Karina Hull Access to Information Portfolio Meeting 28th September 2017 Background • Launched in November 2014. • Joint initiative of HSE, DOH and ICGP. • Aim was to provide a secure email service which would allow clinicians to communicate patient identifiable information to colleagues in private and secondary care. • First implementation for GPs and their support staff. Extended to Community Pharmacy April 2017. 2 Implementation • Users are issued with an @healthmail.ie account • All HSE and voluntary hospital email addresses are automatically connected to Healthmail. • Number of other connected agencies. • Possible to send images or documents as attachments • Primarily accessed via a web interface using any standard browser. 3 Security • Private bounded network • Defined number of connected agencies, secured using TLS (Transport Layer Security). • Closed network, so no access from Gmail or Hotmail etc. • Only trusted IP addresses can communicate. • Ensured security and confidentiality of data transmitted. 4 Current Status • 2016 accounts, (1976 users, 40 practice accounts). • Numbers increasing monthly. • Engaging with additional user groups: Physios, Dentists, Nursing Homes. • More users, more use cases identified. 6 Connected Agencies • All HSE Regions, @hse.ie • AMNCH, Tallaght - @amnch.ie • Affidea Clinics - @affidea.com • Aut Even Hospital, Kilkenny - @auteven.ie • Beaumont Hospital, Dublin - @beaumont.ie • Bon Secours Hospital, Dublin and Tralee - • Cappagh National Orthopaedic Hospital - @cappagh.ie @bonsecours.ie • Coombe Women & Infants University Hospital - @coombe.ie • Mater Private Hospital, Dublin and Cork - • Mater Public, Dublin - @mater.ie @materprivate.ie • Marymount University Hospital and Hospice, Cork - • St Vincent’s Private Hospital, Dublin - @svph.ie @marymount.ie • Whitfield Clinic, Waterford - @whitfieldclinic.ie • Mercy Hospital, Cork - @muh.ie • Milford Care Centre, Limerick - @milfordcarecentre.ie • Central Remedial Clinic (Dublin, Limerick & • National Maternity Hospital, Holles Street [email protected] Waterford) - @crc.ie • National Rehabilitation Hospital - @nrh.ie • Department of Health - @health.gov.ie • Our Lady’s Hospice, Harold’s Cross, Dublin - @olh.ie • Enable Ireland - @enableireland.ie • Health Products Regulatory Authority - @hpra.ie • Our Lady's Children's Hospital, Crumlin - @olchc.ie and @olhsc.ie • Healthlink, National Messaging Broker - • Rotunda Maternity Hospital, Dublin - @rotunda.ie @healthlink.ie • South Infirmary Victoria University Hospital, Cork - @sivuh.ie • National Cancer Control Programme - • St Francis Hospice, Dublin - @sfh.ie @cancercontrol.ie • St James's Hospital, Dublin - @stjames.ie • National Screening Service - @screeningservice.ie • St John’s Hospital, Limerick - @stjohnshospital.ie • SouthDoc Out of Hours Coop - @southdoc.ie • St Luke’s Hospital, Rathgar, Dublin - @slh.ie • St Vincent’s Hospitals Group - @st-vincents.ie, @svuh.ie, @stmichaels.ie, • @svhg.ie • Temple Street Children’s University Hospital - @cuh.ie 7 Purpose • To keep patient information safe • To facilitate information exchange • To operate a useful service 8 Plans • Engage with users, promote service • Engage with hospitals to email instead of fax • Expansion to new user groups • Integrate with GP software systems 9 10 User Stats 2500 2000 1500 1000 500 0 Nov-14 Dec-14 Jan-15 Feb-15 Mar-15 Apr-15 May-15 Jun-15 Jul-15 Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16 May-16 Jun-16 Jul-16 Aug-16 Sep-16 Oct-16 Nov-16 Dec-16 Jan-17 Feb-17 Mar-17 Apr-17 May-17 Jun-17 Jul-17 Aug-17 11 Message Stats 25,000 20,000 15,000 10,000 5,000 0 Nov-14 Dec-14 Jan-15 Feb-15 Mar-15 Apr-15 May-15 Jun-15 Jul-15 Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16 May-16 Jun-16 Jul-16 Aug-16 Sep-16 Oct-16 Nov-16 Dec-16 Jan-17 Feb-17 Mar-17 Apr-17 May-17 Jun-17 Jul-17 Aug-17 12 Further Information www.healthmail.ie http://www.ehealthireland.ie/Access-to- Information/Healthmail-/ 13 .