get this information from any organisations that have been involved in Eddie’s healthcare. This could include the care home, his GP, district nurses, social services and more. 

The hospital may be able to share data with some organisations through direct integration. However, this can only connect one organisation with one other. Since it requires a separate connection with each organisation, the practitioners may need to go through the process of accessing data several times to get the information they need. This causes delays in diagnosis and treatment.

Furthermore, direct integration isn’t always possible because the systems and technology of two different organisations may not be compatible. When this happens, medical professionals at the hospital must contact other organisations by telephone to get the information they need, causing further delays.

Sometimes, they even rely on patients to provide information, which is risky when their condition impairs their cognitive function. 

These inefficient methods of communication could result in a delay of several hours before Eddie’s illness is properly diagnosed and treated. Even then, the information obtained might be out of date or incomplete, resulting in inaccurate decisions about his healthcare. 

This increases the risk of poor healthcare outcomes. Of course, it could turn out that Eddie didn’t need hospital care after all. In that case, other patients who were in genuine need of hospital care would be denied the bed taken up by Eddie as he waited for a decision to be made.

Now let’s look at the ways in which that situation would have been much better had the hospital and its partner organisations implemented interoperability to join up patient information using the Medical Interoperability Gateway (MIG)

Healthcare with interoperability

Time is of the essence

As the strain on the NHS’s resources increases, anything that reduces the time taken to make medical decisions is invaluable.

With the MIG, staff at the hospital can access Eddie’s comprehensive medical data in real-time, the moment he arrives. 

No multiple sign-ins to different systems, no phone calls chasing information, no distressing conversations trying to get him to remember his medications. 

They have all the information they need to act swiftly. Not only does this give Eddie the best chance of recovery, but it’s also great news for other patients. 

Once clinicians have made their informed decisions about Eddie’s care, they’re free to see other patients. Additionally, diagnosing and treating him quickly means it’s more likely he’ll be discharged sooner rather than later, freeing up the bed for someone else in need. 

Detailed data = accurate decisions

Connecting the medical data from all of the organisations involved in Eddie’s healthcare provides a truly holistic picture of his medical background.

The more information healthcare professionals have, the more likely they are to make clinically safe and accurate decisions about his diagnosis and treatment. 

They no longer need to fill in the gaps through unreliable means such as out-of-date records and the patient’s memory. 

With the MIG, data is updated in real-time. In the same way that an online banking app shows a transaction moments after it’s completed, any new information on Eddie’s record is immediately accessible across the entire network of organisations. 

This greatly increases the likelihood of effective care and reduces the risk of errors that could lead to readmission or worse. 

A better patient experience

Interoperability makes the jobs of medical professionals a lot easier, and this leads to many benefits for the patients.

Naturally, the longer a patient stays in hospital, the greater the risk of mental distress, catching infections and physical deconditioning. The good news for Eddie is that the chances of him suffering from the effects of a long stay in hospital are reduced.

Not only is he more likely to be diagnosed and treated sooner, but staff can also quickly establish the most suitable alternative setting where Eddie can continue to receive care if necessary.

A further benefit for patients and their families is the reduction of uncertainty. It can be distressing for patients (and their relatives whose loved one is ill) when medical staff are unable to give them a prognosis as they don’t yet have enough information.

With access to Eddie’s complete and up-to-date medical profile through the MIG, staff would likely be able to provide this much more quickly. This would give Eddie and his family a degree of clarity and reassurance

What’s more, neither he nor his relatives will need to face uncomfortable questions about his medical history or repeat his story to every professional involved in his care. 

Conclusion

Eddie’s scenario demonstrates the importance of interoperability in healthcare. Instant access to his complete medical data could save hours through swifter diagnoses, reduced time in hospital and fewer readmissions due to errors.

The NHS deals with thousands of patients like Eddie every year. If every healthcare provider dealing with them brought interoperability into their systems, the cumulative gains in efficiency and quality of care across the service would be phenomenal.

But hospital admissions are just one area where interoperability can lead to great improvements. It can bring huge advantages in all areas of healthcare.

Sirona Care & Health was able to greatly improve the efficiency of its range of community services by linking with Connecting Care, an extensive MIG-supported data-sharing project.

And since the West Midlands Ambulance Service integrated the MIG into its systems, it’s been able to reduce the number of ambulance callouts and enable more supportive care thanks to increased data-sharing.

