Health Information Exchange (HIE)

This page is available via https://occg.info/HIE-About - save the link.

What is it?

Health Information Exchange (HIE) is a secure tool that will give clinicians a view of their individual patient's latest record from Oxford University Hospitals NHS Foundation Trust (OUHFT), together with EMIS held data.

It is designed to support direct patient care. For example, it may assist with hospital discharges as clinicians will have direct access to results from the acute hospitals.

Only primary care and OUHFT have access and share data within it.

The tool itself does not hold any data. It is a viewing tool.

Why now and at such a speed?

Access to a more comprehensive care record will help patient care during this challenging coronavirus (COVID-19) crisis.  Although of course, the tool will continue beyond that time and be developed further. 

Training

https://occg.info/HIE-Webinars

These sessions are open to all users in the practice.

As part of the training, frequently asked questions will be identified and associated documents will be available at the bottom of this page.

We have run 12 webinars so far on Microsoft Teams but are happy to do more. Please let us know what the best times for you would be by emailing scwcsu.health.information.exchange@nhs.net  The slides are available to download at the bottom of this page and we hope to publish a recorded version of the webinar.

Once we are up and running, what help do we get from where?

All relevant documentation and information will be available from this page.

FAQs (July 2020)

Q1: Why can we see our own data?

A1: We feel it is safest if each party can see their own data mixed in, on the grounds that any issues with the data are more likely to be spotted.  If you want to see only data from other parties e.g. the hospital, click 'Sources' and untick your own data - you will need to disable the Source which has your organisation name.

Q2: Can the hospital see our records?

A2: Yes! they can see most of the data from the record, but NOT consultation free text or documents.  more information is available in the Quick Reference Guide on https://occg.info/HIE-about

Q3: How do I get the data from the HIE into EMIS, such as coded blood test results?

A3: HIE is only a viewing platform, it cannot move or import data. We have requested a print button which would enable you to print into a pdf and save locally. This should be in place by the autumn.

Q4: When will we get other sources of data in the HIE view?

A4: Oxfordshire has the funding to include Out of Hours, OHFT community and Mental Health Services, Ambulance and 111 services, RBHFT and Oxfordshire County Council. We are developing the plans for these other data sources and stakeholders to join in.

Q5: Where are all the user resources?

A5: All information and status updates will be on https://occg.info/HIE-about including the Quick Reference Guide, DPIAs, training slides / videos etc

Q6: How can we block access to a patient record for example in a safeguarding case where we know someone has access to the HIE who could look up sensitive information e.g. a member of staff?

A6: Access to an individual record in HIE can’t be restricted in this way, so in this case sharing to HIE for that patient has to be blocked.  We are reviewing the Access Control and Audit Policy framework, but in the meantime, please ask the patient’s Responsible Medical Officer (RMO - the GP if the patient is not currently an inpatient) to consider the benefits of blocking the HIE record against the potential harm of it not being available to someone who needs it.  To block the access, use the Sharing button in EMIS and opt the patient out of Local Record Sharing.  We suggest you confirm you have succeeded by loading the HIE from the patient record and checking that the EMIS data are not visible.

Q7: How do I record patients’ consent preferences within EMIS (‘opt in and out’)?

A7: The EMIS web portal will provide you with the latest information and can be found using the link: https://www.emisnow.com/csm?id=kb_article&sysparm_article=KB0018928&sys_kb_id=0a780162dbf09810322d7317f39619e3&spa=1.