My Diabetes My Way Patient Access Scott Cunningham Technical Consultant.

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1 My Diabetes My Way Patient Access Scott Cunningham Technical Consultant

2 Introduction Diabetes in Scotland SCI Diabetes Collaboration My Diabetes My Way Patient Access Future Plans

3 Diabetes in Scotland Currently ~220,000 (4.3%) people diagnosed with diabetes in Scotland Type 1: ~27,500 (12.5%) Type 2: ~192,500 (87.5%) Increasing at a rate of 4.9% per year People with diabetes at increased risk of: Eye disease Renal failure Cardiovascular disease Diabetes accounts for 10% of NHS expenditure

4 SCI Diabetes Collaboration The National Diabetes Clinical Information System in Scotland since 2002 The IM&T infrastructure that underpins the diabetes managed clinical networks Completed rollout across Scotland in 2006 Providing clinically useful tools to support the care of patients with Diabetes

5 SCI Diabetes Collaboration Links data captured from multiple sources Primary Care (GPASS, Vision, EMIS, Ascribe) Secondary Care (SCI-DC Clinical) Laboratories (SCI Store) Diabetic Retinopathy Screening Service Conforms to National Clinical Datasets (NCDDP) Clinically relevant views on data Ad-hoc and pre-defined audit functions

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10 My Diabetes My Way Website for patients and carers Information leaflets Interactive content Videos Animations Patient Journeys Validated internal/external content Live since October

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18 Patient Access Link from Patient Website to the shared diabetes record 50-patient pilot funded by Scottish Diabetes Group Using Internet Banking security Integration with Citizen s Account Links to relevant Website information Similar processes to Renal PatientView

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20 Enrolment Process Patient is invited to sign up for Patient Access, is provided with information and completes a signup form Clinician verifies the patient s identity and submits their request for data access to SCI-DC. SCI-DC passes details of patients requesting data access to Citizen s Account

21 Enrolment Process Citizen s Account create user accounts and authentication details as appropriate and send directly to the patient SCI-DC data is validated and transferred securely to My Diabetes My Way Patient uses authentication details received to access personal information via My Diabetes My Way

22 Citizen s Account Scottish Government National Infrastructure sub-programme Allows citizen s access to various public services Diabetes demonstrator first for NHS Authentication using OneScotland portal

23 Patient Access Limited to key diabetes data initially Feedback mechanism to report errors Full user audit trail Pilot available in selected boards (Lothian, Tayside, Fife)

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38 Patient Access Benefits Access to the shared diabetes record containing data from multiple sources Links to nationally agreed educational materials, tailored to patient s condition Patient involvement in their medical care Awareness of guidelines and targets

39 Patient Access Completed Integration with Citizens Account Review of draft screens Patient information leaflets Staff information leaflets

40 Patient Access To Do Final development of screens for pilot SCI-DC data transfer approvals/release Live server configuration Patient recruitment and pre-project evaluation questionnaire Further national ehealth awareness Go Live November

41 Patient Access Future Plans Funding for wider rollout after pilot Automatic Citizen s Account registration Patient notification of new data ( /sms) Patient-recorded results to SCI-DC Blood glucose, blood pressure, cholesterol, weight, waist circumference

42 Patient Access Future Plans Patient queries and feedback Widen data set Appointment booking for Retinopathy Screening Links with: Ayrshire & Arran demonstrator Renal PatientView Audit and evaluation

43 Thank you!

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