More examples of how interoperability has improved healthcare for our partners are available on our case studies page.

IKR

Healthcare Gateway provide real-time data to Sirona care & health

Sirona Care and Health logo

Healthcare Gateway provide real-time data to Sirona care & health

Health and care professionals at Sirona care & health are now using an in-context launch from their Community EMIS system into Connecting Care, and can access the Medical Interoperability Gateway (MIG) to securely view patient and citizen data.

Using this in-context launch Sirona care & health are able to view the information from 85 GP practices, three local hospitals, the mental health provider and information from three councils for Adult and Children’s Social Care via Connecting Care (which is the local Shared Care Record for Bristol, North Somerset and South Gloucestershire and the IT System is provided by Orion Health).

Sirona care & health provide community services to support adults and children at home, in the community and in schools across Bristol, South Gloucestershire, and North Somerset (BNSSG). They employ thousands of health and care professionals including district nursing teams, therapists, and support workers who now benefit from accessing rich, real-time patient data to deliver quality, patient-centred care.

The community services Sirona provide include palliative care, long COVID service, urgent care at home, dermatology, musculoskeletal (MSK) services, rehabilitation, and community services. They also offer children’s services such as immunisations and school health nursing, and are also supporting hospital discharge processes across the region [1].

Challenges

Traditionally, the Sirona care & health clinical and professional staff did not have access to all the information they needed, which delayed care as time was spent calling other clinical professionals and social care staff in Bristol, North Somerset and South Gloucestershire. Staff had to spend valuable time trying to find the information they needed to provide patients with the best care.

What did they do?

Appropriately authorised Sirona care & health professionals are now able to securely view health and care data within the Connecting Care Shared Care Record. 

Quick access to real-time patient data has transformed Sirona care & health’s ability to deliver patients the best possible care in a timely manner.

“Historically, there would often be a gap in the data that's available, and you would find yourselves trying to fill in the blanks, or taking a stab in the dark at times, to try and formulate a picture which might not be totally accurate. This is certainly not something that as an organisation or as individual clinicians would be sustainable, or that we would want to see in the long term. So having Connecting Care come on the horizon has been a bit of a saving grace for us. It prevents that disconnect and fills those gaps, and it's been well received by myself and my team.”

The benefits of joined up care

Being able to access MIG data via the Connecting Care in-context launch, has given Sirona care & health the ability to triage patients even more appropriately and efficiently, and make better decisions supported by views of the most up to date diagnosis of a patient, their medication, vaccination and test results, items they otherwise may not have been able to see, or had to wait to see. They are also able to view end of life information so that patient’s wishes are respected. 

“It's particularly beneficial for more complex patients, especially for end-of-life patients where you're looking more in depth for things like respect forms and care plans which have come from various places. Having all of that in one place, and via one access through our source system into Connecting Care is really, really helpful.”

Healthcare Gateway provide the Connecting Care partnership with Medical Interoperability Gateway’s (MIG’s) Detailed Care Record (DCR), EMIS GP Journal View and EMIS Community Journal View providing consultation notes of GP contacts, plus the MIG’s End of Life Dataset to support patient wishes at the end of life where the person has agreed they would like their information shared from the EMIS GP system.   

Working together with partner organisations, Connecting Care have recently implemented an in-context launch from Community EMIS, the local Sirona care & health IT system. This allows secure access into the same person’s record (in-context) within Connecting Care. 

Once into the Connecting Care Shared Care Record, the detailed MIG views of GP and Sirona care & health community information are available.

The curated presentation of detailed information, cleverly set out in ‘views’ enables professionals to quickly find the particular data that they need to support direct care of their service user.

Benefits of our Detailed Care Record, GP Journal View, and End of Life Dataset include:

  • Access to real-time data, which ensures that clinical decisions are based on current information
  • Bi-directional sharing between health and social care teams, which ensures patient care is better co-ordinated and patients only have to tell their story once
  • Display of free text so that clinicians have the full picture
  • Structured data which can be manipulated for analysis work and reporting to help improve care planning and monitor patient outcome.

Connecting Care is also supporting community care services to improve the experience of patients being discharged from hospital via the Collaborative Integrated Care Bureau (CICB).  This innovation was recently implemented across the three local Acute hospitals, Sirona care & health and the three local authorities in Bristol, North Somerset and South Gloucestershire.

