Information & eHealth Services

Objectives:

Integrated care requires, as a foundational capability, sharing of health information and care plans across diverse care teams that leads progressively to systems for enabling continuous collaboration, measuring and managing outcomes, and enabling citizens to take a more active role in their care. This means building on existing eHealth services, connecting them in new ways to support integration, and augmenting them with new capabilities, such as enhanced security and mobility.

  • Essential components to enable information-sharing, based on secure and trusted services.
  • ‘Digital first’ policy (where possible, move phone and face-to-face services to digital services to reduce dependence on staff and promote self-service).
  • Availability of fundamental building blocks to enable eHealth and eServices (‘infostructure’).
  • Confidentiality and security designed into patient records, registries, online services etc.
  • Enabling of new channels for healthcare delivery to replace face-to-face and telephone contact.

Indicators of maturity:

Unique citizen ID; linked health records; regional/national longitudinal electronic health record; atscale teleservices; ability to combine health and social care information; care collaboration
platforms.

Assessment:

  1. No connected health services, just isolated medical record systems
  2. No integrated services used, only pilots/local services
  3. eHealth deployed in some areas, but limited to specific organisations or patients
  4. Voluntary use of regional/national eHealth services across the healthcare system
  5. Mandated or funded use of regional/national eHealth infrastructure across the healthcare system
  6. Universal, at-scale regional/national eHealth services used by all integrated care stakeholders.
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