Reflecting upon 2020, and establishing interoperability aims for 2021

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Reflecting upon 2020, and establishing interoperability aims for 2021

As 2020 draws to a close, this marks an important time to reflect and take stock of the remarkable digital transformation of healthcare within the pandemic, and the changes seen and felt across the nation.

Based upon the learnings of the year, Healthcare Gateway can look forwards towards 2021, and remain adaptive to the next stages of the nation’s response to COVID-19. From here, we can set goals which continue to put the patient at the heart of everything we do.

From the outset this has been a year of significant change, following the Government’s instigation of the national lockdowns, Healthcare Gateway swiftly transitioned from a predominantly office-based workforce, to 100% remote working in a matter of days. Therefore, the achievement of continued productivity became a focus. With big changes happening overnight, our employee’s health and wellbeing was paramount; a happy and committed workforce enabled us to continue serving our customers through these challenging times.

With these points as a basis, the united approach to the industry’s support for the NHS in responding to COVID-19 inspired us to continue driving forward in connecting health and care. The expansion of our connectivity, to allow the flow of patient data across more healthcare settings, became the year’s priority, enabled by the Medical Interoperability Gateway (MIG) to provide national data sharing at a local level.  Our customers old and new reached out to us, to support them with fast interoperability solutions within the ever-evolving and resource constrained health space.

I am proud to work within an industry, where we all pulled together. Hats off to front line staff right across our NHS health and care space, I am sincerely thankful for the world class care you have provided every day.

So where are we now? What does 2021 look like for Healthcare Gateway? This year, working alongside our accredited partners of the MIG, we have closely collaborated to make more patient data available to healthcare professionals for direct care, wherever needed. This collaboration has been key for Healthcare Gateway, but also for wider health tech businesses. Along with our 80 plus partners, we’ve ensured patient data is accessible for sharing across a range of healthcare settings. By nurturing and developing these close partnerships, together we can successfully facilitate the sharing of more data by health organisations and support our mutual customers, with the shared aims of delivering solutions critical to enhancing patient care.

Out of necessity for efficiency and access, the COVID-19 pandemic has seen a significant increase in the digitalisation of health care. Through this change, we’ve proudly engaged and facilitated the progression of interoperability projects across many regions. For example, in August, as part of the OneLondon Local Health and Care Record Exemplar (LHCRE) programme, MIG connectivity was enhanced to support interoperability across London, enabling a real-time view of the GP records of around eight million patients. Furthermore, in 2021 we look forward to some exciting upcoming projects, facilitating the sharing of patient data between a plethora of clinical system settings, from social care to mental health settings.

As we look towards 2021, our overarching strategy remains to support the NHS directive. In 2019, the Institute of Global Health Innovation (IGHI) found critical deficiencies in the record-keeping systems used by the NHS trusts. In response, NHS X have announced their aims to implement shared medical records by next year, aligning with the interoperability aims set out in the NHS Long Term Plan & Local Health and Care Record programme. The MIG, which can be effectively deployed at scale and pace, can quickly improve the maturity of local care records. Therefore, we can assist and shape our interoperability services to enable this directive to be achieved, resolving care issues and data sharing challenges.

We’re not just a technology provider, our services comprise our fully managed service, which includes consultancy, support, development and implementation. Our customers and partners value this resource as it enables the MIG to be seamlessly and efficiently integrated into any system or setting. Our expertise can further enable resource efficiencies, improve the speed of integration, and enable patient care to be optimised within shorter time frames for our customers.

Furthermore, our products can be shaped to the needs of our customers, providing us with the scope to fulfil our customers’ needs at every step of their digital transformation journey. By scaling up and entering new healthcare settings the NHS Long Term Plan and digitalisation of the healthcare sector becomes ever-increasingly achievable. Supporting the work of Multi-Disciplinary teams (MDTs) and ensuring that everyone involved in a patient’s care can see the real-time data required is an area of focus at Healthcare Gateway. As we enter 2021, we will continue to build partnerships and products that help improve outcomes and reduce inpatient hospital admissions, for example, supporting people who receive care at home or live in care homes. We are also looking at the data sharing needs for MDTs in other areas of healthcare, in order to enable a complete, joined up health journey for all.