“We have made it possible for staff working across acute, community and social care to have visibility of patients who are being discharged from hospital. In the past, when somebody was medically fit for discharge, there would sometimes be delays because there was no visibility that they were medically fit for discharge. As a result, their care needs and care packages were sometimes not put in place in time.

Recently to support the CICB we've made a ‘medically fit for discharge’ list from the hospital available in Connecting Care, and Sirona care & health are able to view all patients who are being discharged back to home, and also patients who need a bit more support in the community or provided care in respite and care homes. Using this list and information provided using the MIG views, Sirona care & health and social care colleagues are able to agree on the care plan and respite support needed. The CICB are now able to provide a better experience and more seamless transfer of care for patients, their families, carers, and for staff.”

Looking ahead

In the future, Connecting Care is looking to expand the availability of data across the region and explore datasets to enable further data sharing from other organisations in BNSSG and across boundaries with other Local Shared Care Records.

Find out more

To find out more about the MIG and how we can support your next interoperability project, please get in touch with a member of our team here.

[1] List of teams currently accessing Healthcare Gateway MIG views in Connecting Care via in context launch:

Adult Learning Disability Health Service; Adult Safeguarding; Bladder and Bowel Service; CCHP Children Services; CCHP Community Paediatrics; CCHP Health Visiting Service; CCHP Safeguarding Children; CCHP School Nursing; CCHP Therapy Service; Community Heart Function Service; Community Learning Disabilities Team; Community Nursing; Community Rehabilitation; Community Respiratory Service; Community Therapy; Covid Virtual Ward; DANS – Diabetes & Nutrition Services; Dermatology; End of Life Service; Falls Specialist Team; Integrated Community Care Bureau; Lymphoedema Service; Minor Injuries Unit; Musculoskeletal Service; Occupational Therapy; Out of Hours; Parkinson’s Service; Partner 2 Care; Physiotherapy; Podiatry; Pulse Oximeter Virtual Ward; Rehabilitation Service; Single Point of Access; South Bristol Community Hospital; Specialist; Community Neurology Service; Speech and Language Therapy; Stroke Service; The Haven – Asylum Seekers; Tuberculosis Service; Urgent Care Centre; Urgent Treatment Centre; Wound Care Service

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Calderdale transforms place level access to patient data with MIG record sharing

data sharing image

Calderdale transforms place level access to patient data with MIG record sharing

The Medical Interoperability Gateway (MIG), from Healthcare Gateway, is making vital GP, social care and community healthcare patient data available to hospital and other clinicians, increasing efficiency and improving care quality for over 550,000 patients across Calderdale and Kirklees. 

"In 2017, Calderdale and Huddersfield NHS Foundation Trust (CHFT) implemented Cerner Millennium as their Electronic Patient Record (EPR), in the early days, we only had Secondary care data in there. We asked Healthcare Gateway to use their MIG to provide a view of key GP data in context, in the EPR system. They achieved that quickly; by 2018, acute clinicians could see data from 300 GPs in the EPR. After seeing what the MIG could do, we wanted more."

Designed to connect otherwise incompatible systems, the MIG rapidly became a critical enabler of Calderdale’s data sharing at place level. Following a textbook staged implementation, it now conveys primary care/GP, community healthcare, social care and palliative care data to acute users in Calderdale Royal Hospital and Huddersfield Royal Infirmary. The Cerner HIE then shares acute and other data back out to GPs and an expanding group of other users.

When patients admitted to hospital can’t provide medical and other historical details, the MIG plugs the gaps with patient data that ranges from demographics and diagnoses to social care plans, allergies, recent procedures, therapies and tests. That means Emergency Department (ED) and other acute clinicians can make informed treatment decisions faster, preventing unnecessary hospital admissions and duplicated tests.

"It particularly benefits patients who are unconscious or find it difficult to speak up for themselves – people with learning disabilities, special needs or dementia. We can see everything from their GP’s management plan to their social care contacts."

"It lets us deliver care to the patient a lot more quickly – it has speeded things up massively."

With real-time access to patient data when it’s needed most – at the point of care – acute clinicians can see what a GP or care worker noted down only minutes ago, ensuring patients receive their medication without interruption.

"I see a list of medications directly obtained from the GP record which is more up-to-date than the summary care record. It means prescribers are aware of all critical medications and helps the hospital avoid oversupplying medication with the potential for abuse or overdose."

Rather than chasing up GPs or care agencies by phone, hospital clinicians can now see more patients and spend more time with them. They also access this rich information within their own applications; there’s s no need to log into a separate portal, further enhancing care quality and time savings.

"If you have to find another computer and maybe a smart card, that eats up more time and discourages people from using it. We are so busy and stretched as an organisation, that any time you can give back to a clinician is really helpful. Accessing the data immediately also means I’m not ringing up GPs or other workers, so I’m saving them time too."

Social care and other real-time data are particularly valuable for hospital staff working out-of-hours, helping to speed admissions and make discharges safer while avoiding unnecessary admissions that take up valuable beds.

"This shared information makes sure safe, detailed social assessments can take place for discharge or admission avoidance. If you know what home care arrangements they have, you can be confident you can discharge them safely out of hours. It also avoids admitting vulnerable patients to a busy acute area. They can end up getting hospital-acquired infections which further increases their length of stay."

Access to palliative care data helps clinicians follow documented care pathways, medication plans or end-of-life wishes when time is short. For one very ill ED patient, her end-of-life plan made it clear she wanted to die at home.

"It was out of hours and extremely difficult to arrange but we did it. Sadly she did die shortly afterwards, but she was at home with her family round her, in line with her wishes."

Beyond acute, district nurses and other community health workers are also benefiting from a wider patient view.

"Access to patient medical and medication history has streamlined day-to-day work working and ensures that patient management and safety is at the forefront of planned and unplanned district nursing care."

Once the MIG is in place, it can quickly extend its reach to many other systems. And as more data becomes available at place level, it’s increasingly attractive to users: Calderdale’s system now sees over 120,000 monthly views. Upcoming CHFT connections include mental health records and ambulance data, with social care also gaining access to EPR data.

"The MIG and the other systems all play their part in delivering access to data across pathways at place level in real time, in context, in the clinician’s system of choice. This is a great achievement and the benefits are far reaching, not just within CHFT, but right across Calderdale and Kirklees as places within the West Yorkshire Health and Care Partnership/ICS."

About the Medical Interoperability Gateway

Healthcare Gateway have dedicated over 10 years to improving patient care by connecting over 4500 health and social care organisations across the UK to share 30 million patient records. More are being added all the time.

Offering sophisticated and flexible “integration technology”, the Medical Interoperability Gateway (MIG) provides real-time patient information to a variety of health and social care settings so healthcare professionals can make clinically safe, informed decisions at the point of care.

IKR

Healthcare Gateway’s Feature Article for Digital Health: Delivering interoperability, it’s all part of the service

a graphic describing interoperability

Healthcare Gateway’s Feature Article for Digital Health: Delivering interoperability, it’s all part of the service

Written by Liam King, Managing Director of Healthcare Gateway

If you’re lucky enough to be asked to implement patient record sharing and interoperability for your NHS organisation, what should your priorities be? For me, making patient data available as quickly and reliably as possible would be at the top of the list, with the lowest risk of project failure running a close second. Best practice surveys, software functionality, researching software vendors – many other tasks will be on that list, but don’t neglect one vital question: how will the technology that supports day-to-day interoperability be delivered?

These days, the choice is usually between conventional installed software (either on an in-house server or hosted at a data centre), SaaS (Software as a Service, residing in the Cloud) and a managed service.

The last two might seem almost identical – you access them online, you pay a monthly fee – but beyond that superficial similarity, they are very different animals. Which model you choose affects how much effort is needed from your internal team, the overall chances of project success and, once up and running, how easy it is to manage interoperability from day to day.

Project success is hard work with software

Most software today may well reside in the Cloud and be called a “service”, but it is still a standard application that must be set up to fit your specific needs. For example, linking diverse systems often involves customising standard software – bespoke coding – which is notoriously time-consuming, expensive and fraught with problems like bugs or functionality at odds with what users need.

Buying, adapting and implementing software in this way increases project risk. Delays, cost overruns and even outright failure are all too common. It’s worth remembering that only a minority of IT projects are a complete success.