Wishing all a Merry Christmas from the team at Healthcare Gateway.

IKR

MIG joins up clinicians across London in COVID-19 care ‘revolution’

London clinicians

MIG joins up clinicians across London in COVID-19 care ‘revolution’

Urgent care staff in London have been giving more informed advice to vulnerable patients with COVID-19 symptoms, thanks to an expansion of record-sharing via the Medical Interoperability Gateway (MIG).

The MIG, from Healthcare Gateway, is enabling a real-time view of the GP records of around eight million patients, following an initiative to grow its use across the capital. The MIG, in conjunction with other technology providers, has enabled thousands of staff from NHS 111 services and major hospitals, community units, hospices and mental health services to view vital information, with patients’ permission. Clinicians have hailed it as a ‘revolution’ in joined up clinical care.

The work is part of the OneLondon Local Health and Care Record Exemplar (LHCRE) programme. Led by the region’s five health and care partnerships, OneLondon is working together with Londoners to transform health and care services by joining up information to support fast, safe, effective care.

“When COVID-19 hit us, NHS 111 and other urgent care staff were inundated with patients who needed the right advice on where to go for care and what they should do if they had COVID-19 symptoms. They urgently needed access to crucial medical information in patients’ GP records.

The MIG provides a clear view of clinical information in real-time, and it can be easily and rapidly rolled out at scale. Within five days, we were able to extend its reach from six to 18 CCGs covering the vast majority of London GPs.”

The expansion of the MIG has also enabled safer, more efficient care for other patients during the outbreak. Clinicians using the Cerner Millennium system at seven major hospital trusts can now view a detailed care summary from the GP record. Provided as structured data, it includes a patient summary and demographics, problems, diagnoses, medication, risk & warnings, procedures and investigations, encounters, admissions, and referrals.

“The MIG has revolutionised the way we do things. Patients often travel across London to see specialists, and being able to see the GP record, particularly medication, is so important if we are to give the best care.

The key to the success of the MIG is having the GP data integrated into a contextual view of the patient. We don’t need a separate login and it is giving back junior doctors up to 30 minutes a day, as they don’t have to chase faxes or ring colleagues to get information. There are fewer delays and interruptions to clinics. GPs are also able to view our data, enabling continuity of care when patients go back home.”

“Getting an accurate medication history used to involve lots of phone calls and faxes to GPs. The MIG has been a massive factor in enabling pharmacy technicians to take a more accurate medication history.  It takes around 10 minutes less per patient, which can add up to 40 minutes a day per technician.

The MIG is more reliable than the Summary Care Record (SCR) because the data is obtained in real-time. It is enabling us to review possible drug interactions and freeing us up to improve our care to patients, for example, dealing with cases of polypharmacy..

I would absolutely recommend the MIG to colleagues in other areas, no question about it. Patients have a right to the best care, and accurate data is necessary for that.”

"The MIG has really come into its own during the coronavirus outbreak. A lot of things wouldn’t have worked so well without it and everyone is now waking up to how important it is. For example, when admitting patients, nurses are using the MIG to confirm what patients report about their medical history. Some of these patients have cognitive issues but are unaccompanied due to COVID-19.

Colleagues doing pre-assessment for surgery are able to view each patient’s medical history before they arrive, so they can approach them with confidence and knowledge. It’s a brilliant way to get a 100% accurate overall clinical picture of the patient.

When everything was on paper you would struggle to get a picture of what had gone on with a patient at another trust. Some of the notes weren’t complete or there were letters to GPs missing.”

“In response to the coronavirus outbreak our priority was to ensure patient data continued to flow to clinicians who need it most. Working with customers across the OneLondon LHCRE, we’re proud the MIG has been one of the trusted technologies to enable patient data sharing across the capital. Clinicians now have a holistic view of their patients to enhance care and make informed decisions efficiently. We aim to continue supporting record sharing to improve the full patient journey, building a better, more joined-up healthcare economy.”

Offering sophisticated and flexible integration technology, the MIG currently connects 4,500 health and social care providers in the UK, sharing a total of 30 million patient records. More are being added all the time.

If you would like to find out more about the MIG and get in touch with a member of our team please get in touch here.

IKR