The responsibility for avoiding failure falls squarely on the internal NHS project team. They must define the scope and schedule, and make sure everyone sticks to it so that project objectives come in on time and on budget.

Once it’s running, they must check that the new software is being correctly updated and maintained so that it keeps working properly. Cybersecurity has to be rock-solid and personal data must comply 100% with data protection guidelines. If there are problems that leave clinicians without vital patient information, it’s the internal team’s phones that will start ringing.

And when issues arise beyond the software itself – data protection compliance, liaising and connecting to new sources or users of patient data – NHS IT and NHS project managers will usually find that, once again, it’s all down to them to sort out.

A helping hand for your project

All of this means that successfully delivering a conventional interoperability project demands serious in-house technical knowledge, experience and resources. There is a huge amount of IT talent in the NHS, but where specialist skills are lacking, CCGs (and now ICSs) will have to find outside consultants or train and recruit in a hurry to fill the gaps.

Contrast that with a managed service. It doesn’t just deliver software, it gives you interoperability as a service – it’s a one-stop shop. So, although there’s software under the bonnet, you don’t have to worry about installing it or keeping it running.

Instead, the service includes a host of experts that come in and make those vital connections between siloed systems quickly and smoothly, and help you take care of all the other details too. Supporting the scoping, delivery and – critically – the ongoing management of your interoperability programme is what they do.

Viewed from the outside, this kind of solution just works, simple as that. If you select a proven interoperability service that shares tens of millions of records every day with a host of experienced people in charge, there’s less project risk and significantly less work required to get a new project off the ground.

A one-stop shop for interoperability

A managed service is often seen a tactical fix, something that can quickly and reliably “glue” local data sources together but is somehow not as effective as a conventional “big bang” project with a big software brand. That is simply not true.

A managed solution can certainly deliver projects quickly but it can also scale easily to support regional exchange-to-exchange interoperability.

It also avoids the risk of being landed with software that isn’t able to develop in step with shifting NHS standards, reaches the “end of the line” and must be replaced at great expense. Instead, a managed service grows and evolves to fit your specific needs as they change over time.

The beauty of this sort of solution is that it’s a complete package, so there’s little need to worry about networking, security or upgrades for the interoperability software beyond the mandatory NHS audits. There’s advice and support on everything from information governance to ISO standard compliance: good providers will help write data protection statements or advise on running the baseline research for possible new data sources.

One example is obtaining consent for data sharing, something that can – and has – seriously delayed some programmes. Rather than just dumping that responsibility in the lap of the client, a managed service provider should do as much of that work for you as humanly possible, managing the third-party relationships with all the other contractors involved and acting as a single point of contact for all issues, Advice and resolution are a phone call or an email away.

The net result of choosing this method? Less risk and much less internal time and effort needed to deliver and maintain interoperability. A managed service is quicker, well proven and, with end-to-end help to tie up all the loose ends, can significantly reduce the stress and hassle for busy NHS teams.

IKR

Health and care bi-directional data flows across Kent and Medway

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Health and care bi-directional data flows across Kent and Medway

Healthcare Gateway has provided health and care organisations access to real-time patient data for the past 10 years to enable better, more efficient patient care. Bi-directional feeds of real-time patient data supports healthcare professionals to make informed decisions, reducing admin time, resulting in quicker discharge times.

Mental health is a key focus in the NHS long term plan. Interoperability via the MIG narrows the divide between health and care services, helping them to become more joined up and coordinated in the way they provide care.

By working with over 80 partners, Healthcare Gateway are able to mobilise multiple datasets including mental health patient data to provide health professionals, in any health and care setting  access to crucial information. The mental health dataset from Healthcare Gateway provides a real-time view of from Access Rio system and is designed to provide clinicians with a more comprehensive view of a patient’s medical history.

For a number of years the MIG has provided access to the GP record for clinicians at the Kent and Medway NHS and Social Care Partnership Trust (KMPT), a move that has enabled mental health teams to view the GP record alongside acute data. Today, the bi-directional flow of data via the MIG allows mental health data from KMPT visible direct in primary care systems. Over 70,000 successful MIG service patient record extracts are completed every month in the region. This joined up approach enables 135 GP practices across the Kent and Medway footprint to make informed treatment decisions faster, improve patient safety and support better management of patients in crisis situations.

"Access to this level of patient data is saving GPs across Kent an extraordinary amount of time, freeing up more hours to care for our patients, it’s invaluable.  Accessing the MIG has become an integral part of our day to day work, from knowing if a patient has been discharged from mental health services to when their next appointment is, and the gaps are filled without the patient needing to remember the finer detail. I can now see what mental health teams are planning and clarify that plan with a patient."

Dr Chan explained how in the past the lines of communication were paper based.

“I used to spend time dictating letters, now I have the information at my fingertips. Patients’ under mental health care have complex medications that can change frequently I can now verify medications instantly and get the dose right. We can make informed decisions, faster and most importantly it’s clinically safer.”

Reciprocally sharing data is joining up health and care across the region, enabling clinicians to deliver seamless patient care. Communication across each setting is improved, overall providing a more positive patient experience as they move through different care pathways.

“MIG technology is scalable, flexible and secure.  This means by collaborating with our trusted partners we can deliver more health and social care datasets which bring real value to a clinician, improving patient outcomes. Sharing data out of GP and returning data back to GP dissolves the silos across health and care, connecting health and care where and when it is needed.”

Offering sophisticated and flexible “integration technology”, the MIG currently connects 4500 health and social care providers within the UK, sharing a total of 30 million patient records. More are being added all the time.

Find out more

To arrange an online demonstration or to find out how the MIG is being used in your area, please get in touch.

IKR

MIG Document Services go live across the Isle of Man

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MIG Document Services go live across the Isle of Man

MIG Document Services is now live on the Isle of Man enabling a secure exchange of electronic discharge summaries and clinical documents between 12 GP practices, the Isle of Man Prison, the Out of Hours service and Noble’s Hospital on the Island.

By adopting Document Services, improvements in communication and increased data security has provided confidence amongst clinical and clerical staff, as documents are now seamlessly delivered into the GP workflow and the sender receives an immediate acknowledgement when the item has been delivered, actioned or rejected by a practice.

Working with MIG accredited partner IMMJ Systems, Healthcare Gateway have integrated Document Services, meaning patient information is accessible when and where needed, within one system.

Document Services via the Medical Interoperability Gateway (MIG) has helped the Isle of Man by:

  • Saving admin time and costs associated with a paper based system
  • timely delivery of accurate documents in real-time
  • freeing up valuable time for patient care
  • improving information sharing between primary and secondary care.

“The integration of Document Services into our MediViewer EDMS solution has enabled us to digitise documents using the MIG without using a secondary system allowing clinicians to focus on patient care by reducing the admin burden associated with a paper based system. Not only will this save printing and postage costs, Document Services will improve care pathways.”

“We’re delighted to support Isle of Man on their journey in the digitisation of clinical documents. Document Services is fundamental to enhance and improve the continuity of care leading to better patient outcomes.”

“This seamless integration between systems and the MIG has enabled discharge summaries and clinical documentation from Nobles to be delivered to the GP Primary care system, without manual intervention. This is more than just transactional messaging, the use of the sophisticated MediViewer smartindexing that automatically identifies these documents and sends them as a completely automated solution is a great way of making information more richly available from secondary to primary care. The sharing of critical clinical documentation between care settings is at the heart of IMMJ Systems, and our vision of regional wide access to clinical information.”

Trusts are tasked to adopting digital record systems with the goal for paperless operation by 2023. Healthcare Gateway can help Trusts achieve this by:

  • Providing secure interoperability between any health care setting or system
  • Support transformational projects with our fully managed service
  • Integrate with any clinical system to consume or provide patient data
  • Tailor to enhance local or regional sharing at pace and scale.

The Isle of Man are now exploring how the MIG’s Detailed Care Record can supplement clinician with a richer view of GP data across the Island.

Find out more

To arrange an online demonstration or to find out how the MIG is being used in your area, please get in touch.

IKR

Civica completes MIG accreditation

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Civica completes MIG accreditation

Civica’s clinical information management cloud enabled software Cito is the latest health technology system to become accredited for the Medical Interoperability Gateway (MIG).

Cito provides clinicians with precise insight into patient care by ensuring all the information they need is at their fingertips. The system is used across mental health, acute and community settings and is responsive to change, ensuring health staff can deliver better outcomes for patients.

The system has been accredited for the MIG’s Detailed Care Record (DCR) including Service Discovery Locator which will provide clinicians with:

  • Real-time view of a patient’s GP record as an HTML view or structured data
  • patient information presented in a single view
  • the full medical history for the patient to improve patient pathways
  • an integrated view of patient data held on a number of different systems.

“We’re pleased to have completed the MIG accreditation in partnership with Healthcare Gateway. It will allow clinicians to view patient information in a single view, integrating data from across a number of different systems, overall improving the patient experience.”

“We’re delighted to be working in partnership with Civica to enable MIG connectivity to seamlessly share patient information in real-time. This integration will help front line staff to make faster more informed decisions at the point of care. We look forward to working closely with Civica on future projects.”

Find out more

To speak to one of our team about becoming a MIG partner please contact us here.

IKR

Health Tech Predictions 2020

Peter Anderson portrait

Health Tech Predictions 2020

Peter Anderson, Managing Director, Healthcare Gateway shares his predictions for health tech and interoperability in 2020.

Looking ahead to 2020, here at Healthcare Gateway we believe we will see a reinvigorated drive in digital health technology.

We hope to see the Local Health and Care Records (LHCREs’) plans mature as they look to implement solutions to meet the NHS requirements.

The move to using FHIR profiles across health and social care will gain momentum.  We are committed to supporting our customers with this, progressing the work we have done with the real-time sharing of social care information with the wider health and care economy, achieving success in a number of hackathons using FHIR profiles alongside RESTful APIs.  As national FHIR standards mature and become more common place, we anticipate system suppliers being willing and able to share more data in a slick and efficient way. The use of RESTful services using FHIR standards will allow for more intuitive messaging, allowing pull, view, analyse, post, update all on the fly in real-time.

We anticipate better connectivity between health and care in a structured way. Use cases are all important, The Medical Interoperability Gateway (MIG) has been able to provide structured data for a number of years. The demand has been high, but the use cases not really formulated. We see these coming to the forefront as suppliers are mandated to share information in a structured format.

The challenges we foresee are the speed at which every supplier can meet LHCREs’ needs. Varying suppliers will be working more closely together to meet a demanding schedule of developments.  Healthcare Gateway are ready for this and excited to enhance the work we have been doing for the last nine years to support record sharing across health and social care organisations.

IKR

Bi-directional patient data for The Access Group’s Rio is now available via the MIG

Bi-directional patient data for The Access Group’s Rio is now available via the MIG

Healthcare Gateway and The Access Group are pleased to announce an extension to the functionality available to Rio customers, which enables access to real-time patient data whenever and wherever it is required.

A new dataset from Rio is now available via Healthcare Gateway’s Medical Interoperability Gateway (MIG) and will enable the reciprocal sharing of rich patient data between multiple health and social care organisations. With single point access, clinicians can view relevant and vital patient information at the point of care, regardless of the care setting.

This new development will provide a real time view of community, child and mental health data from Access Group’s Rio system through the Rio Smartview interface, powered by Access Group’s Conexes solution, a cloud-based interoperability platform enabling data sharing.

Rio already provides users with access to MIG’s Detailed Care Record (DCR) service, which presents live feeds of data from a patient’s GP record. The new Rio dataset can be viewed alongside the DCR service to provide a comprehensive view of a patient’s medical history, offering the following benefits:

  • Better co-ordination of a patient’s care
  • Improved, more informed treatment decisions
  • Improvements to patient safety
  • Better management of challenging situations
  • More satisfying clinical interactions

“The Access Group community care dataset is an exciting extension to our product range, which will provide frontline primary and secondary care staff with access to crucial information held by community mental health services. By working closely with valued partners like The Access Group, we aim to increase the availability of specialist patient data through the MIG to enable integrated, more effective healthcare.”

“At The Access Group, we believe that delivering efficient access to the right data at the right time to the right person is what will make the difference in the delivery of joined-up care. Today’s announcement is further evidence of Access Group's accelerating plans to deliver interoperability in today’s healthcare ecosystem. Providing real-time access to a patient’s clinical record is critical in the delivery of effective, informed care. When the same is also provided across other, non-clinical care settings, such as to social care practitioners, treatment of ‘the whole person’ is truly possible.”

If you would like to find out more about health and social care data integration with your primary care system, please register your interest here.

IKR